Nur 113 - Unit 1 Practice Questions

A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with: a) human papillomavirus (HPV). b) Chlamydia trachomatis. c) Candida albicans. d) Trichomonas vaginalis.

a

A child is prescribed Adderall XR 5 mg daily. The capsules are 5 mg each. The nurse administers: A) 1 capsule B) ½ capsule C) 2 capsules D) 3 capsules

a

A client taking oral contraceptive pills calls the clinic and reports the presence of chest pain and shortness of breath. The nurse should instruct the client to: A) Go to the nearest emergency room to be evaluated. B) Wait for the physician to return a telephone call to the client. C) Stop taking the pills and use a non-hormonal contraceptive method. D) Eat smaller meals more frequently to prevent gastric distention.

a

A client with a history of toxic shock syndrome comes to the reproductive clinic seeking contraception. Based on this information, which method should the nurse avoid recommending for this client? A) Cervical cap B) Female condom C) Spermicide D) Norplant

a

A nurse is speaking with a 35 year old client who has fibrocystic disease of the breasts. At which of the following times should the nurse inform the client that manifestations are most evident? a. before menstruation begins b. after menstruation ends c. during cold weather d. during hot weather

a

A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching? a. "Transmission of the disease will not occur when my lesions are gone." b. "Abstaining from sexual activity reduces the risk of transmission of the disease." c. "The use of condoms will reduce the risk of transmission." d. "Antiviral medications will not cure the infection."

a

A rape victim says to the nurse, "I always try to be so careful. I know I should not have walked to my car alone. Was this attack my fault?" Which communication by the nurse is most therapeutic? a.Support the victim to separate issues of vulnerability from blame. b.Emphasize the importance of using a buddy system in public places. c.Reassure the victim that the outcome of the situation will be positive. d.Pose questions about the rape and help the patient explore why it happened.

a

Following a teaching session on how to use the diaphragm as a contraceptive method, the nurse evaluates the client's understanding. Which statement made by the client demonstrates the need for additional teaching? A) "If I chose a diaphragm, I won't need to use any spermicide." B) "I will need to inspect the diaphragm after I take it out and clean it." C) "When I want to get pregnant, I can just stop using my diaphragm." D) "I need to leave the diaphragm in for at least 6 hours after having intercourse."

a

The nurse is teaching a client how to correctly use progestin-only oral contraceptives. The nurse should include which information in the teaching plan? A) Take one pill at the same time each day. B) Take the pills with calcium-rich foods to promote abortion. C) Skip 5 days between the end of one pill cycle and the beginning of the next. D) An additional method of contraception is not needed through the end of the cycle is a pill is missed.

a

Which intervention would be most effective in teaching a client with low literacy skills how to insert a diaphragm?" A) Assess the client's understanding of how a diaphragm works. B) Give the client a printed handout explaining use of the diaphragm. C) Provide the client with an opportunity to practice inserting and removing the diaphragm on a high-tech computerized simulation model. D) Use an audio tape to explain use of the diaphragm.

a

Which statement indicates that client teaching about vaginal infections has been effective? a. "The fishy vaginal odor I have is caused by a bacterial infection." b. "I can use this antiyeast medication weekly to prevent another infection." c. "My diabetes is unrelated to the frequency of my vaginal yeast infections." d. "I should douche weekly to prevent a recurrence of my bacterial vaginosis."

a

You are teaching a class about cervical cancer prevention. Your educational pamphlet may include information about which topics (Select all that apply). A) Multiple sexual partners B) Exposure to STIs C) Smoking D) Pap smears E) Calcium supplementation

a, b, c, d

A child is diagnosed with Autism Spectrum Disorder (ASD). The concerned mother asks about expected behaviors with ASD. You respond: Select all that apply. A) The child may respond well to routines, order, & rituals B) The child may have "splinter skills" such as the ability to read at an early age without understanding what it means C) The child may not want to snuggle when picked up D) The child will show concern or empathy for others E) The child may make very little eye contact with others

a, b, c, e

Cerebral palsy cannot be cured, but possible treatment/s for symptoms of CP is/are: A) Operations B) Braces C) Chemotherapy D) Physical Therapy

a, b, d

Signs of behavior a nurse may recognize in an autistic child are: Select all that apply. A) Little or no eye contact B) Persistent fixation on parts of objects C) Intense interest in peer relationships D) Lack of spontaneous or make-believe play

a, b, d

The mother of a child with autism is asking about interventions to help with her son's daily living. The nurse could suggest: Select all that apply. A) Monitor for anxiety and stress B) Offer referrals for special services as required C) Administer medications to decrease spasticity D) Maintain consistency as much as possible E) Place child in isolation F) Encourage parent/s to attend support group

