Exam Review
- A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Correct Answer:2 mL
- A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?A)"Your child cannot participate in any sports."B)"Your child can participate in team sports as tolerated."C)"Your child can participate in activities like riding a bike, but they should not participate in sports."D)"Your child can participate in only individual sports, no team sports."
- A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?A)Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremitiesB)Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremitiesC)Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremitiesD)Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
- The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?A)Breast examination by a health professionalB)MammographyC)Breast self-examinationD)Breast biopsy
Exam Review
- The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.)(SATA)A)Abdominal painB)Speech disturbancesC)HeadacheD)Weight gainE)Eye or visual problems
- A nurse is providing breast self-examination teaching to a client who is menopausal. Which of the following statements should the nurse identify as an indication that the teaching was effective? (Select all that apply.)(SATA)A)"It is important to press firmly when feeling my breasts to detect changes."B)"Since I no longer have periods, I can perform an examination at any time of the month."C)"I will make sure to feel for changes in my underarm area."D)"I don't have to lie down to check my breasts. I can stand in the shower."E)"If I feel a firm ridge in the lower curve of my breasts I should report this immediately."
- The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?A)High protein, low fatB)High carbohydrate, high fiberC)Low calorie, low fatD)Low carbohydrate, high protein
- A nurse is providing care to a school-aged child with tetralogy of Fallot. The caregivers ask the nurse if there are any mental health concerns associated with this condition that they should be aware of. Which of the following statements made by the nurse is appropriate?A)"Children with tetralogy of Fallot are at greater risk for developing psychiatric disorders. Please call the clinic if you have concerns about changes in their mood or behavior."B)"Children with tetralogy of Fallot may experience more intense mood changes during their teenage years. However, they are not at risk for diagnosis of mental health conditions."C)"Children with congenital heart defects, like tetralogy of Fallot, are not at risk for a mental health diagnosis. There is no need to be concerned about your child."D)"Children with tetralogy of Fallot may be at greater risk of anxiety and depression, but there are no concerns regarding psychiatric disorders."
Exam Review
- What information will the nurse provide when educating a woman about the correct use of a diaphragm?A)It is effective for up to 48 hours if positioned properly.B)Use of a spermicidal cream or jelly is not recommended.C)Leave in place for at least 6 hours after intercourse.D)Remove immediately after intercourse for douching.
- A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Correct Answer:10 mL
- A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?A)Her periods have been irregular and light for 12 months.B)She experiences symptoms of decreased estrogen, such as dyspareunia.C)Her periods have stopped for 1 year.D)She has symptoms of vasomotor instability.
- A nurse is providing teaching to the guardian of an infant diagnosed with cerebral palsy about possible causes. Which of the following statements should the nurse include in their teaching? (Select All that Apply.)A)"Certain genetic disorders that affect muscles are the most common cause of cerebral palsy."B)"A lack of oxygen to the fetus during development is a cause of cerebral palsy."C)"A poor diet during pregnancy can result in a baby being born having cerebral palsy."D)"Trauma to the baby during birth is a major risk factor in cerebral palsy."E)"Premature babies are at a higher risk of developing cerebral palsy."
Exam Review
- A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. The client asks about the effects of this medication. Which of the following information should the nurse give the client?A)Hair loss is common.B)Vaginal secretions will increase.C)Hot flashes are common.D)Menstruation will become regular.
- A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?A)An intrauterine device (IUD)B)A diaphragm with spermicide.C)An oral contraceptiveD)A male condom
- The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?A)Clear and slipperyB)Thin and whiteC)Cloudy and tackyD)Scant and thick
- A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?A)Prohibits implantation of the eggB)Acts as a barrier by destroying spermC)Makes cervical mucus hostile to spermD)Prevents ovulation
Exam Review
- A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hr. Available is cefuroxime sodium oral solution 125mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is preparing to administer an IV fluid bolus of 200 mL dextrose 5% in water over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A woman diagnosed with endometriosis reports "painful intercourse." What is the appropriate medical term for the nurse to document when describing this symptom?A)DyspneaB)DysmenorrheaC)DyspareuniaD)Dysrhythmia
- A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?A)AnuriaB)Green penile dischargeC)White- or flesh-colored papillary growths in the genital areaD)Influenza-like symptoms
Exam Review
- A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?A)"You need to return in 6 months for retesting."B)"You have to avoid sexual relations for 3 days."C)"If your sexual partner has no symptoms, no medication is needed."D)"This infection is treated with one dose of azithromycin."
- The nurse is discussing cervical mucus changes with a woman who wishes to use natural family-planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place?A)Cervical mucus facilitates movement of the ovum through the fallopian tube.B)Cervical mucus enhances the motility of the sperm.C)Cervical mucus provides vaginal lubrication during intercourse.D)Cervical mucus indicates endometrial readiness for implantation.
- A nurse is providing care to 13-year-old who has an atrial septal defect (ASD). Their caregivers raise concerns regarding mood changes, reporting the child seems more anxious and worried than usual over the past year. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?A)"Worrying is normal for this age group."B)"All children with ASD have mood disorders."C)"Children with ASD are at greater risk for experiencing anxiety."D)"Children may become anxious when they have to be in a health care setting."
- A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?A)A 28-year-old client who has a history of pelvic inflammatory diseaseB)A 32-year-old client who has benign breast diseaseC)A 38-year-old client who reports smoking one pack of cigarettes every dayD)A 26-year-old client who has migraine headaches at the start of each menstrual cycle