問題一覧
1
A patient is admitted to labor and delivery unit and a plan of care based on that patients needs is developed by which member of the health care team?
Registered Nurse
2
Which nursing action is inappropriate when providing safe and effective nursing care?
stereotyping a patient on the basis of ethnicity
3
A patient reports a thick curd like discharge and vaginal itching. the nurse expects the following diagnosis
vulvovaginal candidas
4
which of the following data collected during the assessment process causes the nurse to anticipate a diagnosis of endometriosis
painful menstrual cramps
5
the nurse is uncomfortable with caring for a patient who is planning to undergo an abortion. which action should the nurse take?
notify the nurse manager
6
Which preventative health screenings should the nurse include in the plan of care for a woman who is 30 years of age? (select all)
pap test, breast self exam, blood pressure screening
7
a patient is telling the nurse about her irregular menstrual periods. the nurse considers that the patient may have polycystic ovary syndrome (PCOS) when she mentions what other symptoms?
extra hair growth on the face
8
all birth control methods have advantages and disadvantages. which of the following statements are correct?
oral contraceptives do not prevent STI’s, the transdermal patch decreases breast tenderness
9
a nurse caring the a laboring patient requests a medication that is categorized as pregnancy x. what should the nurse do?
explain that the medication is categorized as pregnancy x
10
a pregnant patient has been receiving care in the maternal- child clinic. during labor the fetus demonstrates signs of distress. which nursing professional is best suited to provide care
CNM
11
the nurse can interact effectively with medical interpreters by doing which of the following?
speak directly to the patient
12
which nursing interventions should be included in the plan of care for a patient who is diagnosed with a pelvic floor disorder? ( select all)
teaching kegel exercises, encourage increase in water intake, providing educational materials for inserting a pessary
13
In evaluating pharmacotherapy interventions, the nurse recognizes that which of the following is true?
environmental, cultural, and genetic factors affect how drugs act on individuals
14
which dietary modification should the nurse recommend to a patient with a family history of uterine fibroids?
consume less red meat
15
the nurse is providing nutritional education to a client who is seeking information prior to conception. which item (s) below should the nurse include in her education
no alcohol, limit caffeine , folic acid supplement
16
a patient asks the student nurse whether a medication is safe to take during pregnancy. the student thinks it is an approved medication during pregnancy. which is the students best response
I will ask your OB
17
a pt calls the clinic because she thinks she may have a STI. the best response by be nurse are which of the following? (select all)
can you come in for an appt today, abstain from sex until your appt
18
the nurse assessing the knowledge of a pt newly diagnosed with endometriosis. which statement by the pt would the nurse need to follow up?
my endometriosis will go away in a few years
19
a breastfeeding woman has requested her provider prescribe the mini pill for her birth control method. the nurse will include in her teaching plan which statement to educate her patient?
pulls must be taken at the same time every day
20
which statement is true about the herpes simplex virus?
some people never have symptoms
21
a pt with dysfunctional uterine bleeding is asking about her plan of care. how should the nurse respond?
if your test results are normal the provider will likely prescribe hormone therapy
22
a 38 yr old female pt is considered a IUD for contraceptive. what should the nurse include in teaching about this approach to birth control?
it required a pelvic exam to insert lt and remove
23
which interventions should the nurse include in the plan of care for a patient who is experiencing menopause ( select all)
encourage weight based exercise, provide info. regarding hormone replacement therapy , provide info on hit flashes, beneficial meds to prevent osteoporosis
24
the nurse has many tasks to complete and is trying to ensure that they are all done in a timely manner. what is the first step the nurse should take when delegating?
clarify what the specific activity or task is by defining all aspects of the issue and the delegated nurses level of competency
25
a patient presents to the office with complaints of amenorrhea. what is the nurses correct response
we will have to order a pregnancy test for you
26
the nurse joins a community outreach program to promote vaccination of children, demonstrating which ethical principle
beneficence
27
which method of family planning requires the woman to track her menstrual periods and estimate the time of ovulation?
periodic abstinence
28
who or what regulated the nursing scope of practice
state laws
29
the nurse or providing teaching to a group of teen girls about menstrual cramp relief. what non pharmacological suggestion should the nurse include?
exercise regularly
30
a 17 year old girl comes to the clinic for a sports physical. which statement by the patient would the nurse suspect she had secondary amonorrhea?
I haven’t had a period since I started running cross country
31
which term should the nurse use to describe the display of culturally appropriate behaviors?
cultural sensitivity
32
which data collected during a patients health history supports the current diagnosis of infertility
scar tissue from STI’s
33
the provider orders a hysterosalpingography for a patient. the nurse knows this test is used for
visualing the uterus and fallopian tubes for abnormalities
34
when screening a patient who speaks a different language, it is important to do which of the following
use a medical interpreter
35
a 17 year old in her first trimester visits a the clinic for a prenatal appointment. she is upset because her parents want her to have an abortion but she does not. what should the nurse ask to find out the emancipation status of the patient?
are you married
36
infant mortality rates in the black population being double the rates in the white population is an example of which of the following
health disparity
37
a patient reports to the ER 4 days after the onset of menstruation with influenza like symptoms and a rash on her palms and feet. what diagnosis does the nurse suspect?
toxic shock syndrome
38
the nurse is teaching a pt about barrier methods of contraception. which of the following should not be included in the discussion?
moderate physical activity for 2.5 hrs each week
39
why is it important to understand the worldview when caring for individuals from different cultures?
develop an appreciation of differences
40
which clinical manifestations support the diagnosis of PMS and PMDD? ( select all)
irritability, dysmenorrhea , weight gain, acne with menstruation
41
a patient who was recently prescribed an oral contraceptive called the nurse to ask for advice. she had forgetting to take her pill for the last 3 days and wants to know how long she and her partner should use a second form of protection. how should the nurse respond?
a second form of protection is needed until your menstrual period begins and you start a new pill package
42
the nurse admits a woman in the second trimester of pregnancy to the OB clinic for her regular examination. the pt asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. which is the nurses best response?
talk with the provider about the safest medication to take during pregnancy
43
which data collected by the nurse during the health history support the suspected diagnosis of ovarian cyst?
painful intercourse
44
the provider explains the need for an invasive procedure, but the patient declines the procedure. the nurse supports the patients right to make this decision, demonstrating an understanding of which ethical principle?
autonomy
45
which clinical manifestation should the nurse educate a perimenopausaul woman to anticipate?
night sweats
46
the nurse is teaching a pt about barrier methods of contraception. which of the following should not be included in the discussion?
IUD
47
what is the nurses responsibility in regard to informed consent?
ensure that the consent is signed by the provider and the patient prior to the procedure
48
the most common cause of amenorrhea is
pregnancy
49
the nurse is providing education to a perimenopausal woman. what should the nurse recommend in regard to sexual intercourse?
using vaginal lubricants will prevent pain during intercourse
50
a laboring patient introduces several adults as being members of the family. how should the nurse interpret this information?
family is who the patient says they are