FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
Chapter 06: Reproductive System Concerns
MULTIPLE CHOICE
1. Which condition is the least likely cause of amenorrhea in a 17-year-old client?
a. Anatomic abnormalities
b. Type 1 diabetes mellitus
c. Obesity
d. Pregnancy
2. When a nurse is counseling a woman for primary dysmenorrhea, which
nonpharmacologic intervention might be recommended?
a. Increasing the intake of red meat to replace blood loss
b. Reducing the intake of diuretic foods, such as peaches and asparagus
c. Temporarily substituting physical activity for a sedentary lifestyle
d. Using a heating pad on the abdomen to relieve cramping
3. Nafarelin (Synarel) is used to treat mild-to-severe endometriosis. What
instruction or information should the nurse provide to a client regarding
nafarelin administration?
a. Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby
stimulating ovarian activity.
b. It should be administered by intramuscular (IM) injection.
c. Nafarelin should be administered by a subcutaneous implant.
d. It can cause the client to experience some hot flashes and vaginal dryness.
4. While interviewing a 31-year-old woman before her routine gynecologic
examination, the nurse collects data about the client’s recent menstrual cycles.
Which statement by the client should prompt the nurse to collect further
information?
a. “My menstrual flow lasts 5 to 6 days.”
b. “My flow is very heavy.”
c. “I have had a small amount of spotting midway between my periods for the past 2 months.”
d. “The length of my menstrual cycles varies from 26 to 29 days.”
5. A 21-year-old client complains of severe pain immediately after the
commencement of her menses. Which gynecologic condition is the most likely
cause of this client’s presenting complaint?
a. Primary dysmenorrhea
b. Secondary dysmenorrhea
c. Dyspareunia
d. Endometriosis
, FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
6. Which symptom described by a client is characteristic of premenstrual syndrome
(PMS)?
a. “I feel irritable and moody a week before my period is supposed to start.”
b. “I have lower abdominal pain beginning on the third day of my menstrual period.”
c. “I have nausea and headaches after my period starts, and they last 2 to 3 days.”
d. “I have abdominal bloating and breast pain after a couple days of my period.”
7. A client complains of severe abdominal and pelvic pain around the time of
menstruation. This pain has become progressively worse over the last 5 years.
She also complains of pain during intercourse and has tried unsuccessfully to
become pregnant for the past 18 months. To which condition are these symptoms
most likely related?
a. Endometriosis
b. PMS
c. Primary dysmenorrhea
d. Secondary dysmenorrhea
8. Which menopausal discomfort would the nurse anticipate when evaluating a
woman for signs and symptoms of the climacteric?
a. Headaches
b. Hot flashes
c. Mood swings
d. Vaginal dryness with dyspareunia
9. Which risk factor would the nurse recognize as being frequently associated with
osteoporosis?
a. African-American race
b. Low-protein intake
c. Obesity
d. Cigarette smoking
10. A perimenopausal client has arrived for her annual gynecologic examination.
Which preexisting condition would be extremely important for the nurse to
identify during a discussion regarding the risks and benefits of hormone
therapy?
a. Breast cancer
b. Vaginal and urinary tract atrophy
c. Osteoporosis
d. Arteriosclerosis
Chapter 06: Reproductive System Concerns
MULTIPLE CHOICE
1. Which condition is the least likely cause of amenorrhea in a 17-year-old client?
a. Anatomic abnormalities
b. Type 1 diabetes mellitus
c. Obesity
d. Pregnancy
2. When a nurse is counseling a woman for primary dysmenorrhea, which
nonpharmacologic intervention might be recommended?
a. Increasing the intake of red meat to replace blood loss
b. Reducing the intake of diuretic foods, such as peaches and asparagus
c. Temporarily substituting physical activity for a sedentary lifestyle
d. Using a heating pad on the abdomen to relieve cramping
3. Nafarelin (Synarel) is used to treat mild-to-severe endometriosis. What
instruction or information should the nurse provide to a client regarding
nafarelin administration?
a. Nafarelin stimulates the secretion of gonadotropin-releasing hormone (GnRH), thereby
stimulating ovarian activity.
b. It should be administered by intramuscular (IM) injection.
c. Nafarelin should be administered by a subcutaneous implant.
d. It can cause the client to experience some hot flashes and vaginal dryness.
4. While interviewing a 31-year-old woman before her routine gynecologic
examination, the nurse collects data about the client’s recent menstrual cycles.
Which statement by the client should prompt the nurse to collect further
information?
a. “My menstrual flow lasts 5 to 6 days.”
b. “My flow is very heavy.”
c. “I have had a small amount of spotting midway between my periods for the past 2 months.”
d. “The length of my menstrual cycles varies from 26 to 29 days.”
5. A 21-year-old client complains of severe pain immediately after the
commencement of her menses. Which gynecologic condition is the most likely
cause of this client’s presenting complaint?
a. Primary dysmenorrhea
b. Secondary dysmenorrhea
c. Dyspareunia
d. Endometriosis
, FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
6. Which symptom described by a client is characteristic of premenstrual syndrome
(PMS)?
a. “I feel irritable and moody a week before my period is supposed to start.”
b. “I have lower abdominal pain beginning on the third day of my menstrual period.”
c. “I have nausea and headaches after my period starts, and they last 2 to 3 days.”
d. “I have abdominal bloating and breast pain after a couple days of my period.”
7. A client complains of severe abdominal and pelvic pain around the time of
menstruation. This pain has become progressively worse over the last 5 years.
She also complains of pain during intercourse and has tried unsuccessfully to
become pregnant for the past 18 months. To which condition are these symptoms
most likely related?
a. Endometriosis
b. PMS
c. Primary dysmenorrhea
d. Secondary dysmenorrhea
8. Which menopausal discomfort would the nurse anticipate when evaluating a
woman for signs and symptoms of the climacteric?
a. Headaches
b. Hot flashes
c. Mood swings
d. Vaginal dryness with dyspareunia
9. Which risk factor would the nurse recognize as being frequently associated with
osteoporosis?
a. African-American race
b. Low-protein intake
c. Obesity
d. Cigarette smoking
10. A perimenopausal client has arrived for her annual gynecologic examination.
Which preexisting condition would be extremely important for the nurse to
identify during a discussion regarding the risks and benefits of hormone
therapy?
a. Breast cancer
b. Vaginal and urinary tract atrophy
c. Osteoporosis
d. Arteriosclerosis
