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NUR 104 EXAM 1 2025|ACTUAL EXAM WITH 150
QUESTIONS AND ANSWERS|ALREADY GRADED A+|
Mount Wachusett Community College
Terms in this set (150) Original A 45-year-old client informs the nurse that they think the signs of menopause have started and would like to know if they can stop their birth control pills. Which response by the nurse is best? A. "It is possible for you to become pregnant during developing menopause." B. "That would be fine. You should not take the pills during menopause." C. "You cannot become pregnant during this time due to decreased ovarian function." D. "Your symptoms are probably related to some other disorder." A. "It is possible for you to become pregnant during developing menopause." The nurse is obtaining a menstrual history from a female client. The client states that at times, they experiences cramps about 2 weeks after their menstrual cycle ends. Which information would the nurse provide the client? A. The client will have to have a biopsy to determine cancerous ovaries. B. The cramps may occur due to ruptured ovarian cysts. C. The cramps usually indicate ovulation. D. No education is required since there is nothing wrong with the client. C. The cramps usually indicate ovulation.
Which nursing action would be provided to a client who has a decrease in estrogen production? A. Discuss the necessity for hormone replacement. B. Discuss the need for a low-fat, low-salt diet. C. Discuss the increase in hair growth on the scalp, axillae, and external genitalia. D. Discuss the likelihood of an increase in musculature of upper arms and legs. B. Discuss the need for a low-fat, low-salt diet. A 13-year-old girl arrives in the clinic and informs the nurse that they just had their first menstrual period on April 23. Which documentation for this event is accurate? A. Onset of menstruation on April 23 B. Onset of menarche on April 23 C. Onset of menopause on April 23 D. Onset of puberty on April 23 B. Onset of menarche on April 23 A client and their partner have been trying to conceive without results over the past 3 months. Which suggestion can the nurse make that is noninvasive and may increase the probability of success? A. Medications can be taken. B. It has only been 3 months, let nature take its course. C. Determine time of ovulation by checking basal body temperature. D. It is time to seek the advice of a fertility specialist. C. Determine time of ovulation by checking basal body temperature.
A client is postoperative after a laparoscopy. After the procedure, the client reports severe pain under the right clavicle. Which is the priority action by the nurse? A. Prepare the client to return to surgery. B. Turn the client on the right side. C. Notify the healthcare provider. D. Administer an analgesic. C. Notify the healthcare provider. A client reports frequent vaginal infections. Which suggestions can the nurse make to decrease the risk of infection in this client? Select all that apply. A. Douche daily. B. Wipe from front to back after voiding. C. Avoid the use of bubble bath. D. Thoroughly wash hands, especially during menses after voiding. E. Wear nylon panties. B. Wipe from front to back after voiding. C. Avoid the use of bubble bath. D. Thoroughly wash hands, especially during menses after voiding. A nurse is caring for an adolescent girl experiencing menstruation for the first time. What changes occur in the body at this stage that the nurse should share with the adolescent girl? A. Irritability and insomnia
B. Hot flashes C. Breast development D. Urinary incontinence What are the main effects of the gonadotropic hormones? Select all that apply. A. Stimulation of the formation of ova B. Stimulation of the secretion of hormones from sex organs C. Stimulation of the development of secondary female sexual characteristics D. Stimulation sustains pregnancy E. Stimulation of the hormone progesterone A. Stimulation of the formation of ova B. Stimulation of the secretion of hormones from sex organs C. Stimulation of the development of secondary female sexual characteristics What are external indicators of menopause? Select all that apply. A. Tendency to gain weight B. Thinning of hair C. Loss of eyebrows D. Dry itchy skin E. Hair growth on chin GOT 0.75 WITH A,B,D potentially missing one more
