NUR 245 Final Exam Test bank (2024 /
2025 Update) Questions and Verified
Answers | 100% Correct | Grade A
While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has been
incontinent of stool. The stool is loose and gray-tan in color. The nurse recognizes that this finding indicates which
of the following?
a. Occult blood
b. Inflammation
c. Absent bile pigment
d. Ingestion of iron preparations
ANS: C
The presence of gray-tan stool indicates absent bile pigment, which can occur with obstructive jaundice. The
ingestion of iron preparations and the presence of occult blood turns the stools to a black color. Jellylike mucus
shreds mixed in the stool would indicate inflammation.
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 that occurs as a
result of 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 nurses 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
Questions that help the patient reveal more information about her symptoms should be asked in a nonthreatening
manner. Asking about the amount, color, and odor of the vaginal discharge provides the opportunity for further
assessment. 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 any:
a. Changes in your urination patterns?
b. Excessive vaginal bleeding?
c. Unusual vaginal discharge or itching?
d. 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 appropriate.
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. Women often have questions about their sexual relationship and how it affects their health. Do you have any
questions?
d. Most women your age have had more than one sexual partner. How many would you say you have had?
ANS: C
The nurse should begin with an open-ended question to assess individual needs. The nurse should include
appropriate questions as a routine part of the health history, because doing so communicates that the nurse
accepts the individuals sexual activity and believes it is important. The nurses comfort with the discussion prompts
the patients interest and, possibly, relief that the topic has been introduced. The initial discussion establishes a
database for comparison with any future sexual activities and provides an opportunity to screen sexual problems.
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse
should ask:
,a. Do you have a history of heart murmurs?
b. Will you be in a monogamous relationship?
c. Have you carefully thought this choice through?
d. If you smoke, how many cigarettes do you smoke per day?
ANS: D
Oral contraceptives, together with cigarette smoking, increase the risk for cardiovascular side effects. If cigarettes
are used, then the nurse should assess the patients smoking history. The other questions are not appropriate.
A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4
months and have not been successful. What should the nurse do first?
a. Ascertain whether either of them has been using broad-spectrum antibiotics.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
c. Immediately refer the woman to an expert in pelvic inflammatory disease the most common cause of infertility.
d. Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse and that
they will need a referral to a fertility expert.
ANS: B
Infertility is considered after 1 year of engaging in unprotected sexual intercourse without conceiving. The other
actions are not appropriate.
A nurse is assessing a patients risk of contracting a sexually transmitted infection (STI). An appropriate question to
ask would be:
a. You know that it's important to use condoms for protection, right?
b. Do you use a condom with each episode of sexual intercourse?
c. Do you have a sexually transmitted infection?
d. You are aware of the dangers of unprotected sex, arent you?
ANS: B
In reviewing a patients risk for STIs, the nurse should ask in a nonconfrontational manner whether condoms are
being used during each episode of sexual intercourse. Asking a person whether he or she has an infection does not
address the risk.
, When the nurse is interviewing a preadolescent girl, which opening question would be least threatening?
a. Do you have any questions about growing up?
b. What has your mother told you about growing up?
c. When did you notice that your body was changing?
d. I remember being very scared when I got my period. How do you think you'll feel?
ANS: C
Open-ended questions such as, When did you ? rather than Do you ? should be asked. Open-ended questions are
less threatening because they imply that the topic is normal and unexceptional.
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey
that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
a. It is okay that you have become sexually active.
b. Girls your age often have questions about sexual activity. Do you have any questions?
c. If it is okay with you, Id like to ask you some questions about your sexual history.
d. Girls your age often engage in sexual activities. It is okay to tell me if you have had intercourse.
ANS: B
The examiner should start with a permission statement such as, Girls your age often experience A permission
statement conveys the idea that it is normal to think or feel a certain way, and implying that the topic is normal
and unexceptional is important.
The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it applies to
obtaining the health history of a postmenopausal woman?
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
b. Once a woman reaches menopause, the nurse does not need to ask any history questions.
c. The nurse should screen for monthly breast tenderness.
d. Postmenopausal women are not at risk for contracting STIs; therefore, these questions can be omitted.
ANS: A
Postmenopausal bleeding warrants further workup and referral. The other statements are not true.
2025 Update) Questions and Verified
Answers | 100% Correct | Grade A
While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has been
incontinent of stool. The stool is loose and gray-tan in color. The nurse recognizes that this finding indicates which
of the following?
a. Occult blood
b. Inflammation
c. Absent bile pigment
d. Ingestion of iron preparations
ANS: C
The presence of gray-tan stool indicates absent bile pigment, which can occur with obstructive jaundice. The
ingestion of iron preparations and the presence of occult blood turns the stools to a black color. Jellylike mucus
shreds mixed in the stool would indicate inflammation.
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 that occurs as a
result of 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 nurses 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
Questions that help the patient reveal more information about her symptoms should be asked in a nonthreatening
manner. Asking about the amount, color, and odor of the vaginal discharge provides the opportunity for further
assessment. 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 any:
a. Changes in your urination patterns?
b. Excessive vaginal bleeding?
c. Unusual vaginal discharge or itching?
d. 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 appropriate.
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. Women often have questions about their sexual relationship and how it affects their health. Do you have any
questions?
d. Most women your age have had more than one sexual partner. How many would you say you have had?
ANS: C
The nurse should begin with an open-ended question to assess individual needs. The nurse should include
appropriate questions as a routine part of the health history, because doing so communicates that the nurse
accepts the individuals sexual activity and believes it is important. The nurses comfort with the discussion prompts
the patients interest and, possibly, relief that the topic has been introduced. The initial discussion establishes a
database for comparison with any future sexual activities and provides an opportunity to screen sexual problems.
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, the nurse
should ask:
,a. Do you have a history of heart murmurs?
b. Will you be in a monogamous relationship?
c. Have you carefully thought this choice through?
d. If you smoke, how many cigarettes do you smoke per day?
ANS: D
Oral contraceptives, together with cigarette smoking, increase the risk for cardiovascular side effects. If cigarettes
are used, then the nurse should assess the patients smoking history. The other questions are not appropriate.
A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4
months and have not been successful. What should the nurse do first?
a. Ascertain whether either of them has been using broad-spectrum antibiotics.
b. Explain that couples are considered infertile after 1 year of unprotected intercourse.
c. Immediately refer the woman to an expert in pelvic inflammatory disease the most common cause of infertility.
d. Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse and that
they will need a referral to a fertility expert.
ANS: B
Infertility is considered after 1 year of engaging in unprotected sexual intercourse without conceiving. The other
actions are not appropriate.
A nurse is assessing a patients risk of contracting a sexually transmitted infection (STI). An appropriate question to
ask would be:
a. You know that it's important to use condoms for protection, right?
b. Do you use a condom with each episode of sexual intercourse?
c. Do you have a sexually transmitted infection?
d. You are aware of the dangers of unprotected sex, arent you?
ANS: B
In reviewing a patients risk for STIs, the nurse should ask in a nonconfrontational manner whether condoms are
being used during each episode of sexual intercourse. Asking a person whether he or she has an infection does not
address the risk.
, When the nurse is interviewing a preadolescent girl, which opening question would be least threatening?
a. Do you have any questions about growing up?
b. What has your mother told you about growing up?
c. When did you notice that your body was changing?
d. I remember being very scared when I got my period. How do you think you'll feel?
ANS: C
Open-ended questions such as, When did you ? rather than Do you ? should be asked. Open-ended questions are
less threatening because they imply that the topic is normal and unexceptional.
When the nurse is discussing sexuality and sexual issues with an adolescent, a permission statement helps convey
that it is normal to think or feel a certain way. Which statement is the best example of a permission statement?
a. It is okay that you have become sexually active.
b. Girls your age often have questions about sexual activity. Do you have any questions?
c. If it is okay with you, Id like to ask you some questions about your sexual history.
d. Girls your age often engage in sexual activities. It is okay to tell me if you have had intercourse.
ANS: B
The examiner should start with a permission statement such as, Girls your age often experience A permission
statement conveys the idea that it is normal to think or feel a certain way, and implying that the topic is normal
and unexceptional is important.
The nurse is preparing to interview a postmenopausal woman. Which of these statements is true as it applies to
obtaining the health history of a postmenopausal woman?
a. The nurse should ask a postmenopausal woman if she has ever had vaginal bleeding.
b. Once a woman reaches menopause, the nurse does not need to ask any history questions.
c. The nurse should screen for monthly breast tenderness.
d. Postmenopausal women are not at risk for contracting STIs; therefore, these questions can be omitted.
ANS: A
Postmenopausal bleeding warrants further workup and referral. The other statements are not true.
