The nurse recognizes which patient has the highest risk of endometrial cancer?
- A. A 24-year-old woman with menarche at age 9
- B. A 30-year-old woman who started menstruating at age 19
- C. A 42-year-old woman who reached menopause at age 40
- D. A 64-year-old woman who had irregular, heavy menstrual cycles
Correct Answer: A
Rationale: The correct answer is A because early menarche (age 9) and late menopause increase the lifetime exposure of estrogen, a known risk factor for endometrial cancer. Choice B has a later menarche age, reducing estrogen exposure. Choice C's early menopause decreases estrogen exposure. Choice D's irregular cycles may indicate hormonal imbalances but don't directly relate to increased estrogen exposure.
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After having a modified radical mastectomy, a client is transferred to the post-anesthesia care unit (PACU). All of these actions are included in the routine post-operative care for clients who have had this procedure. Which is best to delegate to an experienced LPN?
- A. Monitor client's dressing for any signs of bleeding.
- B. Document the initial assessment on client's chart.
- C. Call client's status report to the charge nurse on the surgical unit.
- D. Teach client about the importance of using pain medication as needed.
Correct Answer: A
Rationale: Monitoring the dressing for signs of bleeding is within the scope of practice for an LPN.
The target of FSH is the _____.
- A. prostate
- B. seminiferous tubule
- C. pituitary
- D. penis
Correct Answer: B
Rationale: The correct answer is B: seminiferous tubule. FSH (follicle-stimulating hormone) targets the seminiferous tubules in the testes to stimulate the production of sperm. FSH plays a crucial role in male reproductive function by promoting spermatogenesis. The other choices are incorrect because:
A: Prostate - FSH does not directly target the prostate.
C: Pituitary - FSH is secreted by the pituitary gland, it does not target the pituitary itself.
D: Penis - FSH does not have a direct role in the structure or function of the penis.
A nurse identifies a client with an abnormal lab test that screens for prostate cancer. What is the test that the client will receive to screen for prostate cancer?
- A. PAS
- B. APS
- C. PSA
- D. PCA
Correct Answer: C
Rationale: PSA (Prostate-Specific Antigen) is the standard screening test for prostate cancer.
The fingerlike ends of fallopian tubes are called as:
- A. Cilia
- B. Papillae
- C. Flagellae
- D. Fimbriae
Correct Answer: D
Rationale: The correct answer is D: Fimbriae. Fimbriae are the fingerlike projections at the end of the fallopian tubes that help capture the released egg from the ovary. They create a sweeping motion to guide the egg into the tube for fertilization. Cilia (A) are hair-like projections that help with movement, but they are not specific to the fallopian tubes. Papillae (B) are small, raised projections found in various organs, not in the fallopian tubes. Flagellae (C) are whip-like structures used for movement in some cells, not found in the fallopian tubes. In summary, fimbriae are specifically designed to capture and guide the egg, making them the correct choice.
Why is osteoporosis much more common in elderly women than in elderly men?
- A. Men continue to produce testosterone throughout their lifetime, whereas women cease estrogen production after menopause
- B. Women consume less dietary calcium than men
- C. Gastrointestinal absorption of calcium is more effective in men than in women
- D. The bones of women contain less calcium than those of men even before menopause
Correct Answer: A
Rationale: Step 1: Testosterone plays a crucial role in maintaining bone density.
Step 2: Estrogen helps regulate bone turnover and calcium balance.
Step 3: Women experience a significant drop in estrogen levels after menopause.
Step 4: Decreased estrogen production leads to increased bone resorption.
Step 5: Men, on the other hand, continue to produce testosterone throughout their lifetime, which helps maintain bone density.
Summary: A is correct because men maintain testosterone production, while women cease estrogen production after menopause, leading to a higher risk of osteoporosis in elderly women. B, C, and D are incorrect as they do not address the hormonal changes that contribute to osteoporosis gender disparity.