Assessment/Promotion ACTUAL
QUESTIONS AND CORRECT ANSWERS
A - Correct answer✔sa 20 yr old woman tells the nurse that she performs breast self examination
on a regular basis. The nurse evaluates understanding of BSE and ability to perform it correctly.
What actions indicate need for further instruction?? (select all that apply)
A. performs BSE every month and the 1st day of menstrual cycle
B. observes size of breasts, direction of nipples, appearance of skin, including presence of
dimpling.
C. Lies down on a bed and puts a pillow under shoulder of breast she is going to palpate. Then
she places the arm on that side under her head
D. uses the tips of 2 fingers to palpate her breasts
E. palpates her breast, using an overlapping circular pattern
F. palpates her breasts again, including up into axillae when taking a shower
D - Correct answer✔swhen palpating the small breasts of a young, slender woman the nurse
should:
A. wear clean gloves
B. lift the hands when moving from one segment of the breast to another
C. use both hands
D. follow a systematic overlapping pattern
Cc - Correct answer✔sA nurse instructed a female client regarding vulvar self-examination.
Which statements made by the client indicates further instruction is needed?
A. I will perform this exam at least once a month, especially if I change sex partners or am
sexually active
, B. I will become familiar with how my genitalia look and feel so I will be able to detect changes
C. I will use the examination to determine when I should get medications at the pharm for
infections
D. I will wash my hands thoroughly before and after I examine myself
B - Correct answer✔sA women's health nurse practitioner is going to perform a pelvic exam on a
female client. Which nursing action would be least effective in enhancing the client's comfort
and relaxation during the exam?
A. encourage the client to ask questions to express feelings and concerns before and after exam
B. ask the client questions as the examination is performed
C. allow the client to keep her shoes and socks on when placing her feet in the stirrups
D. instruction the client to place her hands over her diaphragm and take deep, slow breaths
A - Correct answer✔swhen assessing women it is important for a nurse to keep in mind the
possibility that they're victims of violence. The nurse should:
A. use an abuse assessment screen during the assessment of every woman
B. recognize taht abuse rarely occurs during pregnancy
C. assess a woman's legs and back as the most commonly injured areas D. notify the woman's
partner immediately if abuse is suspected
B - Correct answer✔sa 52 yr old woman asks the NP how often she should be assessed for the
common health problems that women her age could experience. The nurse recommends:
A. an endometrial biopsy every 3-4 yrs
B. a fetal occult blood test annually
C. a mammogram every other yr
D. bone mineral density testing annually