NURS 326 Final Exam Practice Questions and Answers

NURS 326 Final Exam Practice Questions and Answers When caring for a patient with mild preeclampsia, it is critical that during assessment the nurse be alert for signs of progress to severe preeclampsia. Progress to severe preeclampsia is indicated by this assessment finding: a. Proteinuria greater than 2+, in two specimens collected 6 hours apart b. Platelet count of 180,000/mm3 c. Positive ankle clonus d. Blood pressure of 154/94 and 156/100, 6 hours apart - Ans:-c. Positive ankle clonus A nurse is admitting a client with a clinical diagnois of premenstrual syndrome (PMS). What symptom described by the client would the nurse identify as being a is characteristic of PMS? a. "I have abdominal bloating and breast pain after a couple days of my period." ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/100 b. "I have nausea and headaches after my period starts, and they last 2 to 3 days." c. "I feel irritable and moody a week before my period is supposed to start." d. "I have lower abdominal pain beginning the third day of my menstrual period." - Ans:-a. "I have abdominal bloating and breast pain after a couple days of my period." A nurse is reviewing the diagnosis and management of amenorrhea. Which finding should the nurse anticipate? a. It often goes away on its own. b. It probably is the result of a hormone deficiency that can be treated with medication. c. It may be caused by stress or excessive exercise or both. d. It likely will require the client to eat less and exercise more. - Ans:-c. It may be caused by stress or excessive exercise or both. A nurse is admitting a client with a clinical diagnosis of dysfunctional uterine bleeding (DUB). Which finding should the nurse identify? a. It is most commonly caused by anovulation. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/100 b. The diagnosis of DUB should be the first considered for abnormal menstrual bleeding. c. It most often occurs in middle age. d. The most effective medical treatment involves steroid - Ans:-a. It is most commonly caused by anovulation. A nurse is caring for a client diagnosed with primary dysmenorrhea. What intervention should the nurse identify as being an effective relief measure? a. Begin taking prostaglandin synthesis inhibitors on the first day of the menstrual flow. b. Reduce physical activity level until menstruation ceases. c. Decrease intake of salt and refined sugar about 1 week before menstruation is about to occur. d. Use barrier methods rather than the oral contraceptive pill (OCP) for birth control. - Ans:-c. Decrease intake of salt and refined sugar about 1 week before menstruation is about to occur. A group of nurses are discussing health risks associated with menopause. Which finding should the nurses identify as not being associated as a health risk with menopause? a. Coronary heart disease ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/100 b. Osteoporosis c. Obesity d. Breast cancer - Ans:-d. Breast cancer Which medication should the nurse identify as reccomended by the Centers for Disease Control and Prevention (CDC)for the treatment of chlamydia? a. Penicillin b. Doxycycline c. Podofilox d. Acyclovir - Ans:-b. Doxycycline A group of nurses are discussing virally sexually transmitted infections (STI) in the United States. Which STI would the nurses as affecting the mostpeople? a. Herpes simplex virus type 2 (HSV-2) b. Human papillomavirus (HPV) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/100 c. Human immunodeficiency virus (HIV) d. Cytomegalovirus (CMV) - Ans:-b. Human papillomavirus (HPV) Which medication should the nurse identify as being the recommended treatment to prevent transmission of human immunodeficiency virus (HIV) to the fetus during pregnancy? a. Zidovudine b. Podophyllin c. Ofloxacin d. Acyclovir - Ans:-a. Zidovudine