25 questions including SATA questions to test your knowledge of the Reproductive and Urinary Systems. These questions do include rationales to help you pass your nursing school and NCLEX examinations.
#1. A young adult woman tells the nurse she has a slight yellow vaginal discharge. The nurse should tell the client to contact her health care provider (HCP) if she has which of the following additional symptoms? Select all that apply.
Select all that apply:
#2. A female with uterine fibroids has dysmenorrhea and menorrhagia. After the review of laboratory reports, the nurse should report which results to the HCP? Select all that apply
hemoglobin, 9.0 g/Dl (90 g/L)
hematocrit, 27.1% (0.27)
Rationale: A woman with normocytic fibroids and dysmenorrhea is at risk for iron deficiency anemia. The hemoglobin and hematocrit indicate the likelihood that the fibroids causing heavy menstrual blood loss have resulted in anemia. A hemoglobin of <12 g/dL (120 g/L) in women is considered low. The white blood cell count and potassium levels are within normal range, and normocytic red blood cells are normal.
#3. A 70-year old client asks the nurse if she needs to have a mammogram. Which is the nurse’s best response?
Answer: The incidence of breast cancer increases with age
Rationale: The nurse should explain that the incidence of breast cancer increases with age and current guidelines recommend women have a mammogram every 2 years until the age of 74. Family history is important, but only about 5% of breast cancers are genetic. Several breast cancer screening guidelines recommend against breast self-examinations for women.
#4. An adult male client has been unable to void for the past 12 hours. What is the best method for the nurse to use when assessing for bladder distention in a male client?
Answer: Palpate for a rounded swelling above the pubis
Rationale: The best way to assess for a distended bladder in either a male or female client is to check for a rounded swelling above the pubis. Dullness does not indicate a distended bladder. The client might experience tenderness or pressure above the symphysis. No urine discharge is expected; the urine flow is blocked by the enlarged prostate.
#5. What is the most important information for the nurse to teach a client that is newly diagnosed with genital herpes?
Answer: Use condoms at all times during sexual intercourse
Rationale: The client should abstain from sexual intercourse while lesions are present. Condoms should be used at all times as the virus can be shed without lesions present. Multiple partners would promote the spread of genital herpes. There is no vaccine available to prevent genital herpes. Although periodic examinations should be advised, a urologist does not necessarily need to be seen when lesions occur.