____ 1. The nurse is assessing for vaginal bleeding during the health history. Which question is appropriate?
1) “How many pads or tampons are used in a 2-hour period?”
2) “How many pads or tampons are used in a 10-hou
...
____ 1. The nurse is assessing for vaginal bleeding during the health history. Which question is appropriate?
1) “How many pads or tampons are used in a 2-hour period?”
2) “How many pads or tampons are used in a 10-hour period?”
3) “How many pads or tampons are used in a 24-hour period?”
4) “How many pads or tampons are used in a 72-hour period?”
____ 2. During the health history focused on reproductive function, the nurse should begin with questions about which topic?
1) Sexual satisfaction
2) Self-care
3) Sexual practices
4) Symptoms
____ 3. The nurse is assessing a patient who reports vaginal discharge for one week, itching, and mild dysuria. Which question is appropriate to include in the assessment history for this patient?
1) “What is the color of the discharge?”
2) “Does your sexual partner have the same symptoms?”
3) “How often do you have vaginal bleeding?”
4) “How would you describe your normal flow?”
____ 4. A yearly Pap test is recommended to screen for which type of cancer?
1) Ovarian
2) Vaginal
3) Uterine
4) Cervical
____ 5. Before beginning to perform a gynecological assessment, the nurse would ask the patient to perform which action?
1) Taking short, quick breaths to lessen the discomfort
2) Assuming the supine position
3) Emptying the bladder
4) Reviewing the medical history
____ 6. The nurse is collecting a health history for a patient during a routine health maintenance visit. The patient states, “I am in menopause.” Which conclusion by the nurse is most appropriate based on this data?
1) The patient is no longer sexually active.
2) The patient has never had any children.
3) The patient has a sexually transmitted infection.
4) The patient has not had a menstrual period in a year.
____ 7. The nurse is conducting a health maintenance visit for an older adult female patient. Which is an expected finding for this patient based on age?
1) Enlarged clitoris
2) Copious vaginal secretions
3) Increased risk for vaginal infections
4) Decreased risk for painful intercourse
____ 8. The nurse is assessing the patient for clinical manifestations associated with premenstrual syndrome. Which question is appropriate?
1) “How often do you have intercourse?”
2) “Are you able to achieve orgasm?”
3) “Do you experience bloating?”
4) “How many sexual partners have you had?”
____ 9. The nurse is preparing a patient for a pelvic examination. Which patient position is most appropriate?
1) Side-lying
2) Supine
3) Lithotomy
4) Prone
____ 10. Which is a primary function of the male genitourinary system?
1) Protecting the ova
2) Regulating estrogen production
3) Secreting insulin
4) Manufacturing sperm
____ 11. The nurse is conducting a male genitourinary assessment. Which hormone often decreases after the age of 50 years?
1) Testosterone
2) Progesterone
3) Growth-stimulating hormone
4) Luteinizing hormone
____ 12. The nurse is assessing the patient for an inguinal hernia. To palpate for a hernia at the external inguinal ring, the nurse inserts the right index finger into which location?
1) Rectum
2) Femoral area
3) Scrotal sac above the testicles
4) None of the above
____ 13. Which is the recommended procedure for palpating the testicle?
1) Use the first two fingers of each hand to palpate firmly
2) Gently palpate using the fingers of both hands
3) Palpate firmly using the palmar surface of one hand
4) Gently palpate using the thumb and first two fingers of one hand
____ 14. The nurse is examining an adult patient who complains of left inguinal pain. Bowel sounds are auscultated in the scrotum, and the nurse palpates a bulge at the external inguinal ring when the patient coughs. Based on this data, which diagnosis does the nurse suspect?
1) Hydrocele
2) Spermatocele
3) Rectocele
4) Hernia
____ 15. The nurse is conducting a genitourinary assessment for an older adult male patient. Which is an expected finding based on the patient’s age?
1) Thick pubic hair on the external genitalia
2) Larger and harder testicles
3) Atrophy of the penis
4) Elastic scrotal sac
____ 16. The nurse is conducting a sexual history interview. Which assessment question is appropriate?
1) “Have you ever had a kidney stone?”
