Nclex-Rn Practice Questions-Care of Adults Reproductive and Sexually Transmitted Infection Managemen
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Question 1 |
The married couple tells the nurse they have been unsuccessful at achieving a pregnancy. What should be the nurse’s initial question when they ask if they should begin testing for infertility?
A | “Do either of you use tobacco products or drink alcohol?” |
B | “What are your ages, and how long ago were you married?” |
C | “Did either of you ever have an infection in your reproductive tract?” |
D | “How long have you been having regular intercourse without contraception?” |
Question 2 |
The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client’s increased risk for heart disease after menopause?
A | A decreased level ofestrogen hormone |
B | A psychological craving for high-fat food |
C | An increased level of progesterone hormone |
D | An intolerance to exercise and physical activity |
Question 3 |
The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the “OK” sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client’s abrupt departure?
A | Discomfort discussing private body areas with the female nurse. |
B | The nurse invaded the client’s personal space inappropriately. |
C | The client may have interpreted the “OK” gesture as obscene. |
D | The client may have felt that the teaching had been completed. |
Question 4 |
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
A | “You need to plan ahead; this procedure will make you infertile.” |
B | “Has your surgeon discussed cryopreservation of your sperm?” |
C | “With the removal of only one testicle, your fertility will not be affected.” |
D | “I can’t answer this; no one really knows whether fertility will be affected.” |
Question 5 |
The client asks the nurse how a woman can recognize when she is ovulating. Which should be the nurse’s response?
A | “The mucus produced by the cervix during ovulati on becomes abundant and stretchy.” |
B | “The body temperature drops and stays low for the remainder of the menstrual cycle.” |
C | “Do an over-the-counter urine test; with ovulation luteinizing hormone is negative.” |
D | “You may notice a decrease in your desire for sexual activity when you are ovulating.” |
Question 6 |
The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?
A | “Did your father have any testicular problems?” |
B | “Does the left scrotum feel different from the right?” |
C | “Do you have children or plan to have children?” |
D | “Do you have any discomfort in your groin?” |
Question 7 |
The nurse is reviewing content prepared by the student nurse, who is planning a presentation on risk reduction for developing ovarian cancer. Which statement should the nurse delete from the student’s prepared content?
A | “Bear children if physically and psychologically able.” |
B | “Decrease the amount of saturated fat in your diet.” |
C | “Avoid taking oral contraceptives for birth control.” |
D | “Breastfeed instead of bottle feed if you give birth.” |
Question 8 |
The nurse is obtaining a hospital admission history for the client. Which statement should prompt the nurse to consider that the client has chronic prostatitis?
A | “I am having difficulty sustaining an erection.” |
B | “I have pain with ejaculation during intercourse.” |
C | “I have been feeling pressure around my rectum.” |
D | “I don’t think I am totally emptying my bladder.” |
Question 9 |
The female client has been diagnosed with genital warts. Which assessment findings should the nurse associate with genital warts?
A | Painful vesicles on the labia, perineum, or anus |
B | Painful ulcerations of the vagina, labia, or perineum |
C | Painless, cauliflower-appearing lesions near the vaginal opening or anus |
D | Painless chancre or ulceration on the labia or perineum |
Question 10 |
The nurse is completing a health assessment of the female client with menorrhagia of unknown origin. Which serum laboratory result should the nurse carefully review?
A | Calcium level |
B | Blood urea nitrogen |
C | Hemoglobin level |
D | White blood cell count |
Question 11 |
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse’s immediate review with the prescribing HCP?
A | Doxycycline |
B | Azithromycin |
C | Metronidazole |
D | Penicillin G |
Question 12 |
The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?
A | “I may have a bad metallic taste in my mouth.” |
B | “I’m glad I can still drink beer with these pills.” |
C | “My urine may look a little darker than usual.” |
D | “These pills may make me sick to my stomach.” |
Question 13 |
The clinic nurse is reviewing the history of the client diagnosed with bacterial vaginosis (BV). Which identified disorder places the client at a higher risk of developing BV?
A | Gastroesophageal reflux |
B | Hypothyroidism |
C | Cardiovascular disease |
D | Diabetes mellitus |
Question 14 |
The client tells the nurse that she is considering breast reduction but wants to know if she could breastfeed in the future after this procedure. Which response by the nurse is correct?
A | “Breast reduction will not affect whether or not you choose to breastfeed.” |
B | “Breastfeeding is possible if the nipples are left connected to breast tissue.” |
C | “The amount of breast tissue removed will make breastfeeding impossible.” |
D | “Changes in the nipple structure from surgery will prevent milk production.” |
Question 15 |
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, “I absolutely will not allow the release of this information to anyone.” Which response by the nurse is most appropriate?
A | “I see you are upset. Tell me more about what you mean by this statement.” |
B | “I’m sorry, but I’m required by law to report this to the Health Department.” |
C | “Are you worried that your spouse wouldn’t want the information released?” |
D | “I can see you are angry, but there is no reason for you to be upset with me.” |
Question 16 |
The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse’s response?
A | Tamoxifen is an anti-inflammatory drug that reduces the body’s response to the tumor. |
B | Tamoxifen is a chemotherapy agent that has minimal side effects if taken prophylactically. |
C | Tamoxifen will protect against the development of other cancers such as endometrial cancer. |
D | Tamoxifen will block estrogen receptors on tumor cells and thus cause the tumor to regress. |
Question 17 |
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
A | “This biopsy will improve the chances that all of the tumor will be removed.” |
B | “This biopsy can reduce the number of lymph nodes that must be removed.” |
C | “This biopsy makes breast reconstruction easier to perform.” |
D | “This biopsy, if performed, will make hormonal therapy unnecessary.” |
Question 18 |
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, “I’m so embarrassed that I let this happen to me.” Which response by the nurse is appropriate?
A | “You don’t need to be embarrassed. We see clients with warts a lot of the time.” |
B | “There’s no need for tears; this is treatable, and we will take good care of you.” |
C | “I see you are upset. Having labial warts is quite common. Let’s talk more about it.” |
D | “Don’t be too upset. You didn’t do anything wrong. It just happens a let these days.” |
Question 19 |
The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?
A | “Have you been drinking large amounts of water?” |
B | “Have you been exercising more than usual?” |
C | “Have you been taking any over-the-countcr cold remedies?” |
D | “Have you increased the amount of dairy products in your diet?” |
Question 20 |
The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?
A | Genital herpes simplex virus-2 (HSV-Z) is more common in women than in men. |
B | A herpes simplex virus-l (HSV—l) genital infection can occur with oral-genital contact- |
C | After a diagnosis of HSV—2, there are likely to be two to three outbreaks during the first year. |
D | Transmission of genital herpes can occur from a partner who does not have a visible sore. |
Question 21 |
The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?
A | “Disinfect items in your home using a bleach solution of 1 part bleach to 10 parts water.“ |
B | “Place contaminated items, except sharps, in a plastic bag and then put them in the garbage.” |
C | “Use separate dishes and wash them with hot, soapy water or place them in the dishwasher.” |
D | “Wear gloves to clean body fluid spills with soap and water; then clean with bleach solution.” |
Question 22 |
The nurse is reviewing hospital admission orders for the client diagnosed with acute prostatitis- Which prescription should the nurse verify with the HCP?
A | Give trimethoprim/sulfamethoxazole 1 gram IV q6h. |
B | Administer ibuprofen 600 mg orally q6h pm. |
C | Increase fluid intake to 3 L daily; have client void often. |
D | Insert an indwelling urinary drainage catheter now. |
Question 23 |
The nurse overheats the client talking with her husband about her new diagnosis of stage 1 breast cancer. Which statement by the client indicates that she does not fully understood the diagnosis?
A | “I won’t be here to see our daughter graduate this spring.” |
B | “I understand that I will need some type of chemotherapy.” |
C | “I will be starting radiation therapy on my breast soon.” |
D | “The cancer was in an early stage, and it was contained.” |
Question 24 |
The client, who had been prescribed sildenafil 2 weeks ago for erectile dysfunction, calls the clinic to report that nothing happens, despite taking sildenafil orally and waiting for his erection to develop. Which fact should the nurse consider before responding to the client?
A | In clinical trials, the sildenafil was effective only 20% of the time. |
B | Sildenafil is not effective if taken orally and should be taken rectally. |
C | In the absence of sexual stimuli, sildenafil will not cause an erection. |
D | Sildenafil is ineffective if taken with foods high in saturated fats. |
Question 25 |
The otherwise healthy client who is menopausal tells. the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse’s best response?
A | “The frequent vaginal infections could be a precursor to vulvar cancer.” |
B | “You could have a contact allergy that is causing your vaginal itching.” |
C | “The vagina becomes more acidic after menopause, causing your symptoms.” |
D | “The vaginal pH increases during menopause, predisposing you to these symptoms.” |
Question 26 |
The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?
A | Initiate passive ROM to the affected side immediately after surgery and q4h. |
B | Assess capillary refill, color, and temperature of the flap hourly for 24 hours. |
C | Maintain a pressure dressing on the reconstructed breast for the first 48 hours. |
D | Keep the affected arm below the level of the reconstructed breast for 48 hours- |
Question 27 |
A 15-year-old client’s mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter’s dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?
A | OCPs inhibit uterine inflammation, which indirectly causes the dysmenorrhea. |
B | OCPs increase blood flow to the uterus during menstruation, thereby reducing pain. |
C | OCPs inhibit the progesterone production that causes uterine contractions and pain. |
D | OCPs suppress ovulation and thus prostaglandin production, which causes pain. |
Question 28 |
The nurse is asked to complete health education on testicular cancer. To obtain the maximal impact, the nurse should plan to present this education to which group?
