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?
#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?
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 _____.
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?
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?
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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