**The nurse is developing a teaching plan for a client who is scheduled for her first Papanicolaou test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be in...
NUR 204 FINAL EXAM STUDY
QUESTIONS AND ANSWERS 2024-2025
**The nurse is developing a teaching plan for a client who is scheduled for her first
Papanicolaou test. What instruction by the nurse is the most accurate? **
a. "The timing of the Pap smear does not matter."
b. "Sexual intercourse will not interfere with the results."
c. "Results can be interpreted immediately in the office."
d. "Results are best if you do not douche 24 hours before the test." -Correct Answer ✔d.
"Results are best if you do not douche 24 hours before the test."
The nurse is assessing the reproductive history of a 68-year-old postmenopausal
woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. No Papanicolaou test for 3 years
c. Bleeding from the vagina
d. Leakage of urine -Correct Answer ✔.c. Bleeding from the vagina
**The nurse is reviewing discharge instructions with a client who has just experienced
an endometrial biopsy. Which finding would be reported to the primary health care
provider immediately? **
a. Mild cramping
b. Slight chills and fever
c. Spotting of blood
d. Fatigue after anesthesia -Correct Answer ✔b. Slight chills and fever
A client is concerned about her irregular menstrual periods since she has increased her
daily workouts at the gym to 2 hours each day. What is the nurses' best response?
a. "Do you want to talk about the need for that much exercise?"
b. "Exercise is healthy but can decrease body fat and cause irregular periods."
c. "Bingeing and purging can cause electrolyte problems in your body."
d. "Anorexic behavior can result in decreased estrogen levels." -Correct Answer ✔b.
"Exercise is healthy but can decrease body fat and cause irregular periods."
**A client is having a hysterosalpingogram. What action by the nurse is most
important?**
a. Assist the client in sitting up after the procedure.
b. Provide the client with a pad to avoid dye stains on the clothes.
c. Teach her to take all antibiotics prescribed until finished.
NURS 204 Final Exam
,NURS 204 Final Exam
d. Inform the client that the procedure may cause shoulder pain. -Correct Answer ✔a.
Assist the client in sitting up after the procedure.
. **The mother of an 18-year-old girl asks the nurse which screening her daughter would
receive now based on evidence-based recommendations. Which suggestion by the
nurse is best? **
a. Papanicolaou test
b. Human papilloma virus (HPV) test
c. Mammogram
d. No screenings at this time -Correct Answer ✔d. No screenings at this time
**A client is scheduled for a laparoscopy to remove endometriosis tissue. Which
response by the client alerts the nurse of the need for further teaching? **
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity."
b. "There will be one or more small incisions in order to visualize all of the organs."
c. "There will be some shoulder pain after the procedure that may last 48 hours."
d. "I can return to jogging my 3-mile (5 km) routine in a few days." -Correct Answer ✔d.
"I can return to jogging my 3-mile (5 km) routine in a few days."
A 67-year-old male client had serum laboratory tests performed during his annual
examination. The nurse reviews his results, as follows: testosterone: 680 ng/dL (23.6
nmol/L); prostate-specific antigen: 10 ng/mL (10 mcg/L); prolactin: 5 ng/mL (217.4
pmol). What action by the nurse is best?
a. Assess for possible galactorrhea with breast discharge.
b. Note the possibility of a testicular tumor.
c. Communicate that results were normal.
d. Prepare the client for further diagnostic testing. -Correct Answer ✔d. Prepare the
client for further diagnostic testing.
