NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
1. A nurse is working with women and issues of reproductive health practices to help meet the National
Health Goals related to reproductive life planning. Which goals are included in this document? (Select all that
apply.)
A. Increase the number of private pharmacies that supply emergency contraception.
B. Increase the proportion of subsequent births to 18 months from 12 months.
C. Increase the proportion of young males who receive reproductive health care.
D. Reduce the number of publicly funded family planning clinics that offer abortion.
E. Reduce the proportion of women with unplanned pregnancy despite contraception.
Several of the National Health Goals are related to reproductive life planning. Two of them include increasing
the proportion of young males who receive reproductive health services and reducing the proportion of
women experiencing unplanned pregnancies despite using contraception. Another goal is to increase the
number of publicly funded family planning clinics (not private pharmacies) that offer the full range of FDA-
approved methods of contraception, including emergency contraception, on site. Another goal is to decrease
the proportion of pregnancies conceived within 18 months of a previous birth.
2. How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine)
for Crohn disease? (Select all that apply.)
a. Expose her to sunlight at least 30 minutes a day for vitamin D synthesis
b. Tell her to drink at least 1500 mL of fluid a day
c. Advise assessing self for rash
d. Use alternate birth control methods to oral contraception
e. Take drug on an empty stomach
Cautionary information about sulfasalazine (Azulfidine) would include having adequate fluid intake to prevent
crystallization in the kidneys, avoiding exposure to the sun, and using alternate birth control methods as oral
contraception is made unreliable by this drug. The drug should be taken with meals and the patient should be
assessing for rash.
3. An adolescent female asks the nurse about taking retinoic acid (Accutane). What guidance should
be provided by the nurse?
a. The medication should be used only for 10 weeks
b. The medication requires that sexually active females use contraception
c. The medication lowers hemoglobin very quickly
d. The medication has few side effects
Accutane has many side effects and can produce birth defects. Effective contraception is necessary during
treatment and for 1 month after the 20 weeks it is to be taken.
4. A patient has been taught about the vaginal contraceptive ring. Which statement by the patient
indicates that further teaching is needed?
A. "If it comes out at all, I need back-up contraception for a week."
B. "The exact position of the ring is not vital for its function."
C. "Using tampons is allowed with the vaginal contraceptive ring."
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
,NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
D. "Vaginal contraceptive rings are about 96% effective."
If the vaginal ring comes out, it can be washed with lukewarm water and reinserted. If it is out of the vagina
for more than 3 hours, the woman will need a back-up method of contraception for the next 7 days. Her
incorrect statement indicates she needs more teaching. The other statements about the vaginal contraceptive
ring are correct.
5. The nurse is discussing estrogen therapy with a patient education group. When relaying information,
the nurse may explain that therapeutic outcomes of estrogen therapy include (Select all that apply.)
a. contraception.
b. hormonal balance.
c. treatment of severe facial acne.
d. appetite suppression.
e. prevention of heart disease.
The primary therapeutic outcomes expected from estrogen therapy include contraception, hormonal balance,
prevention of osteoporosis, palliative treatment of prostate and breast cancer, and treatment of severe acne
in females. Appetite suppression and prevention of heart disease are not expected therapeutic outcomes of
estrogen therapy.
6. A nurse reads in the paper that the death rate for women overall has declined substantially. To what
does the nurse correlate this finding?
A. Abundant new choices in contraception
B. Better detection and treatment of breast cancer
C. Greater access to sources of fresh produce
D. Improved diagnosis of heart disease in women
The leading cause of death in women overall is heart disease. Women face significant barriers to timely
diagnosis and treatment of heart disease than do men. The nurse can conclude that this has improved, leading
to the significant decrease in the female death rate. Contraception choices would not lead to a significant
decrease in mortality, as childbirth is not a common fatal event, although the number of perinatal deaths has
not declined in recent years. And even with multiple choices in contraception, at least half of all pregnancies
are unintended or mistimed. Access to fresh produce could improve many health conditions for women.
Cancer is the second leading cause of death in women.
7. A nurse is planning sexuality education programs. Which topics are important to each age group? (Select
all that apply.)
a. Adolescents: contraception
b. Adolescents: infertility
c. Young adults: conception
d. Middle adulthood: sexual dysfunction
e. Old age: decreased sexuality
Adolescents need education on contraception and avoidance of unwanted pregnancy, STDs, HIV infection,
sexual abuse, sexual orientation, and good decision making. Young adults particularly need information on
conception and infertility. Middle adults need education on emotional and physical changes that occur during
this age span including the empty nest syndrome and sexual dysfunction. Older adults need education on
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
,NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
physical changes brought by age and encouragement that sexuality normally continues throughout life.
