NUR413 EXAM 1 PRACTICE QUESTIONS

The nurse seeing a client just diagnosed with Chlamydia trachomatis knows that which client is at greatest risk for the infection? 1. 16-year-old sexually active girl, using no contraceptive 2. 22-year-old mother of two, developed dyspareunia 3. 35-year-old woman on oral contraceptives 4. 48-year-old woman with hot flashes and night sweats

1. 16-year-old sexually active girl, using no contraceptive

The nurse obtains a health history from four clients. To which client should she give priority for teaching about cervical cancer prevention? 1. Age 30, treated for PID 2. Age 25, monogamous 3. Age 20, pregnant 4. Age 27, uses a diaphragm

1. Age 30, treated for PID

A home health nurse is making a home visit to a new mother who is diabetic and requires some follow-up to make sure her baby is doing well and that her diabetes is in control while she is breastfeeding. The client meets her at the door, crying, with bruises on her face and legs. The nurse knows the client has been in a questionable relationship. What is the first responsibility of the nurse for this client at this time? 1. Assist in getting the client and her baby to a safe situation. 2. Check her blood sugar and make sure it is within normal limits. 3. Ask her how she is doing with the breastfeeding. 4. Check the babys heart rate and other vital signs.

1. Assist in getting the client and her baby to a safe situation.

Among women who have been sexually assaulted, which of the following are the most frequently diagnosed sexually transmitted infections (STIs)? Select all that apply. 1. Bacterial vaginosis 2. HIV 3. Chlamydia 4. Syphilis 5. Gonorrhea

1. Bacterial vaginosis 3. Chlamydia 5. Gonorrhea

The nurse working in the emergency department is admitting a woman who has been battered for a second time, and recognizes that the woman is again in the cycle of violence. The nurse knows that which of the following are characteristics of the phases of the cycle of violence? 1. Batterer demonstrates power and control 2. Active battering from some event 3. A loving, contrite period 4. Defeat and admission of guilt by the victim 5. Blame and punishment for inferiority

1. Batterer demonstrates power and control 2. Active battering from some event 3. A loving, contrite period

The nurse at a shelter is counseling a group of battered women. What will the nurse will emphasize? 1. Battering will not stop or decrease if the woman becomes pregnant. 2. About 1 of every 5 women will experience abuse in her lifetime. 3. When these women go back to the situation after the abuser has cooled down, it will be better. 4. The battered woman can readily leave the situation.

1. Battering will not stop or decrease if the woman becomes pregnant.

The nurse working in a womens clinic recognizes that which clients are most at risk for developing vulvovaginal candidiasis? Select all that apply. 1. Clients using antibiotics 2. Immunocompetent clients 3. Pregnant clients 4. Multiparous clients 5. Diabetic clients

1. Clients using antibiotics 3. Pregnant clients 5. Diabetic clients

When evaluating the care given a battered woman, the nurse analyzes care plan components to determine which of the following? 1. Compassionate, respectful care was delivered. 2. The woman has the necessary information to make decisions. 3. Medical records are deliberately vague. 4. Psychological care was given in the hospital. 5. The woman identifies culturally appropriate resources.

1. Compassionate, respectful care was delivered. 2. The woman has the necessary information to make decisions. 5. The woman identifies culturally appropriate resources.

The nurse is discussing the use of contraception with a client who has just become sexually active. What factors should the nurse include when educating the client on contraceptive methods? Select all that apply. 1. Contraindications in the clients health history 2. Religious or moral beliefs 3. Partners belief in the effectiveness of the choice 4. Personal preferences to use method 5. Future childbearing plans

1. Contraindications in the clients health history 2. Religious or moral beliefs 4. Personal preferences to use method 5. Future childbearing plans

A nurse is teaching contraception to a group of college students during a health class. What reason will the nurse include as to why couples might choose to use contraception? elect all that apply. 1. Couples use contraception to avoid pregnancy. 2. Couples use contraception to space future pregnancies. 3. Couples use contraception to gain control over the number of children conceived. 4. Couples use contraception to avoid decisions about the number of children to have. 5. Couples use contraception to avoid contracting sexually transmitted diseases.

1. Couples use contraception to avoid pregnancy. 2. Couples use contraception to space future pregnancies. 3. Couples use contraception to gain control over the number of children conceived. 5. Couples use contraception to avoid contracting sexually transmitted diseases.

