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 client who is sexually active asks the nurse about using PreExposure Prophylaxis (PReP) for HIV. The nurse should tell the client the drug, a combination of 300 mg tenofovir disoproxil fumarate and 200 mg emtricitabine (TDF/FTC) can be used for which group of people who are at risk for becoming infected with HIV?

Anyone who is in an ongoing sexual relationship with an HIV-infected partner

People who do not use condoms when in a sexual relationship

A person who has sexually transmitted disease that is not being treated

Someone who has a compromised immune system

Answer: Anyone who is in an ongoing sexual relationship with an HIV-infected partner Rationale: PReP is primarily available to anyone who is in an ongoing sexual relationship with an HIV-infected partner. Others at risk, such as those who are having sex with partners who are at risk for HIV such as drug users or who are themselves sharing equipment with people who are at risk for HIV, may also receive PreP. The drug is not used for people who do not use condoms, have untreated sexually transmitted diseases, or a compromised immune system.

#2. A male client who is infected with the human immunodeficiency virus has been suffering from depression and verbalized to the nurse “I have lost all will to live now.” Which statement would be the best response by the nurse?

“You are still young, there is still a lot to live for.”

“Science is close to finding a cure for AIDS; you should not be too depressed.”

“You are correct, having HIV is very depressing.”

“Please tell me more about your perspective on being HIV positive.”

Answer: “Please tell me more about your perspective on being HIV positive.”

Rationale: The response of the nurse should allow the client to express his feelings and thoughts. Statements of encouragement or agreement do not provide an opportunity for the client to express himself.

#3. The nurse is obtaining a health history from a client with a sexually transmitted disease. Which description form the client indicates the likelihood of syphilis? “In my genital area I have _____.

tender pimples

a wart

a moist ulcer

itching

Answer: a moist ulcer

Rationale: The chancre of syphilis is characteristically painless, moist ulcer. The serous discharge is very infectious. The chancre does not appear as pimples or warts and does not itch, thus making diagnosis difficult.

#4. Which nursing measure would most likely relieve postoperative gas pains after abdominal hysterectomy?

Offering the client a hot beverage

Providing extra warmth

Applying a snuggly fitting abdominal binder

Helping the client walk

Answer: Helping the client walk

Rationale: The discomfort associated with gas pains is likely to be relieved when the client ambulates. Peristalsis will be stimulated by exercise. Offering a hot beverage, providing extra warmth, and applying an abdominal binder are not recommended and could aggravate the discomfort of postoperative gas pains.

#5. A woman tells the nurse, “There has been a lot of cancer in my family.” The nurse should instruct the client to report which possible sign of cervical cancer?

Pain

Leg Edema

Urinary and Rectal Symptoms

Light bleeding or watery vaginal discharge

Answer: Light bleeding or watery vaginal discharge

Rationale: In its early stages, cancer of the cervix is usually asymptomatic, which underscores the importance of regular Pap smears. A light bleeding or serosanguineous discharge may be apparent as the first noticeable symptom. Pain, leg edema, urinary and rectal symptoms, and weight loss are late signs of cervical cancer.

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