NR 304 & NR302 Health Assessment II Exam|
Actual Questions and Answers Latest Updated
(Graded A+)– Chamberlain
Terms in this set (894)
During a health history, a 22-year old ANS: D
woman asks, "Can I get that vaccine for The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to
HPV? I have genital warts and I'd like them 26 and is given to prevent cervical cancer by preventing HPV infections before girls
to go away!" What is the nurse's best become sexually active. However, it cannot protect the woman if an HPV infection is
response? already present.
A)
"The HPV vaccine is for girls and women
ages 9 to 26, so we can start that today."
B)
"This vaccine is only for girls who have not
started to have intercourse yet."
C)
"Let's check with the physician to see if you
are a candidate for this vaccine."
D)
"The vaccine cannot protect you if you
already have an HPV infection."
During an examination the nurse observes ANS: A
a female patient's vestibule and expects to The labial structures encircle a boat-shaped space, or cleft, termed the vestibule.
see the: Within it are numerous openings. The urethral meatus and vaginal orifice are visible.
A) The ducts of the paraurethral (Skene) glands and the vestibular (Bartholin) glands are
urethral meatus and vaginal orifice. present but not visible.
B)
vaginal orifice and vestibular (Bartholin)
glands.
C)
urethral meatus and paraurethral (Skene)
glands.
D)
paraurethral (Skene) and vestibular
(Bartholin) glands.
,During a speculum inspection of the ANS: A
vagina, the nurse would expect to see what At the end of the canal, the uterine cervix projects into the vagina
at the end of the vaginal canal?
A)
Cervix
B)
Uterus
C)
Ovaries
D)
Fallopian tubes
The uterus is usually positioned tilting ANS: A
forward and superior to the bladder. This The uterus is freely movable, not fixed, and usually tilts forward and superior to the
position is known as: bladder (a position labeled as anteverted and anteflexed).
A)
anteverted and anteflexed.
B)
retroverted and anteflexed.
C)
retroverted and retroflexed.
D)
superiorverted and anteflexed.
The changes normally associated with ANS: C
menopause occur generally because the Because cells in the reproductive tract are estrogen dependent, decreased estrogen
cells in the reproductive tract are: levels during menopause bring dramatic physical changes. The other options are not
A) correct.
aging.
B)
becoming fibrous.
C)
estrogen dependent.
D)
able to respond to estrogen.
The nurse is reviewing the changes that ANS: A
occur with menopause. Which of these are The uterus shrinks because of its decreased myometrium. The ovaries atrophy to 1 to
changes associated with menopause? 2 cm and are not palpable after menopause. The sacral ligaments relax, and the
A) pelvic musculature weakens, so the uterus droops. The cervix shrinks and looks paler
Uterine and ovarian atrophy along with with a thick glistening epithelium. The vaginal epithelium atrophies, becoming thinner,
thinning vaginal epithelium drier, and itchy. The vaginal pH becomes more alkaline, and secretions are
B) decreased. This results in a fragile mucosal surface that is at risk for bleeding and
Ovarian atrophy, increased vaginal vaginitis.
secretions, and increasing clitoral size
C)
Cervical hypertrophy, ovarian atrophy, and
increased acidity of vaginal secretions
D)
Vaginal mucosa fragility, increased acidity
of vaginal secretions, and uterine
hypertrophy
,A 54-year-old woman who has just ANS: B
completed menopause is in the clinic today Decreased vaginal secretions leave the vagina dry and at risk for irritation and pain
for a yearly physical examination. Which of with intercourse (dyspareunia). The other statements are incorrect.
these statements should the nurse include
in patient education? "A postmenopausal
woman:
A)
is not at any greater risk for heart disease
than a younger woman is."
B)
should be aware that she is at increased
risk for dyspareunia because of decreased
vaginal secretions."
C)
has only stopped menstruating; there really
are no other significant changes with which
she should be concerned."
D)
is likely to have difficulty with sexual
pleasure as a result of drastic changes in
the female sexual response cycle."
A woman is in the clinic for an annual ANS: A
gynecologic examination. The nurse should Menstrual history is usually nonthreatening; thus it is a good place to start. Obstetric,
plan to begin the interview with the: urinary, and sexual histories are also part of the interview but not necessarily the
A) best topics with which to start.
menstrual history because it is generally
nonthreatening.
B)
obstetric history because it is the most
important information.
C)
urinary system history because there may
be problems in this area as well.
D)
sexual history because it will build rapport
to discuss this first.
During the interview with a female patient, ANS: C
the nurse gathers data that indicate that the Hormone shifts occur during the perimenopausal period, and associated symptoms
patient is perimenopausal. Which of these of menopause may occur, such as hot flashes, night sweats, numbness and tingling,
statements made by this patient leads to headache, palpitations, drenching sweats, mood swings, vaginal dryness, and itching.
this conclusion? The other responses are not correct.
