Care of women with gynaecological disorders | Mock Test | Staff Nurse | Guides Academy
Time: 15:00
What is the most common presenting symptom of uterine fibroids (leiomyomas)?
[a] Amenorrhea (absence of periods).
[b] Vaginal itching and discharge.
[c] Menorrhagia (heavy menstrual bleeding).
[d] Fever and pelvic pain.
The classic symptom of endometriosis is:
[a] Post-menopausal bleeding.
[b] Cyclical pelvic pain and dysmenorrhea.
[c] A foul-smelling vaginal discharge.
[d] The absence of menstrual periods.
A patient who is post-menopausal presents with a single episode of vaginal bleeding. What is the nurse's priority action?
[a] Reassure the patient that this can be normal.
[b] Instruct the patient to monitor for further bleeding.
[c] Emphasize the need for immediate evaluation by a healthcare provider.
[d] Schedule a routine gynaecological appointment for the following month.
Which nursing intervention is crucial for preventing deep vein thrombosis (DVT) in a patient who has had an abdominal hysterectomy?
[a] Maintaining the patient on strict bed rest for 48 hours.
[b] Restricting fluid intake to decrease edema.
[c] Encouraging early ambulation and leg exercises.
[d] Placing pillows directly under the knees.
A patient with Polycystic Ovary Syndrome (PCOS) often presents with hirsutism, acne, and irregular periods. These signs are primarily due to:
[a] An excess of estrogen.
[b] A deficiency of progesterone.
[c] An excess of prolactin.
[d] An excess of androgens (hyperandrogenism).
A patient with uterine prolapse is being taught how to use a pessary. The nurse should instruct the patient that:
[a] The pessary is a permanent surgical implant.
[b] The pessary should never be removed.
[c] She needs to remove and clean the pessary regularly as instructed.
[d] The pessary will cure the uterine prolapse.
A major reason for the difficulty in early detection of ovarian cancer is that:
[a] It typically does not cause any symptoms.
[b] It is easily detected with a Pap smear.
[c] It only affects post-menopausal women.
[d] Its early symptoms are often vague and non-specific, like bloating and abdominal discomfort.
The nurse should instruct a patient to avoid which of the following for 24-48 hours before a scheduled Pap smear?
[a] Taking a shower or bath.
[b] Douching, using tampons, or having sexual intercourse.
[c] Eating or drinking.
[d] Taking their daily medications.
A woman who presents with a sudden onset of severe, unilateral lower abdominal pain should be evaluated for:
[a] Uterine prolapse.
[b] A ruptured ovarian cyst or ovarian torsion.
[c] Endometrial cancer.
[d] Menopause.
Menopause is clinically defined as the absence of menstruation for:
[a] 3 consecutive months.
[b] 6 consecutive months.
[c] 12 consecutive months.
[d] 24 consecutive months.
A patient is scheduled for a dilation and curettage (D&C). The nurse explains that this procedure involves:
[a] Visualizing the pelvic organs with a scope.
[b] Surgically removing the uterus.
[c] Dilating the cervix and scraping the endometrial lining of the uterus.
[d] Removing a sample of cervical tissue for biopsy.
The primary goal of administering HPV vaccination is the prevention of:
[a] Ovarian cancer.
[b] Cervical cancer.
[c] Pelvic Inflammatory Disease (PID).
[d] Uterine fibroids.
A patient taking combined oral contraceptives should be taught to report which of the following symptoms immediately (ACHES acronym)?
[a] Mild nausea or breast tenderness.
[b] A missed period.
[c] Severe leg pain or shortness of breath.
[d] A minor headache.
Kegel exercises are taught to women with pelvic organ prolapse or urinary incontinence to:
[a] Strengthen the abdominal muscles.
[b] Strengthen the pelvic floor muscles.
[c] Improve flexibility of the hip joints.
[d] Reduce menstrual cramping.
Atrophic vaginitis, a common condition in post-menopausal women, is caused by:
[a] A chronic bacterial infection.
[b] Poor personal hygiene.
[c] A lack of estrogen.
[d] An overgrowth of yeast.
Which patient is at highest risk for developing endometrial cancer?
[a] A 25-year-old who uses oral contraceptives.
[b] A 40-year-old who has had three children.
[c] A 65-year-old obese woman with a history of diabetes and hypertension.
[d] A thin 55-year-old who exercises regularly.
The most effective nursing intervention for primary dysmenorrhea is to recommend:
[a] Strict bed rest during menses.
[b] A diet high in salt and caffeine.
[c] The use of nonsteroidal anti-inflammatory drugs (NSAIDs) and heat application.
[d] Limiting physical activity throughout the month.
A patient is diagnosed with a vesicovaginal fistula. The nurse would expect the patient to report:
[a] The passage of stool from the vagina.
[b] Severe pelvic pain.
[c] A constant, involuntary leakage of urine from the vagina.
[d] An inability to urinate.
Post-operative care for a patient who has had a vulvectomy requires meticulous attention to:
[a] Monitoring for hypertension.
[b] Wound care, pain management, and prevention of infection.
[c] Early introduction of a solid diet.
[d] Encouraging the patient to sit in a chair for long periods.
The most important psychosocial nursing intervention for a patient with a new gynaecological diagnosis is to:
[a] Provide the patient with a large amount of complex medical literature.
[b] Tell the patient not to worry.
[c] Discuss the diagnosis with the patient's family before speaking to the patient.
[d] Create a safe, non-judgmental environment for the patient to express fears and concerns.
A patient reports a sudden onset of high fever, vomiting, diarrhea, and a sunburn-like rash during her menstrual period while using tampons. The nurse should suspect:
[a] Endometriosis.
[b] Pelvic Inflammatory Disease.
[c] Toxic Shock Syndrome (TSS).
[d] A urinary tract infection.
Which of the following is a common side effect of GnRH agonists (like leuprolide) used to treat endometriosis?
[a] Heavy menstrual bleeding.
[b] Weight gain.
[c] Symptoms of menopause, such as hot flashes and vaginal dryness.
[d] An increase in pelvic pain.
A patient with a large cystocele is likely to experience which symptom?
[a] Constipation.
[b] Painful intercourse.
[c] Stress urinary incontinence and a feeling of incomplete bladder emptying.
[d] Irregular menstrual cycles.
The term for bleeding that occurs between regular menstrual periods is:
[a] Menorrhagia.
[b] Metrorrhagia.
[c] Oligomenorrhea.
[d] Dysmenorrhea.
Post-procedure teaching for a patient who has had a colposcopy with a biopsy should include advising her to:
[a] Expect heavy bleeding for several days.
[b] Resume normal activities immediately with no restrictions.
[c] Avoid intercourse, douching, and tampons for a period of time as instructed.
No comments: