Chapter 51: Nursing Assessment: Reproductive System

Chapter 51: Nursing Assessment: Reproductive System

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. Which question should the nurse ask when assessing a patient who has a history of
benign prostatic hyperplasia (BPH)?
a. “Have you noticed any unusual discharge from your penis?”
b. “Has there been any change in your sex life in the last year?”
c. “Has there been a decrease in the force of your urinary stream?”
d. “Have you been experiencing any difficulty in achieving an erection?”
ANS: C
Enlargement of the prostate blocks the urethra, leading to urinary changes such as a
decrease in the force of the urinary stream. The other questions address possible problems
with infection or sexual difficulties, but would not be helpful in determining whether
there were functional changes caused by BPH.
DIF: Cognitive Level: Application REF: 1296
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. After a patient has been treated for pelvic inflammatory disease, the nurse will plan to
implement teaching about
a. irregularities in the menstrual cycle.
b. changes in secondary sex characteristics.
c. possible difficulty with becoming pregnant.
d. use of hormone replacement therapy (HRT).
ANS: C
Pelvic inflammatory disease may cause scarring of the fallopian tubes and result in
difficulty in fertilization or implantation of the fertilized egg. Because ovarian function is
not affected, the patient will not require HRT, have irregular menstrual cycles, or
experience changes in secondary sex characteristics.
DIF: Cognitive Level: Application REF: 1297-1298 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity
3. While the nurse is assessing a 62-year-old man, the patient says that he does not respond
to sexual stimulation the way he did when he was younger. The nurse’s best response to
the patient’s comment is,
a. “Many men need more sexual stimulation with aging.”
b. “Interest in sex frequently decreases as men get older.”
c. “Erectile dysfunction is a common problem with older men.”
d. “Tell me more about how your sexual response has changed.”
Test Bank 51-2
ANS: D
The initial response by the nurse should be further assessment of the problem. The other
statements by the nurse are accurate but might not respond to the patient’s concerns.
DIF: Cognitive Level: Application REF: 1294-1295 | 1298
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
4. When scheduling a pelvic examination and Pap test for a patient, the nurse instructs the
patient that she should
a. shower, but not take a tub bath, before the examination.
b. not have sexual intercourse the day before the Pap test.
c. plan to have the Pap test just after her menstrual period.
d. avoid douching for at least 24 hours before the examination.
ANS: D
The results of a Pap test may be affected by douching, and so the patient should not
douche before the examination. The exam may be scheduled without regard to the
menstrual period. The patient may shower or bathe before the examination. Sexual
intercourse does not affect the results of the examination or Pap test.
DIF: Cognitive Level: Application REF: 1301-1304
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
5. A 19-year-old patient who is being assessed for amenorrhea at the clinic makes all of the
following statements to the nurse. Which one indicates a need for patient teaching?
a. “I run at least 8 miles every day to keep in shape.”
b. “I drink at least 3 glasses of non-fat milk every day.”
c. “I am not sexually active but currently I have an IUD [intrauterine device].”
d. “I was recently treated for a sexually transmitted disease.”
ANS: A
Excessive exercise can cause amenorrhea. The other statements by the patient do not
suggest any urgent teaching needs.
DIF: Cognitive Level: Application REF: 1296
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance