Mod 1 - practice questions

A 42-year-old woman asks the nurse about mammograms, now that she is "getting older." Which information provided by the nurse would not be correct given current American Cancer Society recommendations? A) The American Cancer Society recommends mammograms every 1 to 2 years for women ages 40 to 49. B) A mammogram is considered to be an imaging study. C) Even if one has a mammogram, this does not preclude the individual from performing breast self-examination (BSE). D) Mammograms can confirm the diagnosis for breast cancer.

a

A key finding from the Human Genome Project is A) approximately 20,000 to 25,000 genes make up the genome. B) all human beings are 80.99% identical at the DNA level. C) human genes produce only one protein per gene; other mammals produce three proteins per gene. D) single-gene testing will become a standardized test for all pregnant women in the future.

a

A maternity nurse should be aware of which fact about amniotic fluid? A) It serves as a source of oral fluid and as a repository for waste from the fetus. B) The volume remains about the same throughout the term of a healthy pregnancy. C) A volume of less than 300 mL is associated with gastrointestinal malformations. D) A volume of more than 2 L is associated with fetal renal abnormalities.

a

A patient comes to the clinic complaining of itching in the vaginal area and is diagnosed as having candidiasis. Which therapeutic intervention by the nurse is a priority for this patient? A) Insert a vaginal suppository of miconazole 100 mg. B) Administer IV erythromycin. C) Assist the patient with vaginal irrigations. D) Have the patient soak in a warm bath.

a

For the 12 months prior to surgery, what is one of the requirements for a client requesting a vaginoplasty or a phalloplasty? A) Continuously living in the role of the desired gender identity B) Initiation of hormone therapy C) Monthly vocal coaching D) Therapy sessions with a licensed psychotherapist

a

Most of the genetic tests now offered in clinical practice are tests for A) single-gene disorders. B) carrier screening. C) predictive values. D) predispositional testing.

a

The Center for Disease Control (CDC) recommended medication for the treatment of chlamydia would be A) doxycycline. B) podofilox. C) acyclovir. D) penicillin.

a

The drugs of choice for the treatment of trichomoniasis include which classifications of drugs? A) Nitroimidazoles B) Aminoglycosides C) Penicillins D) Tetracyclines

a

The nurse is assessing a patient who is prescribed estrogen replacement therapy. Which medical condition in the patient's history would be a contraindication to this therapy? A) Deep vein thrombosis B) Dysmenorrhea C) Vaginal bleeding D) Weight loss

a

The nurse is assessing a woman's breast self-examination (BSE) technique. Which action indicates that a woman needs further instruction regarding BSE? A) Performs every month on the first day of her menstrual period. B) Uses the pads of her fingers when palpating each breast. C) Inspects her breasts while standing before a mirror and changing arm positions. D) Places a folded towel under right shoulder and right hand under head when palpating right breast.

a

The nurse is orienting a newly hired assistive personnel (AP) to the clinic. One of the clients has self-identified as transgender. The AP states "I don't want to say the wrong thing. What do I call the person?" What is the appropriate nursing response? A) "Ask how the client would like to be addressed." B) "Look at the client's driver's license and use that." C) "Be polite and it won't matter." D) "Call the client by his or her name on the chart."

a

The nurse is providing medication instructions to a patient prescribed acyclovir for genital herpes simplex. Which instruction should the nurse include in the patient's medication teaching plan? A) Avoid contact with lesions when they are present. B) Acyclovir will eliminate future outbreaks of genital herpes simplex. C) Acyclovir prevents the transmission of infection to other partners. D) Sexual relations can be resumed after 24 hours on acyclovir.

a

The nurse must evaluate a male patient's knowledge regarding the use of a condom. The nurse would recognize the need for further instruction if the patient states that he A) lubricates the condom with a spermicide containing nonoxynol-9. B) leaves an empty space at the tip of the condom. C) leaves a small amount of air in the tip. D) removes his still-erect penis from the vagina while holding onto the base of the condom.

a

What symptom described by a woman is characteristic of premenstrual syndrome (PMS)? A) "I feel irritable and moody a week before my period is supposed to start." B) "I have lower abdominal pain beginning the third day of my menstrual period." C) "I have nausea and headaches after my period starts, and they last 2 to 3 days." D) "I have abdominal bloating and breast pain after a couple of days of my period."

