Nokea
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
Rationale: The correct answer is B, slight chills and fever. This finding may indicate an infection, which can be a serious complication post-endometrial biopsy. Fever and chills can be signs of systemic infection, requiring immediate medical attention to prevent further complications. Mild cramping (A) is a common post-procedure symptom. Spotting of blood (C) is also normal after an endometrial biopsy. Fatigue (D) after anesthesia is expected and not an immediate concern unless severe or persistent.
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Which hormone is made by the interstitial cells of the testis?
- A. Estrogen
- B. Testosterone
- C. Human chorionic gonadotropin (hCG)
- D. Luteinizing hormone (LH)
Correct Answer: B
Rationale: Certainly. The correct answer is B: Testosterone. Interstitial cells of the testis, also known as Leydig cells, synthesize and secrete testosterone. Testosterone is the primary male sex hormone responsible for the development of male reproductive tissues and characteristics. Estrogen (A) is primarily produced in the ovaries in females. Human chorionic gonadotropin (hCG) (C) is produced by the placenta during pregnancy. Luteinizing hormone (LH) (D) is secreted by the anterior pituitary gland and stimulates the interstitial cells to produce testosterone.
While performing a breast examination on a 22-year-old client, you obtain all of these data. Which information is of most concern?
- A. Both breasts have many nodules in the upper, outer quadrants.
- B. Client complains of bilateral breast tenderness with palpation.
- C. The breast on the right side is slightly larger than the left breast.
- D. An irregularly shaped, nontender lump is palpable in the left breast.
Correct Answer: D
Rationale: An irregularly shaped, nontender lump may indicate malignancy, requiring further investigation.
A patient asks when she can stop having Pap (Papanicolaou) tests. What is the nurse’s most appropriate response?
- A. Until you are no longer sexually active.
- B. Through age 65.
- C. Until you begin menopause.
- D. Through the end of menopause.
Correct Answer: B
Rationale: The correct answer is B: Through age 65. This is because current guidelines recommend that women continue to have Pap tests every 3-5 years until age 65, assuming previous tests have been normal. This age cutoff is based on the decreasing risk of cervical cancer with age and the low likelihood of developing new HPV infections after this age. Choices A, C, and D are incorrect because they do not align with the most up-to-date screening recommendations and may lead to unnecessary testing or missed opportunities for appropriate screening.
Which statements about the ovarian follicles are true:
- A. they are located in the cortical area of the ovary;
- B. they are present in the ovary since birth;
- C. they are formed in the ovary at puberty;
- D. they are found in successive stages of evolution;
Correct Answer: B
Rationale: The correct answer is B because ovarian follicles are actually present in the ovary since birth. They are formed during fetal development and remain in a dormant state until puberty. Choice A is incorrect because follicles are located in the medullary area of the ovary, not the cortical area. Choice C is incorrect because follicles are formed before puberty. Choice D is incorrect because follicles do not go through stages of evolution but rather stages of development.
Which one of the following is NOT one
- A. spermatid of the secondary sex characteristics
- B. primary spermatocyte typical of males?
- C. secondary spermatocyte
- D. deepening voice
Correct Answer: A
Rationale: The correct answer is A because a spermatid is a mature male germ cell that arises from the process of spermatogenesis, not a secondary sex characteristic.
- B is incorrect as a primary spermatocyte is indeed typical of males in the process of spermatogenesis.
- C is incorrect as a secondary spermatocyte is an intermediate stage in spermatogenesis.
- D is incorrect as deepening voice is a secondary sex characteristic associated with male puberty.