Common Gynecologic Problems NCLEX
questions with Answers
The nurse is teaching a class to women who were recently diagnosed with benign
breast disease (BBD), commonly known as fibrocystic breast disease. One of the
participant’s reports increased swelling, pain, and pressure in her breasts just before
menstruation. What
is the best response by the nurse?
1. "It's best to make an appointment with an oncologist."
2. "The pain may be caused by thinning of the normal breast tissue."
3. "Consider asking your healthcare provider about adding a mild diuretic to your
regimen."
4. "Breast swelling and pressure are expected symptoms, but pain is abnormal and
should be evaluated by your physician." - Correct Answer 3 ~
1. Cyclic breast pain, swelling, and tenderness are common symptoms associated with
BBD. Generally, fibrocystic changes are not a risk factor for breast cancer.
2. The pathology of BBD involves fibrosis, which is a thickening of the normal breast
tissue.
3. Treatment of BBD may include taking a mild diuretic during the week prior to the
onset of menses to counteract fluid retention, relieve pressure in the breast, and help
decrease pain.
4. Common symptoms associated with BBD include cyclic breast pain, tenderness, and
swelling.
The nurse is caring for a client diagnosed with endometriosis. Which statement by the
client requires immediate follow-up?
1. "I've noticed my voice is lower since I started taking diazole."
2. "I am having many hot flashes since I had the Lupron injection."
3. "The pain I experience with intercourse is becoming more severe."
4. "My leg has become painful and swollen since I started taking birth control pills." -
Correct Answer 4 ~
1. Apocrine (diazole) is a testosterone derivative that suppresses gonadotropin-
releasing
hormone (Gnarl) and has high-androgen and low-estrogen effects. A lowered voice is
one side effect of diazole. This client is not experiencing a complication.
2. Leuprolide acetate (Lupron) is a Gnarl agonist and causes symptoms of a hypo
estrogenic state (hot flashes, vaginal dryness, decreased libido, and bone density loss).
Hot flashes are expected and not a complication.
3. Dyspareunia is a common symptom of endometriosis and therefore is not a
complication.
, 4. Combination oral contraceptive pills contain estrogen. A painful, swollen lower
extremity can be a sign of deep vein thrombosis, which can cause thromboembolism,
which is
potentially life threatening. This is a complication and must be addressed immediately.
The nurse is creating a care plan for a client who is unable to conceive as a
consequence of endometriosis. Which statement accurately reflects a nursing diagnosis
that may apply to the care of this client?
1. Acute pain related to dysuria and renal pain secondary to endometriosis
2. Compromised family coping related to depression secondary to infertility
3. Infertility related to endometrial inflammation and adhesions secondary to
endometriosis
4. Hyperandrogenism related to elevated serum androgen levels secondary to
endometriosis - Correct Answer 2 ~
1. Pelvic pain is a frequent symptom of endometriosis, while dysuria and renal pain are
more commonly associated with conditions such as upper urinary tract infections (UTIs).
2. Infertility may lead to depression and subsequent compromised family coping, which
is a nursing diagnosis.
3. Although associated with the medical condition of endometriosis, infertility is a
medical diagnosis.
4. Hyperandrogenism is a medical diagnosis that pertains to elevated serum androgen
levels. Hyperandrogenism is associated with polycystic ovarian syndrome (PCOS).
A client diagnosed with polycystic ovarian disease (PCOS) asks why spironolactone
(Aldactone.The) has been prescribed. How should the nurse respond?
1. "Spironolactone is often used to reduce complications associated with PCOS,
including rectocele."
2. "Menstrual irregularities related to polycystic ovarian disease are treated using
spironolactone."
3. "Condylomata acuminata, which are sometimes caused by polycystic ovarian
disease, are treated with spironolactone."
4. "Spironolactone may be used to decrease symptoms associated with PCOS, such as
excessive hair growth and acne." - Correct Answer 4 ~
1. A rectocele, which may develop when the posterior vaginal wall is weakened, is
associated with pelvic relaxation.
2. Combined oral contraceptive (COC) or cyclic progesterone is used to treat menstrual
irregularities associated with PCOS.
3. Condylomata acuminata, also called genital or venereal warts, is a sexually
transmitted condition unrelated to PCOS.
4. Spironolactone may be used to treat symptoms of hyperandrogenism that are
secondary to PCOS, including excessive hair growth and acne.
The nurse is planning a group session for parents who are beginning infertility
evaluation. Which statements should be included in this session? SATA
1. "Infertility can be stressful for a marriage."
