HPA Exam 2 Practice Prep U Questions

Which vitamin supplements should the nurse recommend while a postmenopausal client is taking alendronate (Fosamax)?

Vitamin D and calcium

A nurse is planning discharge teaching regarding exercise for a client at risk for osteoporosis. Which of the following exercises would be appropriate?

Walking

What organ provides the control over the amount of calcium in the blood?

parathyroid glands

A nurse is teaching a local community group about STIs. When discussing syphilis, the nurse would identify which stages as being most infectious? Select all that apply.

primary secondary early latent

The nurse is assessing a client's knee. The area has a grating sensation. What would this be documented as?

Crepitus

Which of the following is an age-related functional change of the female reproductive system?

Decreased ovulation

A woman seen in the emergency walk-in clinic is diagnosed with chlamydia trachomatis. She asks the nurse how this disease is different from other sexually transmitted infectious diseases. What is the nurse's best response?

"This STI is characterized by an infection of your cervix."

An 56-year-old menopausal client comes to the clinic reporting painful intercourse. Her pelvic examination reveals vaginal dryness. Which suggestion would be most appropriate?

"Try using a water-soluble lubricant before intercourse."

A nurse is preparing a teaching plan for a female client diagnosed with genital ulcers. Which instructions would the nurse include in this teaching plan? Select all that apply

"Use a condom when having sexual intercourse with any noninfected partner." "Avoid having sex when any ulcers are present." "Air dry any lesions with a hair dryer on the low setting."

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply

-The left leg is shorter than the right. -Limited range of motion of the left hip. -The skin of the lower left leg is pale.

A client is admitted to the emergency department reporting chest pain and shortness of breath. The nurse notes an irregular rhythm on the bedside electrocardiograph monitor. The nurse counts 9 RR intervals on the client's 6-second rhythm tracing. The nurse correctly identifies the client's heart rate as

90 bpm

The nurse is caring for patient with a hip fracture. The physician orders the patient to start on a bisphosphonate. Which medication would the nurse document as given?

Alendronate (Fosamax)

An 80-year-old client is being seen by the urologist because of erectile dysfunction. This client has a history of hypertension and heart disease. Which of the following would be the most likely cause of his erectile dysfunction?

All options are correct.

Which of the following is accurate regarding sildenafil (Viagra)?

Its side effects include headache, flushing, and dizziness.

Which of the following type of fracture is associated with osteoporosis?

Compression

The nurse is administering intravenous amiodarone to a patient in the emergency department. Which task would the nurse need to prioritize?

Monitoring the patient's blood pressure

When caring for a client with a fracture, what assessment would take priority?

Neurovascular compromise

The nurse is reviewing the history of a client with erectile dysfunction. Which of the following would the nurse least likely identify as contributing to the client's condition?

New onset of anemia being treated with iron supplements

Which of the following describes failure of the ends of a fractured bone to unite in normal alignment?

Nonunion

Nursing students are reviewing information about the male reproductive system and normal age-related changes. They demonstrate understanding of the topic when they identify which of the following as occurring?

Plasma testosterone levels decrease

A nurse is caring for a client undergoing treatment for bacterial vaginosis. Which instruction should the nurse give the client to prevent recurrence of bacterial vaginosis?

Practice monogamy

A client is receiving adenosine for treatment of supraventricular tachycardia. The nurse understands that this drug results in:

Prolonged refractory period

A client sprains an ankle while playing tennis and is brought to the emergency department. What is the priority action by the nurse?

Rest, ice, compression, and elevation

What do class IB anti-arrhythmics result in? (Select all that apply.)

Shortening of the action potential duration Depression of cardiac conduction

The nurse is preparing to defibrillate a client with no breathing or pulse. Which nursing action precedes the nurse pressing the discharge button?

Shouts, "All clear"

Which is a risk-lowering strategy for osteoporosis?

Smoking cessation

An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?

Syphilis

A nurse is performing discharge teaching for an elderly client with osteoporosis. Which instruction about taking a calcium supplement should the nurse include?

Take the supplement with meals or with orange juice

The home care nurse is caring for an elderly female patient who has been diagnosed with osteoporosis. When explaining the disease and its treatment to the patient, what should the nurse identify as a potentially serious complication?

Bone fracture

A primary care provider tells a client to return 2 to 3 months after treatment to have a repeat culture done to verify the cure. This prescription would be appropriate for a woman with which condition?

gonorrhea

A client who has suffered a compound fracture is preparing for discharge to home. During the teaching session, the client asks why he needs antibiotics for a broken bone. Which response by the nurse is most appropriate?

Antibiotic therapy has been prescribed as a precaution because your bone was exposed to the environment at the time of your injury.

A client is transported to the emergency department for a femur fracture following a motor vehicle crash. What action by the nurse is the highest priority?

Assess vital signs and level of consciousness

A nurse completes a shift assessment on a client admitted to the telemetry unit with a diagnosis of syncope. The client's heart rate is 55 bpm with a blood pressure of 90/66 mm Hg. The client is also experiencing dizziness and shortness of breath. Which medication will the nurse anticipate administering to the client based on these clinical findings?

Atropine

Which medication is the drug of choice for sinus bradycardia?

Atropine

Which term refers to a break in the continuity of a bone?

Fracture

When planning the care of a client with an implanted pacemaker, what assessment should the nurse prioritize?

Heart rate and rhythm

Hormone therapy decreases the risk of which of the following?

Hot flashes

The nurse understands that asystole can be caused by several conditions. Select all that apply

Hypoxia Hypovolemia Hypothermia Acidosis

A client has a fractured femur and is being seen in the emergency department. The nurse assessing the area notices there is a grating sound that is suspected to be bone ends moving over one another. This would be called:

crepitus.

A client with primary syphilis is allergic to penicillin. The nurse would expect the primary care provider to prescribe which agent?

doxycycline

A nurse educator is teaching a client about sexually transmitted infections. The client would learn that which medications are appropriate to treat chlamydia? Select all that apply.

doxycycline azithromycin ceftriaxone

A community health nurse is conducting a class on sexually transmitted infections (STIs). She states that "STIs are discriminatory." What would the nurse most likely use to support this statement?

"Women are diagnosed with two thirds of the new cases of STIs annually." "After only a single exposure, women are twice as likely as men to acquire STIs." "Certain infections can be transmitted to the newborn."

A nurse is caring for a client who has had an automatic cardiac defibrillator implanted. What instructions should the nurse provide to the client?

Avoid devices with a magnetic field

A patient has been prescribed a tetracycline drug for Rocky Mountain spotted fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?

Decreased absorption of tetracycline

The health care provider has prescribed a class IV calcium channel blocker for a client diagnosed with acute supraventricular tachycardia. Which drug does this nurse expect to be prescribed?

Diltiazem

The nurse teaches 17-year-old girl with has a severe gonorrheal infection about her disease. The nurse realizes that the girl understands the implications of her disease when the client makes which statement

I could have trouble getting pregnant.

A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?

Low bone density and a family history of osteoporosis

A patient, admitted to a health care facility with cardiac arrhythmia, is prescribed propranolol. Which factor should the nurse closely monitor as a part of the ongoing assessment during the therapy?

Pulse rate

Which physiological conditions are common triggers for the development of cardiac arrhythmias? Select all that apply

Respiratory distress Potassium imbalance Metabolic acidosis Faulty sinoventricular node

A 55-year-old patient has hypertension. She has admitted to her physician that she stopped taking her regular medications about 3 months ago and started an alternative, new-age therapy. When the patient asks about herbal remedies to treat her hot flashes, which of the following natural estrogens is the physician likely to recommend?

Soy milk

The nurse is educating a group of women on the prevention of osteoporosis. The nurse recognizes the education as being effective when the group members make which of the following statements?

We need an adequate amount of exposure to sunshine.

A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this client would contraindicate the use of tadalafil for his ED?

has unstable angina and uses a nitroglycerin patch

Which of the following terms refers to difficult or painful sexual intercourse?

Dyspareunia

The nurse is evaluating a female client's understanding of how to prevent sexually transmitted infections (STIs). Which statement indicates that the client understands how to protect herself?

I'll be sure my partner uses a condom

The nurse is writing a plan of care for a client with a cardiac dysrhythmia. What would be the priority goal for the client?

Maintain adequate cardiac output.

Which of the following is not a definition of erectile dysfunction?

The inability to achieve an erection after sexual activity

Which of the following dinner selections demonstrates an understanding of nutritional therapy used by women to decrease the signs and symptoms of menopause?

Wheat toast, apple slices, broiled chicken breast, and steamed carrots

A patient with a musculoskeletal injury is instructed to increase dietary calcium. Which of the following statements by the nurse is appropriate?

You need to increase the amount of vitamin D in your diet.

The nurse is caring for a client who is displaying a third-degree AV block on the EKG monitor. What is the priority nursing intervention for the client?

alerting the healthcare provider of the third-degree heart block

What is the most common early symptom of a sexually transmitted infection?

dysuria

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection?

dysuria

A nurse is providing care to a client diagnosed with genital/vulvovaginal candidiasis. As part of the client's plan of care, the nurse would teach the client about which medication?

miconazole

Tetracyclines should not be used in children younger than 8 years of age because of their effects on:

teeth & bones

A client who has been treated for recurring gonorrhea visits the sexual health clinic reporting dysuria, urinary frequency, and whitish-yellow vaginal discharge. A pelvic examination reveals cervicitis. How would the nurse interpret these findings?

the possibility of a chlamydia infection

A community health nurse is presenting to group of adolescents on how to reduce their risks of contracting sexually transmitted infections (STIs). The nurse feels confident learning has taken place when the participants identify which as the best preventative measure?

using latex condoms during sexual activity

A client is using high-dose estrogen oral contraceptives. The nurse would assess the client for which finding?

yeast infections

A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect which finding once the microorganism disseminates throughout the body

painful joints