A 72-year-old woman is being assessed by the nurse for an annual physical. Which
finding is of concern to the nurse?
a. Thinning of pubic hair
b. Increased size of the uterus
c. Decreased size of the clitoris
d. Loss of tone of the pelvic ligaments -Correct Answer ✔b. Increased size of the uterus
The nurse is assessing a client for reproductive health problems. What assessments
are most important? (Select all that apply.)
a. Bleeding
b. Pain
c. Sexual orientation
NURS 204 Final Exam
,NURS 204 Final Exam
d. Masses
e. Discharge -Correct Answer ✔a. Bleeding
b. Pain
d. Masses
e. Discharge
**The nurse is reviewing discharge plans with a client who is recovering from a cervical
biopsy. Which statements indicate good understanding by the client? (Select all that
apply.) **
a. "I can return to work this afternoon."
b. "I cannot carry my toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
e. "I can use a regular tampon this evening for bleeding."
f. "I cannot wash my perineum for 24 hours." -Correct Answer ✔b. "I cannot carry my
toddler for 2 weeks."
c. "I cannot douche until the biopsy site is healed."
d. "I need to wait for about 2 weeks to have intercourse."
** The nurse is teaching a 45-year-old woman about her fibrocystic breast changes.
Which statement by the client indicates a lack of understanding? **
a. "This condition will become malignant over time."
b. "I understand that hormone-based drugs have serious adverse effects."
c. "One cup of coffee in the morning should be enough for me."
d. "This condition makes it more difficult to examine my breasts." -Correct Answer ✔a.
"This condition will become malignant over time. "
**The nurse is examining a woman's breast and notes multiple small mobile lumps.
Which question would be most appropriate for the nurse to ask? **
a. "When was your last mammogram at the clinic?"
b. "How many cans of caffeinated soda do you drink in a day?"
c. "Do the small lumps seem to change with your menstrual period?"
d. "Do you have a first-degree relative who has breast cancer?" -Correct Answer ✔c.
"Do the small lumps seem to change with your menstrual period?"
**The nurse is working with a male client who has gynecomastia. What action by the
nurse is most appropriate? **
a. Teach the client to perform self-breast examination.
b. Review the plan for chemotherapy after surgery.
c. Educate him on the side effects of tamoxifen.
d. Assess his usual daily alcohol intake. -Correct Answer ✔c. Educate him on the side
effects of tamoxifen.
NURS 204 Final Exam
, NURS 204 Final Exam
Which finding in a female client by the nurse would receive the highest priority for
further diagnostics?
a. Tender moveable masses throughout the breast tissue
b. Nipple discharge without a palpable mass
c. Nontender fixed mass in the upper outer quadrant of the breast
d. Small, painful mass under warm reddened skin and nipple discharge -Correct Answer
✔c. Nontender fixed mass in the upper outer quadrant of the breast.
A nurse has taught a female client about the modifiable risk factors for breast cancer.
Which statement made by the client indicates that more teaching is needed?
a. "I am fortunate that I breast-fed each of my three children for 12 months."
b. "It looks as though I need to start working out at the gym more often."
c. "I am glad that we can still have wine with every evening meal."
d. "When I have menopausal symptoms, I must avoid hormone replacement therapy." -
Correct Answer ✔c. "I am glad that we can still have wine with every evening meal."
A younger woman from an unfamiliar culture is at high risk for breast cancer and is
considering a prophylactic mastectomy and oophorectomy. What action by the nurse is
most appropriate?
a. Discourage this surgery since the woman is still of childbearing age.
b. Reassure the client that reconstructive surgery is as easy as breast augmentation.
c. Inform the client that this surgery removes all mammary tissue and cancer risk.
d. Offer to include support people, such as the male partner, in the decision making. -
Correct Answer ✔d. Offer to include support people, such as the male partner, in the
decision making.
**A client has just returned from a right radical mastectomy. Which action by the
assistive personnel (AP) would require the nurse consider to intervene? **
a. Checking the amount of urine in the catheter collection bag
b. Elevating the right arm on a pillow
c. Taking the blood pressure on the right arm
d. Encouraging the client to squeeze a rolled washcloth -Correct Answer ✔c. Taking the
blood pressure on the right arm
**A client is discharged to home after a modified radical mastectomy with two drainage
tubes. Which statement by the client would indicate that further teaching is needed? **
a. "I am glad that these tubes will fall out at home when I finally shower."
b. "I should measure the drainage each day to make sure it is less than an ounce (30
mL)."
c. "I should be careful how I lie in bed so that I will not kink the tubing."
NURS 204 Final Exam
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