Difficulty: Medium
Average Score: 64%
Simulated
A nurse is reviewing the records of several clients to determine cervical cancer screening recommendations. Which of the following clients should the nurse refer for a Papanicolaou (Pap) test?
Correct answer
A
Rationale
The correct answer is A. A 21-year-old client who had a normal Pap test one year ago should be referred for a Pap test. The rationale is that for individuals with a normal Pap test, regular screening is recommended every 3 years starting at age 21. This client falls within the age group for routine screening and has had a normal result in the past, indicating the need for follow-up.
For the other choices:
B: A 32-year-old client who had a total vaginal hysterectomy last year does not have a cervix, so a Pap test is not necessary.
C: A 47-year-old client who had a negative combined Pap and HPV test 5 years ago should follow guidelines for repeat testing, which may not require a Pap test at this time.
D: A 15-year-old client who completed the HPV vaccine series does not need a Pap test at this time as screening typically starts at age 21.
For the other choices:
B: A 32-year-old client who had a total vaginal hysterectomy last year does not have a cervix, so a Pap test is not necessary.
C: A 47-year-old client who had a negative combined Pap and HPV test 5 years ago should follow guidelines for repeat testing, which may not require a Pap test at this time.
D: A 15-year-old client who completed the HPV vaccine series does not need a Pap test at this time as screening typically starts at age 21.