Reference no: EM133843525
Question
1. A male client who has been prescribed sildenafil for erectile dysfunction calls the health clinic to report that he takes the medication orally, waits for an erection to occur and nothing happens.
Which fact should form the basis of the RN's response?
A.The drug is supposed to be i inserted rectally and is not effective if taken orally.
B. In clinical trials, the drug was only effective 15% of the time.
C.If taken with a high-fat meal, the medication is more effective.
D. In the absence of sexual stimulation, the medication will not cause an erection.
2. Which dinner selection by the patient demonstrates to the registered nurse an understanding of proper nutrition to decrease manifestations of menopause?
A.Wheat toast, apple slices, broiled chicken breast, and steamed carrots.
B.Corn chips, grapes, lean meat, and baked beans.
C.Saltine crackers, fruit cocktail, lima beans, and meatloaf.
D.White toast, apple sauce, grilled chicken, and steamed carrots.
3. Which piece of information needs to be included in a teaching plan by the RN when teaching a patient about a bilateral tubal ligation?
A.Menstruation usually ceases after the procedure.
B.The incision will be made endocervically.
C.The procedure can easily be reversed.
D.Libido will remain the same after the procedure.
4. The RN has identified the nursing diagnosis of Sexual Dysfunction related to decreased libido for a subfertile couple. Which assessment supports this diagnosis?
A.The couple has close friends who have recently given birth to a baby.
B.The couple lives with one set of parents.
C.The couple has established a set schedule for their sexual encounters.
D.The couple has been married for more than eight years.
5. The RN is teaching the patient who is 34 weeks pregnant when to call the primary care provider.
Which statement made by the patient would indicate to the RN that the teaching was effective?
A."I will call the Doctor if I have a headache."
B."I will call the Doctor if I urinate a lot."
C."I will call the Doctor if I have any nausea."
D."I will call the Doctor if I have any leg cramp
6. The registered nurse is providing teaching to the client about the use of oral danazol for the treatment of endometriosis. Which statement by the client indicates that teaching was effective?
A."I may have weight loss."
B."My breasts may become bigger."
C."I will stop having periods."
D."I need to use alternate methods of birth control."
7. These statements were made by members of an interprofessional team meeting to discuss a plan of care for a pregnant client who has a known opioid addiction. Which statement reflects current evidence to promote better birth outcomes?
A."We need to admit the client to a psychiatric facility for immediate evaluation."
B."We need to inform law enforcement officials as required by law."
C."We need to encourage the client to enroll in a voluntary drug treatment program."
D."We need to monitor the fetus closely since we cannot mandate treatment."
8. A Registered Nurse is aware that the 2020 National Health Goals address the issue of subfertility.
Which nursing intervention is most likely to reduce the proportion of women with impaired fertility?
A.Encourage patient to have intercourse daily.
B.Teach female superior position is best for intercourse.
C.Refer women over age 45 for fertility assessment.
D.Teach patient about safer sex practices.
9. Which assessment finding in an 8-week gestation patient should the RN bring to the attention of the nurse midwife?
A.Body mass index of 17 kg/mm2
B.Hematocrit of 38%
C.Blood pressure of 100/60 mm/Hg
D.Hemoglobin of 13.2 g/dL
10. The RN is preparing to administer the HPV vaccine to a client. Which assessment would need further review before administration of the vaccine?
A.Client takes ibuprophen daily
B.Client has a history of seizures
C.Client has an allergy to yeast
D.Client has a mild cold
11. After collaborating with the Registered Dietician, which information is important for the registered nurse to include in the teaching plan for the patient with lactose intolerance?
A.It is important to include enough whole milk in the diet to provide enough vitamin D.
B.Supplementing with cheese and yogurt will be adequate to provide the correct amount of nutrients.
C.There is no substitute to take during pregnancy to provide nutrients for lack of milk.
D.If she ingests the same nutrients from other foods, the actual drinking of milk is not important.
12. A patient who is 12 weeks gestation tells the registered nurse, "I know fish is good for me, so I make sure I eat sushi at least once a week." Which response by the registered nurse is most appropriate?
A."Sushi is raw. Raw fish is especially high in mercury."
B."You can eat fish, but sushi is too salty to eat during pregnancy."
C."It is recommended that fish be cooked to destroy harmful bacteria."
D."You are correct. Fish is very healthy for you."
13. The registered nurse assesses the gravid patient's fundal height to be at the xiphoid process. The registered nurse is aware that the following fetal change is likely to be occurring during this stage of the pregnancy?
A.Respiratory movements begin.
B.Eyes begin to open and close.
C.Body stores of glycogen are deposited.
D.Spinal column is fully formed.
14. The patient's last menstrual period began on June 19. Which would the registered nurse calculate to be the patient's estimated date of birth?
A.March 26
B.February 26
C.March 16
D.January 16
15. The RN working in a health care clinic is teaching a group of sexually active teens about safe sex practices. Which statement by a teen indicates that the teaching was effective?
A."I may have a sexually transmitted disease even if I have no symptoms."
B."I cannot become HIV infected if I only engage in oral sex."
C."If I get the Gardasil injections, I won't need to use a condom."
D."Using spermicide during sex will help me to avoid a sexually transmitted infection."
16. A woman at 32 weeks gestation has just delivered a baby with no heartbeat. Which intervention is most appropriate for the RN at this time?
A.Remove the baby from the delivery room as quickly as possible.
B.Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
C.Ask the woman if she would like the doctor to prescribe her a sedative.
D.Remind the mother that she will be able to have another baby in the future.