Test Bank Unit 11: Understanding Medical-Surgical Nursing
6th Edition Linda S. Williams Paula D. Hopper
Chapter 41. Genitourinary and Reproductive System Function and Assessment
MULTIPLE CHOICE
1. The nurse is preparing a presentation about the normal reproductive system of the female.
Which condition is incorrect?
1. Females have a definite limit to reproductive capability.
2. The mammary glands are considered part of the reproductive system.
3. Normal pH of the vagina is alkaline to prevent microbial growth.
4. Internal structures include paired ovaries and fallopian tubes, a vagina, and uterus.
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Pages: 839–840
Heading: Female Reproductive System
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Females do have a definite limit to reproductive capability, which ends when
ovulation stops (menopause).
2 Mammary glands are considered accessory organs to the reproductive system.
3 The normal pH of the vagina is acidic, not alkaline, which helps retard
microbial growth. After puberty, the vagina mucosa is relatively resistant to
infection.
4 Internal structures of the female reproductive system include paired ovaries and
fallopian tubes, a vagina, and a uterus.
PTS: 1 CON: Sexuality
2. The nurse is preparing a presentation about the normal reproductive system of the male.
Which statement is incorrect?
1. The scrotum keeps the testes at a temperature slightly lower than the body.
2. Spermatogenesis is constant after puberty and usually continues through life.
3. Alkaline secretions ensure sperm viability in the acidic environment of the vagina.
4. The arterioles of the penis constrict to hold blood in the penis for an erection.
ANS: 4
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Page: 841
Heading: Male Reproductive System
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
, Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The testes are located in the scrotum, which is located between the thighs. The
temperature of the scrotum is slightly lower than the body, which is necessary
for the production of viable sperm.
2 The male begins to produce sperm after puberty, a process that usually
continues throughout the male’s lifetime.
3 The gland secretions in the ejaculate are alkaline to ensure sperm viability in
the acidic environment of the female vagina.
4 During sexual arousal, the arterioles of the penis dilate, the penile sinuses
become filled with blood, and the penis becomes firm and erect.
PTS: 1 CON: Sexuality
3. A female patient who is 40 years of age is scheduled for a baseline mammography. The
patient becomes concerned when she learns a digital mammography is planned. The client
states, “I thought that test was for high risk women.” Which answer by the nurse is most
appropriate?
1. “This type of testing is more effective in detecting cancer in younger women.”
2. “The test is more expensive, but the cost is offset by the benefits of earlier
detection.”
3. “The image is computerized, allowing the radiologist to look more closely at
specific areas.”
4. “This method of testing is much quicker, easier, and with less discomfort for the
woman.”
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 849
Heading: Mammography
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Digital mammography is more effective in detecting breast cancer in younger
women who have denser breast tissue. This is an accurate statement, but there
is another statement that more closely addresses the patient’s concern.
2 It is inappropriate for the nurse to make a reference to the cost of the test in
relation to the benefit. The patient may feel compelled to make a decision about
the type of test based on cost.
3 The most appropriate statement by the nurse is the one that provides a benefit
, and rationale for the selected method of testing. The computerized imagery is
clearer and allows the radiologist to closely examine any specific area.
4 The routine for digital mammography is the same as for previous methods. The
time frame is unchanged. The comfort level is unchanged because the breast
tissue is still compressed as much as possible.
PTS: 1 CON: Sexuality
4. The nurse is providing information on breast self-examination to a female patient. Which
palpation pattern does the nurse instruct the patient to use when performing this
examination?
1. Spiral pattern
2. Parallel lines
3. Wheel-spoke pattern
4. Any pattern that is consistent and thorough
ANS: 4
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 848
Heading: Breast Self-Examination
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Spiral pattern is an accepted method of breast self-examination.
2 Parallel lines is an accepted method of breast self-examination.
3 Wheel-spoke pattern is an accepted method of breast self-examination.
4 Whether the breasts are examined in parallel lines, a spiral formation, or a
wedge pattern is probably insignificant. It is important, however, to encourage
that the examination be methodical and cover all areas of the breast, the tail of
Spence, and the axilla.
