NCLEX Physiological Adaptation Review – Reproductive
Disorders & Oncology Nursing (EDAPT)|Complete
Verified Questions Provided with A+ Graded Rationales
Latest Updated 2026
The nurse is caring for a client with painful menstruation (dysmenorrhea). For each question,
identify if the question relates to primary or secondary dysmenorrhea.
Primary Dysmenorrhea:
Is the pain more severe during the first few days of your period?
Secondary Dysmenorrhea:
Has the pain worsened with age?
Have you been diagnosed with any pelvic conditions?
Is intercourse painful?
Does the pain last for more than 2 days?
The nurse is caring for a client with endometriosis. Match each healthcare provider prescription
with the rationale.
Oral contraceptive pills once daily - Causes regression of the endometrial tissue
Ibuprofen 800 mg twice daily - Relieves pain
Laparoscopy scheduled for tomorrow - Removes or destroys the endometrial tissue outside of
the uterus
A nurse is discussing risk factors for breast cancer with a female client who asks what causes
breast cancer. For each risk factor, match the risk factor to the causative agent.
Early menarche and late menopause - Long menstrual history
Nulliparity - Prolonged exposure to unopposed estrogen
Obesity - Fat cells store estrogen
Exposure to ionizing radiation - Damages DNA
,A nurse in a clinic is reviewing the medical records of four clients. Which breast assessment
should the nurse immediately report to the provider as suspicious for breast cancer?
Hard, irregularly-shaped, immobile mass in the upper quadrant of the left breast that is not
painful
A nurse is caring for a client who is one day postoperative from a total abdominal hysterectomy
to treat ovarian cancer. Which nursing action is most important?
Encourage ambulation as much as tolerated.
Highlight each symptom that is likely related to premenstrual syndrome.
Bloating
Headaches
Insomnia
Increased anxiety
Jeanine is diagnosed with premenstrual syndrome since her symptoms occur in the __________
phase of the menstrual cycle and resolve __________.
Luteal
After the start of menses
The nurse provides education to Jeanine about pharmacologic and nonpharmacologic strategies
to treat premenstrual syndrome. For each strategy, identify if it is a pharmacologic or
nonpharmacologic strategy.
Pharmacologic:
Ibuprofen
Oral contraceptives
Selective serotonin reuptake inhibitors
Nonpharmacologic:
Stress management
Healthy diet
Exercise
Jeanine asks the nurse if there are any vitamins, minerals, or herbal supplements that may help
with her symptoms. Which should the nurse recommend that Jeanine take regularly? Select all
that apply.
, Calcium
Magnesium
Vitamin B6
The nurse is providing education to a client who is newly diagnosed with endometriosis, which
occurs when endometrial tissue grows __________ the uterus causing pain. Endometriosis
increases the client's risk for __________ and can cause __________ problems.
Outside
Ovarian cancer
Fertility
A nurse at a community health fair is reviewing the health questionnaires of four females.
Which client should the nurse identify as having the highest risk of developing breast cancer?
62-year-old, obese, never been pregnant, using hormone replacement therapy
The nurse is caring for a client receiving brachytherapy after a right breast lumpectomy. For
each nursing action, indicate if the action is indicated, non-essential, or contraindicated.
Indicated:
Cluster nursing care to minimize exposure to the radiation source.
Wear a radiation dosimeter badge to measure exposure.
Non-Essential:
Do not allow visitors while the radiation implant is in use.
Contraindicated:
Provide continuity of care by assigning the same nurse to care for the client each day.
If multiple clients are receiving brachytherapy, the same nurse should care for all clients.
The nurse is caring for a client with cervical cancer who has a sealed radiation implant that has
dislodged and is found lying in the bed. What are the two priority actions of the nurse?
Pick up the implant with long-handled forceps and place in a lead container.
Contact the healthcare provider immediately.
