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What does a woman most likely have when she experiences a breast mass that is not well delineated and is nonpalpable,immobile,and nontender?


A) Fibroadenoma
B) Lipoma
C) Intraductal papilloma
D) Mammary duct ectasia

E) C) and D)
F) B) and C)

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What do most laboratory tests focus on to detect the human immunodeficiency virus (HIV) ?


A) HIV virus
B) HIV antibodies
C) CD4 counts
D) CD8 counts

E) A) and B)
F) All of the above

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B

What should the nurse be aware of with regard to dysfunctional uterine bleeding ( DUB ) ?


A) It is most commonly caused by anovulation.
B) It most often occurs in middle age.
C) DUB should be the initial consideration for abnormal menstrual bleeding.
D) The most effective medical treatment involves steroids.

E) A) and C)
F) B) and C)

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Nurses should be aware of which of the following statements in relation to endometriosis?


A) It is characterized by the presence and growth of endometrial tissue inside the uterus.
B) It is found more often in Black women than in White or Asian women.
C) It may worsen with repeated cycles or remain asymptomatic and disappear after menopause.
D) It is unlikely to affect sexual intercourse or fertility.

E) B) and D)
F) A) and B)

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Which statement about the various forms of hepatitis is accurate?


A) A vaccine exists for hepatitis C , but not for hepatitis B .
B) Hepatitis A is acquired by eating contaminated food or drinking polluted water.
C) Hepatitis B is less contagious than human immunodeficiency virus ( HIV ) .
D) The incidence of hepatitis C is decreasing.

E) B) and D)
F) C) and D)

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Which diagnostic test is used to confirm a suspected diagnosis of breast cancer?


A) Mammogram
B) Ultrasound
C) Fine-needle aspiration ( FNA )
D) CA 15-3

E) A) and B)
F) B) and D)

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While interviewing a 31-year-old woman before her routine gynecological examination,the nurse collects data about the patient's recent menstrual cycles.The nurse should collect additional information when the woman makes which of the following statements?


A) The woman says her menstrual flow lasts 5 to 6 days.
B) She describes her flow as very heavy.
C) She reports that she has had a small amount of spotting midway between her periods for the past 2 months.
D) She says the length of her menstrual cycle varies from 26 to 29 days.

E) B) and D)
F) All of the above

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B

On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,greyish white vaginal discharge with a "fishy" odour; complaint of pruritus.These findings lead the nurse to which diagnosis?


A) Bacterial vaginosis (BV)
B) Candidiasis
C) Trichomoniasis
D) Gonorrhea

E) B) and D)
F) A) and B)

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Which of the following should the nurse explain when providing education regarding breast care and fibrocystic changes in breasts?


A) Fibrocystic changes are a disease of the milk ducts and glands in the breasts.
B) Fibrocystic changes are a premalignant disorder characterized by lumps found in the breast tissue.
C) Fibrocystic changes describe lumpiness with pain and tenderness in the breast tissue of healthy women during menstrual cycles.
D) Fibrocystic changes include lumpiness accompanied by tenderness after menses.

E) A) and C)
F) C) and D)

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Fibrocystic changes in the breast most often appear in women in their 20s and 30s.The etiology is not known,but it may be an imbalance of estrogen and progesterone.The nurse who cares for these patients should be aware that treatment modalities are conservative.Which of the following is a modality that may provide relief?


A) Diuretic administration
B) Including caffeine daily in the diet
C) Increased vitamin C supplementation
D) Application of cold packs to the breast as necessary

E) B) and C)
F) B) and D)

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Which statement concerning cyclic perimenstrual pain and discomfort ( CPPD ) is accurate?


A) Premenstrual dysphoric disorder ( PMDD ) is a milder form of premenstrual syndrome ( PMS ) and more common in younger women.
B) Secondary dysmenorrhea is more intense and medically significant than primary dysmenorrhea.
C) Premenstrual syndrome is a complex, poorly understood condition that may include many symptoms.
D) The causes of PMS have been well established.

E) A) and B)
F) A) and C)

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A woman has a thick,white,lumpy,cottage cheese-like discharge,with patches on her labia and in her vagina.She complains of intense pruritus.The nurse practitioner would order which preparation for treatment?


A) Fluconazole
B) Tetracycline
C) Clindamycin
D) Acyclovir

E) B) and C)
F) None of the above

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An essential component of counselling women on safe sex practices includes discussion about avoiding the exchange of body fluids.The physical barrier promoted for the prevention of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is the condom.What is the most important aspect of a discussion related to health promotion and condom use that the nurse should be aware of?


A) Strategies to enhance condom use
B) Choice of colours and special features
C) Leaving the decision up to the male partner
D) Places to safely carry condoms

E) B) and D)
F) A) and C)

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Which medication does the Public Health Agency of Canada recommend for the treatment of patients with human papillomavirus (HPV) ?


A) Miconazole ointment
B) Topical podofilox 0.5% solution or gel
C) Penicillin given intramuscularly (IM) for two doses
D) Metronidazole by mouth

E) A) and B)
F) A) and C)

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The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for which one of the following STIs?


A) Syphilis
B) Gonorrhea
C) Herpes simplex virus type 2
D) Human immunodeficiency virus

E) All of the above
F) C) and D)

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What symptom described by a woman is characteristic of premenstrual syndrome (PMS) ?


A) "I feel irritable and moody when my period is supposed to start."
B) "I have lower abdominal pain beginning the third day of my menstrual period."
C) "I have nausea and headaches after my period starts, and they last 2 to 3 days."
D) "I have abdominal bloating and breast pain after a couple days of my period."

E) None of the above
F) B) and C)

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What are the two primary areas of risk for sexually transmitted infections (STIs) ?


A) Sexual orientation and socioeconomic status
B) Age and educational level
C) Large number of sexual partners and race
D) Risky sexual behaviours and inadequate preventive health behaviours

E) None of the above
F) A) and D)

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When evaluating a patient whose primary complaint is amenorrhea,the nurse must be aware that lack of menstruation is most often the result of which of the following?


A) Stress
B) Excessive exercise
C) Pregnancy
D) Eating disorders

E) A) and B)
F) A) and C)

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When a nurse is counselling a woman for primary dysmenorrhea,which nonpharmacological intervention might be recommended?


A) Increase the intake of red meat and simple carbohydrates.
B) Reduce the intake of diuretic foods, such as peaches and asparagus.
C) Temporarily substitute physical activity for a sedentary lifestyle.
D) Use a heating pad on the abdomen to relieve cramping.

E) A) and B)
F) B) and C)

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D

Which term refers to an alteration in cyclic bleeding that occurs between periods of menstruation?


A) Oligomenorrhea
B) Menorrhagia
C) Leiomyoma
D) Metrorrhagia

E) B) and C)
F) A) and D)

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