A nurse is preparing a client for her first Papanicolaou A. INCORRECT: The client is instructed to urinate immedi-
(Pap) test. Which of the following statements is ately before the procedure.
appropriate for the nurse to make? B. INCORRECT: The client can experience discomfort when
A. "You should urinate immediately after the procedure is the provider obtains the cervical sample.
over." C. CORRECT: The client can experience a small amount of
B. "You will not feel any discomfort." vaginal bleeding due to scraping of
C. "You may experience some bleeding after the proce- the cervix.
dure." D. INCORRECT: The client should use relaxation techniques
D. "You will need to hold your breath during the proce- such as taking deep breaths during
dure." the procedure.
A. INCORRECT: The VDRL is another screening test for
A nurse in a provider's oflce is reviewing a client's labo- syphilis.
ratory results. The client's rapid plasma regain (RPR) B. INCORRECT: The D-dimer is a test used measure fibrin
is positive. Which of the following tests confirm the diag- and is used to diagnose disseminated
nosis of syphilis? intravascular coagulation.
A. Venereal disease research laboratory (VDRL) C. CORRECT: The treponema pallidum particle agglutina-
B. D-dimer tion assay is used to confirm the diagnosis
C. Treponema pallidum particle agglutination assay of syphilis.
D. Sickledex D. INCORRECT: The sickledex is used to diagnose sickle cell
anemia.
A nurse in a clinic is reviewing the facility's testing process
and procedures for human immune A. INCORRECT: The EIA test is typically reactive 3 weeks to
deficiency virus (HIV) with a new employee. Which of the 3 months after the infection occurs, but it
following information should the nurse include can be delayed for as long as 36 months.
in the review? B. CORRECT: Confirming HIV is a two-step process. If the
A. In the presence of HIV, the enzyme immunoassay (EIA) EIA is positive, a second test, the Western
test is typically reactive within 72 hr after blot assay, is done.
the client is infected. C. INCORRECT: The PRC test is used to confirm the diag-
B. The Western blot assay is used to confirm the diagnosis nosis of genital herpes.
of HIV. D. INCORRECT: The EIA test is typically reactive 3 weeks to
C. The polymerase chain reaction (PRC) test is used to
, Reproductive System ATI-Med/Surg Test Questions with Answers Rated A
confirm the diagnosis of HIV.
D. In the presence of HIV the enzyme immunoassay (EIA) 3 months after the infection occurs, but it
test is typically reactive within 48 hr after can be delayed for as long as 36 months.
the client is infected.
A. INCORRECT: Taking a multivitamin does not alter the
A nurse is reviewing instructions with a client before a accuracy of a mammogram.
mammogram. Which of the following should the B. CORRECT: Applying deodorant or powder can alter the
nurse instruct the client to avoid prior to the procedure? accuracy of a mammogram by causing a
A. Multivitamin shadow to appear.
B. Deodorant C. INCORRECT: Having sexual intercourse does not alter
C. Sexual intercourse the accuracy of a mammogram.
D. Exercise D. INCORRECT: Exercising does not alter the accuracy of a
mammogram.
A. INCORRECT: Typically, the client will experience tempo-
A nurse is reinforcing instructions for a client who is rary discomfort and cramping when the
scheduled for a cervical biopsy. Which of the specimen is obtained.
following should the nurse include in the instructions? B. CORRECT: The client should avoid heavy lifting until the
(Select all that apply.) cervix has healed, which is
A. "The procedure is painless." approximately 2 weeks.
B. "Avoid heavy lifting for approximately 2 weeks after the C. INCORRECT: Some bleeding is common after a cervical
procedure." biopsy, but excessive bleeding is a
C. "Heavy bleeding is common during the first 12 hours complication and should be reported to the provider.
after the procedure." D. INCORRECT: The client should plan to rest for the first
D. "Plan to rest for the first 72 hours after the procedure." 24 hr after the procedure.
E. "Avoid the use of tampons for 2 weeks after the proce- E. CORRECT: The client should not use tampons until the
dure." cervix has healed, which is approximately
2 weeks.
A. INCORRECT: Although some females experience the
A nurse is reinforcing education about menstruation with
onset of menstruation as early as age 11, the
an adolescent female client. Which of the
average age is 13.
following statements should the nurse include? (Select all
B. CORRECT: Although a typical menstrual cycle is 28 days,