A nurse is caring for a client who is 17 years old and has never had a menstrual period. The
nurse explains that this is called __________ __________ and is most likely caused by
__________.
Disorders & Oncology Nursing (EDAPT)|Complete
Verified Questions Provided with A+ Graded Rationales
Latest Updated 2026
The nurse is caring for a client with painful menstruation (dysmenorrhea). For each question,
identify if the question relates to primary or secondary dysmenorrhea.
Primary Dysmenorrhea:
Is the pain more severe during the first few days of your period?
Secondary Dysmenorrhea:
Has the pain worsened with age?
Have you been diagnosed with any pelvic conditions?
Is intercourse painful?
Does the pain last for more than 2 days?
The nurse is caring for a client with endometriosis. Match each healthcare provider prescription
with the rationale.
Oral contraceptive pills once daily - Causes regression of the endometrial tissue
Ibuprofen 800 mg twice daily - Relieves pain
Laparoscopy scheduled for tomorrow - Removes or destroys the endometrial tissue outside of
the uterus
A nurse is discussing risk factors for breast cancer with a female client who asks what causes
breast cancer. For each risk factor, match the risk factor to the causative agent.
Early menarche and late menopause - Long menstrual history
Nulliparity - Prolonged exposure to unopposed estrogen
Obesity - Fat cells store estrogen
Exposure to ionizing radiation - Damages DNA
,A nurse in a clinic is reviewing the medical records of four clients. Which breast assessment
should the nurse immediately report to the provider as suspicious for breast cancer?
Hard, irregularly-shaped, immobile mass in the upper quadrant of the left breast that is not
painful
A nurse is caring for a client who is one day postoperative from a total abdominal hysterectomy
to treat ovarian cancer. Which nursing action is most important?
Encourage ambulation as much as tolerated.
Highlight each symptom that is likely related to premenstrual syndrome.
Bloating
Headaches
Insomnia
Increased anxiety
Jeanine is diagnosed with premenstrual syndrome since her symptoms occur in the __________
phase of the menstrual cycle and resolve __________.
Luteal
After the start of menses
The nurse provides education to Jeanine about pharmacologic and nonpharmacologic strategies
to treat premenstrual syndrome. For each strategy, identify if it is a pharmacologic or
nonpharmacologic strategy.
Pharmacologic:
Ibuprofen
Oral contraceptives
Selective serotonin reuptake inhibitors
Nonpharmacologic:
Stress management
Healthy diet
Exercise
Jeanine asks the nurse if there are any vitamins, minerals, or herbal supplements that may help
with her symptoms. Which should the nurse recommend that Jeanine take regularly? Select all
that apply.
, Calcium
Magnesium
Vitamin B6
The nurse is providing education to a client who is newly diagnosed with endometriosis, which
occurs when endometrial tissue grows __________ the uterus causing pain. Endometriosis
increases the client's risk for __________ and can cause __________ problems.
Outside
Ovarian cancer
Fertility
A nurse at a community health fair is reviewing the health questionnaires of four females.
Which client should the nurse identify as having the highest risk of developing breast cancer?
62-year-old, obese, never been pregnant, using hormone replacement therapy
The nurse is caring for a client receiving brachytherapy after a right breast lumpectomy. For
each nursing action, indicate if the action is indicated, non-essential, or contraindicated.
Indicated:
Cluster nursing care to minimize exposure to the radiation source.
Wear a radiation dosimeter badge to measure exposure.
Non-Essential:
Do not allow visitors while the radiation implant is in use.
Contraindicated:
Provide continuity of care by assigning the same nurse to care for the client each day.
If multiple clients are receiving brachytherapy, the same nurse should care for all clients.
The nurse is caring for a client with cervical cancer who has a sealed radiation implant that has
dislodged and is found lying in the bed. What are the two priority actions of the nurse?
Pick up the implant with long-handled forceps and place in a lead container.
Contact the healthcare provider immediately.
A nurse is caring for a client who is 17 years old and has never had a menstrual period. The
nurse explains that this is called __________ __________ and is most likely caused by
__________.