What issues should the nurse consider when counseling a client on contraceptive methods? Select all that apply. 1. Cultural perspectives on menstruation and pregnancy 2. Effectiveness of the method 3. Future childbearing plans 4. Whether the client is a vegetarian 5. Age at menarche

1. Cultural perspectives on menstruation and pregnancy 2. Effectiveness of the method 3. Future childbearing plans

A woman is asking the nurse about using the calendar method of contraception. She reports that her last six menstrual cycles were 28, 32, 29, 36, 30, and 27 days long, respectively. Based on this information, when should the nurse tell the client to abstain from intercourse? 1. Days 9-25 2. Days 9-15 3. Days 10-21 4. Days 10-16

1. Days 9-25

The nurse is providing health education to a group of young people. When teaching about the prevention of sexually transmitted infections (STIs), the nurse will teach which concepts? Select all that apply. 1. Decision-making skills in refusing intercourse 2. How to reduce high-risk behaviors 3. That Pap smears might be needed more often 4. The safety of oral sex 5. Use of petroleum-based lubricants with condoms

1. Decision-making skills in refusing intercourse 2. How to reduce high-risk behaviors 3. That Pap smears might be needed more often

When a woman seeks care for an injury, the nurse should be alert to which clues of abuse? 1. Defensive injuries 2. Immediate reporting of symptoms or seeking care for injuries 3. Lack of eye contact 4. Providing too much detailed information about the injury 5. Vague complaints without accompanying pathology

1. Defensive injuries 3. Lack of eye contact 5. Vague complaints without accompanying pathology

During a counseling session on natural family planning techniques, the nurse explains that cervical mucus at the time of ovulation should be of what consistency? 1. Egg white appearance and stretchable 2. Opaque and acidic 3. High in leukocytes 4. Lacking in quantity

1. Egg white appearance and stretchable

A nurse in the emergency department recognizes in the husband of a client one of which of the following common characteristics of batterers? 1. Emotionally immature 2. Tend to express their overwhelming feelings of inadequacy through violence 3. Feelings of insecurity and inferiority 4. A lack of respect in the community 5. Limited jealousy or possessiveness

1. Emotionally immature 2. Tend to express their overwhelming feelings of inadequacy through violence 3. Feelings of insecurity and inferiority

What is the most important aspect of care for the nurse to remember when screening a woman for partner abuse? 1. Ensuring privacy and confidentiality 2. Conveying warmth and empathy 3. Asking specific, direct questions about abuse 4. Clarifying her myths about battering

1. Ensuring privacy and confidentiality

A client using oral contraceptives tells the nurse that her family is complete, and she now desires permanent contraception. Which statement should the nurse include in teaching this client about sterilization options? 1. Essure becomes effective 3 months after insertion. 2. Vasectomy is effective immediately after the procedure. 3. Tubal ligation cannot be performed until the client is age 35. 4. Oral contraception should be taken until menopause.

1. Essure becomes effective 3 months after insertion.

The nurse working in the emergency department of a hospital is caring for a woman whom the nurse suspects is the victim of domestic violence. The nurse knows that which of the following are contributing factors to domestic violence? 1. Experiencing or witnessing abuse as a child 2. Strong patriarchal family traditions 3. Linking masculinity to male honor 4. Low levels of marital conflict 5. Alcohol and drug abuse cause the violence

1. Experiencing or witnessing abuse as a child 2. Strong patriarchal family traditions 3. Linking masculinity to male honor

The culturally sensitive nurse will assess cultural attitudes and beliefs about contraception, which can include which of the following? 1. Gender inequities 2. Religion 3. Deference to authority figures 4. Devaluation of large families 5. Attitudes about bleeding

1. Gender inequities 2. Religion 3. Deference to authority figures 5. Attitudes about bleeding

The nurse suspects that a pregnant client might be experiencing abuse when the client does which of the following? 1. Gives an inappropriate explanation for the injuries 2. Hesitates in providing detailed information about the injury 3. Makes eye contact with the nurse while answering questions 4. Allows her partner to answer the nurses questions 5. Frequently calls to change appointment times

1. Gives an inappropriate explanation for the injuries 2. Hesitates in providing detailed information about the injury 4. Allows her partner to answer the nurses questions 5. Frequently calls to change appointment times

The nurse is evaluating the outcomes of nursing care given a female client with a sexually transmitted infection (STI). Which of the following will the nurse verify about the client? Select all that apply. 1. Had an identified infection 2. Could identify the mode of transmission 3. Would never cope with the infection 4. Could recognize the symptoms of an STI 5. Would not disclose the STI to her partner

1. Had an identified infection 2. Could identify the mode of transmission 4. Could recognize the symptoms of an STI

The clinic nurse teaches the pregnant client being treated for trichomoniasis about the risks to her pregnancy due to this infection. Which statement would indicate successful teaching? 1. I am at risk of having a preterm birth because of this infection. 2. I might need to have my membranes ruptured because of this infection. 3. I am at risk of having a baby with a high birth weight. 4. I may have intercourse with my husband while bring treated for this infection.

1. I am at risk of having a preterm birth because of this infection.

The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Select all that apply. 1. I might have infertility because of this infection. 2. It is important for me to finish my antibiotics. 3. Tubal pregnancy could occur after PID. 4. My PID was caused by a yeast infection. 5. I am going to have an IUD placed for contraception.

1. I might have infertility because of this infection. 2. It is important for me to finish my antibiotics. 3. Tubal pregnancy could occur after PID.

If a woman returns to an abusive situation, the nurse should encourage her to develop an exit, or safety, plan for herself and her children, if she has any. What should the plan include? 1. Identify friends and family who know about the situation and will help her. 2. Call the police if violence begins. 3. Pack a change of clothes for herself and the children. 4. Have a plan for where she will go. 5. Have a planned escape route.