A | Males who are between 15 and 34 years of age |
B | Males over 30 years old who have never fathered a child |
C | Males over 21 years old who have fathered at least one child |
D | Males who are over the age of 50 years and sexually active |
Question 29 |
A 17-year-old female receives treatment for primary amenorrhea caused by hyperthyroidism. Which finding during a clinic visit should indicate to the nurse that treatment for amenorrhea was effective?
A | Weight increased by 10 pounds |
B | Denies having menstrual cramps |
C | States just started having her menses |
D | No longer has a fine hand tremor |
Question 30 |
A 21-year-old client starts crying during a clinic visit and says to the nurse, “I found a lump in my breast last night; I’m scared I might have cancer!” Which fact should the nurse consider when formulating a response to the client?
A | Young women at this age are at increased risk of breast cancer development. |
B | A nondiscrete possible mass or thickening has a high index of suspicion for breast cancer. |
C | Benign fibroadenomas are the most frequent cause of breast masses in women under 25 years. |
D | Close personal contact required in dormitory living can cause infectious breast disorders- |
Question 31 |
The 21-year-old who has been diagnosed with polycystic ovary syndrome (PCOS) asks about changes she could make to help control her disease. Which statement is the nurse’s best response?
A | “Take ibuprofen to reduce your pain.” |
B | “Avoid oral contraceptives for birth control.” |
C | “Avoid having more than one sexual partner.” |
D | “Keep your BMI within the acceptable range.” |
Question 32 |
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
A | Give the prn prescribed morphine sulfate intravenously. |
B | Give the prn prescribed belladonna and opium suppository. |
C | Assist the client out of bed to ambulate in the hallway. |
D | Apply warm and then a cold cloth to the client’s abdomen- |
Question 33 |
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
A | Cleanse perineal wound with warm saline daily. |
B | Maintain high Fowler’s position for 24 hours. |
C | Begin low-residue diet when tolerating oral intake. |
D | Apply antiembolic stockings; remove 20 minutes bid. |
Question 34 |
The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?
A | “I need to keep the needle sterile before I inject my penis.” |
B | “The erection won’t last long after alprostadil is injected.” |
C | “The injection will produce an erection within 30 minutes.” |
D | “I should report if I am feeling dizzy after an injection.” |
Question 35 |
The HCP prescribed mifepristone for the 35-year-old female to treat a leiomyoma. Before the client begins the medication, which information is most important for the nurse to obtain?
A | Baseline blood pressure |
B | Liver enzyme test results |
C | Pregnancy test results |
D | Baseline height and weight |
Question 36 |
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is “only 40 million.” In responding to the client, which factor should the nurse consider?
A | The client’s lifestyle must be examined to eliminate contact with any gonadotoxins. |
B | With a low sperm count, it will not be possible to impregnate his wife through intercourse. |
C | The client will need a prescription from the HCP for testosterone supplementation. |
D | The client needs reassurance that this number is sufficient for fertilization through intercourse. |
Question 37 |
The 45-year-old diagnosed with HIV presents to the clinic requesting to receive herpes zoster vaccine live. Which statement by the nurse is accurate concerning administration of zoster vaccine live to this client?
A | “Zoster vaccine live is an appropriate vaccine for someone at your age.” |
B | “Zoster vaccine live is a live virus that could be problematic for you.” |
C | “Zoster vaccine live is best administered in childhood to be effective.” |
D | “Zoster vaccine live will prevent you from contracting chicken pox.” |
Question 38 |
The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client’s discharge instructions?
A | Sexual intercourse can be resumed once vaginal discharge has stopped. |
B | Perform a vaginal douche with clean tap water twice daily for 48 hours. |
C | Notify the HCP immediately if the vaginal discharge develops a foul odor. |
D | Increase fluid intake, rest, and make plans to return to work in 1 week. |
Question 39 |
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
A | Monitor the perineal pad for bleeding. |
B | Administer hormone replacement therapy. |
C | Maintain bedrest for the first 48 hours. |
D | Start a regular diet 6 hours postsurgery. |
Question 40 |
A 54-year-old client who is postmenopausal reports increasing episodes of urinary leakage. Which lifestyle practice is most important for the nurse to discuss with the client?
A | Eliminate the consumption of caffeine. |
B | Establish an hourly voiding schedule. |
C | Decrease the intake of water and other fluids. |
D | Strengthen pelvic muscles with Kegel exercises. |
Question 41 |
The client, admitted to a surgical unit following a TURF, has a C81 running. The nurse assesses the client’s urine and finds dark red urine containing several small clots. Which intervention should the nurse implement?
A | Increase the flow of the bladder irrigation fluid. |
B | Immediately stop the bladder irrigation flow. |
C | Irrigate the urinary catheter manually. |
D | Deflate the balloon on the urinary catheter. |
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