Female Reproductive System NCLEX Questions
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Question 1 of 5.
The young female client is admitted with pelvic inflammatory disease secondary to a chlamydia infection. Which discharge instruction should be taught to the client?
A. The client will develop antibodies to protect against a future infection.
B. This infection will not have any long-term effects for the client.
C. Both the client and the sexual partner must be treated simultaneously.
D. Once the infection subsides, the pain will go away and not be a problem.
Explanation: Chlamydia-related PID requires simultaneous treatment of the client and partner to prevent reinfection. Antibodies do not confer immunity, PID can cause infertility, and pain may persist.
Question 2 of 5.
If the client chooses to perform breast self-examination (BSE), which statement demonstrates the best understanding of when BSE should be performed?
A. I will perform a BSE on a weekly basis.
B. I will perform a BSE every 6 months.
C. I will perform a BSE 1 week before my period begins.
D. I will perform a BSE 3 to 7 days after my period ends.
Explanation: BSE is best performed 3 to 7 days after the menstrual period ends when breasts are least likely to be tender or swollen, ensuring a more accurate examination.
Question 3 of 5.
If the lump has the following characteristics when the nurse palpates the breast tissue, which one is most suggestive that the lump may be a common?
A. The lump can be easily moved about.
B. The lump is about 1/2" (1 cm).
C. The lump is irregularly shaped.
D. The lump is near the areola.
Explanation: Irregularly shaped lumps are more suggestive of malignancy, as benign lumps are typically smooth and mobile. Size, mobility, and location near the areola are less specific indicators.
Question 4 of 5.
Which instruction is most appropriate if a Papanicolaou (Pap) smear will be obtained at the time of the pelvic examination?
A. Avoid douching for several days before your appointment.
B. Stop using any and all forms of contraception temporarily.
C. Drink at least 1 quart of liquid an hour before your appointment.
D. Avoid having sexual intercourse for a week before the test.
Explanation: Douching can wash away cervical cells, leading to inaccurate Pap smear results, so it should be avoided for several days prior to the test.
Question 5 of 5.
Which action by the nurse is most appropriate?
A. Allow the client's partner to stay in the examination room.
B. Ask the client's friend to remain in the waiting room.
C. Ask the physician to make the decision in this situation.
D. Suggest that the friend wait outside the examination room door.
Explanation: Allowing the client's partner to stay respects the client's preference and provides emotional support, as long as the client consents and privacy is maintained.