MULTIDIMENSIONAL NURSING 3 EXAM
WITH CORRECT ANSWERS 2025
Uterine leiomyoma - Assessment ( Correct answers ) The patient often
seeks medical attention because of heavy vaginal bleeding.
Ask about how many tampons/pads they have been bleeding through.
Ask about pelvic pressure and altered urine output and bowel
movements (enlarged fibroids can push on other organs).
Physical exams will likely show uterine enlargement.
Labs: CBC, Pregnancy test, and endometrial biopsy.
Erectile Dysfunction - Causes/ Treatment ( Correct answers ) Causes:
Gradual deterioration (Organic)
Inflammation of the prostate, Surgical procedures such as
prostatectomy, Pelvic
fractures, Lumbosacral injuries, Vascular disease, including hypertension,
Chronic neurologic conditions, such as Parkinson disease or multiple
sclerosis, Endocrine disorders, such as diabetes mellitus (a major cause) or
thyroid disorders, Smoking and alcohol consumption, Drugs, such as
antihypertensives, & Poor overall health.
Treatment: Depends on the cause, most often treated with drug therapy. Can
be caused by stress, address stress.
Meds: sildenafil (Viagra) and vardenafil (Levitra) need sexual stimulation
1/2-1 hour prior to promote erection.
tadalafil (Cialis), erection can be stimulated over a longer period so it is
more preferred.
Labs: serum hormone levels and using Doppler ultrasonography to
determine blood flow to the penis
Education related to treatment for HPV/cervical cancer ( Correct
answers ) Surgery followed by radiation and chemotherapy for later-
stage disease.
Laser therapy - A small amount of bleeding occurs with the procedure,
and the woman
may have a slight vaginal discharge. Healing occurs in 6 to 12 weeks. A
disadvantage of this procedure is that no specimen is available for study.
Cryotherapy - The patient has a heavy watery discharge for several
weeks after the procedure.
A total hysterectomy may be performed as treatment of microinvasive
cancer if the woman does not want children or more children.
After local therapies - Refrain from sexual intercourse.
• Do not use tampons.
• Do not douche.
• Take showers rather than tub baths.
, • Avoid lifting heavy objects.
• Report any heavy vaginal bleeding, foul-smelling drainage, or fever.
Breast cancer- Preventative screenings/ Risk factors/ Diagnostic tests/
Education ( Correct answers ) Preventative screening- self-breast
exam/awareness, mammograms (Average risk screening starts at age 45).
Risk factors - female gender, age <50, genetics (BRCA1&2), history of
previous breast cancer, dense breast tissue, atypical hyperplasia, family
history, frequent low-level radiation exposure, high postmenopausal bone
density, no children or first child after 30, early mensuration or late
menopause, OCP and HRT use, obesity, alcohol consumption, Jewish
heritage.
Diagnostic tests- Mammogram/US etc. A biopsy is the only way to truly
diagnose cancer.
Education- post-surgery teaching
Care of the incision and drainage device, Exercises to regain full range of
motion, Measures to avoid lymphedema, Measures to improve body
image, coping, and self- esteem, Information about interpersonal
relationships and roles, Measures to avoid injury, infection, and swelling of
the affected arm
Endometrial cancer - Symptoms/ Risk factors/ Diagnostic testing ( Correct
answers ) Symptoms: Vaginal bleeding usually leads to early diagnosis. Low
back/abdominal pain, and low pelvic pain.
Risk factors: Women in reproductive years, Family history of endometrial
cancer, Diabetes mellitus, Hypertension, Obesity, Uterine polyps, Late
menopause, Nulliparity (no childbirths), Smoking, use of Tamoxifen
(Nolvadex) given for breast cancer.
Diagnostic testing: Transvaginal ultrasound and endometrial biopsy are
the gold standard diagnostic tests to determine the presence of
endometrial thickening and cancer.
Cervical cancer - Post-op care/Education/ Prevention ( Correct answers )
Post-op care: Refrain from sexual intercourse.
• Do not use tampons.
• Do not douche.
• Take showers rather than tub baths.
• Avoid lifting heavy objects.
• Report any heavy vaginal bleeding, foul-smelling drainage, or fever.
