NURS 304 TEST PART 1 CORRECT
The nurse has completed a prenatal class for women who are expecting their first
babies. Which statement by a pregnant woman indicates the need for additional
teaching? - "During pregnancy it's safe for me to use my regular herbal remedies."
Levofloxacin (Levaquin) is prescribed for a woman who has been experiencing urinary
frequency and burning for the past 24 hours. The nurse concludes that the teaching
about this medication has been understood when the client says that she should: -
Delay taking her mineral supplements within 2 hours of each dose
A client asks the nurse at the family planning clinic whether contraception is needed
while she is breastfeeding. How should the nurse reply? - "You should use
contraceptives, because ovulation may occur without a period."
A 63-year-old woman with the diagnosis of estrogen receptor-positive cancer of the
breast undergoes lumpectomy and radiation therapy, and tamoxifen (Nolvadex) is
prescribed. The client asks the nurse how long she will have to take the medication. The
nurse responds: - You'll need to take it for 5 years, after which it will be discontinued.
A client with active genital herpes has a cesarean birth. The nurse teaches the mother
how to limit transmission of the virus to her newborn. The nurse concludes that the
instructions have been understood when the mother states: - "I have to wash my hands
with soap and water before handling the baby."
After a mastectomy, a client returns from surgery with a closed suction drainage system
in place and a dry sterile dressing covering the incision. What should the nurse do when
observing this client for signs of bleeding? - Inspect the bedclothes under the client's
axillary area for signs of drainage.
A 31-year-old client is seeking contraceptive information. Before responding to the
client's questions about contraceptives, the nurse obtains a health history. What factor
in the client's history indicates to the nurse that oral contraceptives are contraindicated?
- History of borderline hypertension
A nurse is planning care with a client for the recovery period after a laparoscopic
hysterectomy and bilateral salpingo-oophorectomy. What should be included among the
changes that the client should expect after surgery? - Surgical menopause
After a mastectomy or hysterectomy, the client may feel incomplete as a woman. Which
statement causes the nurse to realize that a client may be experiencing this concern? -
"I feel washed out; there isn't much left for my family."
What is the priority nursing intervention before a client undergoes amniocentesis? -
Ensuring that informed consent has been obtained from the client
A postpartum client is scheduled to have a tubal ligation. She has asked that her
husband not be told about the procedure because she has told him that she is having
, NURS 304 TEST PART 1 CORRECT
exploratory surgery. The client's husband asks the nurse why his wife needs to have
exploratory surgery. How should the nurse respond? - "Have you talked to your wife
about your concerns?"
A woman visits the clinic for an annual physical examination, and herpes genitalis is
diagnosed. The client asks how the disease can be diagnosed without any tests. How
should the nurse reply? - "You have blisters on the skin around your vagina."
A client has a total hysterectomy with bilateral salpingo-oophorectomy for cancer of the
ovary. In addition to encouraging ambulation, what exercise should the nurse instruct
the client to perform to help prevent postoperative deep vein thrombosis (DVT)? - Ankle
pumping is the most effective of the four exercises presented to prevent DVT.
A nurse is teaching a class of expectant parents about nutritional needs during
pregnancy. What information should the nurse include? - Protein needs increase to at
least 70 g/day during pregnancy.
A nurse in the emergency department is assessing a client who has been physically and
sexually assaulted. What is the nurse's priority during assessment? - The client's ability
to cope with the situation
While admitting a client who is in labor to the birthing unit, the nurse asks the client
about her marital status. The client refuses to answer and becomes very agitated, telling
the nurse to leave. How should the nurse respond? - By asking questions that are
restricted to the client's present situation
A client asks for and receives instruction regarding birth control methods. She elects to
use a diaphragm with a spermicide. What disadvantage of using a diaphragm should be
explained to the client? - Some women find its insertion and removal inconvenient.
A client is scheduled for a vacuum aspiration abortion to terminate an unwanted
pregnancy. What information should the nurse's teaching plan include? - A temperature
of 100.4° F (38° C) or higher should be reported immediately
A pilot program is being developed to assist new mothers who are at risk for mother-
infant relationship problems. Which mother's situation would make her a candidate for
the program? - One who had a preference for a child of one sex but gave birth to a baby
of the other sex
A female client who has been sexually active for 5 years is found to have gonorrhea.
The client is upset and asks the nurse, "What can I do to keep from getting another
infection in the future?" Which statement by the client indicates that the teaching by the
nurse was effective? - "My partner has to use a condom all the time."
