PORTH ESSENTIALS OF
PATHOPHYSIOLOGY CHAPT 40 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Events in the ovulatory cycle progress in a similar manner each month. Place the following
events in the ovulatory cycle in the correct chronological order. Use all the options. - ANS •
Formation of the theca.
• Formation of the corpus luteum
• Formation of the antral follicle
• Development of the zona pellicuda
• Bursting of the mature follicle
The environment of the vagina is moist with a pH 4.0 to 4.5. The major purpose of the acidic
environment is which of the following? - ANS Bacteriostatic
A female client with anorexia nervosa tells the nurse that she has been experiencing
amenorrhea. The nurse is aware that this is a result of: - ANS Alteration of critical body fat-to-
muscle ratio needed for menses to occur
The nurse is teaching a class to adolescent girls about puberty. Which health information is
accurate for inclusion in the class? Select all that apply. - ANS • Ovaries produce hormones
that cause growth of reproductive organs.
• Estrogen stimulates bone growth and closure of growth plates.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, • Ovulation usually occurs in the middle of the monthly cycle.
There are two types of vulvar cancer. One type is found in older women, and one type is found
in younger women, generally less than 40 years of age. What is the type found in younger
women thought to be caused by? - ANS Human papillomavirus
A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to
help alleviate the symptoms. The best response would be: - ANS Eat a diet low in simple
sugars and high in protein
Select the structure primarily responsible for the secretions of luteinizing hormone (LH), follicle-
stimulating hormone (FSH), and prolactin. - ANS Anterior pituitary gland
A female patient informs the nurse that she had intercourse yesterday evening and is wondering
if she could become pregnant. She asks the nurse that if she was pregnant, where it would be
located at present. Which of the following should the nurse tell the patient? -
ANS Fertilization normally occurs in the middle to outer portion of the Fallopian tube.
Which of the following female patients is at risk for amenorrhea? - ANS 18-year-old with
anorexia nervosa
The nurse is teaching a patient with polycystic ovary syndrome (PCOS) about the condition.
Which of the following statements by the patient indicates a need for further instruction? -
ANS "I developed this as a result of a sexually transmitted infection."
An older adult female comes in to the clinic for her yearly gynecology appointment and informs
the nurse that she is having pain when having intercourse with her spouse. The patient has
been postmenopausal for at least 5 years. Which of the following is the nurse's best response? -
ANS "This is caused by a decrease in estrogen levels, but there are things that you may be
able to use to help."
Which hormone is responsible for breast development and the increase in body temperature
that occurs with ovulation? - ANS Progesterone
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
PATHOPHYSIOLOGY CHAPT 40 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
Events in the ovulatory cycle progress in a similar manner each month. Place the following
events in the ovulatory cycle in the correct chronological order. Use all the options. - ANS •
Formation of the theca.
• Formation of the corpus luteum
• Formation of the antral follicle
• Development of the zona pellicuda
• Bursting of the mature follicle
The environment of the vagina is moist with a pH 4.0 to 4.5. The major purpose of the acidic
environment is which of the following? - ANS Bacteriostatic
A female client with anorexia nervosa tells the nurse that she has been experiencing
amenorrhea. The nurse is aware that this is a result of: - ANS Alteration of critical body fat-to-
muscle ratio needed for menses to occur
The nurse is teaching a class to adolescent girls about puberty. Which health information is
accurate for inclusion in the class? Select all that apply. - ANS • Ovaries produce hormones
that cause growth of reproductive organs.
• Estrogen stimulates bone growth and closure of growth plates.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, • Ovulation usually occurs in the middle of the monthly cycle.
There are two types of vulvar cancer. One type is found in older women, and one type is found
in younger women, generally less than 40 years of age. What is the type found in younger
women thought to be caused by? - ANS Human papillomavirus
A client who has been diagnosed with premenstrual syndrome (PMS) asks if there is anything to
help alleviate the symptoms. The best response would be: - ANS Eat a diet low in simple
sugars and high in protein
Select the structure primarily responsible for the secretions of luteinizing hormone (LH), follicle-
stimulating hormone (FSH), and prolactin. - ANS Anterior pituitary gland
A female patient informs the nurse that she had intercourse yesterday evening and is wondering
if she could become pregnant. She asks the nurse that if she was pregnant, where it would be
located at present. Which of the following should the nurse tell the patient? -
ANS Fertilization normally occurs in the middle to outer portion of the Fallopian tube.
Which of the following female patients is at risk for amenorrhea? - ANS 18-year-old with
anorexia nervosa
The nurse is teaching a patient with polycystic ovary syndrome (PCOS) about the condition.
Which of the following statements by the patient indicates a need for further instruction? -
ANS "I developed this as a result of a sexually transmitted infection."
An older adult female comes in to the clinic for her yearly gynecology appointment and informs
the nurse that she is having pain when having intercourse with her spouse. The patient has
been postmenopausal for at least 5 years. Which of the following is the nurse's best response? -
ANS "This is caused by a decrease in estrogen levels, but there are things that you may be
able to use to help."
Which hormone is responsible for breast development and the increase in body temperature
that occurs with ovulation? - ANS Progesterone
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