1. Identify friends and family who know about the situation and will help her. 3. Pack a change of clothes for herself and the children. 4. Have a plan for where she will go. 5. Have a planned escape route.

A nurse is teaching a group of college students at a Catholic university about natural family planning (NFP). Teaching was successful if the students say natural family planning is which of the following? Select all that apply. 1. It is free, safe, and acceptable according to our religion. 2. It includes breastfeeding for 1 year. 3. It is useful in helping us plan pregnancies. 4. It allows us to safely have intercourse during our fertile days. 5. It does not involve the use of artificial substances or devices.

1. It is free, safe, and acceptable according to our religion. 3. It is useful in helping us plan pregnancies. 5. It does not involve the use of artificial substances or devices.

The nurse teaching a group of new mothers and explains that barrier methods of contraception are appropriate if which of the following conditions exist? Select all that apply. 1. Just started an oral contraceptive 2. Is opposed to systemic medications 3. Is lactating 4. Is unconcerned about using contraception 5. Does not smoke and is perimenopausal

1. Just started an oral contraceptive 2. Is opposed to systemic medications 3. Is lactating 5. Does not smoke and is perimenopausal

the nurse is caring for a battered woman in the emergency department. Which nursing guidelines are used in the care of this client? 1. Letting the woman tell her story at her own pace 2. Anticipating ambivalence toward the batterer 3. Acknowledging the womans feelings as reasonable 4. Letting the woman figure out how to identify specific problems on her own 5. Allowing her to believe in false beliefs if it makes her feel more secure

1. Letting the woman tell her story at her own pace 2. Anticipating ambivalence toward the batterer 3. Acknowledging the womans feelings as reasonable

A client in the womens clinic asks the nurse, How is the cervical mucus method of contraception different from the rhythm method? The appropriate response by the nurse is that the cervical mucus method is which of the following? 1. More effective for women with irregular cycles 2. Not acceptable to women of many different religions 3. Harder to work with than is the rhythm method 4. Requires an artificial substance or device

1. More effective for women with irregular cycles

The nurse suspects that a client has been physically abused, but the woman refuses to report the abuse to the police. Which statement by the client suggests to the nurse that the relationship might be in the honeymoon period of the cycle of violence? 1. My boyfriend says he will never hurt me again. 2. My boyfriend only drinks alcohol on the weekends. 3. My boyfriend yells less than he used to. 4. My boyfriend has frequent bouts of insomnia.

1. My boyfriend says he will never hurt me again.

A client comes to the clinic complaining of difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina. She denies having ever had these symptoms before. The medication the physician is most likely to order would be: 1. Oral acyclovir 2. Ceftriaxone IM 3. Azithromycin p.o. 4. Penicillin G IM

1. Oral acyclovir

When assessing a client asking about birth control, the nurse knows that the client would not be a good candidate for Depo-Provera (DMPA) if which of the following is true? 1. She wishes to get pregnant within 3 months. 2. She is a nursing mother. 3. She has a vaginal prolapse. 4. She weighs 200 pounds.

1. She wishes to get pregnant within 3 months.

A client who was raped is in the emergency department. She asks the nurse what her alternatives are for emergency contraception. The nurse tells her she can receive which of the following treatments? Select all that apply. 1. Take levonorgestrel and ethinyl estradiol. 2. Have Essure implanted. 3. Have a laparoscopic tubal ligation. 4. Take levonorgestrel alone, but in a high dose. 5. Take high doses of male hormones.

1. Take levonorgestrel and ethinyl estradiol. 4. Take levonorgestrel alone, but in a high dose.

The client has been a victim of a violent, sadistic rape. She is crying, and asks the nurse Why would someone do something like that? The nurse should explain that which of the following is the primary purpose of sadistic rape? 1. Take pleasure from the victims struggle and pain 2. Express feelings of rage 3. Feel a sense of power or mastery 4. Relieve intolerable anxiety

1. Take pleasure from the victims struggle and pain

The nurse is addressing a college class on the topic of domestic violence. Which information would the nurse be sure to convey to her students? 1. The American Nurses Association advocates client advocacy for all nurses to help identify and prevent violence against women. 2. The American Nurses Association has concluded that there is little nurses can do to eliminate violence. 3. The nurse who suspects abuse should ask the doctor to deal with it, per American Nurses Association guidelines. 4. The nurse who suspects abuse should ask the hospitals social work department to deal with it, per American Nurses Association guidelines.

1. The American Nurses Association advocates client advocacy for all nurses to help identify and prevent violence against women.

the nurse working in the emergency department knows that many batterers have feelings of ambivalence. In what way might this be evident? 1. The abuser alternates episodes of unmerciful beatings with periods of remorse and loving attention. 2. The abuser has alternating periods of sadness and happiness. 3. The abuser has alternating periods of maturity and immaturity. 4. The abuser alternates letting the person he abuses be independent and then dependent.

1. The abuser alternates episodes of unmerciful beatings with periods of remorse and loving attention.

A nurse is providing contraceptive counseling to a perimenopausal client in a monogamous relationship. What comment by the client indicates that further teaching is necessary? 1. The calendar method is the most reliable method for me to use. 2. If I use the IUC, I will be at minimal risk for pelvic inflammatory disease. 3. I should still use birth control, even though I had only three periods last year. 4. The contraceptive skin patch contains both estrogen and progesterone.

1. The calendar method is the most reliable method for me to use.

The nurse is evaluating the outcomes of nursing care for a woman with a urinary tract infection. Which of the following does the nurse include in the evaluation? Select all that apply. 1. The client implements self-care measures for prevention. 2. The client completed the prescribed antibiotics. 3. The client knows self-care measures for worsening symptoms. 4. The client states that UTIs are controlled, not cured. 5. The client knows that cranberry juice can help prevent UTIs.

1. The client implements self-care measures for prevention. 2. The client completed the prescribed antibiotics.

A woman has come to the emergency department with multiple bruises over her body and a small laceration over her upper lip. She says she fell down the stairs while doing her housework. Which observation would most likely cause the nurse to suspect that she has been a victim of battering? 1. The client is hesitant to provide details about how the injuries occurred. 2. The client was accompanied to the emergency department by her mother instead of her partner. 3. The client has sought care quickly after the incident. 4. The client does not seem to be in pain.

1. The client is hesitant to provide details about how the injuries occurred.

A pregnant client at 24 weeks gestation is diagnosed with bacterial vaginosis. Her doctor orders Flagyl to treat the problem. What would be appropriate education for the nurse to provide? 1. The client must be careful to observe for signs of preterm labor. 2. The client should advise her partner to seek therapy as soon as possible. 3. The main side effect of the medication is a large amount of vaginal discharge. 4. A repeat culture should be taken 2 weeks after completing the therapy.

1. The client must be careful to observe for signs of preterm labor.

The nurse is teaching a group of young women how to prevent urinary tract infections. What will the nurse include in the teaching? 1. The importance of good hygiene 2. How to recognize the signs and symptoms 3. How to take prescribed antibiotics 4. Fluids are restricted to 1000 ml 5. To urinate only when the urge is strong

1. The importance of good hygiene 2. How to recognize the signs and symptoms 3. How to take prescribed antibiotics

The nurse is caring for an abused mother in the postpartum department. The client is afraid to go home, but has no money to do anything else. What can the nurse do to assist this individual and her baby? 1. Work with community services to have the client and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance. 2. Explain that she will have to go home at this time, but provide her with paperwork to complete to obtain assistance. 3. Offer to have her partner come in and attend a counseling session with her. 4. Suggest that once she gets home, she should pursue getting a restraining order against her abuser.

1. Work with community services to have the client and her baby go to a safe place, complete paperwork to obtain financial assistance, and obtain some temporary assistance.

The OB-GYN nurse is teaching a client at the clinic that use of a spermicide has an increased effectiveness if used with which other items? Select all that apply. 1. A non-water-based lubricant 2. A diaphragm 3. A contraceptive sponge 4. Prophylactic antibiotics 5. A condom

2. A diaphragm 3. A contraceptive sponge 5. A condom

The nurse is seeing clients in the womens clinic. Which client should be treated with ceftriaxone IM and doxycycline orally? 1. A pregnant client with gonorrhea and a yeast infection 2. A nonpregnant client with gonorrhea and chlamydia 3. A pregnant client with syphilis 4. A nonpregnant client with chlamydia and trichomoniasis

2. A nonpregnant client with gonorrhea and chlamydia

The nurse is caring for a client hospitalized for pelvic inflammatory disease. Which nursing intervention would have priority? 1. Encourage oral fluids 2. Administer cefotetan IV 3. Enforce bed rest 4. Remove IUC, if present

2. Administer cefotetan IV

The nurse is presenting a session on intimate partner violence. Which statement by a client indicates a need for further education? 1. My daughter is not to blame for the violence in her marriage. 2. Everyone experiences anger and hitting in a relationship. 3. Abusers can be either husbands or boyfriends or girlfriends. 4. The honeymoon period follows an episode of violence.

2. Everyone experiences anger and hitting in a relationship.

A client in the clinic asks the nurse about available contraceptives. Before responding, the nurse must assess which of the following factors? 1. When menarche occurred 2. How frequently the client has intercourse 3. Whether the client has a history of thrombophlebitis 4. What the clients partner prefers 5. Whether the client is in a monogamous relationship

2. How frequently the client has intercourse 3. Whether the client has a history of thrombophlebitis 5. Whether the client is in a monogamous relationship

Extended use combined oral contraceptives (COCs) reduce the side effects of COCs such as which of the following? 1. Cramping 2. Hypertension 3. Breast tenderness 4. Bloating

2. Hypertension

The nurse is providing follow-up education to a client just diagnosed with vaginal herpes. What statement by the client verifies correct knowledge about vaginal herpes? 1. I should douche daily to prevent infection. 2. I could have another breakout during my period. 3. I am more likely to develop cancer of the cervix. 4. I should use sodium bicarbonate on the lesions to relieve discomfort.

2. I could have another breakout during my period.

The client demonstrates that the nurses teaching regarding ways to prevent a recurrence of her urinary tract infection was effective when she makes which statement? 1. I should wipe from back to front after urination. 2. I should urinate when I feel the urge. 3. I should try to restrict my intake of fruits. 4. I should use a diaphragm.

2. I should urinate when I feel the urge.

A client comes to the clinic complaining of a thick, white, tenacious discharge and vulvular soreness. Which medication treatment will the nurse teach the client about? Select all that apply. 1. Silver sulfadiazine 2. Metronidazole 3. Clindamycin cream 4. Ceftriaxone sodium 5. Doxycycline

2. Metronidazole 3. Clindamycin cream

A client who is currently 12 weeks pregnant is seeking information on pregnancy termination. The nurse is teaching the client about the risks involved if she were to take the medication mifepristone. Which adverse signs would the client need to know and report immediately to a physician? 1. Fatigue, lack of appetite, and inability to concentrate 2. Nausea, diarrhea, vomiting, and stomach pain 3. Increase in heart rate, inability to sit still, and lack of appetite 4. Headache, fatigue, and hunger

2. Nausea, diarrhea, vomiting, and stomach pain

The nurses response to a client with a history of pelvic inflammatory disease who is trying to get pregnant is based on the knowledge that which condition can contribute to an infertility problem? 1. Hepatitis 2. Postinfection tubal damage 3. Pelvic abscess 4. Tubal infection

2. Postinfection tubal damage

A client comes to the reproductive health clinic and reports that she woke up in a strange room this morning, her perineal area is sore, and she cant clearly remember what happened the previous evening. The client says that she is afraid that she was a victim of a drug-facilitated sexual assault. Which statement should the nurse include when discussing this possibility with the client? 1. Drinking alcohol can lead to uninhibited sexual behavior, which is not the same as rape. 2. Some men use drugs mixed into a drink to subdue a potential victim prior to a rape. 3. It is rare that a woman doesnt remember what happened if she is actually raped. 4. We need to check for forensic evidence of rape before we can be sure what happened.

2. Some men use drugs mixed into a drink to subdue a potential victim prior to a rape

The nurse in the community clinic instructs a client starting on a combined oral contraceptive that she must immediately report which of the following symptoms? Select all that apply. 1. Only four withdrawal bleeds per year 2. Speech problems 3. Unscheduled bleeding 4. Blood pressure of 126/84 5. New lumps in her breast

2. Speech problems 5. New lumps in her breast

The nurse educator is planning a class about contraception, and includes information about the effects of various contraceptive methods on sexually transmitted diseases. Which statement will the nurse include concerning spermicides? 1. Spermicides are effective against gonorrhea and chlamydia, but not against HIV. 2. Spermicides are not effective against sexually transmitted diseases, and can increase a womans susceptibility to HIV. 3. Spermicides are effective against HIV, but are not effective against the other sexually transmitted diseases. 4. Whether or not spermicides are effective against sexually transmitted diseases depends on where the woman is in her cycle.

2. Spermicides are not effective against sexually transmitted diseases, and can increase a womans susceptibility to HIV.

After a sex education class at a high school, the nurse overhears a student discussing safe sex practices. Which statement indicates that teaching was successful? 1. I dont have to worry about getting infected if I have oral sex. 2. Teen women are the group at highest risk for sexually transmitted infections. 3. The best thing to do if I have sex a lot is to use spermicide each and every time. 4. Boys get the HIV virus more easily than girls do.

2. Teen women are the group at highest risk for sexually transmitted infections.

The nurse is caring for a client in the clinic whom she suspects has vaginosis. Which test best determines whether this sexually active woman has the disorder? 1. The observation of mycelia upon direct microscopy in a 10% potassium hydroxide preparation 2. The addition of a 10% potassium hydroxide solution to the vaginal secretions 3. A vaginal pH of less than 4.5 4. A Gram stain positive for the fungus

2. The addition of a 10% potassium hydroxide solution

The nurse is preparing an education session for women on the prevention of urinary tract infections (UTIs). Which statement should be included? 1. Lower urinary tract infections rarely occur in women. 2. The most common causative organism of cystitis is E. coli. 3. Wiping from back to front after a BM will help prevent a UTI. 4. Back pain often develops with a lower urinary tract infection.

2. The most common causative organism of cystitis is E. coli.

A client is using the contraceptive sponge as a birth control method. What action is important in order to maintain the sponges effectiveness? 1. Insert the sponge at least 1 hour before intercourse. 2. Thoroughly moisten the sponge with water before inserting. 3. Spermicidal jelly must be inserted at the same time the sponge is inserted. 4. A new sponge must be inserted every time a couple has intercourse.

2. Thoroughly moisten the sponge with water before inserting.

When the nurse is teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size how often? 1. Every five years routinely 2. When weight gain or loss beyond five pounds has occurred 3. After each birth 4. Only after significant weight loss

3. After each birth

The nurse is planning a community education presentation on battering. Which statement about battering should the nurse include? 1. Battering occurs in a small percentage of the population. 2. Battering is mainly a lower-class, blue collar problem. 3. Battered women are at greatest risk for severe violence when they leave the batterer. 4. If the batterer stops drinking, the violence usually stops.