A thin older adult client is found to have osteoporosis. What should the nurse include in
the discharge plan for this client? - Providing instructions relative to diet and exercise
The nurse has completed a prenatal class for women who are expecting their first
babies. Which statement by a pregnant woman indicates the need for additional
teaching? - "During pregnancy it's safe for me to use my regular herbal remedies."
Levofloxacin (Levaquin) is prescribed for a woman who has been experiencing urinary
frequency and burning for the past 24 hours. The nurse concludes that the teaching
about this medication has been understood when the client says that she should: -
Delay taking her mineral supplements within 2 hours of each dose
A client asks the nurse at the family planning clinic whether contraception is needed
while she is breastfeeding. How should the nurse reply? - "You should use
contraceptives, because ovulation may occur without a period."
A 63-year-old woman with the diagnosis of estrogen receptor-positive cancer of the
breast undergoes lumpectomy and radiation therapy, and tamoxifen (Nolvadex) is
prescribed. The client asks the nurse how long she will have to take the medication. The
nurse responds: - You'll need to take it for 5 years, after which it will be discontinued.
A client with active genital herpes has a cesarean birth. The nurse teaches the mother
how to limit transmission of the virus to her newborn. The nurse concludes that the
instructions have been understood when the mother states: - "I have to wash my hands
with soap and water before handling the baby."
After a mastectomy, a client returns from surgery with a closed suction drainage system
in place and a dry sterile dressing covering the incision. What should the nurse do when
observing this client for signs of bleeding? - Inspect the bedclothes under the client's
axillary area for signs of drainage.
A 31-year-old client is seeking contraceptive information. Before responding to the
client's questions about contraceptives, the nurse obtains a health history. What factor
in the client's history indicates to the nurse that oral contraceptives are contraindicated?
- History of borderline hypertension
A nurse is planning care with a client for the recovery period after a laparoscopic
hysterectomy and bilateral salpingo-oophorectomy. What should be included among the
changes that the client should expect after surgery? - Surgical menopause
After a mastectomy or hysterectomy, the client may feel incomplete as a woman. Which
statement causes the nurse to realize that a client may be experiencing this concern? -
"I feel washed out; there isn't much left for my family."
What is the priority nursing intervention before a client undergoes amniocentesis? -
Ensuring that informed consent has been obtained from the client
A postpartum client is scheduled to have a tubal ligation. She has asked that her
husband not be told about the procedure because she has told him that she is having
, NURS 304 TEST PART 1 CORRECT
exploratory surgery. The client's husband asks the nurse why his wife needs to have
exploratory surgery. How should the nurse respond? - "Have you talked to your wife
about your concerns?"
A woman visits the clinic for an annual physical examination, and herpes genitalis is
diagnosed. The client asks how the disease can be diagnosed without any tests. How
should the nurse reply? - "You have blisters on the skin around your vagina."
A client has a total hysterectomy with bilateral salpingo-oophorectomy for cancer of the
ovary. In addition to encouraging ambulation, what exercise should the nurse instruct
the client to perform to help prevent postoperative deep vein thrombosis (DVT)? - Ankle
pumping is the most effective of the four exercises presented to prevent DVT.
A nurse is teaching a class of expectant parents about nutritional needs during
pregnancy. What information should the nurse include? - Protein needs increase to at
least 70 g/day during pregnancy.
A nurse in the emergency department is assessing a client who has been physically and
sexually assaulted. What is the nurse's priority during assessment? - The client's ability
to cope with the situation
While admitting a client who is in labor to the birthing unit, the nurse asks the client
about her marital status. The client refuses to answer and becomes very agitated, telling
the nurse to leave. How should the nurse respond? - By asking questions that are
restricted to the client's present situation
A client asks for and receives instruction regarding birth control methods. She elects to
use a diaphragm with a spermicide. What disadvantage of using a diaphragm should be
explained to the client? - Some women find its insertion and removal inconvenient.
A client is scheduled for a vacuum aspiration abortion to terminate an unwanted
pregnancy. What information should the nurse's teaching plan include? - A temperature
of 100.4° F (38° C) or higher should be reported immediately
A pilot program is being developed to assist new mothers who are at risk for mother-
infant relationship problems. Which mother's situation would make her a candidate for
the program? - One who had a preference for a child of one sex but gave birth to a baby
of the other sex
A female client who has been sexually active for 5 years is found to have gonorrhea.
The client is upset and asks the nurse, "What can I do to keep from getting another
infection in the future?" Which statement by the client indicates that the teaching by the
nurse was effective? - "My partner has to use a condom all the time."
A thin older adult client is found to have osteoporosis. What should the nurse include in
the discharge plan for this client? - Providing instructions relative to diet and exercise
