1. Which action would the nurse teach to help the patient prevent
vulvovaginitis?
a Wear loose cotton underwear.
.
b Use feminine hygiene sprays to avoid odor.
.
c Cleanse the inner labial mucosa with soap
.
and water.
d Wipe back to front after urination.
.
1 points
QUESTION 2
1. The nurse is educating a patient on the prevention of toxic shock
syndrome (TSS). Which statement by the patient indicates a lack of
understanding?
a “It is best if I wash my hands before inserting the
.
tampon.”
b “At night, I should use a feminine pad rather than a
.
tampon.”
c “I need to change my tampon every 8 hours
.
during the day.”
d “If I don’t use tampons, I should not get TSS.”
.
1 points
QUESTION 3
1. A patient is admitted to the emergency department with toxic shock
syndrome. Which action by the nurse is the most important?
a Remove the tampon as the source of
.
infection.
b Transfuse the patient to manage low blood count.
.
c Collect a blood specimen for culture and sensitivity.
.
d Administer IV fluids to maintain fluid and electrolyte
.
balance.
1 points
QUESTION 4
1. A 55-year-old postmenopausal woman reports a history of
dyspareunia, backache, pelvis pressure, urinary tract infections, and a
frequent urinary urgency. Which condition does the nurse suspect?
a Cystocel
.
e
b Fibroid
.
c Rectocele
.
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d Ovarian
.
cyst
1 points
QUESTION 5
1. The nurse is caring for a postoperative patient following an anterior
colporrhaphy. What action can be delegated to the unlicensed assistive
personnel (UAP)?
a Teaching the patient to avoid lifting her 4-year-old
.
grandson
b Reviewing the hematocrit and hemoglobin results
.
c Drawing a shallow hot bath for comfort
.
measures
d Assessing the level of pain and any drainage
.
1 points
QUESTION 6
1. A nurse is caring for four postoperative patients who each had a total
abdominal hysterectomy. Which patient would the nurse assess first
upon initial rounding?
a Patient who has pain of “4” on a scale of 0 to 10
.
b Patient with a temperature of 99° F (37.2° C) and blood pressure of
.
115/73 mm Hg
c Patient who has had two saturated perineal pads in the
.
last 2 hours
d Patient with a urinary catheter output of 150 mL in the last 3
.
hours
1 points
QUESTION 7
1. A patient has undergone a vaginal hysterectomy with a bilateral
salpingo-oophorectomy. She is concerned about a loss of libido. What
intervention by the nurse would be best?
a Teach that estrogen cream inserted
.
vaginally may help.
b Suggest increasing vitamins and supplements
.
daily.
c Discuss the value of a balanced diet and exercise.
.
d Reinforce that weight gain may be inevitable.
.
1 points
QUESTION 8
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1. A patient has recently been diagnosed with stage III endometrial
cancer and asks the nurse for an explanation. What response by the
nurse is correct about the staging of the cancer?
a “It is contained in the endometrium of the cervix.”
.
b “The cancer now involves the cervix.”
.
c “It has reached the vagina or lymph nodes.”
.
d “The cancer has spread to the mucosa of the bowel
.
and bladder.”
1 points
QUESTION 9
1. The patient is emotionally upset about the recent diagnosis of stage IV
endometrial cancer. Which action by the nurse is best?
a Let the patient alone for a long period of
.
reflection time.
b Ask friends and relatives to limit their visits.
.
c Create an atmosphere of acceptance and
.
discussion.
d Tell the patient that an emotional response is
.
unacceptable.
1 points
QUESTION 10
1. A patient has scheduled brachytherapy sessions and states that she
feels as though she is not safe around her family. What is the best
response by the nurse?
a “You should use a separate bathroom from the rest of the
.
family.”
b “To be totally safe, it is a good idea to sleep in a separate
.
room.”
c “It is best to stay a safe distance from friends or family between
.
treatments.”
d “You are only radioactive when the radioactive implant
.
is in place.”
1 points
QUESTION 11
1. A patient has just returned from a total abdominal hysterectomy and
needs postoperative nursing care. What action can the nurse delegate
to the unlicensed assistive personnel (UAP)?
a Check the hemoglobin and hematocrit
.
levels.
b Evaluate the dressing for drainage.
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.
c Empty the urine from the urinary
.
catheter bag.
d Assess heart, lung, and bowel sounds.
.
1 points
QUESTION 12
1. A 20-year-old patient is interested in protection from the human
papilloma virus (HPV) since she may become sexually active. Which
response from the nurse is the most accurate?
a “You will need to have three injections over a span of 1 year.”
.
b “Either Gardasil or Cervarix can provide protection.”
.
c “The most common side effect of the vaccine is itching at the
.
injection site.”
d “You are too old to receive an HPV vaccine.”
.
1 points
QUESTION 13
1. A 28-year-old patient is diagnosed with uterine leiomyoma and is
experiencing severe symptoms. Which actions by the nurse are the
most appropriate at this time? (Select all that apply.)
a Review complete blood count for possible iron-
.
deficiency anemia
b Relieve anxiety by relaxation techniques and
.
education.
c Discuss in detail the side effects of laparoscopic surgery.
.
d Reduce the pain by low-level heat.
.
e Discuss the high risk of infertility with this diagnosis.
.
1 points
QUESTION 14
1. The nurse is giving discharge instructions to a patient who had a total
abdominal hysterectomy. Which statements by the patient indicate a
need for further teaching? (Select all that apply.)
a “My granddaughter weighs 23 lbs (10.5 kg) so I need to refrain
.
from picking her up.”
b “I will have to limit the times that I climb our stairs at home to
.
morning and night.”
c “I should not have any problems driving to see my mother,
.
who lives 3 hours away.”
d “For 1 month, I will need to refrain from sexual intercourse.”
.