D. Use vaginal sprays or scented powders between bathing. E. Wear only cotton panties. F. Avoid tight pants or jeans. GOT 0.67 potentially missing one more with correct answer options being E and F Which hormones are responsible for stimulating the mammary glands to produce and release milk after childbirth? Select all that apply. A. Estrogen B. Progesterone C. Prolactin D. Oxytocin E. Cortisol C. Prolactin D. Oxytocin The nurse explains to a client that there is no one specific laboratory test that can verify premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). Which conditions that mimic PMS or PMDD should be ruled out before a diagnosis can be made? Select all that apply. A. Dysmenorrhea B. Vaginal infection C. Endometriosis D. Perimenopause E. Cystocele
F. Side effects of oral contraceptives What physical changes should be discussed when educating a client on secondary sexual characteristics? Select all that apply. A. Pubic hair B. Decreased percentage of body fat tissue C. Wider hip structure D. Axillary hair E. Breast development A. Pubic hair C. Wider hip structure D. Axillary hair E. Breast development We have an expert-written solution to this problem! A parent brings their 13-year-old son into the clinic and informs the nurse that they think something is wrong with their son. The parent states, "Every morning when I make his bed, there is a large wet spot on the sheet." What should the nurse discuss with the parent? A. The child is having normal nocturnal emissions caused most likely by hormone changes. B. The child may have regressed to a previous stage of development and started wetting the bed again. C. The child may have a urinary tract infection and should be checked.
We have an expert-written solution to this problem! A client is scheduled to have a prostatectomy in 1 week. The client informs the nurse that they realize that their sexual life is over. Which information should the nurse provide to the client? Select all that apply. A. Alternative means of sexual expression B. Use of medications prescribed by the physician C. Strategies for how to accept the loss of a sexual life D. Aids to intercourse E. Prevention of infection A. Alternative means of sexual expression B. Use of medications prescribed by the physician D. Aids to intercourse A client tells the nurse that they are having trouble with sexual intercourse since they have had atrophy of the bulbourethral glands. Which suggestions can the nurse make to alleviate the discomfort for them and their partner? A. Use additional lubrication such as water-soluble gel. B. Take warm baths prior to intercourse. C. Use medication to sustain erections. D. Use aids to intercourse. A. Use additional lubrication such as water-soluble gel.
A client arrives in the emergency department reporting dizziness and lightheadedness after taking sildenafil citrate prior to sexual activity. The nurse obtains a BP of 86/48 mm Hg. Taken in combination with sildenafil citrate (Viagra), which medication is the most likely cause of these symptoms? A. Nitroglycerin (Nitrostat) B. Albuterol (Ventolin HFA) C. Lisinopril (Prinivil) D. Ibuprofen (Motrin) A. Nitroglycerin (Nitrostat) A young male client with no history of health problems has difficulty achieving or maintaining an erection. The healthcare provider has ordered evaluations to diagnose the problem. Which activities would be appropriate actions for the nurse? Select all that apply. A. Prepare the client to have blood drawn for hormone levels. B. Prepare the client for surgery. C. Reinforce education for nocturnal rigidity measurements. D. Prepare for duplex Doppler ultrasonography. E. Inform the client to abstain from sexual contact prior to testing. A. Prepare the client to have blood drawn for hormone levels. C. Reinforce education for nocturnal rigidity measurements. D. Prepare for duplex Doppler ultrasonography.
