Disorders of the Female Reproductive System NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX PN / Reproductive
Question 1 of 5.
The occupational health nurse is preparing a class regarding sexually transmitted diseases (STDs) for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information?
A. Engaging in oral or anal sex decreases the risk of getting an STD.
B. Using a sterile needle guarantees the client will not get an STD.
C. The more sexual partners, the greater the chance of developing an STD.
D. If a condom is used, the client will not get a sexually transmitted disease.
Explanation: Multiple sexual partners increase STD risk due to greater exposure. Oral/anal sex carries risk, sterile needles prevent bloodborne STDs but not others, and condoms reduce but don’t eliminate risk.
Question 2 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 3 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 4 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 5 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.