Prevention: HPV vaccines, regular pelvic exams and pap
testing. Labs: pap and colposcopy
WITH CORRECT ANSWERS 2025
Uterine leiomyoma - Assessment ( Correct answers ) The patient often
seeks medical attention because of heavy vaginal bleeding.
Ask about how many tampons/pads they have been bleeding through.
Ask about pelvic pressure and altered urine output and bowel
movements (enlarged fibroids can push on other organs).
Physical exams will likely show uterine enlargement.
Labs: CBC, Pregnancy test, and endometrial biopsy.
Erectile Dysfunction - Causes/ Treatment ( Correct answers ) Causes:
Gradual deterioration (Organic)
Inflammation of the prostate, Surgical procedures such as
prostatectomy, Pelvic
fractures, Lumbosacral injuries, Vascular disease, including hypertension,
Chronic neurologic conditions, such as Parkinson disease or multiple
sclerosis, Endocrine disorders, such as diabetes mellitus (a major cause) or
thyroid disorders, Smoking and alcohol consumption, Drugs, such as
antihypertensives, & Poor overall health.
Treatment: Depends on the cause, most often treated with drug therapy. Can
be caused by stress, address stress.
Meds: sildenafil (Viagra) and vardenafil (Levitra) need sexual stimulation
1/2-1 hour prior to promote erection.
tadalafil (Cialis), erection can be stimulated over a longer period so it is
more preferred.
Labs: serum hormone levels and using Doppler ultrasonography to
determine blood flow to the penis
Education related to treatment for HPV/cervical cancer ( Correct
answers ) Surgery followed by radiation and chemotherapy for later-
stage disease.
Laser therapy - A small amount of bleeding occurs with the procedure,
and the woman
may have a slight vaginal discharge. Healing occurs in 6 to 12 weeks. A
disadvantage of this procedure is that no specimen is available for study.
Cryotherapy - The patient has a heavy watery discharge for several
weeks after the procedure.
A total hysterectomy may be performed as treatment of microinvasive
cancer if the woman does not want children or more children.
After local therapies - Refrain from sexual intercourse.
• Do not use tampons.
• Do not douche.
• Take showers rather than tub baths.
, • Avoid lifting heavy objects.
• Report any heavy vaginal bleeding, foul-smelling drainage, or fever.
Breast cancer- Preventative screenings/ Risk factors/ Diagnostic tests/
Education ( Correct answers ) Preventative screening- self-breast
exam/awareness, mammograms (Average risk screening starts at age 45).
Risk factors - female gender, age <50, genetics (BRCA1&2), history of
previous breast cancer, dense breast tissue, atypical hyperplasia, family
history, frequent low-level radiation exposure, high postmenopausal bone
density, no children or first child after 30, early mensuration or late
menopause, OCP and HRT use, obesity, alcohol consumption, Jewish
heritage.
Diagnostic tests- Mammogram/US etc. A biopsy is the only way to truly
diagnose cancer.
Education- post-surgery teaching
Care of the incision and drainage device, Exercises to regain full range of
motion, Measures to avoid lymphedema, Measures to improve body
image, coping, and self- esteem, Information about interpersonal
relationships and roles, Measures to avoid injury, infection, and swelling of
the affected arm
Endometrial cancer - Symptoms/ Risk factors/ Diagnostic testing ( Correct
answers ) Symptoms: Vaginal bleeding usually leads to early diagnosis. Low
back/abdominal pain, and low pelvic pain.
Risk factors: Women in reproductive years, Family history of endometrial
cancer, Diabetes mellitus, Hypertension, Obesity, Uterine polyps, Late
menopause, Nulliparity (no childbirths), Smoking, use of Tamoxifen
(Nolvadex) given for breast cancer.
Diagnostic testing: Transvaginal ultrasound and endometrial biopsy are
the gold standard diagnostic tests to determine the presence of
endometrial thickening and cancer.
Cervical cancer - Post-op care/Education/ Prevention ( Correct answers )
Post-op care: Refrain from sexual intercourse.
• Do not use tampons.
• Do not douche.
• Take showers rather than tub baths.
• Avoid lifting heavy objects.
• Report any heavy vaginal bleeding, foul-smelling drainage, or fever.
Prevention: HPV vaccines, regular pelvic exams and pap
testing. Labs: pap and colposcopy