C. Increase the amount of flow of the solution. D. Shut off the continuous irrigation and notify the team leader or surgeon. D. Shut off the continuous irrigation and notify the team leader or surgeon. The nurse reports a small fire in a trash can located in the break room. After obtaining a fire extinguisher, what is the initial action in using the extinguisher? A. Sweep across the base of the fire. B. Squeeze the handles together. C. Aim at the base of the fire, near the edge. D. Pull the pin of the fire extinguisher. D. Pull the pin of the fire extinguisher. The smoke alarm sounds on the unit at the long-term care facility. Which acronym will guide the nurse's actions in the situation? A. RACE B. PASS C. CARE D. ACRE A. RACE
The nurse is working at the acute care facility and has been informed that there is a bus and multiple vehicle crash with 75 people seriously injured. Which action should the nurse take first? A. Perform CPR. B. Initiate the disaster plan. C. Call everyone in the hospital to help. D. Immediately have the provider discharge clients in preparation. The nurse splashes a chemical used for disinfecting surgical instruments on both hands. Which resource will provide information regarding the contents of the chemical? A. Disaster plan B. Physician's Desk Reference C. Safety Data Sheet D. Poison control C. Safety Data Sheet The nurse observes a large amount of smoke and some flames coming from an unoccupied room in the hospital. After calling in the alarm, which action does the nurse take? A. Lock all of the doors so people cannot enter rooms. B. Open windows to let the smoke out of the room. C. Close all doors to confine smoke and fire. D. Take the elevator to the lowest floor in the hospital.
The nurse is caring for a client involved in a house fire with burns to the chest and upper arms. What signs observed by the nurse indicate the client may have also sustained inhalation injuries? Select all that apply. A. Fever B. Neck pain C. Flecks of soot in the saliva D. Hoarse voice E. Singed nasal hairs C. Flecks of soot in the saliva D. Hoarse voice E. Singed nasal hairs When a client has sustained a serious burn, what is the immediate action by the nurse? A. Apply burn cream to the area. B. Apply ice to the burned area. C. Stop the burning process. D. Remove burning fabric or other material from the skin. C. Stop the burning process.
A client is brought to the urgent care center with an injury to the left ankle sustained from a fall. X-ray interpretation determined that there is no fracture present, but the client does have a sprain. What education will the nurse reinforce to the client? A. PASS B. RICE C. RACE D. CPR B. RICE The licensed practical nurse is teaching a client with right-sided weakness proper cane use. Which instruction should the nurse include in her teaching? A. "Hold the cane on the same side as the injury." B. "Hold the cane on the opposite side from the injury." C. "Don't use the cane when climbing stairs." D. "Use the cane when walking further than 50 feet." B. "Hold the cane on the opposite side from the injury." A nurse inadvertently transcribes a client's medication order that was written as "Ampicillin 250 mg four times a day" as "Ampicillin 2500 mg four times a day." The nurse gives two doses as transcribed to the client. Another nurse gives one dose before the pharmacist questions the reorder of the medication. What should the two nurses do in this situation? A. Both nurses must acknowledge making the medication error. B. Tell the pharmacist that the wrong quantity of medication was sent to the unit.
A client is brought to the emergency department after ingesting a handful of unknown pills. Which action is the priority when collecting data on a suicidal client? A. Determining whether the client was trying to harm himself B. Determining whether the client had a support system C. Determining whether the client's physical condition is life-threatening D. Determining whether the client has a history of suicide attempts C. Determining whether the client's physical condition is life-threatening Which of the following objects poses the most serious safety threat to a 2-year-old child in the hospital? A. Crayons and paper B. Stuffed teddy bear in the crib C. Mobile hanging over the crib D. Side rails in the halfway position D. Side rails in the halfway position We have an expert-written solution to this problem! A nurse is investigating the smell of smoke in the hallway of a long-term care unit. On entering a client's room, the nurse finds the wastebasket on fire. The nurse takes immediate action. Place the nurse's actions in proper order from first to last. All options must be used. A. Rescue the client.
B. Trigger the alarm. C. Confine the fire. D. Extinguish the fire. A. Rescue the client. B. Trigger the alarm. C. Confine the fire. D. Extinguish the fire. Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should: A. tell the children not to bite their fingernails. B. not let children share hairbrushes. C. tell the children to cover their mouths and noses when they cough or sneeze. D. have their children immunized. A. tell the children not to bite their fingernails. The nurse is providing care for a pregnant 16-year-old client. The client says that she's concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying: A. "Now isn't a good time to begin dieting because you are eating for two." B. "Let's explore your feelings further."
