Chapter 7 competency 14
A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most
alert for which side effect?
A. vaginal ulceration
B. increased vaginal discharge
C. urinary tract infection
D. vaginitis
A. vaginal ulceration
A group of nurses are preparing a presentation about polyps for a local women's group. Which
information would the nurses most likely include in the presentation?
A. Endocervical polyps are most common in women in their 50s.
B. Polyps are rarely the result of an infection.
C. Endocervical polyps commonly appear after menarche.
D. Cervical polyps are more common than endocervical polyps.
A. Endocervical polyps are most common in women in their 50s.
During a wellness visit to the clinic, a 30-year-old woman asks the nurse if there is anything she can do to
reduce her risk for developing breast cancer. Which suggestion would be appropriate? Select all that
apply.
A. "Eat at least seven portions of complex carbohydrates daily."
B. "Eat three servings of fruit daily."
C. "Keep your weight gain under 11 pounds."
D. "Use salt liberally when cooking"
E. "Limit your intake of refined sugar products.
A. "Eat at least seven portions of complex carbohydrates daily."
C. "Keep your weight gain under 11 pounds."
E. "Limit your intake of refined sugar products
A client is being discharged after having a right-sided modified radical mastectomy. After teaching the
client about ways to minimize lymphedema, the nurse determines that the teaching was successful
based on which client statement?
A. "I need to avoid wearing tops that have elastic in the sleeves."
,B. "I should have my blood pressure taken in my right arm."
C. "I need to limit my driving to once a week."
D. "I should use lotion on my hands after working in my garden."
A. "I need to avoid wearing tops that have elastic in the sleeves."
After teaching a woman how to perform breast self-examination, which statement would indicate that
the nurse's instructions were successful?
A. "I should lie down with my arms at my side when looking at my breasts."
B. "I don't need to check under my arm on that side if my breast feels fine."
C. "I should use the finger pads of my three middle fingers to apply pressure to my breast."
D. "I need to work from left to right down my breast towards my ribs.
C. "I should use the finger pads of my three middle fingers to apply pressure to my breast."
After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse
anticipates that the woman will require:
A. biopsy.
B. metformin.
C. oral contraceptives.
D. no treatment.
D. no treatment.
A client is suspected of having endometrial cancer. The nurse would most likely prepare the client for
which procedure to confirm the diagnosis?
A. colposcopy
B. pap smear
C. endometrial biopsy
D. transvaginal ultrasound
C. endometrial biopsy
, A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to
start hormonal therapy using a selective estrogen receptor modulator (SERM). Which agent would the
nurse most likely expect the client to receive?
A. letrozole
B. cortisone
C. exemastine
D. raloxifene
D. raloxifene
Vulvar cancer is suspected in a client. When reviewing the client's history which complaint would the
nurse most likely find? Select all that apply.
A. dyspareunia (painful intercourse)
B. persistent vulvar itching
C. abnormal Pap smear
D. lesion on the cervix
E. history of herpes simplex
A. dyspareunia
B. persistent vulvar itching
E. history of herpes simplex
A nurse is providing care to a female client receiving treatment for a Bartholin's cyst. The client has had
a small loop of plastic tubing secured in place to allow for drainage. The nurse instructs the client that
she will have a follow-up appointment for removal of the plastic tubing at which time?
A. 1 week
B. 2 weeks
C. 4 weeks
D. 3 weeks
D. 3 weeks
A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would
identify which finding as associated with the client's condition?
A. amenorrhea
B. diarrhea
A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most
alert for which side effect?
A. vaginal ulceration
B. increased vaginal discharge
C. urinary tract infection
D. vaginitis
A. vaginal ulceration
A group of nurses are preparing a presentation about polyps for a local women's group. Which
information would the nurses most likely include in the presentation?
A. Endocervical polyps are most common in women in their 50s.
B. Polyps are rarely the result of an infection.
C. Endocervical polyps commonly appear after menarche.
D. Cervical polyps are more common than endocervical polyps.
A. Endocervical polyps are most common in women in their 50s.
During a wellness visit to the clinic, a 30-year-old woman asks the nurse if there is anything she can do to
reduce her risk for developing breast cancer. Which suggestion would be appropriate? Select all that
apply.
A. "Eat at least seven portions of complex carbohydrates daily."
B. "Eat three servings of fruit daily."
C. "Keep your weight gain under 11 pounds."
D. "Use salt liberally when cooking"
E. "Limit your intake of refined sugar products.
A. "Eat at least seven portions of complex carbohydrates daily."
C. "Keep your weight gain under 11 pounds."
E. "Limit your intake of refined sugar products
A client is being discharged after having a right-sided modified radical mastectomy. After teaching the
client about ways to minimize lymphedema, the nurse determines that the teaching was successful
based on which client statement?
A. "I need to avoid wearing tops that have elastic in the sleeves."
,B. "I should have my blood pressure taken in my right arm."
C. "I need to limit my driving to once a week."
D. "I should use lotion on my hands after working in my garden."
A. "I need to avoid wearing tops that have elastic in the sleeves."
After teaching a woman how to perform breast self-examination, which statement would indicate that
the nurse's instructions were successful?
A. "I should lie down with my arms at my side when looking at my breasts."
B. "I don't need to check under my arm on that side if my breast feels fine."
C. "I should use the finger pads of my three middle fingers to apply pressure to my breast."
D. "I need to work from left to right down my breast towards my ribs.
C. "I should use the finger pads of my three middle fingers to apply pressure to my breast."
After undergoing diagnostic testing, a woman is diagnosed with a corpus luteum cyst. The nurse
anticipates that the woman will require:
A. biopsy.
B. metformin.
C. oral contraceptives.
D. no treatment.
D. no treatment.
A client is suspected of having endometrial cancer. The nurse would most likely prepare the client for
which procedure to confirm the diagnosis?
A. colposcopy
B. pap smear
C. endometrial biopsy
D. transvaginal ultrasound
C. endometrial biopsy
, A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to
start hormonal therapy using a selective estrogen receptor modulator (SERM). Which agent would the
nurse most likely expect the client to receive?
A. letrozole
B. cortisone
C. exemastine
D. raloxifene
D. raloxifene
Vulvar cancer is suspected in a client. When reviewing the client's history which complaint would the
nurse most likely find? Select all that apply.
A. dyspareunia (painful intercourse)
B. persistent vulvar itching
C. abnormal Pap smear
D. lesion on the cervix
E. history of herpes simplex
A. dyspareunia
B. persistent vulvar itching
E. history of herpes simplex
A nurse is providing care to a female client receiving treatment for a Bartholin's cyst. The client has had
a small loop of plastic tubing secured in place to allow for drainage. The nurse instructs the client that
she will have a follow-up appointment for removal of the plastic tubing at which time?
A. 1 week
B. 2 weeks
C. 4 weeks
D. 3 weeks
D. 3 weeks
A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would
identify which finding as associated with the client's condition?
A. amenorrhea
B. diarrhea