8. A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female
client diagnosed with both diseases. Which items should be included in the client's teaching plan? (Select all
that apply.)
a. Expedited partner therapy
b. Abstinence until therapy is completed
c. Use of internal uterine devices
d. Proper use of condoms
e. Re-screening for infection
f. Use of oral contraception
As part of client/partner education, the nurse should explain the expedited partner therapy (practice of
treating both sexual partners by providing medication to the client for the partner). The nurse should also
emphasize the need for abstinence from sexual intercourse until treatment is finished, proper use of
condoms, and re-screening for re-infection 3 to 12 months after treatment. The use of an intrauterine device
and oral contraception is not part of the plan.
9. A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important?
a. Avoid large crowds and people who are ill.
b. Check blood sugars four times a day.
c. Use two forms of contraception.
d. Wear properly fitting socks and shoes.
Corticosteroids reduce immune function, so clients taking these medications must avoid being exposed to
illness. Long-term use can lead to secondary diabetes, but the client would not need to start checking blood
glucose unless diabetes had been detected. Corticosteroids do not affect the effectiveness of contraception.
Wearing well-fitting shoes would be important to avoid injury, but not just because the client takes
corticosteroids.
10. A client is prescribed hormone replacement therapy. What should the nurse include in the
medication teaching for this client?
1. Decrease intake of high-fiber foods.
2. Avoid heavy lifting.
3. Use an additional form of contraception.
4. Perform breast self-examinations.
Monthly breast self-examinations should be conducted in addition to an annual exam by a health care
provider. Decrease intake of high-fiber foods is incorrect because this is not a restriction for clients receiving
HRT. Avoid heavy lifting is incorrect because this is not a restriction for clients receiving HRT. Use an additional
form of contraception is incorrect because HRT is given to women in menopause.
11. The nurse is preparing discharge instructions for a client who will be taking penicillin G. The client tells
the nurse she is also taking birth control pills. What is the nurse's best response?
1. "You may continue taking the birth control pills as your only means of contraception."
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
, NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
2. "If you feel you do not need to take the antibiotic, that is fine."
3. "You do not need to take your birth control pills while taking this medication."
4. "You will need to use another form of contraception while taking the antibiotic and for at least
one month after you finish treatment."
Penicillin G can decrease the effectiveness of oral contraceptives. The client should use a back up method of
birth control; should take the antibiotic as prescribed and not stop when feeling better; and should continue
to take their birth control while on the antibiotics.
12. A pregnant 15-year-old adolescent tells the nurse that she did not use any form of contraception
because she was afraid her parents would find out. The nurse should recognize what?
a. This is a frequent reason given by adolescents.
b. This suggests a poor parent–child relationship.
c. This is not a good reason to not get contraception.
d. This indicates that the adolescent is unaware of her legal rights.
This is one of the most common reasons given by teenagers for not using contraception. Although it is
optimum for the parents to be involved in the health care of adolescents, some adolescents require
confidential care. Privacy is important as they develop their personal identity and establish relationships. The
adolescent may be concerned about parental judgment. The adolescent should discuss with the health care
provider contraception that meets her needs; some of the longer acting birth control methods may be
preferable. The adolescent did not tell the nurse that she was unaware that she could legally obtain
contraceptive materials; she was concerned about her parents.
13. Which of the statements is correct regarding use of contraception and the occurrence of
sexually transmitted diseases (STDs)?
a. As long as the oral contraception method is used correctly, there is no transmission of STDs
during sexual activity.
b. Oral contraceptives provide the greatest protection against getting STDs.
c. Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared
with other contraceptive methods.
d. It is less likely to see transmission of STDs if clients engage in oral sex as opposed to
vaginal penetration.
The correct use of barrier methods helps protect against the transmission of STDs compared with other
methods of contraception. The use of oral contraceptives has no effect on the transmission of STDs. The
effectiveness of oral contraceptives is increased related to the prevention of pregnancy compared with other
methods with the exception of abstinence. The method of sexual activity does not affect the transmission of
STDs.
14. You are teaching a group of adolescents about myths and facts related to contraception. Which
statement indicates that additional teaching is needed for this group with regard to contraception?
a. Adolescents are more likely to become pregnant even if they use available contraception
methods correctly.
b. The withdrawal technique provides a higher likelihood that a teen will not get pregnant.
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
2022
1. A nurse is working with women and issues of reproductive health practices to help meet the National
Health Goals related to reproductive life planning. Which goals are included in this document? (Select all that
apply.)
