NURS 204 Questions And Answers With Complete
Solutions 2024 Tests
**The nurse is developing a teaching plan for a client who is scheduled for her first
Papanicolaou test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be interpreted immediately in the office."
d. "Results are best if you do not douche 24 hours before the test." - ANSWER d.
"Results are best if you do not douche 24 hours before the test."
The nurse is assessing the reproductive history of a 68-year-old postmenopausal
woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine - ANSWER .c. Bleeding from the vagina
**The nurse is reviewing discharge instructions with a client who has just
experienced an endometrial biopsy. Which finding would be reported to the primary
health care provider immediately? **
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood
d. Fatigue after anesthesia - ANSWER b. Slight chills and fever
A client is concerned about her irregular menstrual periods since she has increased
her daily workouts at the gym to 2 hours each day. What is the nurses' best
response?
a. "Do you want to talk about the need for that much exercise?"
b. "Exercise is healthy but can decrease body fat and cause irregular periods."
c. "Bingeing and purging can cause electrolyte problems in your body."
d. "Anorexic behavior can result in decreased estrogen levels." - ANSWER b.
"Exercise is healthy but can decrease body fat and cause irregular periods."
**A client is having a hysterosalpingogram. What action by the nurse is most
important?**
a. Assist the client in sitting up after the procedure.
b. Provide the client with a pad to avoid dye stains on the clothes.
c. Teach her to take all antibiotics prescribed until finished.
d. Inform the client that the procedure may cause shoulder pain. - ANSWER a.
Assist the client in sitting up after the procedure.
,. **The mother of an 18-year-old girl asks the nurse which screening her daughter
would receive now based on evidence-based recommendations. Which suggestion
by the nurse is best? **
a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
d. No screenings at this time - ANSWER d. No screenings at this time
**A client is scheduled for a laparoscopy to remove endometriosis tissue. Which
response by the client alerts the nurse of the need for further teaching? **
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity."
b. "There will be one or more small incisions in order to visualize all of the organs."
c. "There will be some shoulder pain after the procedure that may last 48 hours."
d. "I can return to jogging my 3-mile (5 km) routine in a few days." - ANSWER d. "I
can return to jogging my 3-mile (5 km) routine in a few days."
A 67-year-old male client had serum laboratory tests performed during his annual
examination. The nurse reviews his results, as follows: testosterone: 680 ng/dL (23.6
nmol/L); prostate-specific antigen: 10 ng/mL (10 mcg/L); prolactin: 5 ng/mL (217.4
pmol). What action by the nurse is best?
a. Assess for possible galactorrhea with breast discharge.
b. Note the possibility of a testicular tumor.
c. Communicate that results were normal.
d. Prepare the client for further diagnostic testing. - ANSWER d. Prepare the client
for further diagnostic testing.
A 72-year-old woman is being assessed by the nurse for an annual physical. Which
finding is of concern to the nurse?
a. Thinning of pubic hair
b. Increased size of the uterus
c. Decreased size of the clitoris
d. Loss of tone of the pelvic ligaments - ANSWER b. Increased size of the uterus
The nurse is assessing a client for reproductive health problems. What assessments
are most important? (Select all that apply.)
a. Bleeding
b. Pain
c. Sexual orientation
d. Masses
e. Discharge - ANSWER a. Bleeding
b. Pain
d. Masses
e. Discharge
, **The nurse is reviewing discharge plans with a client who is recovering from a
cervical biopsy. Which statements indicate good understanding by the client? (Select
all that apply.) **
a. "I can return to work this afternoon."
b. "I cannot carry my toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
e. "I can use a regular tampon this evening for bleeding."
f. "I cannot wash my perineum for 24 hours." - ANSWER b. "I cannot carry my
toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
** The nurse is teaching a 45-year-old woman about her fibrocystic breast changes.
Which statement by the client indicates a lack of understanding? **
a. "This condition will become malignant over time."
b. "I understand that hormone-based drugs have serious adverse effects."
c. "One cup of coffee in the morning should be enough for me."
d. "This condition makes it more difficult to examine my breasts." - ANSWER a.
"This condition will become malignant over time. "
**The nurse is examining a woman's breast and notes multiple small mobile lumps.
Which question would be most appropriate for the nurse to ask? **
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual period?"
d. "Do you have a first-degree relative who has breast cancer?" - ANSWER c. "Do
the small lumps seem to change with your menstrual period?"
**The nurse is working with a male client who has gynecomastia. What action by the
nurse is most appropriate? **
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake. - ANSWER c. Educate him on the side
effects of tamoxifen.
Which finding in a female client by the nurse would receive the highest priority for
further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin and nipple discharge - ANSWER
c. Nontender fixed mass in the upper outer quadrant of the breast.