2. "Taking a vacation usually results in pregnancy."
questions with Answers
The nurse is teaching a class to women who were recently diagnosed with benign
breast disease (BBD), commonly known as fibrocystic breast disease. One of the
participant’s reports increased swelling, pain, and pressure in her breasts just before
menstruation. What
is the best response by the nurse?
1. "It's best to make an appointment with an oncologist."
2. "The pain may be caused by thinning of the normal breast tissue."
3. "Consider asking your healthcare provider about adding a mild diuretic to your
regimen."
4. "Breast swelling and pressure are expected symptoms, but pain is abnormal and
should be evaluated by your physician." - Correct Answer 3 ~
1. Cyclic breast pain, swelling, and tenderness are common symptoms associated with
BBD. Generally, fibrocystic changes are not a risk factor for breast cancer.
2. The pathology of BBD involves fibrosis, which is a thickening of the normal breast
tissue.
3. Treatment of BBD may include taking a mild diuretic during the week prior to the
onset of menses to counteract fluid retention, relieve pressure in the breast, and help
decrease pain.
4. Common symptoms associated with BBD include cyclic breast pain, tenderness, and
swelling.
The nurse is caring for a client diagnosed with endometriosis. Which statement by the
client requires immediate follow-up?
1. "I've noticed my voice is lower since I started taking diazole."
2. "I am having many hot flashes since I had the Lupron injection."
3. "The pain I experience with intercourse is becoming more severe."
4. "My leg has become painful and swollen since I started taking birth control pills." -
Correct Answer 4 ~
1. Apocrine (diazole) is a testosterone derivative that suppresses gonadotropin-
releasing
hormone (Gnarl) and has high-androgen and low-estrogen effects. A lowered voice is
one side effect of diazole. This client is not experiencing a complication.
2. Leuprolide acetate (Lupron) is a Gnarl agonist and causes symptoms of a hypo
estrogenic state (hot flashes, vaginal dryness, decreased libido, and bone density loss).
Hot flashes are expected and not a complication.
3. Dyspareunia is a common symptom of endometriosis and therefore is not a
complication.
, 4. Combination oral contraceptive pills contain estrogen. A painful, swollen lower
extremity can be a sign of deep vein thrombosis, which can cause thromboembolism,
which is
potentially life threatening. This is a complication and must be addressed immediately.
The nurse is creating a care plan for a client who is unable to conceive as a
consequence of endometriosis. Which statement accurately reflects a nursing diagnosis
that may apply to the care of this client?
1. Acute pain related to dysuria and renal pain secondary to endometriosis
2. Compromised family coping related to depression secondary to infertility
3. Infertility related to endometrial inflammation and adhesions secondary to
endometriosis
4. Hyperandrogenism related to elevated serum androgen levels secondary to
endometriosis - Correct Answer 2 ~
1. Pelvic pain is a frequent symptom of endometriosis, while dysuria and renal pain are
more commonly associated with conditions such as upper urinary tract infections (UTIs).
2. Infertility may lead to depression and subsequent compromised family coping, which
is a nursing diagnosis.
3. Although associated with the medical condition of endometriosis, infertility is a
medical diagnosis.
4. Hyperandrogenism is a medical diagnosis that pertains to elevated serum androgen
levels. Hyperandrogenism is associated with polycystic ovarian syndrome (PCOS).
A client diagnosed with polycystic ovarian disease (PCOS) asks why spironolactone
(Aldactone.The) has been prescribed. How should the nurse respond?
1. "Spironolactone is often used to reduce complications associated with PCOS,
including rectocele."
2. "Menstrual irregularities related to polycystic ovarian disease are treated using
spironolactone."
3. "Condylomata acuminata, which are sometimes caused by polycystic ovarian
disease, are treated with spironolactone."
4. "Spironolactone may be used to decrease symptoms associated with PCOS, such as
excessive hair growth and acne." - Correct Answer 4 ~
1. A rectocele, which may develop when the posterior vaginal wall is weakened, is
associated with pelvic relaxation.
2. Combined oral contraceptive (COC) or cyclic progesterone is used to treat menstrual
irregularities associated with PCOS.
3. Condylomata acuminata, also called genital or venereal warts, is a sexually
transmitted condition unrelated to PCOS.
4. Spironolactone may be used to treat symptoms of hyperandrogenism that are
secondary to PCOS, including excessive hair growth and acne.
The nurse is planning a group session for parents who are beginning infertility
evaluation. Which statements should be included in this session? SATA
1. "Infertility can be stressful for a marriage."
2. "Taking a vacation usually results in pregnancy."