PTS: 1 CON: Sexuality
5. The nurse is collecting information from a female patient who is 55 years of age. The patient
is postmenopausal for 8 years. The patient is also small boned, Caucasian, and has never
been pregnant. Which type of bone testing does the nurse suggest to the patient?
1. A heel scan that is performed at the local pharmacy
2. A dual energy x-ray absorptiometry (DEXA) scan
3. A laboratory test to determine estrogen levels
4. A blood test to determine circulating calcium levels
ANS: 2
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
, Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 850
Heading: Bone Health Assessment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The patient has numerous risk factors for osteoporosis. A heel scan at the local
drug store may serve as a good screening option; however, it is not the most
conclusive test for bone density in this client.
2 The DEXA scan measures bone density at the hip or spine, which are areas that
are prone to bone loss leading to injuries or joint damage.
3 A laboratory test for estrogen levels is not necessary; the patient is past
menopause and estrogen levels are expected to be low unless the patient is on
hormone replacement therapy.
4 A blood test for the levels of circulating calcium levels is not effective in
determining bone density.
PTS: 1 CON: Sexuality
6. The nurse is discussing menstruation with a patient who is present for her yearly physical.
The patient is 11 years of age and states, “I have not had a period yet and I hear so much at
school it is confusing.” Which detail about the function is unnecessary at this time?
1. Normally, a cycle will occur approximately every 28 days.
2. A period usually lasts about 5 days and bleeding is not excessive.
3. The process is related to fluctuating estrogen and progesterone hormones.
4. Cramping can occur, but is not usually severe and can be managed fairly easy.
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Page: 845
Heading: The Ovarian and Menstrual Cycles
Integrated Process: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis (Analyzing)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The frequency of menstruation is appropriate information for this patient.
2 The length and characteristics of the menstrual cycle is appropriate information
for this patient.
3 At this point in time and at the patient’s age, information about the function of
hormones is unnecessary. The patient is most likely seeking information about
6th Edition Linda S. Williams Paula D. Hopper
Chapter 41. Genitourinary and Reproductive System Function and Assessment
MULTIPLE CHOICE
1. The nurse is preparing a presentation about the normal reproductive system of the female.
Which condition is incorrect?
1. Females have a definite limit to reproductive capability.
2. The mammary glands are considered part of the reproductive system.
3. Normal pH of the vagina is alkaline to prevent microbial growth.
4. Internal structures include paired ovaries and fallopian tubes, a vagina, and uterus.
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Pages: 839–840
Heading: Female Reproductive System
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Females do have a definite limit to reproductive capability, which ends when
ovulation stops (menopause).
2 Mammary glands are considered accessory organs to the reproductive system.
3 The normal pH of the vagina is acidic, not alkaline, which helps retard
microbial growth. After puberty, the vagina mucosa is relatively resistant to
infection.
4 Internal structures of the female reproductive system include paired ovaries and
fallopian tubes, a vagina, and a uterus.
PTS: 1 CON: Sexuality
2. The nurse is preparing a presentation about the normal reproductive system of the male.
Which statement is incorrect?
1. The scrotum keeps the testes at a temperature slightly lower than the body.
2. Spermatogenesis is constant after puberty and usually continues through life.
3. Alkaline secretions ensure sperm viability in the acidic environment of the vagina.
4. The arterioles of the penis constrict to hold blood in the penis for an erection.
ANS: 4
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Page: 841
Heading: Male Reproductive System
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
, Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The testes are located in the scrotum, which is located between the thighs. The
temperature of the scrotum is slightly lower than the body, which is necessary
for the production of viable sperm.
2 The male begins to produce sperm after puberty, a process that usually
continues throughout the male’s lifetime.
3 The gland secretions in the ejaculate are alkaline to ensure sperm viability in
the acidic environment of the female vagina.
4 During sexual arousal, the arterioles of the penis dilate, the penile sinuses
become filled with blood, and the penis becomes firm and erect.
PTS: 1 CON: Sexuality
3. A female patient who is 40 years of age is scheduled for a baseline mammography. The
patient becomes concerned when she learns a digital mammography is planned. The client
states, “I thought that test was for high risk women.” Which answer by the nurse is most
appropriate?
