Q.1 Which of the following is the most common indication for a hysterectomy?
Endometriosis
Uterine fibroids
Ovarian cysts
Pelvic inflammatory disease
Explanation - Uterine fibroids (leiomyomas) are the most common benign tumors of the uterus and are a frequent indication for hysterectomy, especially when symptomatic.
Correct answer is: Uterine fibroids
Q.2 Which type of incision is most commonly used for abdominal hysterectomy?
Pfannenstiel incision
Midline vertical incision
Chevron incision
McBurney incision
Explanation - The Pfannenstiel incision, a low transverse abdominal incision, is commonly used for abdominal hysterectomy due to better cosmetic results and reduced postoperative pain.
Correct answer is: Pfannenstiel incision
Q.3 Which nursing intervention is a priority immediately after gynecological surgery?
Encouraging ambulation
Monitoring vital signs
Providing dietary counseling
Educating on contraception
Explanation - Monitoring vital signs is crucial immediately after surgery to detect early signs of complications such as hemorrhage or shock.
Correct answer is: Monitoring vital signs
Q.4 What is the primary purpose of a vaginal pack after vaginal surgery?
Prevent infection
Provide support and hemostasis
Absorb urine
Deliver medication
Explanation - A vaginal pack helps control postoperative bleeding and provides structural support to the surgical site.
Correct answer is: Provide support and hemostasis
Q.5 Which complication is most commonly associated with laparoscopic gynecological surgery?
Deep vein thrombosis
Bowel injury
Urinary tract infection
Respiratory distress
Explanation - Bowel injury is a recognized but rare complication of laparoscopic procedures due to trocar insertion or adhesiolysis.
Correct answer is: Bowel injury
Q.6 What is the recommended position for a patient immediately after gynecologic surgery under general anesthesia?
Supine with head flat
Trendelenburg
Lateral recumbent
Prone
Explanation - The lateral recumbent position helps maintain airway patency and reduces the risk of aspiration in post-anesthesia patients.
Correct answer is: Lateral recumbent
Q.7 Which of the following is an early sign of postoperative hemorrhage in gynecological patients?
Hypertension
Tachycardia
Bradycardia
Polyuria
Explanation - Tachycardia is an early compensatory response to blood loss and may precede hypotension.
Correct answer is: Tachycardia
Q.8 After a hysterectomy, when can a patient typically resume light ambulation?
Immediately after surgery
6-12 hours postoperatively
3-5 days postoperatively
After 2 weeks
Explanation - Early ambulation helps prevent thromboembolism, promotes bowel function, and enhances recovery.
Correct answer is: 6-12 hours postoperatively
Q.9 Which postoperative complication is prevented by using sequential compression devices (SCDs) after gynecologic surgery?
Wound infection
Deep vein thrombosis
Urinary retention
Adhesion formation
Explanation - SCDs promote venous return and prevent stasis, thereby reducing the risk of postoperative DVT.
Correct answer is: Deep vein thrombosis
Q.10 Which suture material is most commonly used for internal gynecologic surgical closure?
Silk
Vicryl (absorbable)
Nylon
Steel
Explanation - Absorbable sutures like Vicryl are preferred for internal tissue closure to eliminate the need for suture removal and reduce infection risk.
Correct answer is: Vicryl (absorbable)
Q.11 Which symptom requires immediate reporting in the postoperative period after gynecologic surgery?
Mild nausea
Persistent fever and chills
Mild abdominal discomfort
Slight fatigue
Explanation - Persistent fever and chills may indicate postoperative infection, requiring immediate evaluation and treatment.
Correct answer is: Persistent fever and chills
Q.12 What is the primary nursing focus in the first 24 hours after a radical hysterectomy?
Emotional counseling
Pain management and monitoring for bleeding
Teaching about home care
Sexual counseling
Explanation - Pain control and vigilance for hemorrhage are critical in the immediate postoperative period to prevent complications.
Correct answer is: Pain management and monitoring for bleeding
Q.13 Which postoperative dietary intervention is most appropriate after gynecologic abdominal surgery?
