NURS 326 Final PQs
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
c. Positive ankle clonus
A. 3+/4+ 严重
D. 160/110
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."
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."
ç "I feel irritable and moody a week before my period is supposed to start."
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.
c. It may be caused by stress or excessive exercise or both.
闭经可能是促卵泡激素和黄体生成素减少的结果。它通常是由于压力或体脂肪与瘦体重的比
率较低(可能是由于过度运动) ，以及在罕见的情况下，由垂体肿瘤引起。压力和饮食失调的管
理通常是必要的，包括关于原因和可能的生活方式改变的咨询和教育。在大多数情况下，客户
需要减少她的运动和增加她的体重，以恢复月经。
B. 闭经不能用药物治疗。
,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.
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
a. It is most commonly caused by anovulation.(排卵障碍)
DUB is made only after all other causes of abnormal menstrual bleeding have been ruled
out.
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.
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
b. Osteoporosis
c. Obesity
d. Breast cancer
d. Breast cancer
Breast cancer may be associated with the use of hormone replacement therapy for women
who have a family history of breast cancer. Osteoporosis is a major health problem in the
United States; it is associated with an increase in hip and vertebral fractures in
postmenopausal women. A woman's risk for development of and death from cardiovascular
disease increases significantly after menopause. Women tend to become more sedentary in
midlife. The metabolic rate decreases after menopause, so an adjustment in lifestyle and
eating patterns may be required.
,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
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)
c. Human immunodeficiency virus (HIV)
d. Cytomegalovirus (CMV)
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
a. Zidovudine
When teaching self-care prevention of genital tract infections, the nurse should instruct the
woman to:
a. Douche frequently.
b. Increase dietary sugar and avoid yogurt.
c. Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath.
d. Choose underwear or hosiery with a nylon crotch.
c. Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath.
A group of nurses are reviewing common bacterial sexually transmitted infections. Which
statement should the nurses identify as not being accurate?
a. Gonorrhea can be transmitted to the newborn by direct contact with gonococcal
organisms in the cervix.
b. Syphilis can be transmitted through kissing, biting, or oral-genital sex.
c. Chlamydial infections and gonorrhea are more likely to occur in women younger than age
20.
, d. Medications for pelvic inflammatory disease (PID) can be discontinued once symptoms
disappear.
d. Medications for pelvic inflammatory disease (PID) can be discontinued once symptoms
disappear.
Nurses can help motivate clients to use condoms by initiating a discussion related to a
number of aspects of condom use. Which aspect would the nurse identify as being most
important?
a. Choice of colors and special features.
b. Leaving the decision up to the male partner.
c. Strategies to enhance condom use.
d. Places to safely carry condoms.
c. Strategies to enhance condom use.
A nurse is reviewing clinical management of genital herpes. Which statement should the
nurse identify as being inaccurate?
a. Genital herpes is chronic and recurring and has no known cure.
b. Genital herpes is also known as genital warts.
c. Plain soap and water are all that is needed to clean hands that have come into contact
with herpetic lesions.
d. Stress, menstruation, trauma, and illnesses have been known to trigger recurrences.
b. Genital herpes is also known as genital warts.
A. Gentital Herpes NO cure
A client who is breastfeeding has been diagnosed with gonorrhea. Which treatment plan
should the nurse expect to be implemented?
a. Benzathine penicillin G 2.4 million units one injection
b. Amoxicillin 500 mg three times a day for 7 days and ceftriaxone 250 mg IM injection
c. Amoxicillin 500 mg three times a day for 1 week
d. Ceftriaxone 250 mg IM injection
b. Amoxicillin 500 mg three times a day for 7 days and ceftriaxone 250 mg IM injection
In providing health promotion education to reduce the likelihood of transmission of sexually
transmitted diseases, the nurse would describe which of the following practices as having a
low potential risk for disease transmission? (Select all that apply.)
a. Erotic conversation
b. Oral sex with female or male wearing condom
c. Vaginal intercourse with condom
d. Blood contact during sexual act due to menses
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
c. Positive ankle clonus
A. 3+/4+ 严重
D. 160/110
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."