3. Battered women are at greatest risk for severe violence when they leave the batterer.

A client has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the client, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions? 1. Clients can infect their sexual partners. 2. The nurse is required by law to ask the questions. 3. Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily. 4. The laboratory needs a full client history in order to know for which organisms and antibiotic sensitivities it should test.

3. Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.

The nurse is planning an educational session about contraception. What will the nurse emphasize as being the most significant factor in determining the effectiveness of a specific method of contraception to avoid pregnancy? 1. Reliability 2. Ease of use 3. Consistency of use 4. Cost

3. Consistency of use

When a woman who has been raped is admitted to the emergency department, the nurse caring for the woman knows that which of the following is the priority nursing intervention? 1. Explaining exactly what will need to be done to preserve legal evidence 2. Assuring the woman that everything will be all right 3. Creating a safe, secure environment for her 4. Contacting family members

3. Creating a safe, secure environment for her

The nurse has been talking to a woman about the reorganization phase following a rape. Which response would indicate that the client understands this phase? 1. By using denial and suppression in this phase, I will eventually be able to accept what has happened to me. 2. During this time, I wont talk much about the rape, because I am examining my inward feelings regarding the rape. 3. During this time, I will repeatedly replay the role of the victim until I come to terms with the experience. 4. My perception of a normal sexual relationship will be similar to my perception prior to the rape.

3. During this time, I will repeatedly replay the role of the victim until I come to terms with the experience.

The nurse provides a couple with education about the consequences of not treating chlamydia, and knows they understand when they make which statement? 1. She could become pregnant. 2. She could have severe vaginal itching. 3. He could get an infection in the tube that carries the urine out. 4. It could cause us to develop a rash.

3. He could get an infection in the tube that carries the urine out.

the nurse is providing discharge instructions to a client with a diagnosis of vulvovaginal candidiasis (VVC), and knows the client understands when she makes which of the following statements? 1. I need to apply the miconazole for 10 days. 2. I need to douche daily. 3. I need to add yogurt to my diet. 4. I need to wear nylon panties.

3. I need to add yogurt to my diet.

A client who wants to use the vaginal sponge method of contraception shows that she understands the appropriate usage when she makes which statement? 1. I need to use a lubricant prior to insertion. 2. I need to add spermicidal cream prior to intercourse. 3. I need to moisten it with water prior to use. 4. I need to leave it in no longer than 6 hours.

3. I need to moisten it with water prior to use.

The nurse is developing a teaching plan for a client undergoing a tubal ligation. What information should be included in the plan? 1. The surgical procedure is easily reversible. 2. Laparotomy is performed following a vaginal birth. 3. Minilaparotomy is performed in the postpartum period soon after a vaginal birth. 4. Tubal ligation can be done at any time the woman is either pregnant or not pregnant.

3. Minilaparotomy is performed in the postpartum period soon after a vaginal birth.

Women with pyelonephritis during pregnancy are at significantly increased risk for which condition? 1. Foul-smelling discharge 2. Ectopic pregnancy 3. Preterm labor 4. A colicky large intestine

3. Preterm labor

A client asks the nurse, Can you explain to us how to use the basal body temperature method to detect ovulation and prevent pregnancy? What response by the nurse is best? 1. Take your temperature every evening at the same time and keep a record for a period of several weeks. A noticeable drop in temperature indicates that ovulation has occurred. 2. Take your temperature every day at the same time and keep a record of the findings. A noticeable rise in temperature indicates ovulation. 3. Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur. 4. This is an unscientific and unproven method of determining ovulation, and is not recognized as a means of birth control.

3. Take your temperature each day, immediately upon awakening, and keep a record of each finding. A noticeable rise in temperature indicates that ovulation is about to occur

The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following? 1. Forgetting to start her pill pack yesterday 2. Unprotected intercourse during her menses 3. That a condom broke yesterday in the middle of her cycle 4. Increased dysmenorrhea since IUC insertion

3. That a condom broke yesterday in the middle of her cycle

A woman comes into the emergency department stating she was raped the day before, and requests emergency contraception. She states that she is in the middle of her cycle. The nurse knows which of the following about the client? 1. This client has waited too long before coming to the emergency department. 2. The client will have to wait 10 days before she can have emergency contraception. 3. The client can receive emergency contraception up to 72 hours to 5 days after the intercourse. 4. The client will have to wait and see whether she misses a period.

3. The client can receive emergency contraception up to 72 hours to 5 days after the intercourse.

The nurse in the clinic instructs a client using the natural method of contraception to begin counting the first day of her cycle as which day? 1. The day her menstrual period ceases 2. The first day after her menstrual period ceases 3. The first day of her menstrual period 4. The day of ovulation

3. The first day of her menstrual period

The nurse in the emergency department is caring for a pregnant woman who presents with bruised breasts and abdomen. When asked how this happened, she states she fell down the stairs. The husband stays very close to his wife and does most of the talking. Of what is the nurse aware? 1. The client likely did fall down the stairs. 2. The husband is being attentive and trying to help her feel better. 3. The husband could have battered her and possibly caused her to fall down the stairs. 4. This client is safe to return home after her wrist is fixed.