High-residue diet immediately
Clear liquids progressing to soft diet
Full solids immediately
Fasting for 48 hours
Explanation - Gradual reintroduction of diet helps prevent nausea, vomiting, and ileus after abdominal surgery.
Correct answer is: Clear liquids progressing to soft diet
Q.14 Which of the following is the most common complication after vaginal surgery?
Bladder injury
Vaginal stenosis
Urinary retention
Pelvic abscess
Explanation - Urinary retention is common after vaginal surgery due to anesthesia effects, pain, or swelling.
Correct answer is: Urinary retention
Q.15 Which type of anesthesia is preferred for minor gynecological procedures such as D&C?
General anesthesia
Spinal anesthesia
Local anesthesia with sedation
Epidural anesthesia
Explanation - Minor procedures like D&C are often performed under local anesthesia with sedation to minimize risks and allow rapid recovery.
Correct answer is: Local anesthesia with sedation
Q.16 Which intervention helps prevent postoperative ileus after gynecologic surgery?
Early ambulation
High-fat diet
Prolonged bed rest
Opioid analgesics
Explanation - Mobilization stimulates bowel motility and reduces the risk of postoperative ileus.
Correct answer is: Early ambulation
Q.17 A patient develops sudden shortness of breath and chest pain on day 2 after hysterectomy. Which complication is most likely?
Pulmonary embolism
Pneumonia
Myocardial infarction
Atelectasis
Explanation - Postoperative immobility increases the risk of DVT and pulmonary embolism, which can present with sudden chest pain and dyspnea.
Correct answer is: Pulmonary embolism
Q.18 Which of the following is an important nursing intervention for preventing wound infection post-gynecological surgery?
Changing dressings only when soaked
Hand hygiene and aseptic dressing changes
Avoiding showering for 2 weeks
Applying antibiotic ointment prophylactically to all wounds
Explanation - Strict hand hygiene and aseptic technique during dressing changes are key to preventing surgical site infections.
Correct answer is: Hand hygiene and aseptic dressing changes
Q.19 Which factor increases the risk of postoperative thromboembolism in gynecological surgery?
Young age
Early ambulation
Obesity
Low blood pressure
Explanation - Obesity, along with immobility and surgery, increases the risk of venous thromboembolism.
Correct answer is: Obesity
Q.20 Which urinary intervention may be necessary after pelvic reconstructive surgery?
Intermittent catheterization
Continuous IV fluids only
Bladder training without catheter
Diuretic therapy
Explanation - Intermittent catheterization may be required to prevent urinary retention after pelvic surgery due to swelling or nerve injury.
Correct answer is: Intermittent catheterization
Q.21 Which postoperative symptom indicates paralytic ileus in a gynecologic patient?
Abdominal distension and absent bowel sounds
Mild nausea
Constipation with normal bowel sounds
Frequent urination
Explanation - Paralytic ileus presents with distension, absent bowel sounds, and often vomiting, requiring prompt nursing assessment.
Correct answer is: Abdominal distension and absent bowel sounds
Q.22 Which analgesic approach is preferred for early postoperative pain after major gynecologic surgery?
Oral NSAIDs only
Intravenous opioids via PCA
Topical analgesics
No analgesics to prevent ileus
Explanation - Patient-controlled analgesia (PCA) allows effective pain control while enabling early mobilization.
Correct answer is: Intravenous opioids via PCA
Q.23 After gynecologic surgery, the patient is encouraged to perform leg exercises. The main purpose is to:
Reduce edema in legs
Prevent urinary retention
Reduce the risk of DVT
Improve wound healing
Explanation - Leg exercises stimulate venous return and help prevent deep vein thrombosis postoperatively.
Correct answer is: Reduce the risk of DVT
Q.24 Which postoperative sign suggests wound dehiscence after abdominal gynecologic surgery?
Redness around the incision
Serosanguinous drainage with sudden opening of sutures
Mild tenderness
Dry incision without discharge
Explanation - Wound dehiscence is characterized by partial or total separation of the wound edges, often with serosanguinous discharge.
Correct answer is: Serosanguinous drainage with sudden opening of sutures