A. Increase the number of private pharmacies that supply emergency contraception.
B. Increase the proportion of subsequent births to 18 months from 12 months.
C. Increase the proportion of young males who receive reproductive health care.
D. Reduce the number of publicly funded family planning clinics that offer abortion.
E. Reduce the proportion of women with unplanned pregnancy despite contraception.
Several of the National Health Goals are related to reproductive life planning. Two of them include increasing
the proportion of young males who receive reproductive health services and reducing the proportion of
women experiencing unplanned pregnancies despite using contraception. Another goal is to increase the
number of publicly funded family planning clinics (not private pharmacies) that offer the full range of FDA-
approved methods of contraception, including emergency contraception, on site. Another goal is to decrease
the proportion of pregnancies conceived within 18 months of a previous birth.
2. How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine)
for Crohn disease? (Select all that apply.)
a. Expose her to sunlight at least 30 minutes a day for vitamin D synthesis
b. Tell her to drink at least 1500 mL of fluid a day
c. Advise assessing self for rash
d. Use alternate birth control methods to oral contraception
e. Take drug on an empty stomach
Cautionary information about sulfasalazine (Azulfidine) would include having adequate fluid intake to prevent
crystallization in the kidneys, avoiding exposure to the sun, and using alternate birth control methods as oral
contraception is made unreliable by this drug. The drug should be taken with meals and the patient should be
assessing for rash.
3. An adolescent female asks the nurse about taking retinoic acid (Accutane). What guidance should
be provided by the nurse?
a. The medication should be used only for 10 weeks
b. The medication requires that sexually active females use contraception
c. The medication lowers hemoglobin very quickly
d. The medication has few side effects
Accutane has many side effects and can produce birth defects. Effective contraception is necessary during
treatment and for 1 month after the 20 weeks it is to be taken.
4. A patient has been taught about the vaginal contraceptive ring. Which statement by the patient
indicates that further teaching is needed?
A. "If it comes out at all, I need back-up contraception for a week."
B. "The exact position of the ring is not vital for its function."
C. "Using tampons is allowed with the vaginal contraceptive ring."
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
,NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
D. "Vaginal contraceptive rings are about 96% effective."
If the vaginal ring comes out, it can be washed with lukewarm water and reinserted. If it is out of the vagina
for more than 3 hours, the woman will need a back-up method of contraception for the next 7 days. Her
incorrect statement indicates she needs more teaching. The other statements about the vaginal contraceptive
ring are correct.
5. The nurse is discussing estrogen therapy with a patient education group. When relaying information,
the nurse may explain that therapeutic outcomes of estrogen therapy include (Select all that apply.)
a. contraception.
b. hormonal balance.
c. treatment of severe facial acne.
d. appetite suppression.
e. prevention of heart disease.
The primary therapeutic outcomes expected from estrogen therapy include contraception, hormonal balance,
prevention of osteoporosis, palliative treatment of prostate and breast cancer, and treatment of severe acne
in females. Appetite suppression and prevention of heart disease are not expected therapeutic outcomes of
estrogen therapy.
6. A nurse reads in the paper that the death rate for women overall has declined substantially. To what
does the nurse correlate this finding?
A. Abundant new choices in contraception
B. Better detection and treatment of breast cancer
C. Greater access to sources of fresh produce
D. Improved diagnosis of heart disease in women
The leading cause of death in women overall is heart disease. Women face significant barriers to timely
diagnosis and treatment of heart disease than do men. The nurse can conclude that this has improved, leading
to the significant decrease in the female death rate. Contraception choices would not lead to a significant
decrease in mortality, as childbirth is not a common fatal event, although the number of perinatal deaths has
not declined in recent years. And even with multiple choices in contraception, at least half of all pregnancies
are unintended or mistimed. Access to fresh produce could improve many health conditions for women.
Cancer is the second leading cause of death in women.
7. A nurse is planning sexuality education programs. Which topics are important to each age group? (Select
all that apply.)
a. Adolescents: contraception
b. Adolescents: infertility
c. Young adults: conception
d. Middle adulthood: sexual dysfunction
e. Old age: decreased sexuality
Adolescents need education on contraception and avoidance of unwanted pregnancy, STDs, HIV infection,
sexual abuse, sexual orientation, and good decision making. Young adults particularly need information on
conception and infertility. Middle adults need education on emotional and physical changes that occur during
this age span including the empty nest syndrome and sexual dysfunction. Older adults need education on
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
,NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
physical changes brought by age and encouragement that sexuality normally continues throughout life.
