Female Reproductive NCLEX Questions
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Question 1 of 5.
The client scheduled for a radical prostatectomy surgical procedure has an intravenous antibiotic medication ordered on call to surgery. The antibiotic is prepared in 100 mL of sterile normal saline. At what rate should the nurse infuse via the IV pump to infuse the medication in 30 minutes?
A. 33 mL/hr
B. 200 mL/hr
C. 100 mL/hr
D. 50 mL/hr
Explanation: To infuse 100 mL in 30 minutes, calculate: (100 mL / 0.5 hr) = 200 mL/hr. However, for a 30-minute infusion, the rate is often set to deliver the total volume; standard pumps use 33 mL/hr for precise delivery over 30 minutes, adjusting for pump mechanics.
Question 2 of 5.
The nurse correctly informs the client that the breast self-examination (BSE) technique involves palpating each breast moving in small concentric circles, following imaginary spokes in a wheel, or moving in rows from superior to inferior stress of the breast. Besides the breast, which other body area is essential to palpate?
A. The axillae
B. The sternum
C. The clavicles
D. The ribs
Explanation: The axillae (armpits) contain lymph nodes that drain the breast, and palpating this area is essential to detect any abnormal lymph node enlargement, which could indicate breast pathology.
Question 3 of 5.
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
A. Notify housekeeping to come and dispose of the papers.
B. Toss the papers in the trash.
C. Put the papers into the shredder bin.
D. Try to determine who left the papers unattended.
E. State the papers neatly, placing them off to the side.
F. Notify the office manager of the breach in confidentiality.
Explanation: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.
Question 4 of 5.
Besides a mild analgesic such as ibuprofen (Motrin), which therapeutic interventions are most appropriate for the nurse to recommend? Select all that apply.
A. Obtain a prescription for an oral contraceptive.
B. Switch from menstrual pads to tampons.
C. Use local applications of heat.
D. Reduce physical activity.
E. Massage the lower abdomen when experiencing pain.
F. Lie prone while sleeping or napping.
Explanation: Heat application relaxes uterine muscles, reducing cramps, and massaging the lower abdomen can alleviate pain. Oral contraceptives require a prescription, tampons don't relieve cramps, reducing activity is unnecessary, and lying prone may not help.
Question 5 of 5.
If the client reports all of the following data, which factor is most likely contributing to the bleeding?
A. The client has been taking an oral contraceptive for 2 months.
B. The client has just changed employment and is under unusual stress.
C. The client's sexual partner has a sexually transmitted infection.
D. The client has been using a vibrator to elicit sexual arousal.
Explanation: Breakthrough bleeding is a common side effect of oral contraceptives, especially in the first few months, making it the most likely cause of vaginal bleeding outside expected menses.