a, b, d, f

A 3 year old has just been diagnosed with autism. Which of the following behaviors would you expect you may observe. Select all that apply. A) Playing with parts of a toy instead of the whole toy B) Looking at objects parents are looking at or pointing towards C) Responding to sounds like a car horn or a cat's meow rather than his own name being called D) Obsessed with a few activities, doing them repeatedly during the day

a, c, d

A 9 year-old is prescribed tegretol suspension 100 mg twice daily. The medicine is packaged 50 mg/ml. The safe dose range is 400-800 mg/day. You will administer how much at each dose? A) 1 mL B) 2 mL C) 400 mg D) 250 mg

b

A nurse in a provider's office is planning care for a client who has a new diagnosis of PCOS. The nurse should plan to monitor which of the following laboratory values? a. BUN b. Glucose c. Liver function d. TSH

b

An autistic client recently admitted to the hospital grabs a toy and hits another child in the play room. The most appropriate nursing action is to: A) Isolate the client from others B) Provide safety for the client and other child with a non-judgmental attitude C) Encourage the client to express angry thoughts D) Contact the parents for input regarding behavioral management

b

The school nurse on several occasions has witnessed reckless driving by an adolescent who lives in her neighborhood. She is concerned for the safety of the teen and expresses that when he comes by her office. Adolescents are likely to take risks because: A) they are incapable of thinking at the adult level. B) they see themselves as invincible to bad outcomes. C) they have a short attention span. D) they have no respect for regulations or rules.

b

1. The nurse is teaching a class on infertility. The nurse describes infertility as: a. Difficulty conceiving because both partners have decreased fecundity. b. Women over 35 who are having difficulty conceiving. c. The lack of conception despite unprotected sexual intercourse for at least 12 months. d. An absolute factor preventing reproduction.

c

A Middle-Eastern woman is visiting her daughter when she presents with a urinary tract infection secondary to an infibulation procedure many years ago. Your best response to the situation would be to: A) Ask if she needs a social service consult B) Discuss referral to a cosmetic surgeon to improve the appearance of her genitalia C) Provide additional time for collection of her urine sample D) Share your revulsion about the infibulation procedure

c

A couple is trying to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. The nurse's most appropriate response is: a. "Tell your friends and family so they can help you." b. "Talk only to other friends who are infertile because only they can help." c. "Get involved with a support group. I'll give you some names." d. "Start adoption proceedings immediately because it is very difficult to obtain an infant."

c

A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take? a. discuss self-defense techniques with the client b. inform the client photographs of injuries are required for a police report c. ask the client to describe the situation d. give the client a bed bath prior to physical examination

c

A nurse is caring for a middle adult female who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause? a. urinary retention b. decreased BP c. dryness with intercourse d. elevation in body temperature above 37.8 degrees C (100 degrees F)

c

A nurse is developing a plan of care for a child with cerebral palsy (CP). The nurse understands that the primary goal for this client is to: A) Prevent the occurrence of emotional disturbances B) Provide treatment for the disorder C) Maximize the child's assets & minimize limitations caused by the disorder D) Cure the disorder

c

A nurse is reinforcing teaching about self-care with a client who hsa pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate? a. ask an assistive personnel who speaks the client's language to serve as an interpreter b. ask the client's English speaking family member to translate c. seek assistance from a facility -approved interpreter d. use a translation dictionary to reinforce the teaching

c

A nurse is teaching a group of newly licensed nurses of effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching? a. "Use closed-ended questions when obtaining the health history." b. "A client's reproductive health history is not needed for counseling purposes." c. "Ask about the client's exposure to any past or present STIs." d. "Refer the client to genetic counseling if he has a STI."

c

If a child has Autistic Spectrum Disorder (ASD) and exhibits immediate imitation of words or sound, you would document this as: A) Echoastic disorder B) Phonological inhibition C) Echolalia D) Grapheme dysfunction

c

In completing education with a mother of a newly diagnosed autistic child, the nurse knows teaching has been effective when the mother states: A) "My child will meet all of his developmental milestones on time" B) "My child should say 'mama' by the time he is two years old" C) "My child may be delayed developmentally and socially" D) "My child will be severely mentally retarded"

c

Screening for chlamydia is recommended for young women because A) Chlamydia is frequently comorbid with HIV. B) Chlamydial infections may progress to sepsis. C) Untreated chlamydial infections can lead to infertility. D) Chlamydial infections are treatable only in the early stages of infection.