1. “This type of testing is more effective in detecting cancer in younger women.”
2. “The test is more expensive, but the cost is offset by the benefits of earlier
detection.”
3. “The image is computerized, allowing the radiologist to look more closely at
specific areas.”
4. “This method of testing is much quicker, easier, and with less discomfort for the
woman.”
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 849
Heading: Mammography
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Digital mammography is more effective in detecting breast cancer in younger
women who have denser breast tissue. This is an accurate statement, but there
is another statement that more closely addresses the patient’s concern.
2 It is inappropriate for the nurse to make a reference to the cost of the test in
relation to the benefit. The patient may feel compelled to make a decision about
the type of test based on cost.
3 The most appropriate statement by the nurse is the one that provides a benefit
, and rationale for the selected method of testing. The computerized imagery is
clearer and allows the radiologist to closely examine any specific area.
4 The routine for digital mammography is the same as for previous methods. The
time frame is unchanged. The comfort level is unchanged because the breast
tissue is still compressed as much as possible.
PTS: 1 CON: Sexuality
4. The nurse is providing information on breast self-examination to a female patient. Which
palpation pattern does the nurse instruct the patient to use when performing this
examination?
1. Spiral pattern
2. Parallel lines
3. Wheel-spoke pattern
4. Any pattern that is consistent and thorough
ANS: 4
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 848
Heading: Breast Self-Examination
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 Spiral pattern is an accepted method of breast self-examination.
2 Parallel lines is an accepted method of breast self-examination.
3 Wheel-spoke pattern is an accepted method of breast self-examination.
4 Whether the breasts are examined in parallel lines, a spiral formation, or a
wedge pattern is probably insignificant. It is important, however, to encourage
that the examination be methodical and cover all areas of the breast, the tail of
Spence, and the axilla.
PTS: 1 CON: Sexuality
5. The nurse is collecting information from a female patient who is 55 years of age. The patient
is postmenopausal for 8 years. The patient is also small boned, Caucasian, and has never
been pregnant. Which type of bone testing does the nurse suggest to the patient?
1. A heel scan that is performed at the local pharmacy
2. A dual energy x-ray absorptiometry (DEXA) scan
3. A laboratory test to determine estrogen levels
4. A blood test to determine circulating calcium levels
ANS: 2
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
, Objective: Identify commonly performed tests used to diagnose disorders of the
reproductive system.
Page: 850
Heading: Bone Health Assessment
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The patient has numerous risk factors for osteoporosis. A heel scan at the local
drug store may serve as a good screening option; however, it is not the most
conclusive test for bone density in this client.
2 The DEXA scan measures bone density at the hip or spine, which are areas that
are prone to bone loss leading to injuries or joint damage.
3 A laboratory test for estrogen levels is not necessary; the patient is past
menopause and estrogen levels are expected to be low unless the patient is on
hormone replacement therapy.
4 A blood test for the levels of circulating calcium levels is not effective in
determining bone density.
PTS: 1 CON: Sexuality
6. The nurse is discussing menstruation with a patient who is present for her yearly physical.
The patient is 11 years of age and states, “I have not had a period yet and I hear so much at
school it is confusing.” Which detail about the function is unnecessary at this time?
1. Normally, a cycle will occur approximately every 28 days.
2. A period usually lasts about 5 days and bleeding is not excessive.
3. The process is related to fluctuating estrogen and progesterone hormones.
4. Cramping can occur, but is not usually severe and can be managed fairly easy.
ANS: 3
Chapter: Chapter 41. Genitourinary and Reproductive System Function and Assessment
Objective: Explain the normal structures and functions of the reproductive system.
Page: 845
Heading: The Ovarian and Menstrual Cycles
Integrated Process: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis (Analyzing)
Concept: Sexuality
Difficulty: Moderate
Feedback
1 The frequency of menstruation is appropriate information for this patient.
2 The length and characteristics of the menstrual cycle is appropriate information
for this patient.
3 At this point in time and at the patient’s age, information about the function of
hormones is unnecessary. The patient is most likely seeking information about
