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1. Nursing care for the patient with endometriosis includes several factors. What is one
aspect of nursing care for the woman with endometriosis?
A) Explain to client that this is "just part of being a woman."
B) Provide information on likely outcomes of treatmentabirb.com/test
options.
C) Assist client with decision about birth control options.
D) Explain to client that if she got pregnant her pain would stop.
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2. A nurse is preparing a presentation for a local community women's group about

menopause. When describing the body system changes that occur, the nurse would
include which changes? Select all that apply. abirb.com/test

A) hot flashes
B) increased abdominal fat
C) moist, supple skin abirb.com/test
D) vaginal dryness
E) decreased bone density
F) decreased waist size
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3. When describing polycystic ovarian syndrome to a client, which areas would the nurse
need to address? Select all that apply. abirb.com/test
A) hyperinsulinemia
B) decreased levels of luteinizing hormones
C) elevated androgen levels
D) follicular hyperplasia abirb.com/test

E) anovulation

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4. A woman is admitted for repair of cystocele and rectocele. She has nine living children.
In taking her health history, what would the nurse expect to find?
A) sporadic vaginal bleeding accompanied by chronic pelvic pain
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B) heavy leukorrhea with vulvar pruritus
C) menstrual irregularities and hirsutism on the chin
D) stress incontinence with feeling of low abdominal pressure
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5. The nurse is admitting a 42-year-old client to the women's medical floor. During the
history, the chief report from the client is "I feel like there is a lump in my vagina, and it
feels like it is sometimes dragging." Which disorder doesabirb.com/test
the nurse suspect?
A) urinary incontinence
B) endocervical polyps
C) pelvic organ prolapse abirb.com/test
D) uterine fibroids

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6. A nurse is caring for a 25-year-old woman suspected of having follicular cysts. Which
finding is not a clinical manifestation?
A) typically occur after menopause
B) grow less than 5 cm in diameter abirb.com/test
C) are detected by vaginal ultrasound
D) usually shrink and do not require treatment
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7. An obese 37-year-old woman has been diagnosed with uterine fibroids. The treatment
prescribed is gonadotropin-releasing hormone (GnRH). Which side effect of this
medication will the nurse need to review with the client?abirb.com/test
A) menopause
B) increased vaginal discharge
C) depression abirb.com/test
D) osteoarthritis

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8. The nurse understands when caring for a client with ovarian cancer that survival
depends upon which factors? Select all that apply.
A) stage of tumor
B) grade of differentiation abirb.com/test
C) gross findings at surgery
D) amount of residual tumor after surgery
E) age of client
F) effectiveness of adjunct treatment postoperatively abirb.com/test

9. A 40-year-old client arrives at the community health center experiencing a strange,

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dragging feeling in the vagina. She stated that "at times it feels as if there is a lump"
there as well. Which condition do these symptoms indicate?
A) urinary incontinence
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B) endocervical polyps
C) pelvic organ prolapse
D) uterine fibroids
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10. A 52-year-old client is seeking treatment for menopause. She is not very active and has
a history of cardiac problems. Which therapy option should the nurse recognize as
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contraindicated for this client?
A) long-term hormone replacement therapy
B) selective estrogen receptor modulators
C) lipid-lowering agents abirb.com/test
D) bisphosphonates

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11. A 49-year-old client who is in the perimenopausal phase of life reports to the nurse a
loss of lubrication during intercourse, which she feels is hampering her sex life. Which
response by the nurse is appropriate?
A) “Don’t worry! This is a normal process of aging.” abirb.com/test
B) “Have you considered contacting a support group for women your age?”
C) “You can manage the condition by using over-the-counter (OTC) moisturizers or
lubricants.” abirb.com/test
D) “All you need is a positive outlook and a supportive partner.”

12. A client has presented to the clinic reporting various symptoms indicating she may have
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fibroids in her uterus. Which client symptoms would the nurse expect? Select all that
apply.
A) low back pain abirb.com/test
B) dyspareunia
C) menorrhagia
D) bloating
E) diarrhea abirb.com/test

13. A 67-year-old Caucasian female comes into the clinic and reports to the nurse that she
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has started her periods again after 15 years of menopause. After discussing the situation
with her, the nurse recognizes that her symptoms are suspicious for:
A) endometrial cancer.
B) vaginal cancer. abirb.com/test

C) ovarian cancer.
D) cervical cancer.
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14. A nurse is reading a journal article about female reproductive cancers. Which
malignancy would the nurse expect to be described as a "silent killer"?
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A) ovarian cancer
B) vaginal cancer
C) endometrial cancer
D) cervical cancer abirb.com/test

15. A group of nurses are preparing a presentation about polyps for a local women's group.
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Which information would the nurses include in the presentation?
A) Polyps are rarely the result of an infection.
B) Endocervical polyps commonly appear after menarche.
C) Cervical polyps are more common than endocervical polyps.
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D) Endocervical polyps are most common in women in their 50s.

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16. A nurse is reviewing the history and physical examination of a client diagnosed with
polycystic ovary syndrome (PCOS). Which factors would the nurse most likely find?
Select all that apply.
A) virilization abirb.com/test
B) obstructive sleep apnea
C) type 1 diabetes
D) metrorrhagia abirb.com/test
E) obesity

17. A client has presented to the clinic for testing to evaluateabirb.com/test

her for an ovarian cyst. Which
test would the nurse anticipate being done first?
A) pregnancy test
B) chlamydia test abirb.com/test
C) lipid levels
D) ultrasound

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18. A nurse is providing care to a client diagnosed with squamous cell carcinoma of the
vagina. The nurse understands that if the cancer metastasizes, which locations would be
common sites? Select all that apply. abirb.com/test
A) bladder
B) rectum
C) pelvic nodes
D) lungs abirb.com/test

E) bone

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19. A nurse is reviewing the medical history of a client just diagnosed with stage III ovarian
cancer. Which findings would the nurse identify as placing this client at risk? Select all
that apply.
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A) never been pregnant
B) menarche at age 14
C) menopause at age 50
D) positive BRCA1 and BRCA2 gene mutations abirb.com/test
E) use of perineal hygiene sprays

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20. A 20-year-old college student presents to the health clinic reporting fatigue, nausea,
vomiting, severe abdominal cramping radiating to the lower back, and headaches. She
reports these symptoms have started accompanying her menstrual cycle, which started 2
days ago. The nurse anticipates the health care provider will attempt to rule out which
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disorder first?
A) PMS
B) TSS abirb.com/test
C) Secondary dysmenorrhea
D) Primary dysmenorrhea

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Answer Key
1. B
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2. A, B, D, E
3. A, C, E
4. D
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6. A
7. C
8. A, B, C, D, F
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9. C
10. A
11. C
12. A, B, C, D abirb.com/test
13. A
14. A
15. D
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16. A, B, E
17. A
18. A, B
19. A, D, E abirb.com/test
20. C

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