a

Which is correct concerning the performance of a Papanicolaou (Pap) smear? A) The woman should not douche, use vaginal medications, or have intercourse for at least 24 hours before the test. B) It should be performed once a year beginning with the onset of puberty. C) A lubricant such as Vaseline should be used to ease speculum insertion. D) The specimen for the Pap smear should be obtained after specimens are collected for cervical infection.

a

Which patient statement indicates to the nurse that the patient understands the discharge instructions regarding alendronate? A) "I will take the medication with 8 ounces of water and not lie down for 30 min." B) "I need to take this medication with food to prevent damage to my esophagus." C) "I need to decrease my intake of dairy products to prevent hypercalcemia." D) "This medication will help relieve the bone pain I have from my osteoporosis."

a

Which statement indicates that the patient understands the benefit of continuous administration of progestin with an estrogen regimen? A) "Endometrial cancer risk can be reduced with this regimen." B) "Vaginal cancer is prevented with this regimen." C) "This regimen prevents ovarian cancer." D) "This regimen will prevent breast cancer."

a

With regard to dysfunctional uterine bleeding (DUB), the nurse should be aware that A) it is most commonly caused by anovulation. B) it most often occurs in middle age. C) the diagnosis of DUB should be the first considered for abnormal menstrual bleeding. D) the most effective medical treatment involves steroids.

a

A nurse counseling a client with endometriosis understands which statements regarding the management of endometriosis is accurate? (Select all that apply.) A) Bone loss from hypoestrogenism is not reversible. B) Side effects from the steroid danazol include masculinizing traits. C) Surgical intervention often is needed for severe or acute symptoms. D) Women without pain and who do not want to become pregnant need no treatment. E) Women with mild pain who may want a future pregnancy may take nonsteroidal antiinflammatory drugs (NSAIDs).

a b c

The women's health nurse knows which statements regarding sexual response are accurate? (Select all that apply.) A) Women and men are more alike than different in their physiologic response to sexual arousal and orgasm. B) Vasocongestion is the congestion of blood vessels. C) The orgasmic phase is the final state of the sexual response cycle. D) Facial grimaces and spasms of hands and feet are often part of arousal. E) Sexual difficulties should be disregarded in the after birth period.

a b d

The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.) A) Cigarette smoke B) Isotretinoin (Retin A) C) Vitamin C D) Salicylic acid E) Rubella

a b e

The nurse is facilitating a discussion at an LGBTQ gathering at a college. One student asks what kind of surgeries are available for someone who wants to transition from female to male (FtM). What options will the nurse teach? (Select all that apply.) A) Metoidioplasty B) Mastectomy C) Scrotoplasty D) Vaginectomy E) Penectomy

a c d

The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effects should the nurse instruct the patient to report to the health care provider? (Select all that apply.) A) Weight gain B) Increased diuresis C) Visual disturbances D) Decreased appetite E) Anxiety F) Hirsutism

a c e

A 22-year-old client wants to discuss options for treatment for gender dysphoria. He states "I'm confused and I need to talk to somebody, but I don't know what to do and who to talk to. I don't want my parents to know. Can you help me?" What is the nurse's priority response? A) "It depends on what kind of insurance you have." B) "What you say here will be confidential?" C) "Let's see if we can get a therapist to see you." D) "I can make you an appointment with the provider."

b

A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). The nurse's most appropriate response is A) "The lubricant prevents vaginal irritation." B) "Nonoxynol-9 does not provide protection against sexually transmitted infections, as originally thought; also it has been linked to an increase in the transmission of human immunodeficiency virus (HIV) and can cause genital lesions." C) "The additional lubrication improves sex." D) "Nonoxynol-9 improves penile sensitivity."

b

A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is the most appropriate when instructing the woman in which herbal preparations to avoid while trying to conceive? A) "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant." B) "You may want to avoid licorice root, lavender, fennel, sage, and thyme while you are trying to conceive." C) "You should not take anything with vitamin E, calcium, or magnesium. They will make you infertile." D) "Herbs have no bearing on fertility."

b

A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which response by the nurse is most appropriate? A) "Many women imagine what their baby is like." B) "A baby in utero does respond to the mother's voice." C) "You'll need to ask the doctor if the baby can hear yet." D) "Thinking that your baby hears will help you bond with the baby."

b

During a health history interview, a woman states that she thinks that she has "bumps" on her labia. She also states that she is not sure how to check herself. The correct response would be to A) reassure the woman that the examination will not reveal any problems. B) explain the process of vulvar self-examination to the woman and reassure her that she will become familiar with normal and abnormal findings during the examination. C) reassure the woman that "bumps" can be treated. D) reassure her that most women have "bumps" on their labia.