A)
"I have noticed that my muscles ache at
night when I go to bed."
B)
"I will be very happy when I can stop
worrying about having a period."
C)
"I have been noticing that I sweat a lot
more than I used to, especially at night."
D)
"I have only been pregnant twice, but both
times I had breast tenderness as my first
symptom."
, A 50-year-old woman calls the clinic ANS: B
because she has noticed some changes in Side effects of hormone replacement therapy include fluid retention, breast pain,
her body and breasts and wonders if they and vaginal bleeding. The other responses are not correct.
could be due to the hormone replacement
therapy (HRT) she started 3 months ago.
The nurse should tell her:
A)
"Hormone replacement therapy is at such a
low dose that side effects are very
unusual."
B)
"Hormone replacement therapy has several
side effects, including fluid retention,
breast tenderness, and vaginal bleeding."
C)
"It would be very unusual to have vaginal
bleeding with hormone replacement
therapy, and I suggest you come in to the
clinic immediately to have this evaluated."
D)
"It sounds as if your dose of estrogen is too
high; I think you may need to decrease the
amount you are taking and then call back in
a week."
A 52-year-old patient states that when she ANS: B
sneezes or coughs she "wets herself a Stress incontinence is involuntary urine loss with physical strain, sneezing, or
little." She is very concerned that coughing. Dysuria is pain or burning with urination. Hematuria is bleeding with
something may be wrong with her. The urination. Urge incontinence is involuntary urine loss but it occurs due to an
nurse suspects that the problem is: overactive detrusor muscle in the bladder that contracts and causes an urgent need
A) to void
dysuria.
B)
stress incontinence.
C)
hematuria.
D)
urge incontinence.
During the interview a patient reveals that ANS: C
she has some vaginal discharge. She is Ask questions that help the patient reveal more information about her symptoms in a
worried that it may be a sexually nonthreatening manner. Assess vaginal discharge further by asking about the
transmitted infection. The nurse's most amount, color, and odor. Normal vaginal discharge is small, clear or cloudy, and
appropriate response to this would be: always nonirritating.
A)
"Oh, don't worry. Some cyclic vaginal
discharge is normal."
B)
"Have you been engaging in unprotected
sexual intercourse?"
C)
"I'd like some information about the
discharge. What color is it?"
D)
"Have you had any urinary incontinence
associated with the discharge?"
Actual Questions and Answers Latest Updated
(Graded A+)– Chamberlain
Terms in this set (894)
During a health history, a 22-year old ANS: D
woman asks, "Can I get that vaccine for The HPV (human papillomavirus) vaccine is appropriate for girls and women age 9 to
HPV? I have genital warts and I'd like them 26 and is given to prevent cervical cancer by preventing HPV infections before girls
to go away!" What is the nurse's best become sexually active. However, it cannot protect the woman if an HPV infection is
response? already present.
A)
"The HPV vaccine is for girls and women
ages 9 to 26, so we can start that today."
B)
"This vaccine is only for girls who have not
started to have intercourse yet."
C)
"Let's check with the physician to see if you
are a candidate for this vaccine."
D)
"The vaccine cannot protect you if you
already have an HPV infection."
During an examination the nurse observes ANS: A
a female patient's vestibule and expects to The labial structures encircle a boat-shaped space, or cleft, termed the vestibule.
see the: Within it are numerous openings. The urethral meatus and vaginal orifice are visible.
A) The ducts of the paraurethral (Skene) glands and the vestibular (Bartholin) glands are
urethral meatus and vaginal orifice. present but not visible.
B)
vaginal orifice and vestibular (Bartholin)
glands.
C)
urethral meatus and paraurethral (Skene)
glands.
D)
paraurethral (Skene) and vestibular
(Bartholin) glands.
,During a speculum inspection of the ANS: A
vagina, the nurse would expect to see what At the end of the canal, the uterine cervix projects into the vagina
at the end of the vaginal canal?
A)
Cervix
B)
Uterus
C)
Ovaries
D)
Fallopian tubes
The uterus is usually positioned tilting ANS: A
forward and superior to the bladder. This The uterus is freely movable, not fixed, and usually tilts forward and superior to the
position is known as: bladder (a position labeled as anteverted and anteflexed).
A)
anteverted and anteflexed.
B)
retroverted and anteflexed.
C)
retroverted and retroflexed.
D)
superiorverted and anteflexed.
The changes normally associated with ANS: C
menopause occur generally because the Because cells in the reproductive tract are estrogen dependent, decreased estrogen
cells in the reproductive tract are: levels during menopause bring dramatic physical changes. The other options are not
A) correct.
aging.
B)
becoming fibrous.
C)
estrogen dependent.
D)
able to respond to estrogen.
