Comprehensive Review NCLEX-RN
Exam Med-Surg Reproductive Questions
and Answers
1. What are the indications for a hysterectomy in the client who has fibromas? - Answer-
1. Severe menorrhagia leading to anemia, severe dysmenorrhea requiring marcotic
analgesics sever uterine enlargement causing pressure on other organs, severe low
back and pelvic pain.
2. List the symptoms and conditions associated with cystocele. - Answer-2. Symptoms
include incontinence/stress incontience, urinary retention, and recurrent bladder
infections. Conditions associated with cystocele include multiparity, trauma in childbirth,
and aging.
3. What are the most important nursing interventions for the postoperative client who
has had a hysterectomy with an A&P repaid? - Answer-3. Avoid rectal temps and/or
rectal manipulation; manage pain; and encourage early ambulation.
4. Describe the priority nursing care for the client who has had radiation implants. -
Answer-4. Do not permit pregnant visitors or pregnant caretakers in room. Discourage
visits by small children. Confine client to room. Nurse must wear radiation badge. Nurse
limits time in room. Keep supplies and equipment within client's reach.
5. What screening tool is used to detect cervical cancer? What are the American
Cancer Society's recommendations for women ages 30 to 70 with 3 consecutive normal
results? - Answer-5. Pap smear. Women ages 30 to 70 with 3 consecutive normal
results may have pap smears every 2 to 3 years.
6. Cite 2 nursing dx for a client undergoing a hysterectomy for cervical cancer. -
Answer-6. Altered body image related to uterine removal. Pain r/t postoperative incision.
7. What are the 3 most important tools for early detection of breast cancer? How often
should these tools be used? - Answer-7. Breast self-exam montly; mammogram
baseline at age 35 followed by exams every 1 to 2 years in 40s and every year after age
50; physical examination by a professional skilled in examination of the breast.
8. Describe 3 nursing interventions to help decrease edema post mastectomy. -
Answer-8. Position arm on operative side on pillow. Avoid BP measurements, injections,
or venipunctures in operative arm. Encourage hand activity and use.
9. Name 3 priorities to include in a discharge plan for the client who has had a
mastectomy. - Answer-9. Arrange for Reach-to-Recovery visit. Discuss the grief process
with the client. Have physician discuss with client the reconstruction options.
Exam Med-Surg Reproductive Questions
and Answers
1. What are the indications for a hysterectomy in the client who has fibromas? - Answer-
1. Severe menorrhagia leading to anemia, severe dysmenorrhea requiring marcotic
analgesics sever uterine enlargement causing pressure on other organs, severe low
back and pelvic pain.
2. List the symptoms and conditions associated with cystocele. - Answer-2. Symptoms
include incontinence/stress incontience, urinary retention, and recurrent bladder
infections. Conditions associated with cystocele include multiparity, trauma in childbirth,
and aging.
3. What are the most important nursing interventions for the postoperative client who
has had a hysterectomy with an A&P repaid? - Answer-3. Avoid rectal temps and/or
rectal manipulation; manage pain; and encourage early ambulation.
4. Describe the priority nursing care for the client who has had radiation implants. -
Answer-4. Do not permit pregnant visitors or pregnant caretakers in room. Discourage
visits by small children. Confine client to room. Nurse must wear radiation badge. Nurse
limits time in room. Keep supplies and equipment within client's reach.
5. What screening tool is used to detect cervical cancer? What are the American
Cancer Society's recommendations for women ages 30 to 70 with 3 consecutive normal
results? - Answer-5. Pap smear. Women ages 30 to 70 with 3 consecutive normal
results may have pap smears every 2 to 3 years.
6. Cite 2 nursing dx for a client undergoing a hysterectomy for cervical cancer. -
Answer-6. Altered body image related to uterine removal. Pain r/t postoperative incision.
7. What are the 3 most important tools for early detection of breast cancer? How often
should these tools be used? - Answer-7. Breast self-exam montly; mammogram
baseline at age 35 followed by exams every 1 to 2 years in 40s and every year after age
50; physical examination by a professional skilled in examination of the breast.
8. Describe 3 nursing interventions to help decrease edema post mastectomy. -
Answer-8. Position arm on operative side on pillow. Avoid BP measurements, injections,
or venipunctures in operative arm. Encourage hand activity and use.
9. Name 3 priorities to include in a discharge plan for the client who has had a
mastectomy. - Answer-9. Arrange for Reach-to-Recovery visit. Discuss the grief process
with the client. Have physician discuss with client the reconstruction options.