b

How will the nurse refer to a client who self-identifies as the opposite gender? A) A transgender B) Transgender individual C) Transvestite D) Transgendered person

b

Semen analysis is a common diagnostic procedure related to infertility. In instructing a male patient regarding this test, the nurse would tell him to A) ejaculate into a sterile container. B) obtain the specimen after a period of abstinence from ejaculation of 2 to 5 days. C) transport specimen with container packed in ice. D) ensure that the specimen arrives at the laboratory within 30 minutes of ejaculation.

b

The nurse discussed gender reassignment surgery with a male-to-female client during her first visit to the office. Which client statement indicates a need for more education? A) "I will need to have at least one referral from a therapist before I have surgery." B) "The surgeon who performed my appendectomy can do my surgery." C) "I will need to take hormones for 12 months before my surgery." D) "My insurance probably won't cover this."

b

The nurse is instructing a patient on the use of the contraceptive etonogestrel transvaginal ring. What information should the nurse include in the patient's teaching plan? A) Back-up contraception is not needed during the first 7 days after the first ring is placed. B) The patient should insert the ring during the first 5 days of the menstrual cycle. C) The patient should eat a low-fiber diet to prevent diarrhea. D) The ring protects against sexually transmitted infections (STIs).

b

The nurse is providing education about the stages of syphilis. The nurse describes a stage in which there is the presence of a sore called a chancre. The student would be correct in identifying the description as which stage of syphilis? A) Tertiary B) Primary C) Secondary D) Latent

b

The nurse-midwife is teaching a group of women who are pregnant, including instruction on Kegel exercises. Which statement by a participant would indicate a correct understanding of the instruction? A) I will only see results if I perform 100 Kegel exercises each day. B) I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises. C) I should only perform Kegel exercises in the sitting position. D) I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results.

b

What best describes the pattern of genetic transmission known as autosomal recessive inheritance? A) Disorders in which the abnormal gene for the trait is expressed even when the other member of the pair is normal B) Disorders in which both genes of a pair must be abnormal for the disorder to be expressed C) Disorders in which a single gene controls the particular trait D) Disorders in which the abnormal gene is carried on the X chromosome

b

When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should A) point out that inappropriate sexual behavior caused the infection. B) position the woman in a semi-Fowler position. C) explain to the woman that infertility is a likely outcome of this type of infection. D) tell her that antibiotics need to be taken until pelvic pain is relieved.

b

Which information should be included by the nurse in the teaching plan for a patient who is prescribed metronidazole for bacterial vaginosis? A) Take with an antacid. B) Avoid consuming alcoholic beverages. C) Remain upright after taking the drug. D) Take on an empty stomach.

b

With regard to abnormalities of chromosomes, nurses should be aware that A) they occur in approximately 10% of newborns. B) abnormalities of number are the leading cause of pregnancy loss. C) down syndrome is a result of an abnormal chromosomal structure. D) unbalanced translocation results in a mild abnormality that the child will outgrow.

b

With regard to the diagnosis and management of amenorrhea, nurses should be aware that A) it probably is the result of a hormone deficiency that can be treated with medication. B) it may be caused by stress or excessive exercise or both. C) it likely will require the client to eat less and exercise more. D) it often goes away on its own.

b

A FtM client is beginning testosterone therapy. What physical change does the nurse tell the client to anticipate? (Select all that apply.) A) Decreased libido B) Fat redistribution C) Increased muscle mass D) Menstruation cessation E) Deepening voice

b c d e

A married woman has made the decision to use a diaphragm as her primary method of birth control. The clinic nurse should provide which instructions regarding care of, insertion, and removal of the diaphragm? (Select all that apply.) A) Remove the diaphragm by catching the rim from below the dome. B) Avoid using mineral oil body products. C) On insertion, direct the diaphragm down toward the space below cervix. D) Wash diaphragm monthly with mild soap and water. E) A dusting of cornstarch is appropriate after drying the diaphragm.

b c d e

During the preconception phase, the nurse should teach about which infectious diseases as risk factors for maternal complications? (Select all that apply.) A) Diabetes B) Rubella C) Hepatitis B D) Anemia E) HIV/AIDS

b c e

The nurse should include which information when teaching a 15-year-old about genital tract infection prevention? (Select all that apply.) A) Wear nylon undergarments. B) Avoid tight-fitting jeans. C) Use floral scented bath salts. D) Decrease sugar intake. E) Do not douche. F) Limit time spent wearing a wet bathing suit.

