path caq 11a
A client has a rectocele. Which information indicates the nurse has a correct understanding of a rectocele? a. Bulging of the rectum into the posterior vaginal wall b. Bulging of the bladder into the posterior vaginal wall c. Bulging of the urethra into the posterior vaginal wall d. Bulging of the uterus into the posterior vaginal wall
a
A client reports a sensation of pressure within the vagina. Upon vaginal examination, an anterior bulge from the bladder is noted. Which diagnosis will the nurse observe written on the chart? a. Cystocele b. Rectocele c. Uterine prolapse e. Uterine retrodisplacement
a
A client states that the primary healthcare provider said papillomas were present in the breast and asks the nurse about papillomas. How should the nurse respond? a. These are multiple fingerlike projections. b. These are defined by the number of acini per terminal duct in the breast. c. They produce more than two cell layers above the basement membrane breast tissue. d. They produce more than four cell layers above the basement membrane breast tissue.
a
A nurse is assessing for the first sign of puberty in a girl. What area or process should the nurse check? a. Thelarche b. Menarche c. Pubic hair d. Dysmenorrhea
a
The primary healthcare provider suspects endometrial cancer and has explained the diagnostic procedures. What should the nurse reinforce about these procedures? a. A biopsy or ultrasound of the endometrial tissue will occur. b. The symptoms will be evaluated as the basis for diagnosis. c. A uterine lining depth of less than 8 mm rules out this diagnosis. d. Using combined hormonal contraception is a risk factor for this pathosis.
a
Which term should the nurse use to describe a client that has a prolapse of a portion of the bladder into the vaginal canal? a. Cystocele b. Rectocele c. Urethrocele d. Uterine prolapse
a
A client has polycystic ovary syndrome. Which findings are typical upon assessment of this client? a. Acne b. Obesity c. Hirsutism d. Oligomenorrhea e. Hyperandrogenism f. Multiple pregnancies
a, b, c, d, e
A client is diagnosed with polycystic ovary syndrome (PCOS). Which assessment findings are typical in a client with PCOS? a. Infertility b. Hirsutism c. Amenorrhea d. Endometriosis e. Insulin resistance
a, b, c, e
A pediatric nurse is asked by parents why their daughter has not begun puberty. Which points should the nurse be sure to address with the parents regarding causes of delayed puberty? a. Anorexia b. Mild obesity c. Marijuana use d. Excessive exercise e. Primary hyperthyroidism
a, c, d
A nurse is at an interdisciplinary meeting for continuing education about genes that have been linked to breast cancer. Which information from the nurse indicates a correct understanding? a. p53 b. PSA c. BRCA1 d. BRCA2 e. Her2/neu
a, c, d, e
While working with a client who has bacterial vaginosis (BV), the nurse includes what information in the teaching session? a. BV's etiology is unknown. b. BV is treated with antivirals. c. BV is a sexually transmitted infection. d. BV is diagnosed with a wet mount of vaginal secretions. e. BV occurs almost exclusively in women who are sexually active.
a, d, e
A female client has a chlamydial infection. The nurse should monitor this client for which complications? a. Blindness b. Hard chancre c. Neurosyphilis d. Breast cancer e. Ectopic pregnancy
a, e
A breast biopsy of an area that looked suspicious on a client's mammogram showed DCIS. The nurse is asked by the client's partner to explain DCIS. How should the nurse respond? a. DCIS means dual carcinoma invasive situation, which is cancer in both breasts that has the ability to spread widely. b. DCIS means ductal carcinoma in situ, which is the first stage of a breast cancer that has not spread at all. c. DCIS means ductal carcinoma in situ, which is an advanced breast cancer that has spread to lymph nodes in the armpit. d. DCIS means dual carcinoma invasive situation, which is breast cancer that has spread by invading both blood and lymph.