2) “Have you had any changes in your voiding pattern?”
3) “How many times do you wake up during the night to void?”
4) “Are you using birth control?”
____ 17. The nurse is conducting a health history for a patient who presents with erectile dysfunction. Which question is most appropriate?
1) “Do you have sex with men, women, or both?”
2) “Which types of sexual activity do you participate in?”
3) “Do you have more than one partner?”
4) “Have you maintained an interest in sex?”
____ 18. The nurse is conducting a health history for a patient who seeks care for breast pain. Which question from the nurse is most appropriate?
1) “Where is the lump or mass located?”
2) “Is there discomfort when you palpate your breast?”
3) “When did you notice the lump?”
4) “Have you had a recent injury to your breast?”
____ 19. Which is the first step when teaching a patient to perform a self-breast examination?
1) Using the pads of the fingers to palpate the breast symmetrically
2) Compressing the nipple looking for discharge
3) Inspecting the breasts in the mirror
4) Reporting any redness or inflammation
____ 20. The nurse is assessing a patient who presents with nipple discharge. Which question from the nurse is appropriate?
1) “Have you ever had this problem before?”
2) “How would you rate your pain on a scale of 0 to 10?”
3) “Has there been a change in your bra size?”
4) “Have you had any nipple piercings?”
____ 21. Which is the most likely cause of bloody discharge from the nipple?
1) Breast cancer
2) Intraductal papilloma
3) Fibrocystic breast disease
4) Side effect of medication
____ 22. Which is a normal finding during a breast examination?
1) Asymmetry
2) Dimpling
3) Puckering
4) Erythema
____ 23. Which inspection finding during a breast examination would be considered abnormal?
1) Bilateral nipple inversion
2) Nipples that point outward, slightly upward, and lateral
3) Bilateral nipple eversion
4) Unilateral nipple inversion
____ 24. How should the nurse position a patient for palpation of the breast and axillae during the physical assessment?
1) Supine with arms at her side
2) Supine with arms over her head
3) Supine with arm over her head and pillow under shoulder of side being examined
4) Supine with arm over her head and a pillow under shoulder opposite side being examined
____ 25. A female patient complains of having a "strange discharge" from the vagina. Which diagnostic test would be useful to aid in the diagnosis of this patient's disorder?
1) Biopsy
2) Complete blood count
3) Serum hormone levels
4) Papanicolaou smear
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 26. Which are the primary functions of the female reproductive system? Select all that apply.
1) Protecting ova for fertilization
2) Transporting the fertilized ova for implantation
3) Nourishing the developing fetus
4) Producing sperm
5) Providing a drainage site for the excretion of urine
____ 27. The nurse is assessing the patient’s scrotum. Which are normal assessment findings? Select all that apply.
1) Darker skin color than rest of the body
2) Swelling
3) Left testicle slightly lower than right testicle
4) Erythema
5) Hydrocele
____ 28. The nurse is using transillumination during a scrotal assessment. Which conditions will produce a red glow? Select all that apply.
1) Orchitis
2) Atrophic testicle
3) Hydrocele
4) Spermatocele
5) Hernia
____ 29. The nurse is providing education to a patient who is scheduled for a mammogram. Which information should the nurse include in the teachings session? Select all that apply.
1) “You should avoid using deodorant prior to testing.”
2) “You will need to remove all jewelry prior to this test.”
3) “You will remove all your clothing from the waist down.”
4) “Your health-care provider will contact you with the results.”
5) “You will need to have a full bladder for the test to be accurate.”
____ 30. The nurse is providing education to a patient who will use a diaphragm for birth control. Which patient statements indicate the need for additional education regarding this method of birth control? Select all that apply.
1) “This method is close to 99% effective when used properly.”
2) “This method does not increase my risk for blood clots.”
3) “I will need to insert it prior to sexual intercourse.”
4) “I will need to keep it in place for 12 hours after intercourse.”
5) “This method may not be effective when I am prescribed antibiotics.”
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