b d e f

A 65-year-old woman, G6 P6006, is complaining of increasing stress incontinence and pelvic pressure and fullness. Pelvic examination reveals a bulging in the anterior vaginal wall. This woman is most likely experiencing A) uterine prolapse. B) rectocele. C) cystocele. D) vesicovaginal fistula.

c

A client who has recently been prescribed finasteride reports dizziness, cold sweats, and chills. What will the nurse tell this client? A) "You will need to see your primary health care provider." B) "You need to stop taking the medication immediately." C) "These are common effects that usually diminish over time." D) "These effects are not related to the finasteride."

c

A couple has been counseled for genetic anomalies. They ask you, "What is karyotyping?" Your best response is A) "Karyotyping will reveal if the baby's lungs are mature." B) "Karyotyping will reveal if your baby will develop normally." C) "Karyotyping will provide information about the gender of the baby, and the number and structure of the chromosomes." D) "Karyotyping will detect any physical deformities the baby has."

c

A female-to-male client wishes to retain the option of having biologic children after transitioning. What available option does the nurse suggest to the client? A) Oocyte freezing can occur after hormone therapy has started and before menstruation ceases. B) Oocyte freezing can occur any time before gender reassignment surgery. C) Oocyte freezing can occur prior to hormone therapy or gender reassignment surgery. D) No options are available to a client with gender dysphoria.

c

A male-to-female transgender client wishes to discuss breast augmentation surgery. What client statement indicates the need for further education by the nurse? A) "My insurance may not pay for this surgery." B) "If I take hormones, I will have to get a mammogram." C) "Fat injections can be used instead of implants for a more natural look." D) "I may need to take hormones for about a year before my surgery."

c

A nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18. The nurse should A) tell the couple they need to have an abortion within 2 to 3 weeks. B) explain that the fetus has a 50% chance of having the disorder. C) discuss options with the couple, including amniocentesis to determine whether the fetus is affected. D) refer the couple to a psychologist for emotional support.

c

A patient taking oral contraceptives has developed an infection and is prescribed tetracycline. What information is essential for the nurse to teach the patient? A) "Do not drink milk while on this medication." B) "Use an alternative form of contraception while taking the antibiotic." C) "Use an additional form of contraception while on these medications." D) "Do not drink grapefruit juice while on these medications."

c

A transgender female client reports difficulty sleeping, anxiety, and hypervigilance. She states "I just can't stop thinking about what they did to me last New Year's Eve at work. They slashed my tires. They took my purse. I see it over and over." What is the appropriate nursing action? A) Document the statements and conduct a health history. B) Look for signs of self-harm. C) Consult with the health care provider for referral to a counselor. D) Ask about drug and alcohol use.

c

A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates A) the fetus is at risk for Down syndrome. B) the woman is at high risk for developing preterm labor. C) lung maturity. D) meconium is present in the amniotic fluid.

c

A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse when such anomalies occur during development. Which response by the nurse is most accurate? A) "We don't really know when such defects occur." B) "It depends on what caused the defect." C) "They occur between the third and fifth weeks of development." D) "They usually occur in the first 2 weeks of development."

c

An effective relief measure for primary dysmenorrhea would be to A) reduce physical activity level until menstruation ceases. B) begin taking prostaglandin synthesis inhibitors on the first day of the menstrual flow. C) decrease intake of salt and refined sugar about 1 week before menstruation is about to occur. D) use barrier methods rather than the oral contraceptive pill (OCP) for birth control.

c

An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified follicle-stimulating hormone (FSH) (urofollitropin [Metrodin]). The nurse instructs her that this medication is administered in the form of a/an A) intranasal spray. B) vaginal suppository. C) intramuscular injection. D) tablet.

c

Self-care instructions for a woman following a modified radical mastectomy would include that she A) wears clothing with snug sleeves to support her affected arm. B) use depilatory creams instead of shaving the axilla of her affected arm. C) expect a decrease in sensation or tingling in her affected arm as her body heals. D) empty surgical drains once a day or every other day.

