ATI REPRODUCTIVE TEST 2026
COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET
◉ Describe the analysis of different types of pap smears and their
associated risk factors. Answer: ASC-US - normal atypical squamous
cells of undetermined significance (considered mildly abnormal)
ASC-H - atypical squamous cells of which high-grade squamous
intraepithelial lesions cannot be excluded (indicates high risk of being
precancerous)
LSIL - low-grade squamous intraepithelial lesion (indicates mild
abnormality that demonstrates early changes in shape and size of
squamous cells)
HSIL - high-grade squamous intraepithelial lesion (indicates a more
severe abnormality in size and shape of cells that can progress to
invasive cancer)
AGC - atypical glandular cells (indicates a change in the glandular cells
of the cervix rather than the squamous cells)
AIS - adenocarcinoma in situ (indicates the presence of precancerous
cells in the glandular tissue)
◉ What are the pre-procedure nursing actions for pap smear? Answer:
Ask the client if they have douched, used vaginal medications, or have
had sexual intercourse in the past 24 hours
Ask them to urinate before exam
,◉ What are colposcopy and cervical biopsies? Answer: After application
of acetic acid to the cervix, a colposcope is used to inspect the cervix
and take a cervical biopsy. All suspicious areas are biopsied and sent to a
laboratory for microscopic examination.
◉ What are the indications for coploscopy and cervical biopsies?
Answer: Pap tests that demonstrate atypical or abnormal cells must be
followed up with a colposcopy and cervical biopsy.
◉ What are the client education for coploscopy and cervical biopsy
post-procedure? Answer: Instruct the client to abstain from sexual
intercourse and avoid using a douche,vaginal creams, or tampons until
all discharge has stopped (usually about 2 weeks).
◉ What are the complications for coploscopy and cervical biopsy?
Answer: Heavy Bleeding may occur
Infection can result
- Assess client for fever, chills, severe pain, foul odor, or purulent
discharge
◉ What is cone biopsy? Answer: A cone biopsy is an extensive cervical
biopsy that excises a cone-shaped sample of tissue.
Anesthesia may or may not be used
,Cryotherapy is another treatment that is used to eliminate abnormal
cells- no tissue can be used for biopsy
◉ When is a cone biopsy done? Answer: A cone biopsy is done if a
cervical lesion is clearly visible.
◉ What is an endometrial biopsy? Answer: A thin, hollow tube is
inserted through the cervix, and a curette or suction equipment is used to
obtain the endometrial tissue sample.
◉ What is the pre-procedure actions and education for an endometrial
biopsy? Answer: Nursing Actions
■■ Give the client pain reliever 30 min prior to the procedure.
■■ Witness consent.
Educate the client about the procedure.
■■Biopsies are done with the client awake.
■■ Some discomfort and cramping will be felt by the client.
■■ Have the client empty her bladder.
◉ What is a serologic studies and the different types? Answer: There are
two serologic (blood) studies that can be used to screen for syphilis.
