MED SURG TEST REVIEW
HIV
Flu-like, with fever, headache, lymphadenopathy, sore throat, rash, myalgia and arthralgia
Soy milk
A 55-year-old client has hypertension. She admits to her physician that she stopped taking her regular medications about 3 months ago and started an alternative, new-age therapy. When the client asks about herbal remedies to treat her hot flashes, which natural estrogen is the physician likely to recommend?
CMV
Asymptomatic
Toxoplasmosis
Asymptomatic
HPV
Cell changes that may lead to cancer of the cervix, rectum, or head and neck, warts
Syphilis
Chancre, flu like, including fever, headache, malaise, muscle aches, sore throat, and weight loss
"I will avoid having sexual relations until I see the doctor again."
Cone biopsy describes a procedure in which cervical tissue is removed as result of detection of abnormal cells. Which statements by the client demonstrates that the client undergoing a cone biopsy understands the discharge instructions?
Trichomonas
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. What bacteria does the practitioner suspect is causing this disorder?
digital rectal examination
During physical examination of the male reproductive system, which method would best provide the nurse information about the prostate's size as well as evidence of tumor?
Candidiasis
Oral, vaginal, breast, body
Rubella
Rash, fever, flu-like symptoms. Newborn: hearing loss, cataracts, glaucoma, blueberry muffin rash, hemolytic anemia
Inspection of the external genitalia
The examiner is preparing to perform a pelvic examination. Which of the following would be done first?
Positive cervical motion tenderness
The nurse is documenting the results of a pelvic examination on a client's medical record. Which of the following would alert the nurse to the need for additional follow up?
Fallopian tube
When describing the process of fertilization, the nurse would explain that it normally occurs in which structure?
venlafaxine
decrease the risk of hot flashes
It calls for a biopsy as soon as possible.
A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding?
Rh factor, Pregnancy test, Hematocrit level
A client who is 6 weeks' pregnant is scheduled for an induced abortion. Which laboratory test(s) will the nurse schedule for the client before the procedure? Select all that apply.
Delay or cessation of menstruation
A female client severely reduced her body fat through extreme caloric restriction and exercise. Which reproductive abnormalities could she acquire as a result of the reduction in body fat?
Fallopian tube
A group of nursing students are reviewing information about the structure and function of the female reproductive system in preparation for an examination. The students demonstrate understanding when they identify which of the following as an internal structure?
Water-based lubricant
A postmenopausal patient is experiencing dyspareunia. What methods can the nurse recommend she use to diminish the discomfort?
atrophy of Bartholin glands
An older female client reports pain during intercourse, disrupting the intimacy that she and her husband are accustomed to sharing. What might be the cause of her pain?
Trichomoniasis
Asymptomatic but may present as vaginal irritation and fishy odor discharge.
Chlamydia
Asymptomatic, dysuria, vaginal discharge, or pelvic pain
Thin, greyish vaginal discharge
In preparation for a gynecologic examination, a female client apologizes for any discharge that has an odor which "smells like fish." Which addtional signs or symtoms would the nurse anticipate for this client's condition?
Drink at least 1 quart of water an hour before the test.
The nurse is preparing a woman for an abdominal ultrasound. Which instruction would be appropriate for the nurse to include?
Dyspareunia
Menopause marks the end of a woman's reproductive capacity. Which of the following is a common complaint that may be due to a cystocele?
Uterine prolapse
While examining the introitus, the nurse practitioner asks the client to "bear down." The nursing student observing the examination knows that the nurse practitioner is assessing the client for which condition?
Supine lithotomy
Which position is used for a pelvic examination?
Amenorrhea
absence of menses
HSV 1 & 2
lymphadenopathy, fever, headache, and dysuria; the presence pf lesions at the time of birth is an indication for a cesarean section.
Dysmenorrhea
An adolescent patient comes to the clinic with complaints of "terrible pain" during menstruation. What should the nurse document this subjective data as?
Gonorrhea
Asymptomatic, dysuria, vaginal discharge, or pelvic pain
Zika
Flu- like symptoms Newborn: microcephaly, thrombocytopenia, hepatosplenomegaly, jaundice at birth, a compromised immune sys, hearing loss, petechiae, SGA, lethargy, hypotonia, poor suck, chorioretinitis, seizures, hemolytic anemia, and or pneumonia
Ask the client to lie on her left side with the right leg bent
The nurse is about to begin conducting a pelvic examination of a client. The client reports having lower back and hip pain anytime she has to lie on her back. What is the best way for the nurse to proceed with the examination?
"Mammograms can detect cysts or tumors too small to palpate."
The nurse is completing community education when asked by a client without health insurance why a mammogram is needed if the women are completing breast self-examinations at home. The nurse is most correct to respond stating which of the following?
Dilation and curettage (D & C)
Which of the following diagnostic tests is used as a therapeutic measure for incomplete miscarriage?
Endometrial ablation
Which of the following diagnostic tests is used for severe bleeding that is unresponsive to other therapies?
Age of menarche
Which of the following would be most important for the nurse to include to ensure a thorough baseline history related to the reproductive system?
external female genitalia
Which structure is referred to as the vulva?
Hysterosalpingography
Which test is an x-ray study of the uterus and the fallopian tubes after injection of a contrast agent?
Candida infection
A woman comes to the clinic complaining of vaginal itching and a discharge. Inspection reveals a thick curd-like white discharge. The nurse suspects which of the following?
Human chorionic gonadotropin (hCG) testing
A newly pregnant client is being assessed in an obstetric clinic. The client states that she has been experiencing intense abdominal pain and the nurse anticipates that the client will be assessed for ectopic pregnancy. In addition to ultrasonography, what diagnostic test should the nurse anticipate?
Bleeding Bowel injury Bladder perforation
A nurse is monitoring for possible complications in a client who has undergone a laparoscopy. The nurse assesses for signs and symptoms of which of the following? Select all that apply.
Pelvic inflammatory disease (PID)
A nurse is providing care to a client who was just admitted with a diagnosis of ectopic pregnancy. When reviewing the client's history, which of the following would the nurse identify as a major risk factor for this client?
"We will reschedule your examination when you have finished menstruating."
A patient who is scheduled for a gynecologic examination and Pap smear informs the nurse that she just began her menstrual cycle. What is the best response by the nurse?
"I should use Avanti male condoms because I itch after eating bananas."
The nurse is educating a young man about nonpharmacological contraception methods. The nurse educator knows that he demonstrates an understanding of latex condom use when he makes which statement?
The prepuce
The nurse is instructing clients at a prenatal class. Which term does the nurse state as the medical name of what is removed during this procedure?
Antihypertensives
The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate?
"It helps make you more comfortable and the exam easier."
The nurse is preparing a client for a pelvic examination. The client asks the nurse, "Why do I need to urinate and empty my bladder?" Which response by the nurse would be most appropriate?
