NURS 4211 Midterm Exam, Questions and Answers

NURS 4211 – Midterm Exam, Questions and Answers 1- Which client should the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

• 17-year-old, has never had a menstrual cycle.
• 19-year-old, regular menses for 5 years that have suddenly become painful.
• 14-year-old, irregular menses for 1 year, experiences cramping every cycle.
• 16-year-old, had regular menses for 4 years, but has had no menses in 4 months.

2- The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further education?

• “The ‘honeymoon period’ follows an episode of violence.”
• “Everyone experiences anger and hitting in a relationship.”
• “Abusers can be either husbands or boyfriends or wives or girlfriends.”
• “My daughter is not to blame for the violence in her marriage.”

3- During the hospital admission process, a child’s parent asks for information about family- centered care. What should the nurse explain to this parent?

• Mother is the principal caregiver in each family.
• Father is the leader in each home; thus, all communications should include him.
• Family serves as the constant influence and continuing support in the child’s life.
• Child’s physician is the key person in ensuring the health of a child is maintained.

4- A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure?

• The nurse.
• The physician.
• The social worker.
• The unit secretary.

5- A genetic screening test completed on a newborn is found to be positive. What should the nurse anticipate the next action will be for this infant?

• Scheduling for diagnostic testing.
• Discussing the need for major intervention.
• Nothing, since further action is not necessary.
• Instructing the parents on expression of the genetic disorder.

6- The nurse learns that a client from a different country and culture was married to her first cousin before moving to the United States. The couple is expecting their first child in 4 months.What should the nurse consider when counseling this client?

• Birth control.
• Carrier testing.
• Pregnancy termination.
• Legal issues in the United States.

7- The nurse is teaching a client who recently learned that she is pregnant. Which hormone should the nurse instruct as being secreted by the fertilized egg?

• Estrogen.
• Progesterone.
• Luteinizing hormone.
• Human chorionic gonadotropin (hCG).

8- The nurse is presenting a community education session on female hormones. Which participant statement indicates the need for further information?

• “Estrogen is what causes females to look female.”
• “Prostaglandin is responsible for achieving conception.”
• “Progesterone is present at the end of the menstrual cycle.”
• “The presence of some hormones causes others to be secreted.”

11- Which statement indicates that client teaching about vaginal infections has been effective?

• “The fishy vaginal odor I have is caused by a bacterial infection.”
• “I can use this antiyeast medication weekly to prevent another infection.”
• “My diabetes is unrelated to the frequency of my vaginal yeast infections.”
• “I should douche weekly to prevent a recurrence of my bacterial vaginosis.”

14- During an assessment, the nurse notices that an African American baby has a darker, slightly bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?

• Chart the presence of a Mongolian spot.
• Ask the mother about the cause of the bruise.
• Confer with the physician about the possibility of a bleeding tendency.
• Call the Department of Social Services (DSS) to report this sign of abuse.

16- A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. Which hormone is most likely causing this client’s issues with pregnancy?

• Estrogen.
• Progesterone.
• LH (luteinizing hormone).
• FSH (follicle-stimulating hormone).

18- The nurse is caring for a client diagnosed with endometriosis. Which statement by the client requires immediate follow-up?

• “I’ve noticed my voice is lower since I started taking danazol.”
• “I am having many hot flashes since I had the Lupron injection.”
• “The pain I experience with intercourse is becoming more severe.”
• “My leg has become painful and swollen since I started taking birth control pills.”

20- Which client is at greatest risk for developing Chlamydia trachomatis infection?

• 35-year-old woman on oral contraceptives.
• 22-year-old mother of two, developed dyspareunia.
• 16-year-old, sexually active, using no contraceptive.
• 48-year-old woman with hot flashes and night sweats.

21- Which diagnostic test should the nurse question if prescribed for a client with pelvic inflammatory disease (PID)?

• RPR (rapid plasma reagin).
• Throat culture for streptococcus A.
• Vaginal culture for Neisseria gonorrhoeae.
• CBC (complete blood count) with differential.

23- The nurse is preparing an education session for women on prevention of urinary tract infections (UTIs). Which statement should be included?

• Lower urinary tract infections rarely occur in women.
• Back pain often develops with a lower urinary tract infection.
• The most common causative organism of cystitis is Escherichia coli.
• Wiping from back to front after a bowel movement will help prevent a UTI.

24- A client who has been unable to conceive asks the nurse if it is her fault or her husband’s fault that they have not been able to become pregnant. What is the nurse’s best response?

• “The male infertility factors are more common than female.”
• “Female infertility issues are more common than male issues.”
• “The testing the doctor will order will determine who is at fault.”
• “We will know more about what is causing your infertility after some tests are done.”