NCLEX Questions on Female Reproductive System
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Question 1 of 5.
The charge nurse is making rounds on the genitourinary surgery floor. Which action by the primary nurse warrants immediate intervention?
A. The nurse elevates the scrotum of a client who has had an orchiectomy.
B. The nurse encourages the client to cough, although he complains of pain.
C. The nurse empties the client’s JP drain and leaves it rounded.
D. The nurse asks the UAP to empty a catheter drainage bag.
Explanation: Encouraging coughing despite pain risks complications (e.g., bleeding) post-surgery; pain control is needed first. Scrotal elevation, JP drain management, and UAP delegation are appropriate.
Question 2 of 5.
When the office nurse gives the client instructions on how to prepare for the mammogram, which of the following statements offers accurate information? Select all that apply.
A. I will perform a BSE 3 to 7 days after my period ends.
B. Do not wear any underarm deodorant the day of the test.
C. Wipe each breast with an antiseptic pad before the test.
D. Do not wear constricting clothing to the test.
E. Avoid wearing body powder the day of the test.
F. Refrain from applying lotion to the breasts or axillae.
Explanation: Deodorants, powders, and lotions can interfere with mammogram imaging by creating artifacts, so avoiding these on the day of the test is critical. Constricting clothing is not a concern, and antiseptic wipes are not required.
Question 3 of 5.
If the client tells the nurse that she would prefer to postpone the mastectomy until the biopsy has been more thoroughly examined, which is the most appropriate initial nursing action?
A. Explain that most biopsies are accurate.
B. Advocate for her choice of treatment.
C. Discourage her from opposing the physician.
D. Recommend that she seek a second opinion.
Explanation: Advocating for the client's preferences supports patient autonomy and ensures her concerns are addressed, aligning with patient-centered care principles.
Question 4 of 5.
Before taking the client to the room where the pelvic examination will be performed, which nursing action is most appropriate?
A. Ask the client to sign a consent form.
B. Give the client a gown to wear.
C. Offer the client a mild analgesic.
D. Help the client instill a vaginal lubricant.
Explanation: Providing a gown ensures the client's privacy and comfort during the pelvic examination, which is a priority before the procedure.
Question 5 of 5.
Before the client leaves the office, on which topic should the nurse provide teaching?
A. The qualifications of the person who did the tattoos and piercings
B. Whether the client is practicing safe, protected sex
C. The client's sexual experiences with members of both sexes
D. The names of all of the client's sexual partners
Explanation: Tattoos and piercings increase infection risk, so teaching about safe sex practices is critical to prevent sexually transmitted infections and maintain reproductive health.