3. The husband could have battered her and possibly caused her to fall down the stairs.

The nurse is instructing a client in the use of combined oral contraceptives. The nurse knows that additional teaching is required when the client makes which statement about the risks of taking combined oral contraceptives? 1. They will lower my risk for breast cancer. 2. They will increase my risk for cervical cancer. 3. They will lower my risk for ovarian cancer. 4. They will increase my risk for uterine cancer.

3. They will lower my risk for ovarian cancer.

Which of the following diagnostic tests would the nurse question when ordered for a client diagnosed with pelvic inflammatory disease (PID)? 1. CBC (complete blood count) with differential 2. Venereal Disease Research Laboratory (VDRL) 3. Throat culture for Streptococcus A 4. RPR (Rapid Plasma Reagin)

3. Throat culture for Streptococcus A

The nurse is providing instructions for a woman who has just had intrauterine contraception inserted. What is essential for the nurse to teach the client? 1. To palpate her lower abdomen each month to check the patency of the device 2. To remain on bed rest for 24 hours after insertion of the device 3. To report any pain during intercourse to the physician 4. To insert spermicidal jelly within 4 hours of every sexual encounter

3. To report any pain during intercourse to the physician

A woman is seen in the prenatal clinic. The nurse notices that the woman has a swollen eye and a bruise on her cheek. Which statement is most appropriate for the nurse to make? 1. You must leave your partner before you are injured again. 2. It is important that you refrain from doing things that anger your partner. 3. Women who are abused often have injuries like yours. 4. I am required by law to notify the police department of your injuries.

3. Women who are abused often have injuries like yours

The nurse in the clinic is seeing four clients. Which one is the best candidate for receiving an IUC? 1. An unmarried, 22-year-old college graduate 2. A married 24-year-old who has never been pregnant 3. An unmarried 25-year-old with a history of chlamydia 4. A married 26-year-old who has two children

4. A married 26-year-old who has two children

The client with limited English language skills has a black eye, and bruises across her face and arms. The clients husband has been acting as an interpreter for her, and answers all of the questions the nurse asks, often without talking to his wife first. The nurse suspects the client has been a victim of domestic abuse. What should the nurse do next? 1. Ask the husband whether he has beaten his wife. 2. Ask the husband to have a female friend come in with his wife. 3. Provide written materials in English for the client to read at home. 4. Ask the husband to step out of the room, and obtain an interpreter.

4. Ask the husband to step out of the room, and obtain an interpreter.

A woman who has been abused for a number of years asks the nurse for assistance in leaving the relationship. What response by the nurse is most appropriate? 1. Comment that she should have left long ago. 2. Remind the client that that fault was not likely all attributable to her abuser. 3. Encourage her to be sure with her decision, as her abuser will be difficult to deal with. 4. Assist the client to develop a safety plan.

4. Assist the client to develop a safety plan.

A nurse is teaching a middle school health class on the different types of viral hepatitis. Which statement made by a student indicates the need for further teaching? 1. Both hepatitis A and E are not chronic infections. 2. Hepatitis A is characterized by symptoms of jaundice, anorexia, nausea, vomiting, malaise, and fever. 3. Hepatitis B, C, and D have symptoms similar to those of hepatitis A, and can also include arthralgias, arthritis and skin eruptions or rash. 4. Both hepatitis B and C have an incubation period of 45-160 days.

4. Both hepatitis B and C have an incubation period of 45-160 days.

A 12-year-old girl and her mother are at the doctors office for a routine check-up for the daughter. The mother tells the nurse that she would like the daughter to have the Gardasil vaccine that is effective against the human papilloma virus. The nurse does some teaching, and knows it has been successful when the mother makes which statement? 1. The human papilloma virus is spread through casual contact in schools. 2. Gardasil will protect against all types of the human papilloma virus. 3. The human papilloma virus affects a million people in the United States. 4. Gardasil will be given to my daughter in three doses.

4. Gardasil will be given to my daughter in three doses.

The nurse is interviewing a client who has admitted to being a victim of domestic violence. What is the most typical description of how the domestic violence developed in a relationship? 1. He changed overnight. Everything was fine, and all of a sudden he flipped out and beat me up; he nearly killed me. 2. It was severe from the beginning. As soon as we got married, he began hitting me and threatening to kill me. 3. Weve both always dated other people. I thought that was understood. He was as emotionally abusive in the beginning as he is now. 4. I dont know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now theyre more frequent.

4. I dont know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now theyre more frequent.

The client has been diagnosed with hepatitis B. Which statement indicates to the nurse that the client needs more education? Select all that apply. 1. This infection could be sexually transmitted. 2. I might get jaundiced from this illness. 3. An immunization exists to prevent getting hepatitis B. 4. I might have gotten this infection from food. 5. The incubation period is 15-50 days.