b
A client has cyclic recurrences of distressing physical and emotional responses that occur during ovulation. Which condition will the nurse observe written in the chart? a. Primary amenorrhea b. Premenstrual syndrome (PMS) c. Pelvic inflammatory disease (PID) d. Polycystic ovary syndrome (PCOS)
b
A nurse is assisting with a Pap (Papanicolaou) smear. The client is being tested for which condition? a. Breast cancer b. Cervical cancer c. Vaginal infection d. Endometrial cancer
b
A nurse is caring for a client that has pain in the pelvis, dysmenorrhea, dyschezia, dyspareunia, and infertility. The nurse is caring for a client with which condition? a. Leiomyomas b. Endometriosis c. Uterine prolapse d. Endometrial polyps
b
A woman has an infection of the cervix by the human papillomavirus (HPV). The nurse should monitor this client for which condition? a. Cervical atrophy b. Cervical dysplasia c. Cervical hyperplasia d. Cervical hypertrophy
b
Which term should the nurse use to describe painful menstruation associated with the release of prostaglandins in ovulatory cycles but not with a history of pelvic disease? a. Primary amenorrhea b. Primary dysmenorrhea c. Secondary amenorrhea d. Secondary dysmenorrhea
b
Which information should the nurse include in the teaching session for a client with uterine fibroids (leiomyomas)? a. They occur before age 30. b. They decrease with menopause. c. They are generally asymptomatic. d. They develop from smooth muscle. e. They are most common in white women.
b, c, d
A client has hypertension that caused abnormal vaginal bleeding. The nurse is caring for which client? a. An adolescent female b. A perimenopausal female c. A postmenopausal female d. A female in her reproductive years
c
Which finding in the history will indicate to the nurse that the client has a higher risk for breast cancer? a. High intake of fiber b. High intake of iodine c. High intake of alcohol d. High intake of folic acid
c
A nurse is caring for a client with polycystic ovary syndrome (PCOS). Which information should the nurse consider when planning care for this client? a. Weight loss aggravates symptoms of PCOS. b. Polycystic ovaries must be present for PCOS to be diagnosed. c. PCOS is one of the leading causes of infertility in the United States. d. The direct cause of PCOS is not known, but a genetic base is suspected. e. Clinical manifestations of PCOS typically appear within 2 years of puberty.
c, d, e
A nurse is teaching about the hormonal abnormalities associated with the development of breast cancer. Which information should the nurse include? a. Elevated cortisol b. Decreased insulin c. Elevated estrogen d. Increased progesterone e. Increased prolactin levels
c, d, e
Which prescribed treatments will the nurse implement to help a client relieve symptoms of premenstrual syndrome? . a. Diuretics b. Combined hormonal treatments c. Vitamin and mineral supplements d. Decreased consumption of caffeine e. Selective serotonin reuptake inhibitors
c, d, e
A client has primary amenorrhea. The nurse is caring for which client? a. A 26-year-old client with ovarian cancer b. A 35-year-old client with Cushing disease c. A 20-year-old client with an ectopic pregnancy d. A 14-year-old client with an anterior pituitary tumor
d
A client with a history of endometriosis reports painful menstruation. Which condition will the nurse observe documented on the chart? a. Primary amenorrhea b. Primary dysmenorrhea c. Secondary amenorrhea d. Secondary dysmenorrhea
d
A nurse in a women's health clinic is reviewing charts of clients with breast cancer. The chart reads that the client has "well-differentiated mass with orderly tubules in the center of the mass." Which medical diagnosis will the nurse most likely observe written in the chart? a. Paget disease b. Fibrosarcoma c. Leiomyomas d. Tubular carcinoma
d
A nurse is teaching a young women's group about cervical cancer. Which information from the young women would indicate teaching was successful for the most important risk factor for cervical cancer? a. Cigarette smoking b. Overuse of antibiotics c. Exposure to diethylstilbestrol (DES) in utero d. Infection with the human papillomavirus (HPV)
d
A woman has been recently diagnosed with human papillomavirus infection. The nurse stresses the importance of routine Pap smears. What is the rationale for the nurse's action? a. The client has an increased risk for colon cancer. b. The client has an increased risk for breast cancer. c. The client has an increased risk for uterine cancer. d. The client has an increased risk for cervical cancer.
d
At what period during a client's life span would a nurse assess for leiomyomas? a. Between ages 60 and 75 for men b. Between ages 30 and 50 for men c. Between ages 60 and 75 for women d. Between ages 30 and 50 for women
d
How should the nurse describe dyspareunia to a client? a. Painful urination b. Painful defecation c. Painful menstruation d. Painful sexual intercourse
d
Which client has the greatest chance of being diagnosed with breast cancer? a. A 30- to 39-year-old woman b. A 40- to 49-year-old woman c. A 50- to 59-year-old woman d. A 60- to 69-year-old woman
d