The nurse is reviewing the changes that ANS: A
occur with menopause. Which of these are The uterus shrinks because of its decreased myometrium. The ovaries atrophy to 1 to
changes associated with menopause? 2 cm and are not palpable after menopause. The sacral ligaments relax, and the
A) pelvic musculature weakens, so the uterus droops. The cervix shrinks and looks paler
Uterine and ovarian atrophy along with with a thick glistening epithelium. The vaginal epithelium atrophies, becoming thinner,
thinning vaginal epithelium drier, and itchy. The vaginal pH becomes more alkaline, and secretions are
B) decreased. This results in a fragile mucosal surface that is at risk for bleeding and
Ovarian atrophy, increased vaginal vaginitis.
secretions, and increasing clitoral size
C)
Cervical hypertrophy, ovarian atrophy, and
increased acidity of vaginal secretions
D)
Vaginal mucosa fragility, increased acidity
of vaginal secretions, and uterine
hypertrophy
,A 54-year-old woman who has just ANS: B
completed menopause is in the clinic today Decreased vaginal secretions leave the vagina dry and at risk for irritation and pain
for a yearly physical examination. Which of with intercourse (dyspareunia). The other statements are incorrect.
these statements should the nurse include
in patient education? "A postmenopausal
woman:
A)
is not at any greater risk for heart disease
than a younger woman is."
B)
should be aware that she is at increased
risk for dyspareunia because of decreased
vaginal secretions."
C)
has only stopped menstruating; there really
are no other significant changes with which
she should be concerned."
D)
is likely to have difficulty with sexual
pleasure as a result of drastic changes in
the female sexual response cycle."
A woman is in the clinic for an annual ANS: A
gynecologic examination. The nurse should Menstrual history is usually nonthreatening; thus it is a good place to start. Obstetric,
plan to begin the interview with the: urinary, and sexual histories are also part of the interview but not necessarily the
A) best topics with which to start.
menstrual history because it is generally
nonthreatening.
B)
obstetric history because it is the most
important information.
C)
urinary system history because there may
be problems in this area as well.
D)
sexual history because it will build rapport
to discuss this first.
During the interview with a female patient, ANS: C
the nurse gathers data that indicate that the Hormone shifts occur during the perimenopausal period, and associated symptoms
patient is perimenopausal. Which of these of menopause may occur, such as hot flashes, night sweats, numbness and tingling,
statements made by this patient leads to headache, palpitations, drenching sweats, mood swings, vaginal dryness, and itching.
this conclusion? The other responses are not correct.
A)
"I have noticed that my muscles ache at
night when I go to bed."
B)
"I will be very happy when I can stop
worrying about having a period."
C)
"I have been noticing that I sweat a lot
more than I used to, especially at night."
D)
"I have only been pregnant twice, but both
times I had breast tenderness as my first
symptom."
, A 50-year-old woman calls the clinic ANS: B
because she has noticed some changes in Side effects of hormone replacement therapy include fluid retention, breast pain,
her body and breasts and wonders if they and vaginal bleeding. The other responses are not correct.
could be due to the hormone replacement
therapy (HRT) she started 3 months ago.
The nurse should tell her:
A)
"Hormone replacement therapy is at such a
low dose that side effects are very
unusual."
B)
"Hormone replacement therapy has several
side effects, including fluid retention,
breast tenderness, and vaginal bleeding."
C)
"It would be very unusual to have vaginal
bleeding with hormone replacement
therapy, and I suggest you come in to the
clinic immediately to have this evaluated."
D)
"It sounds as if your dose of estrogen is too
high; I think you may need to decrease the
amount you are taking and then call back in
a week."
A 52-year-old patient states that when she ANS: B
sneezes or coughs she "wets herself a Stress incontinence is involuntary urine loss with physical strain, sneezing, or
little." She is very concerned that coughing. Dysuria is pain or burning with urination. Hematuria is bleeding with
something may be wrong with her. The urination. Urge incontinence is involuntary urine loss but it occurs due to an
nurse suspects that the problem is: overactive detrusor muscle in the bladder that contracts and causes an urgent need
A) to void
dysuria.
B)
stress incontinence.
C)
hematuria.
D)
urge incontinence.
During the interview a patient reveals that ANS: C
she has some vaginal discharge. She is Ask questions that help the patient reveal more information about her symptoms in a
worried that it may be a sexually nonthreatening manner. Assess vaginal discharge further by asking about the
transmitted infection. The nurse's most amount, color, and odor. Normal vaginal discharge is small, clear or cloudy, and
appropriate response to this would be: always nonirritating.
A)
"Oh, don't worry. Some cyclic vaginal
discharge is normal."
B)
"Have you been engaging in unprotected
sexual intercourse?"
C)
"I'd like some information about the
discharge. What color is it?"
D)
"Have you had any urinary incontinence
associated with the discharge?"