c

The mother of a newly diagnosed autistic child asks, "Why does my child have this condition and what could I have done differently to keep him from getting this illness?" The best response from the nurse is to say: A) "It is caused by childhood immunizations, but that's a chance every parent must take" B) "It is caused by a genetic marker and nothing you did could have made a difference" C) "The cause of autism is not known" D) "The red dye in foods your child eats causes most cases of autism. I'll have a dietician talk to you about making better food choices"

c

The nurse is hiding a ball under the blanket of an infant. The nurse would expect the infant to demonstrate object permanence by: A) 3 months. B) 4-6 months. C) 8-12 months. D) 6-8 months.

c

The nurse is talking with a 13-year old child who has revealed that she is being sexually abused. The nurse should: A) promise not to tell anyone what the child reveals to the nurse. B) assure the child that he/she will not need to report the abuse. C) avoid using leading statements that can distort the child's reporting of the problem. D) express anger and shock at what the child is telling the nurse.

c

The nurse is teaching a class on autism. Included in the presentation may be which of the following statements? A) "To meet DSM-IV criteria, a child must display characteristics of autism before the age of 12 months" B) "To meet DSM-IV criteria, a child must display characteristics of autism before the age of 2 years" C) "To meet DSM-IV criteria, a child must display characteristics of autism before the age of 3 years" D) "To meet DSM-IV criteria, a child must display characteristics of autism before the age of 7 years"

c

Which statement best demonstrates a male client understands how to correctly apply a condom? A) "I need to put it on before the penis is erect." B) "I should unroll the condom, then place it on the penis." C) "I need to leave some space at the tip to collect the sperm." D) "I can use oil-based lubricants if needed."

c

A nurse in a clinic is caring for a female client who was exposed to gonorrhea. Which of the following actions should the nurse take? a. Instruct the client about preventing reinfection by using a diaphragm b. Tell the client to expect some joint pain c. Obtain information about the client's recent sexual experiences d. Collect a urine specimen from the client

c, d

Adolescent with Attention Deficit Hyperactivity Disorder (ADHD) has difficulty completing homework in the evening despite being managed on daytime medication. The nurse should include which of the following suggestions when educating the father about measures he can use to improve task performance in his child? Select all that apply. A) Instruct the child to stay in his room until all homework is complete B) Take away privileges if homework is not completed within a 2-hour time period C) Decrease the number of distractions to assist the child in learning how to filter out extraneous stimuli D) Divide the task into smaller, more attainable steps & reward the completion of each step with a break E) Administer an extra dose of methylphenidate (Ritalin) in the evening

c, d

A 16-year-old patient comes to the free clinic and is diagnosed with primary syphilis. The patient states that she contracted this disease by holding hands with someone who has syphilis. What is the most appropriate nursing diagnosis for this patient? a) Alteration in comfort related to impaired skin integrity b) Fear related to complications c) Noncompliance with treatment regimen related to age d) Knowledge deficit related to modes of transmission

d

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate? a) "All you need is a dose of penicillin and the infection will be gone." b) "There is a new vaccine available that prevents the infection from returning." c) "Once you have the infection, you develop an immunity to it." d) "There is no cure, but drug therapy helps to reduce symptoms and recurrences."

d

A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include? a. expect some breast dimpling or discharge with age b. for those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before mestruation c. using the palm of the hand, feel for lumps using a circular motion d. breast can be examined in the shower with soapy hands

d

A nure is caring for a client whose Pap test cytology results are abnormal. Which of the following procedures should the nurse anticipate for this client? a. rectovaginal palpation by the provider b. dilation and curettage c. human chorionic gonadotropin (hCG) d. colposcopy

d

A nurse is observing a child with autism. The nurse would expect to observe: A) Normal social play B) Normal responses to sensory stimuli C) Abnormal verbal but normal nonverbal communication D) Lack of social interaction

d

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of: a) why the disease is transmittable only when visible lesions are present. b) the need for the use of petroleum products. c) the option of disregarding safer-sex practices now that he's already infected. d) the importance of informing his partners of the disease.

d

A woman is 41 years old, a heavy smoker, married, monogamous, and has very irregular menstrual cycles. Childbearing is complete and she desires highly reliable contraception. Assuming that the following are all acceptable for her, you recommend: A) Triphasic oral contraception B) A spermicidal jelly C) The rhythm method D) A diaphragm and spermicide

d

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? a) Syphillis b) Gonorrhea c) Chlamydia d) Genital herpes

d

The client is a long-distance runner, with 9.0 percent body fat. Which of the following would you expect to see? A) Regular menses and a BBT that indicates ovulation B) Irregular menses and a BBT that indicates ovulation C) Regular menses and a BBT that indicates lack of ovulation D) Irregular menses and a BBT that indicates lack of ovulation

d

True/False. Some causes of CP can be prevented (Ex. Bike helmets & car seats can prevent head injury, phototherapy can treat jaundice)

true