NursGuru

    Exam Review

    1. A nurse is collecting data from a 28-year-old client who is experiencing amenorrhea. Which of the following findings should the nurse identify as a potential cause of amenorrhea?
      A)
      Obesity.
      B)
      Thyroid dysfunction.
      C)
      Spontaneous abortion.
      D)
      Hyperlipidemia.
    2. A nurse is assisting in the care of a client who presents with redness, dimpling, and thickening of the skin on the right breast. Which of the following diagnostic procedures should the nurse prepare the client for first?
      A)
      Ultrasound.
      B)
      Magnetic resonance imaging study.
      C)
      Core needle biopsy.
      D)
      Staging of invasive cancer.
    3. A nurse is reinforcing teaching with a newly licensed nurse about embryonic nutrition. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      The yolk sac provides nutrients to the developing embryo.
      B)
      The allantois will work to provide nutrients prior to the development of the placenta.
      C)
      The chorion supports the development of the embryo.
      D)
      Prior to the development of the placenta, the amnion provides nutrients.
    4. A nurse is reviewing the medical record of a client who has been diagnosed with vulvovaginal candidiasis. Which of the following factors should the nurse identify as a risk factor for this condition?
      A)
      Frequent showers.
      B)
      Copper IUD use.
      C)
      Wearing loose-fitting clothing.
      D)
      Recent antibiotic use.

    Exam Review

    1. A nurse is reviewing the medical record of a client who has endometriosis. Which of the following findings supports this diagnosis?
      A)
      Fibroids.
      B)
      Mastalgia.
      C)
      Infertility.
      D)
      Ovarian cysts.
    2. A nurse is contributing to the plan of care for a client who has severe lactational mastitis. Which of the following interventions should the nurse suggest for inclusion in the client's plan of care?
      (SATA)
      A)
      Collect a blood sample for culture.
      B)
      Teach the client to apply warm compresses.
      C)
      Administer prescribed analgesia.
      D)
      Teach the client about proper hand hygiene prior to touching the breasts.
      E)
      Collect a sample of breastmilk for culture.
      F)
      Instruct the client to stop breastfeeding until the infection has resolved.
    3. A nurse is reinforcing education about a medication abortion to a client. Which of the following situations should the nurse reinforce as being a contraindication for a medication abortion?
      A)
      A history of previous pregnancy loss.
      B)
      Being in the first trimester of pregnancy.
      C)
      Having a BMI greater than 30.
      D)
      Experiencing an ectopic pregnancy.
    4. A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again.”. The nurse should recognize that the client is experiencing the effects of which of the following?
      A)
      Hyperventilation.
      B)
      Decreased carbon dioxide production.
      C)
      Lightening.
      D)
      Decreasing chest diameter.

    Exam Review

    1. A nurse is reinforcing teaching with a client about the risk of birth defects. Which of the following client statements indicates an understanding of the teaching?
      A)
      All over-the-counter medications are safe for the developing fetus.
      B)
      Working as a baggage screener at the airport can harm my baby.
      C)
      My new diagnosis of strep throat might harm my developing baby.
      D)
      I will limit my alcohol use to a few drinks a week.
    2. A nurse is reviewing the medical record of a client who has pelvic inflammatory disease (PID). Which of the following organisms should the nurse identify as a common cause of this condition?
      A)
      T. gondii.
      B)
      Group B Streptococcus.
      C)
      N. gonorrhoeae.
      D)
      L. pallidum.
    3. A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?
      A)
      Ballottement.
      B)
      Goodell's sign.
      C)
      Lightening.
      D)
      Chadwick's sign.
    4. A nurse is reviewing the medical record of a client who has dysmenorrhea. Which of the following should the nurse identify as a potential cause of this condition?
      A)
      Polycystic ovarian syndrome (PCOS).
      B)
      Lynch syndrome.
      C)
      Endometriosis.
      D)
      Use of combined oral contraceptives (COCs).

    Exam Review

    1. A nurse is reinforcing pregnancy education to a client. Which of the following situations should the nurse identify as being a potential contraindication for pregnancy?
      A)
      A history of recurrent urinary tract infections.
      B)
      Having a negative Rh antigen.
      C)
      Being treated for anxiety.
      D)
      Diagnosis of severe kidney disease.
    2. A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following findings requires immediate follow-up?
      A)
      Urinary frequency.
      B)
      Edema in lower extremities.
      C)
      Decreased fetal movement.
      D)
      Periodic contractions.
    3. A nurse is reinforcing teaching for a client who has a prescription for HIV post-exposure prophylaxis (PEP) about how to take the medications. Which of the following client statements indicates understanding of the teaching?
      A)
      I should not take these medications if I have high blood pressure.
      B)
      I have up to 2 weeks after exposure to decide if I want to take these medications.
      C)
      I need to take the antiviral medications at the prescribed dosing times for the full 28 days to be effective.
      D)
      I don't need to take the medication if I had an exposure via a needle stick.
    4. A nurse is reinforcing teaching about fetal anatomy ultrasound to a client who is at 20 weeks of gestation. Which of the following information should the nurse include?
      A)
      The client will be positioned in a prone position.
      B)
      The ultrasound will be transvaginal.
      C)
      The ultrasound will occur at 13 weeks of gestation.
      D)
      The client must have a full bladder.

    Exam Review

    1. A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to check for medication incompatibilities?
      A)
      Medical-surgical textbook.
      B)
      Drug guide.
      C)
      Personal experience.
      D)
      Advice from coworkers.
    2. A nurse is collecting data from a newborn who was born at 31 weeks of gestation. Which of the following findings should the nurse anticipate?
      A)
      Lack of a startle reflex.
      B)
      Inability to grasp.
      C)
      Undescended testes.
      D)
      Inability to suck.
    3. A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?
      A)
      June 14.
      B)
      June 10.
      C)
      June 20.
      D)
      June 24.
    4. A nurse is collecting data from a client who has been diagnosed with trichomonas. Which of the following findings should the nurse identify as a manifestation of trichomonas infection?
      A)
      Jaw pain.
      B)
      Right upper quadrant abdominal pain.
      C)
      Vulvar burning and itching.
      D)
      Migraine with aura.

    Exam Review

    1. A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks, "What are you looking for during this test?" Which of the following responses should the nurse make?
      A)
      We will draw blood to evaluate the baby's risk of genetic problems.
      B)
      If the baby moves 5 times in 15 minutes, then the baby is healthy.
      C)
      We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well.
      D)
      I am looking at the ultrasound to see if the baby has any congenital anomalies.
    2. A nurse in an obstetric clinic is assisting in the care of a client who is experiencing a high-risk pregnancy. Which of the following supports the provision of optimal prenatal care for this client?
      A)
      The number of times the client has been pregnant previously.
      B)
      The nurse's years of experience in the field of obstetric nursing.
      C)
      The communication between the provider and the client and her support person(s).
      D)
      The relationship between the client and their partner.
    3. A nurse is assisting in the care of a client who is admitted for complications associated with intrauterine fetal demise and becomes unresponsive. Which of the following actions should the nurse take first?
      A)
      Notify the provider.
      B)
      Assess vaginal bleeding.
      C)
      Call the rapid response team.
      D)
      Obtain a set of vital signs.
    4. A nurse is collecting data from a client who is at 34 weeks of gestation. Which of the following statements made by the client should the nurse address first?
      A)
      My feet are starting to swell at the end of the day.
      B)
      I have been having some occasional tightening of my belly.
      C)
      I am having trouble getting a good night's sleep.
      D)
      I noticed some bright red blood when I went to the bathroom a few minutes ago.