Medical Surgical Reproductive System Study Guide

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Sample questions from Medical Surgical Reproductive System Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.A client with a positive pregnancy test reports pelvic pain and shoulder discomfort. The pulse is 124/min, blood pressure is 94/58 mm Hg, and only a small amount of vaginal bleeding is present. Which action is the priority?

   • A.Apply a heating pad and reassess pain in 30 minutes.
   • B.Complete routine discharge teaching about early pregnancy spotting.
   • C.Activate urgent assistance and prepare for circulatory support and emergency evaluation.
   • D.Explain that minimal vaginal bleeding makes significant blood loss unlikely.

   Rationale: B is correct because the findings suggest possible ruptured ectopic pregnancy with internal hemorrhage. A delays emergency treatment. C incorrectly equates visible bleeding with total blood loss. D is unsafe because the client is unstable and requires urgent evaluation, not discharge.

2. 2.A 16-year-old reports sudden severe left scrotal pain and vomiting that began one hour ago. Which response is most appropriate?

   • A.Schedule a routine clinic appointment for the next day.
   • B.Arrange immediate emergency assessment for possible testicular torsion.
   • C.Obtain a detailed sexual history before notifying the clinician.
   • D.Apply warm compresses and wait to see whether swelling decreases.

   Rationale: A is correct because testicular torsion threatens blood flow and requires immediate assessment. B and C create dangerous delay. D may provide useful information later, but history completion must not postpone escalation for a time-sensitive emergency.

3. 3.During continuous bladder irrigation, 4,100 mL drains into the collection bag while 3,300 mL of irrigant is infused. What urine output should the nurse document for this interval?

   • A.3,300 mL
   • B.4,100 mL
   • C.7,400 mL
   • D.800 mL

   Rationale: D is correct: 4,100 minus 3,300 equals 800 mL of actual urine. A records the irrigant rather than urine. B includes both urine and irrigant. C adds the volumes and greatly overestimates urine production.

4. 4.A client receiving continuous bladder irrigation develops suprapubic pressure and no drainage, although irrigant continues to infuse. Which action should the nurse take first?

   • A.Check external tubing for obstruction and pause inflow according to protocol while arranging prompt assistance.
   • B.Administer the prescribed antispasmodic without further assessment.
   • C.Increase irrigation flow to force the clot through.
   • D.Clamp the drainage tubing for 30 minutes.

   Answer and rationale are in the full material.

5. 5.Which statement by a client receiving tamsulosin indicates correct understanding?

   • A.I can stop all follow-up because this medication prevents prostate cancer.
   • B.I should tell my eye surgeon that I take this medication before cataract surgery.
   • C.This medication will shrink my prostate completely within two days.
   • D.If I become dizzy, I should stand up quickly to improve circulation.

   Answer and rationale are in the full material.