ALL SETS: NR 304 + NR 302 PRACTICE QUESTIONS AND 100% CORRECT AND WELL DETAILED ANSWERS|LATEST 2025/2026|GRADED A+

ALL SETS: NR 304 + NR 302 PRACTICE

DETAILED ANSWERS|LATEST


During a health history, a 22-
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year old woman asks, "Can I get that vaccine for HPV? I have genital warts and I'd like them to
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go away!" What is the nurse's best response?
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A)

"The HPV vaccine is for girls and women ages 9 to 26, so we can start that today."
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B)

"This vaccine is only for girls who have not started to have intercourse yet."
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C)

"Let's check with the physician to see if you are a candidate for this vaccine."
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D)

"The vaccine cannot protect you if you already have an HPV infection." -
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B ANSWER ANS: D B




The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to 26 and is
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given to prevent cervical cancer by preventing HPV infections before girls become sexually acti
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ve. However, it cannot protect the woman if an HPV infection is already present.
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During an examination the nurse observes a female patient's vestibule and expects to see the:
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A)

urethral meatus and vaginal orifice.
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B)

vaginal orifice and vestibular (Bartholin) glands.
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C)

urethral meatus and paraurethral (Skene) glands.
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D)

paraurethral (Skene) and vestibular (Bartholin) glands. - ANSWER
B B B B B B B ANS: A B




1

,The labial structures encircle a boat-
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shaped space, or cleft, termed the vestibule. Within it are numerous openings. The urethral m
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eatus and vaginal orifice are visible. The ducts of the paraurethral (Skene) glands and the vesti
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bular (Bartholin) glands are present but not visible.
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During a speculum inspection of the vagina, the nurse would expect to see what at the end of
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the vaginal canal?
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A)

Cervix

B)

Uterus

C)

Ovaries

D)

Fallopian tubes - ANSWER B B B ANS: A B




At the end of the canal, the uterine cervix projects into the vagina
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The uterus is usually positioned tilting forward and superior to the bladder. This position is kn
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own as: B




A)

anteverted and anteflexed. B B




B)

retroverted and anteflexed. B B




C)

retroverted and retroflexed. B B




D)

superiorverted and anteflexed. - ANSWER B B B B ANS: A B




The uterus is freely movable, not fixed, and usually tilts forward and superior to the bladder (a
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position labeled as anteverted and anteflexed).
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2

,The changes normally associated with menopause occur generally because the cells in the rep
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roductive tract are: B B




A)

aging.

B)

becoming fibrous. B




C)

estrogen dependent. B




D)

able to respond to estrogen. - ANSWER
B B B B B B ANS: C B




Because cells in the reproductive tract are estrogen dependent, decreased estrogen levels dur
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ing menopause bring dramatic physical changes. The other options are not correct.
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The nurse is reviewing the changes that occur with menopause. Which of these are changes a
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ssociated with menopause? B B




A)

Uterine and ovarian atrophy along with thinning vaginal epithelium
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B)

Ovarian atrophy, increased vaginal secretions, and increasing clitoral size
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C)

Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions
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D)

Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine hypertrophy -
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B ANSWER ANS: A B




The uterus shrinks because of its decreased myometrium. The ovaries atrophy to 1 to 2 cm an
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d are not palpable after menopause. The sacral ligaments relax, and the pelvic musculature w
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eakens, so the uterus droops. The cervix shrinks and looks paler with a thick glistening epitheli
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um. The vaginal epithelium atrophies, becoming thinner, drier, and itchy. The vaginal pH beco
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3

, mes more alkaline, and secretions are decreased. This results in a fragile mucosal surface that
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is at risk for bleeding and vaginitis.
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A 54-year-
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old woman who has just completed menopause is in the clinic today for a yearly physical exam
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ination. Which of these statements should the nurse include in patient education? "A postme
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nopausal woman: B




A)

is not at any greater risk for heart disease than a younger woman is."
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B)

should be aware that she is at increased risk for dyspareunia because of decreased vaginal sec
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retions."

C)

has only stopped menstruating; there really are no other significant changes with which she s
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hould be concerned."B B




D)

is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexua
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l response cycle." - ANSWER
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Decreased vaginal secretions leave the vagina dry and at risk for irritation and pain with interc
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ourse (dyspareunia). The other statements are incorrect.
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A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begi
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n the interview with the:
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A)

menstrual history because it is generally nonthreatening.
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B)

obstetric history because it is the most important information.
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C)

urinary system history because there may be problems in this area as well.
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D)



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