NSG 2400 – Exam 4 Practice Questions and Answers |
Divided into sections | 2026 version
Endometriosis
Question 1
A client who has been diagnosed with endometriosis is concerned about the side effect of hot
flashes from her prescribed medications. Which medication should the nurse explain causes this
side effect?
A. Estrogen
B. Leuprolide
C. Diclofenac
D. Ergonovine
Correct Answer: B. Leuprolide
Question 2
A client at the women’s health clinic tells the nurse that she has endometriosis. Which factors
associated with endometriosis does the nurse anticipate the client will report?
Select all that apply.
A. Insomnia
B. Ecchymosis
C. Rectal pressure
D. Abdominal pain
,E. Skipped periods
F. Pelvic infections
Correct Answers: C. Rectal pressure, D. Abdominal pain
Question 3
The nurse is obtaining a health history from a client with endometriosis. What consequences can
occur as a result of this disorder?
Select all that apply.
A. Menopause
B. Metrorrhagia
C. Impaired fertility
D. Bowel strictures
E. Voiding difficulties
Correct Answers: B, C, D, E
Cystic Fibrosis
Question 4
The parents of a 12-year-old boy with cystic fibrosis (CF) ask the nurse why he needs a glucose
tolerance test. What information should the nurse consider before replying?
A. Pancreatic scarring predisposes the child to diabetes.
B. Thickened mucus blocks insulin-secreting glands.
C. The test reveals the degree of adherence to the diet.
D. Pancreatic enzyme dosages are based on the test results.
,Correct Answer: A
Question 5
A nurse is caring for several school-aged children with cystic fibrosis. Why does the nurse
anticipate that these children will probably be small and underdeveloped for their age?
A. Muscle atrophy from lack of motor activity
B. Decreased secretion of pituitary growth hormone
C. Pancreatic enzymes are blocked, limiting digestion
D. Minimal nutritional intake due to anorexia
Correct Answer: C
Question 6
A nurse is caring for a child with cystic fibrosis. Which schedule of chest physiotherapy (CPT)
is best?
A. Three times a day before meals
B. Three times a day halfway between meals
C. Two times daily on awakening and bedtime
D. Two times daily after breakfast and dinner
Correct Answer: B
Question 7
Physiologic changes in cystic fibrosis occur primarily because of:
, A. Dysfunction of sweat glands
B. Inactivity of respiratory cilia
C. Pathology of mucus-secreting glands
D. Overproduction of endocrine gland activity
Correct Answer: C
Question 8
A nurse explains the genetic inheritance pattern of cystic fibrosis to the parents of a newly
diagnosed child. CF occurs when:
A. One parent has cystic fibrosis
B. Both parents have cystic fibrosis
C. One parent is a carrier
D. Both parents are carriers
Correct Answer: D
Question 9
Which potential complications of cystic fibrosis should families monitor for?
Select all that apply.
A. Diabetes
B. Hematuria
C. Nasal polyps
D. Rectal prolapse
E. Pulmonary infections
F. Urinary tract infections
Divided into sections | 2026 version
Endometriosis
Question 1
A client who has been diagnosed with endometriosis is concerned about the side effect of hot
flashes from her prescribed medications. Which medication should the nurse explain causes this
side effect?
A. Estrogen
B. Leuprolide
C. Diclofenac
D. Ergonovine
Correct Answer: B. Leuprolide
Question 2
A client at the women’s health clinic tells the nurse that she has endometriosis. Which factors
associated with endometriosis does the nurse anticipate the client will report?
Select all that apply.
A. Insomnia
B. Ecchymosis
C. Rectal pressure
D. Abdominal pain
,E. Skipped periods
F. Pelvic infections
Correct Answers: C. Rectal pressure, D. Abdominal pain
Question 3
The nurse is obtaining a health history from a client with endometriosis. What consequences can
occur as a result of this disorder?
Select all that apply.
A. Menopause
B. Metrorrhagia
C. Impaired fertility
D. Bowel strictures
E. Voiding difficulties
Correct Answers: B, C, D, E
Cystic Fibrosis
Question 4
The parents of a 12-year-old boy with cystic fibrosis (CF) ask the nurse why he needs a glucose
tolerance test. What information should the nurse consider before replying?
A. Pancreatic scarring predisposes the child to diabetes.
B. Thickened mucus blocks insulin-secreting glands.
C. The test reveals the degree of adherence to the diet.
D. Pancreatic enzyme dosages are based on the test results.
,Correct Answer: A
Question 5
A nurse is caring for several school-aged children with cystic fibrosis. Why does the nurse
anticipate that these children will probably be small and underdeveloped for their age?
A. Muscle atrophy from lack of motor activity
B. Decreased secretion of pituitary growth hormone
C. Pancreatic enzymes are blocked, limiting digestion
D. Minimal nutritional intake due to anorexia
Correct Answer: C
Question 6
A nurse is caring for a child with cystic fibrosis. Which schedule of chest physiotherapy (CPT)
is best?
A. Three times a day before meals
B. Three times a day halfway between meals
C. Two times daily on awakening and bedtime
D. Two times daily after breakfast and dinner
Correct Answer: B
Question 7
Physiologic changes in cystic fibrosis occur primarily because of:
, A. Dysfunction of sweat glands
B. Inactivity of respiratory cilia
C. Pathology of mucus-secreting glands
D. Overproduction of endocrine gland activity
Correct Answer: C
Question 8
A nurse explains the genetic inheritance pattern of cystic fibrosis to the parents of a newly
diagnosed child. CF occurs when:
A. One parent has cystic fibrosis
B. Both parents have cystic fibrosis
C. One parent is a carrier
D. Both parents are carriers
Correct Answer: D
Question 9
Which potential complications of cystic fibrosis should families monitor for?
Select all that apply.
A. Diabetes
B. Hematuria
C. Nasal polyps
D. Rectal prolapse
E. Pulmonary infections
F. Urinary tract infections
