NR304 and NR302 exam test
bank with over 900 Practice
questions and correct
answers
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical
examination. Which of these statements should the nurse include in patient education? "A
postmenopausal woman:
A)
is not at any greater risk for heart disease than a younger woman is."
B)
should be aware that she is at increased risk for dyspareunia because of decreased vaginal
secretions."
C)
has only stopped menstruating; there really are no other significant changes with which she should
be concerned."
D)
is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual
response cycle."
ANS: B
Decreased vaginal secretions leave the vagina dry and at risk for irritation and pain with intercourse
(dyspareunia). The other statements are incorrect.
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the
interview with the:
A)
menstrual history because it is generally nonthreatening.
B)
obstetric history because it is the most important information.
C)
,urinary system history because there may be problems in this area as well.
D)
sexual history because it will build rapport to discuss this first.
ANS: A
Menstrual history is usually nonthreatening; thus it is a good place to start. Obstetric, urinary, and
sexual histories are also part of the interview but not necessarily the best topics with which to start.
During the interview with a female patient, the nurse gathers data that indicate that the patient is
perimenopausal. Which of these statements made by this patient leads to this conclusion?
A)
"I have noticed that my muscles ache at night when I go to bed."
B)
"I will be very happy when I can stop worrying about having a period."
C)
"I have been noticing that I sweat a lot more than I used to, especially at night."
D)
"I have only been pregnant twice, but both times I had breast tenderness as my first symptom."
ANS: C
Hormone shifts occur during the perimenopausal period, and associated symptoms of menopause
may occur, such as hot flashes, night sweats, numbness and tingling, headache, palpitations,
drenching sweats, mood swings, vaginal dryness, and itching. The other responses are not correct.
A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts
and wonders if they could be due to the hormone replacement therapy (HRT) she started 3 months
ago. The nurse should tell her:
A)
"Hormone replacement therapy is at such a low dose that side effects are very unusual."
B)
"Hormone replacement therapy has several side effects, including fluid retention, breast tenderness,
and vaginal bleeding."
C)
,"It would be very unusual to have vaginal bleeding with hormone replacement therapy, and I
suggest you come in to the clinic immediately to have this evaluated."
D)
"It sounds as if your dose of estrogen is too high; I think you may need to decrease the amount you
are taking and then call back in a week."
ANS: B
Side effects of hormone replacement therapy include fluid retention, breast pain, and vaginal
bleeding. The other responses are not correct.
A 52-year-old patient states that when she sneezes or coughs she "wets herself a little." She is very
concerned that something may be wrong with her. The nurse suspects that the problem is:
A)
dysuria.
B)
stress incontinence.
C)
hematuria.
D)
urge incontinence.
ANS: B
Stress incontinence is involuntary urine loss with physical strain, sneezing, or coughing. Dysuria is
pain or burning with urination. Hematuria is bleeding with urination. Urge incontinence is
involuntary urine loss but it occurs due to an overactive detrusor muscle in the bladder that
contracts and causes an urgent need to void
During the interview a patient reveals that she has some vaginal discharge. She is worried that it may
be a sexually transmitted infection. The nurse's most appropriate response to this would be:
A)
"Oh, don't worry. Some cyclic vaginal discharge is normal."
B)
"Have you been engaging in unprotected sexual intercourse?"
C)
, "I'd like some information about the discharge. What color is it?"
D)
"Have you had any urinary incontinence associated with the discharge?"
ANS: C
Ask questions that help the patient reveal more information about her symptoms in a
nonthreatening manner. Assess vaginal discharge further by asking about the amount, color, and
odor. Normal vaginal discharge is small, clear or cloudy, and always nonirritating.
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an
antibiotic. As a part of the interview, the nurse should ask, "Have you noticed:
A)
a change in your urination patterns?"
B)
any excessive vaginal bleeding?"
C)
any unusual vaginal discharge or itching?"
D)
any changes in your desire for intercourse?"
ANS: C
Several medications may increase the risk of vaginitis. Broad-spectrum antibiotics alter the balance
of normal flora, which may lead to the development of vaginitis. The other questions are not correct
Which statement would be most appropriate when the nurse is introducing the topic of sexual
relationships during an interview?
A)
"Now it is time to talk about your sexual history. When did you first have intercourse?"
B)
"Women often feel dissatisfied with their sexual relationships. Would it be okay to discuss this
now?"
