CERVICAL CANCER - HESI CASE
STUDY - NRSG357 EXAM QUESTIONS
WITH 100% CORRECT ANSWERS L
LATEST VERSION 2025/2026.
The registered nurse (RN) reviews the client's history and notes that Mrs. Sailor's last
Papanicolau (Pap) smear was 5 years ago.
What information is most important for the RN to obtain to determine Mrs. Sailor's risk for
cervical cancer? (Select all that apply).
a) Previous use of hormone replacement therapy
b) History of sexual partners
c) Past gynecological surgical procedures
d) Abuse of alcohol or drugs
e) Age with first pregnancy - ANS -History of sexual partners
-Age with first pregnancy
The healthcare provider (HCP) assesses Mrs. Sailor and collects a cervical smear for a PAP test.
Mrs. Sailor is asked to come back to the clinic in 2 weeks for the results of the examination and
laboratory tests.
When developing a plan of care to reduce the risks for cervical cancer, the RN recognizes that
primary prevention should include which intervention?
a) Implement PAP smears for high-risk populations
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b) Provide community education
c) Notify partners and trace contacts
d) Set up a cervical cancer support group - ANS Provide community education
Mrs. Sailor returns to the clinic 2 weeks later, at which time the HCP informs Mrs. Sailor that her
Pap smear was abnormal and another Pap smear is done. When the client visits the clinic the
following week for the results of the Pap smear, which was also abnormal, the HCP refers Mrs.
Sailor to a gynecologist for an endocervical biopsy. After the HCP leaves the examination room,
the client starts to cry and states, "I don't understand the reason for the biopsy."
After speaking with the RN, Mrs. Sailor understands that the endocervical biopsy will be done
by cervical conization to allow for microscopic examination of the cervical tissue. She is
scheduled for cervical conization in 2 days.
How should the RN response to the client?
a) Instruct the client that this procedure is part of the routine diagnostics
b) Refer the client back to the HCP for further information
c) Ask the client about her understanding of the ab - ANS Ask the client about her
understanding of the abnormal pap smear result
When Mrs. Sailor asks the RN where the biopsy will take place, how should the RN respond?
a) The HCP's office
b) The hospital
c) Emergent care center
d) Outpatient surgery cetner - ANS The HCP's office
The biopsy results confirm primary endocervical adenocarcinoma, stage II. Mrs. Sailor is
scheduled for a radical hysterectomy, bilateral salpingo-oophorectomy, lymph node dissection,
and exploratory laparotomy. Mrs. Sailor asks if she could get the HPV quadrivalent vaccine to
treat her cervical cancer.
Which explanation about HPV quadrivalent vaccine is best to give to Mrs. Sailor?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
STUDY - NRSG357 EXAM QUESTIONS
WITH 100% CORRECT ANSWERS L
LATEST VERSION 2025/2026.
The registered nurse (RN) reviews the client's history and notes that Mrs. Sailor's last
Papanicolau (Pap) smear was 5 years ago.
What information is most important for the RN to obtain to determine Mrs. Sailor's risk for
cervical cancer? (Select all that apply).
a) Previous use of hormone replacement therapy
b) History of sexual partners
c) Past gynecological surgical procedures
d) Abuse of alcohol or drugs
e) Age with first pregnancy - ANS -History of sexual partners
-Age with first pregnancy
The healthcare provider (HCP) assesses Mrs. Sailor and collects a cervical smear for a PAP test.
Mrs. Sailor is asked to come back to the clinic in 2 weeks for the results of the examination and
laboratory tests.
When developing a plan of care to reduce the risks for cervical cancer, the RN recognizes that
primary prevention should include which intervention?
a) Implement PAP smears for high-risk populations
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b) Provide community education
c) Notify partners and trace contacts
d) Set up a cervical cancer support group - ANS Provide community education
Mrs. Sailor returns to the clinic 2 weeks later, at which time the HCP informs Mrs. Sailor that her
Pap smear was abnormal and another Pap smear is done. When the client visits the clinic the
following week for the results of the Pap smear, which was also abnormal, the HCP refers Mrs.
Sailor to a gynecologist for an endocervical biopsy. After the HCP leaves the examination room,
the client starts to cry and states, "I don't understand the reason for the biopsy."
After speaking with the RN, Mrs. Sailor understands that the endocervical biopsy will be done
by cervical conization to allow for microscopic examination of the cervical tissue. She is
scheduled for cervical conization in 2 days.
How should the RN response to the client?
a) Instruct the client that this procedure is part of the routine diagnostics
b) Refer the client back to the HCP for further information
c) Ask the client about her understanding of the ab - ANS Ask the client about her
understanding of the abnormal pap smear result
When Mrs. Sailor asks the RN where the biopsy will take place, how should the RN respond?
a) The HCP's office
b) The hospital
c) Emergent care center
d) Outpatient surgery cetner - ANS The HCP's office
The biopsy results confirm primary endocervical adenocarcinoma, stage II. Mrs. Sailor is
scheduled for a radical hysterectomy, bilateral salpingo-oophorectomy, lymph node dissection,
and exploratory laparotomy. Mrs. Sailor asks if she could get the HPV quadrivalent vaccine to
treat her cervical cancer.
Which explanation about HPV quadrivalent vaccine is best to give to Mrs. Sailor?
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