Solutions 2024 Tests
**The nurse is developing a teaching plan for a client who is scheduled for her first
Papanicolaou test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be interpreted immediately in the office."
d. "Results are best if you do not douche 24 hours before the test." - ANSWER d.
"Results are best if you do not douche 24 hours before the test."
The nurse is assessing the reproductive history of a 68-year-old postmenopausal
woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine - ANSWER .c. Bleeding from the vagina
**The nurse is reviewing discharge instructions with a client who has just
experienced an endometrial biopsy. Which finding would be reported to the primary
health care provider immediately? **
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood
d. Fatigue after anesthesia - ANSWER b. Slight chills and fever
A client is concerned about her irregular menstrual periods since she has increased
her daily workouts at the gym to 2 hours each day. What is the nurses' best
response?
a. "Do you want to talk about the need for that much exercise?"
b. "Exercise is healthy but can decrease body fat and cause irregular periods."
c. "Bingeing and purging can cause electrolyte problems in your body."
d. "Anorexic behavior can result in decreased estrogen levels." - ANSWER b.
"Exercise is healthy but can decrease body fat and cause irregular periods."
**A client is having a hysterosalpingogram. What action by the nurse is most
important?**
a. Assist the client in sitting up after the procedure.
b. Provide the client with a pad to avoid dye stains on the clothes.
c. Teach her to take all antibiotics prescribed until finished.
d. Inform the client that the procedure may cause shoulder pain. - ANSWER a.
Assist the client in sitting up after the procedure.
,. **The mother of an 18-year-old girl asks the nurse which screening her daughter
would receive now based on evidence-based recommendations. Which suggestion
by the nurse is best? **
a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
d. No screenings at this time - ANSWER d. No screenings at this time
**A client is scheduled for a laparoscopy to remove endometriosis tissue. Which
response by the client alerts the nurse of the need for further teaching? **
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity."
b. "There will be one or more small incisions in order to visualize all of the organs."
c. "There will be some shoulder pain after the procedure that may last 48 hours."
d. "I can return to jogging my 3-mile (5 km) routine in a few days." - ANSWER d. "I
can return to jogging my 3-mile (5 km) routine in a few days."
A 67-year-old male client had serum laboratory tests performed during his annual
examination. The nurse reviews his results, as follows: testosterone: 680 ng/dL (23.6
nmol/L); prostate-specific antigen: 10 ng/mL (10 mcg/L); prolactin: 5 ng/mL (217.4
pmol). What action by the nurse is best?
a. Assess for possible galactorrhea with breast discharge.
b. Note the possibility of a testicular tumor.
c. Communicate that results were normal.
d. Prepare the client for further diagnostic testing. - ANSWER d. Prepare the client
for further diagnostic testing.
A 72-year-old woman is being assessed by the nurse for an annual physical. Which
finding is of concern to the nurse?
a. Thinning of pubic hair
b. Increased size of the uterus
c. Decreased size of the clitoris
d. Loss of tone of the pelvic ligaments - ANSWER b. Increased size of the uterus
The nurse is assessing a client for reproductive health problems. What assessments
are most important? (Select all that apply.)
a. Bleeding
b. Pain
c. Sexual orientation
d. Masses
e. Discharge - ANSWER a. Bleeding
b. Pain
d. Masses
e. Discharge
, **The nurse is reviewing discharge plans with a client who is recovering from a
cervical biopsy. Which statements indicate good understanding by the client? (Select
all that apply.) **
a. "I can return to work this afternoon."
b. "I cannot carry my toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
e. "I can use a regular tampon this evening for bleeding."
f. "I cannot wash my perineum for 24 hours." - ANSWER b. "I cannot carry my
toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
** The nurse is teaching a 45-year-old woman about her fibrocystic breast changes.
Which statement by the client indicates a lack of understanding? **
a. "This condition will become malignant over time."
b. "I understand that hormone-based drugs have serious adverse effects."
c. "One cup of coffee in the morning should be enough for me."
d. "This condition makes it more difficult to examine my breasts." - ANSWER a.
"This condition will become malignant over time. "
**The nurse is examining a woman's breast and notes multiple small mobile lumps.
Which question would be most appropriate for the nurse to ask? **
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual period?"
d. "Do you have a first-degree relative who has breast cancer?" - ANSWER c. "Do
the small lumps seem to change with your menstrual period?"
**The nurse is working with a male client who has gynecomastia. What action by the
nurse is most appropriate? **
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake. - ANSWER c. Educate him on the side
effects of tamoxifen.
Which finding in a female client by the nurse would receive the highest priority for
further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin and nipple discharge - ANSWER
c. Nontender fixed mass in the upper outer quadrant of the breast.
