Female Reproductive Disorders NCLEX Questions
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Question 1 of 5.
The client is diagnosed with breast cancer and is considering whether to have a lumpectomy or a more invasive procedure, a modified radical mastectomy. Which information should the nurse discuss with the client?
A. Ask if the client is afraid of having general anesthesia.
B. Determine how the client feels about radiation and chemotherapy.
C. Tell the client she will need reconstruction with either procedure.
D. Find out if the client has any history of breast cancer in her family.
Explanation: Discussing feelings about radiation and chemotherapy is key, as lumpectomy often requires radiation, while mastectomy may involve chemotherapy. Anesthesia fears, mandatory reconstruction, and family history are less relevant to the procedure choice.
Question 2 of 5.
The client states that she examines her breasts in the shower and while lying down. The nurse recommends that the client should also inspect her breasts from which position?
A. Bending from the waist
B. Standing before a mirror
C. Arching the back
D. Leaning from side-to-side
Explanation: Standing before a mirror allows the client to visually inspect both breasts for changes in size, shape, or skin texture, which is a key component of breast self-examination (BSE).
Question 3 of 5.
The nurse correctly informs the client that fibrocystic lesions may become larger and more tender at what time?
A. The nurse has a normal cycle
B. After sexual intercourse
C. Nearer to beginning menopause
D. Just before menstruation
Explanation: Fibrocystic breast changes are hormone-dependent and typically worsen just before menstruation due to increased estrogen and progesterone levels, causing lesions to enlarge and become tender.
Question 4 of 5.
A nurse has been asked to teach ovulation and menstruation to a class of secondary school students. Place the events listed below in the order in which they occur in the menstrual cycle after menstrual flow ends. Use all the options.
- A. Ovum is released.
- B. Progesterone decreases.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- E. Endometrium is shed.
- F. Corpus luteum forms.
- C. Endometrium begins to thicken.
- D. Ovarian follicle matures.
- A. Ovum is released.
- F. Corpus luteum forms.
- B. Progesterone decreases.
- E. Endometrium is shed.
Correct arrangement
Explanation: After menstruation, the sequence is: endometrium thickens (follicular phase), ovarian follicle matures, ovum is released (ovulation), corpus luteum forms, progesterone decreases (if no pregnancy), and endometrium is shed (next menstruation).
Question 5 of 5.
The nurse correctly places the client in which position when the physician is ready to perform the pelvic examination?
A. Sims' position
B. Trendelenburg's position
C. Fowler's position
D. Lithotomy position
Explanation: The lithotomy position, with the client's legs in stirrups, provides optimal access for the physician to perform a pelvic examination.
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