Disorders of the Female Reproductive System NCLEX Questions
Question 1 of 5.
If the client is asymptomatic and at low risk for breast cancer, the nurse would be correct in advising her to have a baseline mammogram at what age?
A. 35
B. 45
C. 50
D. 55
Explanation: The American Cancer Society recommends that women at average risk for breast cancer begin annual mammograms at age 45, but a baseline mammogram may be considered at age 40-50 depending on guidelines. For low-risk, asymptomatic women, age 50 is often the standard starting point for routine screening.
Question 2 of 5.
Which assessment findings recorded by the nurse indicate high risk factors for developing breast cancer? Select all that apply.
A. The client began menstruating before age 12.
B. The client had three full-term pregnancies.
C. The client has a very large breast.
D. The client has had radiation treatment to the chest.
E. The client has had breast implants.
Explanation: Early menarche (before age 12) and chest radiation exposure are established risk factors for breast cancer due to prolonged estrogen exposure and DNA damage, respectively. Multiple pregnancies reduce risk, and breast size or implants are not significant risk factors.
Question 3 of 5.
Which nursing interventions are most appropriate to add to the client's immediate postoperative care plan? Select all that apply.
A. Elevate the affected arm to reduce swelling.
B. Monitor for signs of infection at the surgical site.
C. Encourage early ambulation to prevent complications.
D. Administer prescribed pain medications as needed.
E. Teach the client to avoid using the affected arm for 6 weeks.
Explanation: Elevating the arm reduces lymphedema risk, monitoring for infection ensures early detection, ambulation prevents complications like thrombosis, and pain management promotes comfort. Restricting arm use for 6 weeks is excessive and not standard.
Question 4 of 5.
Which question is most important to ask to ensure valid analysis of the vaginal specimen?
A. How did you last have sexual intercourse?
B. How old were you when you had your first pregnancy?
C. What was the date of your last menstrual period?
D. Have you ever used oral contraceptives?
Explanation: The date of the last menstrual period is critical to interpret vaginal specimen results, as the menstrual cycle phase affects cervical and vaginal cell characteristics.
Question 5 of 5.
After C. albicans is identified as the causative organism, the nurse would expect the physician to prescribe which treatment?
A. A nonprescription antifungal medication
B. A prescription oral penicillin
C. A prescription broad-spectrum antibiotic
D. A vaginal douche with a vinegar solution
Explanation: Candida albicans causes yeast infections, which are typically treated with nonprescription antifungal medications like miconazole or clotrimazole.