Page |1
Lewis Test Bank Questions and Correct
Answers/ Latest Update / Already Graded
The nurse in the women's health clinic has four patients who are
waiting to be seen. Which patient should the nurse see FIRST?
Ans: a. 22-year-old with persistent red-brown vaginal drainage
3 days after having balloon thermotherapy
b. 42-year-old with secondary amenorrhea who says that her
last menstrual cycle was 3 months ago
c. 35-year-old with heavy spotting after having a progestin -
containing IUD (Mirena) inserted a month ago
D. 19-year-old with menorrhagia who has been using
superabsorbent tampons and has fever with weakness Rational:
The patients history and clinical manifestations suggest
possible toxic shock syndrome, which will require rapid
intervention. The symptoms for the other patients are
consistent with their diagnoses and do not indicate life -
threatening complications.
A healthy 28-year-old who has been vaccinated against human
papillomavirus (HPV) has a normal Pap test. Which information will the
nurse include in patient teaching when calling the patient with the
results of the Pap test?
Ans: Pap testing is recommended every 3 years for women your
age.
All rights reserved © 2025/ 2026 |
, Page |2
To prevent pregnancy in a patient who has been sexually assaulted, the
nurse in the emergency department will plan to teach the patient
about the use of
Ans: levonorgestrel (Plan-B One-Step).
Rational:
Plan B One-Step reduces the risk of pregnancy when taken
within 72 hours of intercourse. The other methods are used for
therapeutic abortion, but not for pregnancy prevention after
unprotected intercourse.
A 22-year-old tells the nurse that she has not had a menstrual period
for the last 2 months. Which action is MOST important for the nurse to
take?
Ans: A. Obtain a urine specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patients current height and weight.
d. Question the patient about prescribed medications. Rational:
Pregnancy should always be considered a possible cause of
amenorrhea in women of childbearing age. The other actions
are also appropriate, but it is important to check for pregnancy
in this patient because pregnancy will require rapid
implementation of actions to promote normal fetal
development such as changes in lifestyle, folic acid intake, etc.
All rights reserved © 2025/ 2026 |
, Page |3
Which information will the nurse include when teaching a patient who
has developed a small vesicovaginal fistula 2 weeks into the
postpartum period?
Ans: a. Take stool softeners to prevent fecal contamination of
the vagina.
b. Limit oral fluid intake to minimize the quantity of urinary
drainage.
C. Change the perineal pad frequently to prevent perineal skin
breakdown.
d. Call the health care provider immediately if urine drains from
the vagina.
Rational:
Because urine will leak from the bladder, the patient should
plan to use perineal pads and change them frequently. A high
fluid intake is recommended to decrease the risk for urinary
tract infections. Drainage of urine from the vagina is expected
with vesicovaginal fistulas. Fecal contamination is not a
concern with vesicovaginal fistulas.
The nurse has just received change-of-shift report about the following
four patients. Which patient should be assessed FIRST?
Ans: a. A patient with a cervical radium implant in place who is
crying in her room
All rights reserved © 2025/ 2026 |
Lewis Test Bank Questions and Correct
Answers/ Latest Update / Already Graded
The nurse in the women's health clinic has four patients who are
waiting to be seen. Which patient should the nurse see FIRST?
Ans: a. 22-year-old with persistent red-brown vaginal drainage
3 days after having balloon thermotherapy
b. 42-year-old with secondary amenorrhea who says that her
last menstrual cycle was 3 months ago
c. 35-year-old with heavy spotting after having a progestin -
containing IUD (Mirena) inserted a month ago
D. 19-year-old with menorrhagia who has been using
superabsorbent tampons and has fever with weakness Rational:
The patients history and clinical manifestations suggest
possible toxic shock syndrome, which will require rapid
intervention. The symptoms for the other patients are
consistent with their diagnoses and do not indicate life -
threatening complications.
A healthy 28-year-old who has been vaccinated against human
papillomavirus (HPV) has a normal Pap test. Which information will the
nurse include in patient teaching when calling the patient with the
results of the Pap test?
Ans: Pap testing is recommended every 3 years for women your
age.
All rights reserved © 2025/ 2026 |
, Page |2
To prevent pregnancy in a patient who has been sexually assaulted, the
nurse in the emergency department will plan to teach the patient
about the use of
Ans: levonorgestrel (Plan-B One-Step).
Rational:
Plan B One-Step reduces the risk of pregnancy when taken
within 72 hours of intercourse. The other methods are used for
therapeutic abortion, but not for pregnancy prevention after
unprotected intercourse.
A 22-year-old tells the nurse that she has not had a menstrual period
for the last 2 months. Which action is MOST important for the nurse to
take?
Ans: A. Obtain a urine specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patients current height and weight.
d. Question the patient about prescribed medications. Rational:
Pregnancy should always be considered a possible cause of
amenorrhea in women of childbearing age. The other actions
are also appropriate, but it is important to check for pregnancy
in this patient because pregnancy will require rapid
implementation of actions to promote normal fetal
development such as changes in lifestyle, folic acid intake, etc.
All rights reserved © 2025/ 2026 |
, Page |3
Which information will the nurse include when teaching a patient who
has developed a small vesicovaginal fistula 2 weeks into the
postpartum period?
Ans: a. Take stool softeners to prevent fecal contamination of
the vagina.
b. Limit oral fluid intake to minimize the quantity of urinary
drainage.
C. Change the perineal pad frequently to prevent perineal skin
breakdown.
d. Call the health care provider immediately if urine drains from
the vagina.
Rational:
Because urine will leak from the bladder, the patient should
plan to use perineal pads and change them frequently. A high
fluid intake is recommended to decrease the risk for urinary
tract infections. Drainage of urine from the vagina is expected
with vesicovaginal fistulas. Fecal contamination is not a
concern with vesicovaginal fistulas.
The nurse has just received change-of-shift report about the following
four patients. Which patient should be assessed FIRST?
Ans: a. A patient with a cervical radium implant in place who is
crying in her room
All rights reserved © 2025/ 2026 |