4. I might have gotten this infection from food. 5. The incubation period is 15-50 days.

A client in the emergency department is diagnosed with pelvic inflammatory disease. Before discharge, the nurse will provide the client with some health teaching about which topic? 1. Endometriosis 2. Menopause 3. Ovarian hyperplasia 4. IUD for contraception

4. IUD for contraception

A woman with multiple bruises on her face and arms is seen in the emergency department. Her significant other is with her. When asked about her injuries, the woman states, I ran into a door. Which action by the nurse is of highest priority? 1. Take the womans vital signs. 2. Document the location of the bruises. 3. Assess for additional bruising. 4. Interview the woman in private.

4. Interview the woman in private.

A nonpregnant client is diagnosed with bacterial vaginosis (BV). What does the nurse expect to administer? 1. Penicillin G 2 million units IM one time 2. Zithromax 1 mg p.o. b.i.d. for 2 weeks 3. Doxycycline 100 mg p.o. b.i.d. for a week 4. Metronidazole 500 mg p.o. b.i.d. for a week

4. Metronidazole 500 mg p.o. b.i.d. for a week

A client asks the nurse about treatment for human papilloma viral warts. The nurses response should be based on what knowledge? 1. An antiviral injection cures approximately 50% of all cases. 2. Aggressive treatment is required to cure warts. 3. Warts often spread when an attempt is made to remove them surgically. 4. No single treatment is best for all types of warts or for all clients.

4. No single treatment is best for all types of warts or for all clients.

The nurse is teaching an in-service educational presentation about working with battered women. The nurse should explain that it is often frustrating for nurses to work with battered women for which reasons? 1. There is little the nurse can really do to help. 2. Healthcare policies and practices are not supportive of abused women. 3. Both husband and wife must agree to therapy. 4. These women might return to the abusive situation. 5. Women often believe that they are the cause of the abuse.

4. These women might return to the abusive situation. 5. Women often believe that they are the cause of the abuse.

A female client who is 36 years old, weighs 200 pounds, is monogamous, and does not smoke desires birth control. The nurse understands that which contraceptive method is inappropriate for this client? 1. Intrauterine device 2. Vaginal sponge 3. Combined oral contraceptives 4. Transdermal hormonal contraception

4. Transdermal hormonal contraception

The nurse is educating a group of female adolescents regarding sexually transmitted infections. The nurse knows that learning was achieved when an individual states that the most common symptom is which of the following? 1. Menstrual cramps 2. Heavy menstrual periods 3. Flu-like symptoms 4. Usually there are no signs or symptoms

4. Usually there are no signs or symptoms

A couple asks the nurse what is the safest method of sterilization. What should the nurse reply? 1. Laparotomy tubal ligation. 2. Laparoscopy tubal ligation. 3. Minilaparotomy. 4. Vasectomy.

4. Vasectomy.

The perinatal nurse teaches the student nurse about the physiological changes in pregnancy that most often contribute to the increased incidence of urinary tract infections. These changes include: Select all answers that apply. A) Relaxation of the smooth muscle of the urinary sphincter B) Relaxation of the smooth muscle of the bladder C) Inadequate emptying of the bladder D) Increased incidence of bacteriuria

A) Relaxation of the smooth muscle of the urinary sphincter B) Relaxation of the smooth muscle of the bladder C) Inadequate emptying of the bladder D) Increased incidence of bacteriuria

A 32-year-old woman now at 32 weeks gestation is complaining of right-sided sharp abdominal pain. The patient is examined by the clinic nurse and given information about abdominal discomfort in pregnancy. She is also instructed to seek immediate attention if she: Select all answers that apply. A) Has heartburn B) Has chills or a fever C) Feels decreased fetal movements D) Has increased abdominal pain

B) Has chills or a fever C) Feels decreased fetal movements D) Has increased abdominal pain

The clinic nurse is aware that the pregnant woman's blood volume increases by: A) 20% to 25% B) 30% to 35% C) 40% to 45% D) 50% to 55%

C) 40% to 45%

The clinic nurse explains to Margaret, a newly diagnosed pregnant woman at 10 weeks gestation, that her rubella titer indicates that she is not immune. Margaret should be advised to:Select all answers that apply. A) Avoid contact with all children B) Be retested in 3 months C) Receive the rubella vaccine postpartum D) Report signs or symptoms of fever, runny nose, and generalized red rash to the health care provider

The clinic nurse explains to Margaret, a newly diagnosed pregnant woman at 10 weeks gestation, that her rubella titer indicates that she is not immune. Margaret should be advised to:Select all answers that apply. A) Avoid contact with all children B) Be retested in 3 months C) Receive the rubella vaccine postpartum D) Report signs or symptoms of fever, runny nose, and generalized red rash to the health care provider

During the prenatal class, the perinatal nurse describes factors that may initiate the process of labor. One of these factors is the production of _______, which are found in the uterine _______ and are released from the _______at term as it softens and dilates.

prostaglandins; decidua or lining; cervix