c

The nurse should include questions regarding sexuality when gathering data for a reproductive health history of a female patient. Which principle should guide the nurse when interviewing the patient? A) An in-depth exploration of specific sexual practices should be included for every patient. B) Sexual histories are optional if the patient is not currently sexually active. C) Misconceptions and inaccurate information expressed by the patient should be corrected promptly. D) Questions regarding the patient's sexual relationship are unnecessary if she is monogamous.

c

The nurse uses the wrong pronoun when addressing a transgender client while taking the admitting history. What is the appropriate nursing action? A) Apologize repeatedly throughout the shift. B) Report the error to the charge nurse. C) Self-correct and continue with the admitting history. D) Ask for reassignment to another client.

c

The student nurse is giving a presentation about milestones in embryonic development. Which information should be included? A) At 8 weeks of gestation, primary lung and urethral buds appear. B) At 12 weeks of gestation, the vagina is open or the testes are in position for descent into the scrotum. C) At 20 weeks of age, the vernix caseosa and lanugo appear. D) At 24 weeks of age, the skin is smooth, and subcutaneous fat is beginning to collect.

c

Which health risk is not associated with menopause? A) Osteoporosis B) Coronary heart disease C) Breast cancer D) Obesity

c

A MtF client is beginning estrogen therapy. Which data obtained from the client's history are of concern to the nurse? (Select all that apply.) A) History of environmental allergies B) Client has a twin sibling C) Body mass index of 32 D) One pack per day smoker E) Takes medication for blood pressure control

c d e

A client has recently had a vaginoplasty and has noticed stool coming from her vagina. The telehealth nurse advises her to immediately go the emergency department. What is the nurse's concern? A) Prolapse B) Labial hematoma C) Dislodgement of the urinary catheter D) Vaginal-rectal fistula

d

A client is beginning transdermal estrogen (Climara) therapy. Which client statement requires additional health teaching by the nurse? A) "This medicine will increase my risk of blood clots." B) "I will monitor my blood pressure while I am taking this medicine." C) "My blood work will be checked regularly." D) "I will need to change out the patch once a month."

d

A patient seen at the fertility clinic is prescribed clomiphene. Which statement best describes its method of action? A) Enhancement of nidation B) Facilitate passage of sperm C) Increase vaginal secretion viscosity D) Simulation of ovarian follicle growth

d

A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, "My period is due in a few days, and my temperature has not gone up." The nurse's most appropriate response is A) "This probably means you're pregnant." B) "Don't worry; it's probably nothing." C) "Have you been sick this month?" D) "You probably did not ovulate during this cycle."

d

From what age may a child begin to feel a sense of maleness or femaleness? A) 6 months B) 5 years C) Birth D) 2 years

d

The nurse is assessing a patient who may have a sexually transmitted infection. What is the first step in the nurse's assessment? A) Culture vaginal secretions. B) Determine if the patient has a fever. C) Ask about medication allergies. D) Ask the patient about sexual partners.

d

The nurse is providing education for a client who is experiencing gender dysphoria. What client statement reflects that further nursing teaching is needed? A) "I could live as the other sex full time if I want to." B) "Surgery is an option to change my breasts and face." C) "Talking to a psychotherapist might help me understand my identity." D) "I plan to buy my hormones on the internet."

d

The nurse should refer the patient for further testing if she noted this on inspection of the breasts of a 55-year-old woman A) left breast slightly smaller than right breast. B) eversion (elevation) of both nipples. C) bilateral symmetry of venous network, which is faintly visible. D) small dimple located in the upper outer quadrant of the right breast.

d

When obtaining a reproductive health history from a female patient, the nurse should A) limit the time spent on exploration of intimate topics. B) avoid asking questions that may embarrass the patient. C) use only accepted medical terminology when referring to body parts and functions. D) explain the purpose for the questions asked and how the information will be used.

d

With regard to the estimation and interpretation of the recurrence of risks for genetic disorders, nurses should be aware that A) with a dominant disorder, the likelihood of the second child also having the condition is 100%. B) an autosomal recessive disease carries a one in eight risk of the second child also having the disorder. C) disorders involving maternal ingestion of drugs carry a one in four chance of being repeated in the second child. D) the risk factor remains the same no matter how many affected children are already in the family.

d

Discharge instructions after tubal ligation should include (Select all that apply.) A) being prepared for significant mood swings due to hormonal influences. B) expecting heavier menstrual periods. C) using two forms of birth control to prevent pregnancy. D) not expecting change in sexual functioning; may enjoy more. E) using condoms to prevent sexually transmitted infections.

d e