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."
ç "I feel irritable and moody a week before my period is supposed to start."
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.
c. It may be caused by stress or excessive exercise or both.
闭经可能是促卵泡激素和黄体生成素减少的结果。它通常是由于压力或体脂肪与瘦体重的比
率较低(可能是由于过度运动) ，以及在罕见的情况下，由垂体肿瘤引起。压力和饮食失调的管
理通常是必要的，包括关于原因和可能的生活方式改变的咨询和教育。在大多数情况下，客户
需要减少她的运动和增加她的体重，以恢复月经。
B. 闭经不能用药物治疗。
,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.
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
a. It is most commonly caused by anovulation.(排卵障碍)
DUB is made only after all other causes of abnormal menstrual bleeding have been ruled
out.
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.
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
b. Osteoporosis
c. Obesity
d. Breast cancer
d. Breast cancer
Breast cancer may be associated with the use of hormone replacement therapy for women
who have a family history of breast cancer. Osteoporosis is a major health problem in the
United States; it is associated with an increase in hip and vertebral fractures in
postmenopausal women. A woman's risk for development of and death from cardiovascular
disease increases significantly after menopause. Women tend to become more sedentary in
midlife. The metabolic rate decreases after menopause, so an adjustment in lifestyle and
eating patterns may be required.
,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
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)
c. Human immunodeficiency virus (HIV)
d. Cytomegalovirus (CMV)
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
a. Zidovudine
When teaching self-care prevention of genital tract infections, the nurse should instruct the
woman to:
a. Douche frequently.
b. Increase dietary sugar and avoid yogurt.
c. Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath.
d. Choose underwear or hosiery with a nylon crotch.
c. Limit time spent in damp exercise clothes and limit exposure to bath salts or bubble bath.
A group of nurses are reviewing common bacterial sexually transmitted infections. Which
statement should the nurses identify as not being accurate?
a. Gonorrhea can be transmitted to the newborn by direct contact with gonococcal
organisms in the cervix.
b. Syphilis can be transmitted through kissing, biting, or oral-genital sex.
c. Chlamydial infections and gonorrhea are more likely to occur in women younger than age
20.
, d. Medications for pelvic inflammatory disease (PID) can be discontinued once symptoms
disappear.
d. Medications for pelvic inflammatory disease (PID) can be discontinued once symptoms
disappear.
Nurses can help motivate clients to use condoms by initiating a discussion related to a
number of aspects of condom use. Which aspect would the nurse identify as being most
important?
a. Choice of colors and special features.
b. Leaving the decision up to the male partner.
c. Strategies to enhance condom use.
d. Places to safely carry condoms.
c. Strategies to enhance condom use.
A nurse is reviewing clinical management of genital herpes. Which statement should the
nurse identify as being inaccurate?
a. Genital herpes is chronic and recurring and has no known cure.
b. Genital herpes is also known as genital warts.
c. Plain soap and water are all that is needed to clean hands that have come into contact
with herpetic lesions.
d. Stress, menstruation, trauma, and illnesses have been known to trigger recurrences.
b. Genital herpes is also known as genital warts.
A. Gentital Herpes NO cure
A client who is breastfeeding has been diagnosed with gonorrhea. Which treatment plan
should the nurse expect to be implemented?
a. Benzathine penicillin G 2.4 million units one injection
b. Amoxicillin 500 mg three times a day for 7 days and ceftriaxone 250 mg IM injection
c. Amoxicillin 500 mg three times a day for 1 week
d. Ceftriaxone 250 mg IM injection
b. Amoxicillin 500 mg three times a day for 7 days and ceftriaxone 250 mg IM injection
In providing health promotion education to reduce the likelihood of transmission of sexually
transmitted diseases, the nurse would describe which of the following practices as having a
low potential risk for disease transmission? (Select all that apply.)
a. Erotic conversation
b. Oral sex with female or male wearing condom
c. Vaginal intercourse with condom
d. Blood contact during sexual act due to menses