C)
bank with over 900 Practice
questions and correct
answers
A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical
examination. Which of these statements should the nurse include in patient education? "A
postmenopausal woman:
A)
is not at any greater risk for heart disease than a younger woman is."
B)
should be aware that she is at increased risk for dyspareunia because of decreased vaginal
secretions."
C)
has only stopped menstruating; there really are no other significant changes with which she should
be concerned."
D)
is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual
response cycle."
ANS: B
Decreased vaginal secretions leave the vagina dry and at risk for irritation and pain with intercourse
(dyspareunia). The other statements are incorrect.
A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the
interview with the:
A)
menstrual history because it is generally nonthreatening.
B)
obstetric history because it is the most important information.
C)
,urinary system history because there may be problems in this area as well.
D)
sexual history because it will build rapport to discuss this first.
ANS: A
Menstrual history is usually nonthreatening; thus it is a good place to start. Obstetric, urinary, and
sexual histories are also part of the interview but not necessarily the best topics with which to start.
During the interview with a female patient, the nurse gathers data that indicate that the patient is
perimenopausal. Which of these statements made by this patient leads to this conclusion?
A)
"I have noticed that my muscles ache at night when I go to bed."
B)
"I will be very happy when I can stop worrying about having a period."
C)
"I have been noticing that I sweat a lot more than I used to, especially at night."
D)
"I have only been pregnant twice, but both times I had breast tenderness as my first symptom."
ANS: C
Hormone shifts occur during the perimenopausal period, and associated symptoms of menopause
may occur, such as hot flashes, night sweats, numbness and tingling, headache, palpitations,
drenching sweats, mood swings, vaginal dryness, and itching. The other responses are not correct.
A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts
and wonders if they could be due to the hormone replacement therapy (HRT) she started 3 months
ago. The nurse should tell her:
A)
"Hormone replacement therapy is at such a low dose that side effects are very unusual."
B)
"Hormone replacement therapy has several side effects, including fluid retention, breast tenderness,
and vaginal bleeding."
C)
,"It would be very unusual to have vaginal bleeding with hormone replacement therapy, and I
suggest you come in to the clinic immediately to have this evaluated."
D)
"It sounds as if your dose of estrogen is too high; I think you may need to decrease the amount you
are taking and then call back in a week."
ANS: B
Side effects of hormone replacement therapy include fluid retention, breast pain, and vaginal
bleeding. The other responses are not correct.
A 52-year-old patient states that when she sneezes or coughs she "wets herself a little." She is very
concerned that something may be wrong with her. The nurse suspects that the problem is:
A)
dysuria.
B)
stress incontinence.
C)
hematuria.
D)
urge incontinence.
ANS: B
Stress incontinence is involuntary urine loss with physical strain, sneezing, or coughing. Dysuria is
pain or burning with urination. Hematuria is bleeding with urination. Urge incontinence is
involuntary urine loss but it occurs due to an overactive detrusor muscle in the bladder that
contracts and causes an urgent need to void
During the interview a patient reveals that she has some vaginal discharge. She is worried that it may
be a sexually transmitted infection. The nurse's most appropriate response to this would be:
A)
"Oh, don't worry. Some cyclic vaginal discharge is normal."
B)
"Have you been engaging in unprotected sexual intercourse?"
C)
, "I'd like some information about the discharge. What color is it?"
D)
"Have you had any urinary incontinence associated with the discharge?"
ANS: C
Ask questions that help the patient reveal more information about her symptoms in a
nonthreatening manner. Assess vaginal discharge further by asking about the amount, color, and
odor. Normal vaginal discharge is small, clear or cloudy, and always nonirritating.
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an
antibiotic. As a part of the interview, the nurse should ask, "Have you noticed:
A)
a change in your urination patterns?"
B)
any excessive vaginal bleeding?"
C)
any unusual vaginal discharge or itching?"
D)
any changes in your desire for intercourse?"
ANS: C
Several medications may increase the risk of vaginitis. Broad-spectrum antibiotics alter the balance
of normal flora, which may lead to the development of vaginitis. The other questions are not correct
Which statement would be most appropriate when the nurse is introducing the topic of sexual
relationships during an interview?
A)
"Now it is time to talk about your sexual history. When did you first have intercourse?"
B)
"Women often feel dissatisfied with their sexual relationships. Would it be okay to discuss this
now?"
C)