8. A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female
client diagnosed with both diseases. Which items should be included in the client's teaching plan? (Select all
that apply.)
a. Expedited partner therapy
b. Abstinence until therapy is completed
c. Use of internal uterine devices
d. Proper use of condoms
e. Re-screening for infection
f. Use of oral contraception
As part of client/partner education, the nurse should explain the expedited partner therapy (practice of
treating both sexual partners by providing medication to the client for the partner). The nurse should also
emphasize the need for abstinence from sexual intercourse until treatment is finished, proper use of
condoms, and re-screening for re-infection 3 to 12 months after treatment. The use of an intrauterine device
and oral contraception is not part of the plan.
9. A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important?
a. Avoid large crowds and people who are ill.
b. Check blood sugars four times a day.
c. Use two forms of contraception.
d. Wear properly fitting socks and shoes.
Corticosteroids reduce immune function, so clients taking these medications must avoid being exposed to
illness. Long-term use can lead to secondary diabetes, but the client would not need to start checking blood
glucose unless diabetes had been detected. Corticosteroids do not affect the effectiveness of contraception.
Wearing well-fitting shoes would be important to avoid injury, but not just because the client takes
corticosteroids.
10. A client is prescribed hormone replacement therapy. What should the nurse include in the
medication teaching for this client?
1. Decrease intake of high-fiber foods.
2. Avoid heavy lifting.
3. Use an additional form of contraception.
4. Perform breast self-examinations.
Monthly breast self-examinations should be conducted in addition to an annual exam by a health care
provider. Decrease intake of high-fiber foods is incorrect because this is not a restriction for clients receiving
HRT. Avoid heavy lifting is incorrect because this is not a restriction for clients receiving HRT. Use an additional
form of contraception is incorrect because HRT is given to women in menopause.
11. The nurse is preparing discharge instructions for a client who will be taking penicillin G. The client tells
the nurse she is also taking birth control pills. What is the nurse's best response?
1. "You may continue taking the birth control pills as your only means of contraception."
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
, NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
2. "If you feel you do not need to take the antibiotic, that is fine."
3. "You do not need to take your birth control pills while taking this medication."
4. "You will need to use another form of contraception while taking the antibiotic and for at least
one month after you finish treatment."
Penicillin G can decrease the effectiveness of oral contraceptives. The client should use a back up method of
birth control; should take the antibiotic as prescribed and not stop when feeling better; and should continue
to take their birth control while on the antibiotics.
12. A pregnant 15-year-old adolescent tells the nurse that she did not use any form of contraception
because she was afraid her parents would find out. The nurse should recognize what?
a. This is a frequent reason given by adolescents.
b. This suggests a poor parent–child relationship.
c. This is not a good reason to not get contraception.
d. This indicates that the adolescent is unaware of her legal rights.
This is one of the most common reasons given by teenagers for not using contraception. Although it is
optimum for the parents to be involved in the health care of adolescents, some adolescents require
confidential care. Privacy is important as they develop their personal identity and establish relationships. The
adolescent may be concerned about parental judgment. The adolescent should discuss with the health care
provider contraception that meets her needs; some of the longer acting birth control methods may be
preferable. The adolescent did not tell the nurse that she was unaware that she could legally obtain
contraceptive materials; she was concerned about her parents.
13. Which of the statements is correct regarding use of contraception and the occurrence of
sexually transmitted diseases (STDs)?
a. As long as the oral contraception method is used correctly, there is no transmission of STDs
during sexual activity.
b. Oral contraceptives provide the greatest protection against getting STDs.
c. Barrier methods, if used correctly, are more likely to protect individuals from STDs as compared
with other contraceptive methods.
d. It is less likely to see transmission of STDs if clients engage in oral sex as opposed to
vaginal penetration.
The correct use of barrier methods helps protect against the transmission of STDs compared with other
methods of contraception. The use of oral contraceptives has no effect on the transmission of STDs. The
effectiveness of oral contraceptives is increased related to the prevention of pregnancy compared with other
methods with the exception of abstinence. The method of sexual activity does not affect the transmission of
STDs.
14. You are teaching a group of adolescents about myths and facts related to contraception. Which
statement indicates that additional teaching is needed for this group with regard to contraception?
a. Adolescents are more likely to become pregnant even if they use available contraception
methods correctly.
b. The withdrawal technique provides a higher likelihood that a teen will not get pregnant.
NURS 1212C MODULE 7 EXEMPLARS EXAM QUESTIONS LATEST UPDATE
2022
