Medical Surgical Practice Test 2 Reproductive and Urinary 25 Questions

Last updated on October 8th, 2021 at 09:54 am

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:

Vaginal discharge that has a fishy odor

Starting her menstrual period

Abdominal pain

A temperature above 101°F (38.3°C)

Loss of appetite

Vaginal discharge that has a fishy odor. Abdominal pain A temperature above 101°F (38.3°C) Rationale: The client’s vaginal discharge may be a symptom of bacterial vaginosis. Frequently, the discharge disappears, but the nurse should instruct the client to seek care from her HCP if the discharge has emitted a fishy odor, the presence of abdominal pain, or a temperature that is elevated. The client’s menstrual cycles will continue as normal. A decreased appetite is not a sign of an infection of the vagina.

#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)

white blood cell count, 10,000 cells/mm³ (10 x 10^9)

potassium, 4.0 mEq/L (4.0 mmol/L)

normocytic red blood cells

Answer:

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?

Having a mammogram when you are older is less painful

The incidence of breast cancer increases with age

We need to consider your family history of breast cancer first

It will be sufficient if you perform breast examinations monthly

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?

Palpate for a rounded swelling above the pubis

Percuss dullness in the lower left quadrant

Determine rebound tenderness below the symphysis

Inspect the urethral meatus for urine discharge

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?

Use condoms at all times during sexual intercourse

A urologist should be seen only when lesions occur

Oral sex is permissible without a barrier

Determine if your partner has received a vaccine against 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.

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