, ◯◯ Venereal disease research laboratory (VDRL) - the oldest test for
syphilis that is still performed
◯◯ Rapid plasma regain (RPR) - a newer test for syphilis and has
replaced the VDRL test in many institutions
◉ What are the indications for a serologic studies? Answer: ■■ Primary
chancre - a firm, painless skin ulceration localized at point of initial
exposure, and heals without treatment (clients still positive for syphilis)
■■ Local lymph node swelling
■■ Secondary symptoms - headache, anorexia, rash on trunk and
extremities, fever, sore throat, malaise, and weight loss
◉ What are the indications for a mammography? Answer: Should be
done every 1 to 2 years beginning at age 40
Family history of breast cancer should begin earlier
◉ What are the pre-procedure education for a mammography? Answer:
Avoid use of deodorant or powder in the axillary region or on the breast
prior to the examination
Pregnant women should not have mammogram
◉ What are three methods for performing a hysterectomy? Answer: ■■
Abdominal approach, also known as a total abdominal hysterectomy
■■ Vaginal approach
COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET
◉ Describe the analysis of different types of pap smears and their
associated risk factors. Answer: ASC-US - normal atypical squamous
cells of undetermined significance (considered mildly abnormal)
ASC-H - atypical squamous cells of which high-grade squamous
intraepithelial lesions cannot be excluded (indicates high risk of being
precancerous)
LSIL - low-grade squamous intraepithelial lesion (indicates mild
abnormality that demonstrates early changes in shape and size of
squamous cells)
HSIL - high-grade squamous intraepithelial lesion (indicates a more
severe abnormality in size and shape of cells that can progress to
invasive cancer)
AGC - atypical glandular cells (indicates a change in the glandular cells
of the cervix rather than the squamous cells)
AIS - adenocarcinoma in situ (indicates the presence of precancerous
cells in the glandular tissue)
◉ What are the pre-procedure nursing actions for pap smear? Answer:
Ask the client if they have douched, used vaginal medications, or have
had sexual intercourse in the past 24 hours
Ask them to urinate before exam
,◉ What are colposcopy and cervical biopsies? Answer: After application
of acetic acid to the cervix, a colposcope is used to inspect the cervix
and take a cervical biopsy. All suspicious areas are biopsied and sent to a
laboratory for microscopic examination.
◉ What are the indications for coploscopy and cervical biopsies?
Answer: Pap tests that demonstrate atypical or abnormal cells must be
followed up with a colposcopy and cervical biopsy.
◉ What are the client education for coploscopy and cervical biopsy
post-procedure? Answer: Instruct the client to abstain from sexual
intercourse and avoid using a douche,vaginal creams, or tampons until
all discharge has stopped (usually about 2 weeks).
◉ What are the complications for coploscopy and cervical biopsy?
Answer: Heavy Bleeding may occur
Infection can result
- Assess client for fever, chills, severe pain, foul odor, or purulent
discharge
◉ What is cone biopsy? Answer: A cone biopsy is an extensive cervical
biopsy that excises a cone-shaped sample of tissue.
Anesthesia may or may not be used
,Cryotherapy is another treatment that is used to eliminate abnormal
cells- no tissue can be used for biopsy
◉ When is a cone biopsy done? Answer: A cone biopsy is done if a
cervical lesion is clearly visible.
◉ What is an endometrial biopsy? Answer: A thin, hollow tube is
inserted through the cervix, and a curette or suction equipment is used to
obtain the endometrial tissue sample.
◉ What is the pre-procedure actions and education for an endometrial
biopsy? Answer: Nursing Actions
■■ Give the client pain reliever 30 min prior to the procedure.
■■ Witness consent.
Educate the client about the procedure.
■■Biopsies are done with the client awake.
■■ Some discomfort and cramping will be felt by the client.
■■ Have the client empty her bladder.
◉ What is a serologic studies and the different types? Answer: There are
two serologic (blood) studies that can be used to screen for syphilis.
, ◯◯ Venereal disease research laboratory (VDRL) - the oldest test for
syphilis that is still performed
◯◯ Rapid plasma regain (RPR) - a newer test for syphilis and has
replaced the VDRL test in many institutions
◉ What are the indications for a serologic studies? Answer: ■■ Primary
chancre - a firm, painless skin ulceration localized at point of initial
exposure, and heals without treatment (clients still positive for syphilis)
■■ Local lymph node swelling
■■ Secondary symptoms - headache, anorexia, rash on trunk and
extremities, fever, sore throat, malaise, and weight loss
◉ What are the indications for a mammography? Answer: Should be
done every 1 to 2 years beginning at age 40
Family history of breast cancer should begin earlier
◉ What are the pre-procedure education for a mammography? Answer:
Avoid use of deodorant or powder in the axillary region or on the breast
prior to the examination
Pregnant women should not have mammogram
◉ What are three methods for performing a hysterectomy? Answer: ■■
Abdominal approach, also known as a total abdominal hysterectomy
■■ Vaginal approach
