RNSG 1301 CORE MAIN EXAMINATION SET
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse at a long-term care facility is surprised to learn that a new resident's
medication administration record runs four pages in length. The nurse knows that
polypharmacy carries risks and will include which interventions into the resident's plan
of care? Select all that apply.
A) assessment focused on possible drug complications
B) evaluation of swallowing ability
C) assessment of cognition and mood
D) evaluation of medication adherence
E) planning for effective cost containment - ✔✔A) assessment focused on possible drug
complications
C) assessment of cognition and mood
✔✔A pregnant woman asks why she needs to take a folic acid supplement. What is the
nurse's best explanation for the administration of folic acid?
A) "Folic acid prevents the development of contractions."
B) "Folic acid prevents neural tube birth defects."
C) "Folic acid builds strong fetal bones."
,D) "Folic acid will decrease nausea and vomiting." - ✔✔B) "Folic acid prevents neural
tube birth defects."
✔✔A woman is being administered IV magnesium sulfate. What is a desired outcome
related to the administration of magnesium sulfate?
A) increased contractions
B) respiratory rate above 18
C) decreased blood pressure
D) increased uterine tone - ✔✔C) decreased blood pressure
✔✔A woman who began labor several hours ago is now prescribed oxytocin. What is
the goal of oxytocin therapy?
A) prevent postpartum bleeding
B) decrease fetal hyperactivity
C) augment weak or irregular contractions
D) diminish periods of uterine relaxation - ✔✔C) augment weak or irregular contractions
✔✔A woman in preterm labor has been administered terbutaline sulfate. For what
potential adverse effects should the nurse assess the client?
A) pruritus (itching) and copious diaphoresis
B) joint pain and numbness in her extremities
C) headache and visual disturbances
D) palpitations and shortness of breath - ✔✔D) palpitations and shortness of breath
✔✔A woman who is at 31 week's gestation comes to the clinic in labor. The health care
provider decides to use terbutaline therapy before transferring the woman to the
hospital. The client is upset and confused and ask the nurse why can't just have the
baby, that it's only 5 weeks early. An appropriate response by the nurse should be:
A) "This drug will make you delivery in few days less painful."
B) "The drug that you are being given will prevent and control postpartum bleeding."
C) "The drug provides sufficient time for other medication to be given to improve your
baby's outcome."
D) "This drug helps induce uterine contractions and milk ejection for breast-feeding." -
✔✔C) "The drug provides sufficient time for other medication to be given to improve
your baby's outcome."
✔✔A nurse is performing health education with a woman who has just learned that she
is pregnant. The nurse has explained the concept of teratogenic drugs and emphasized
the need to have her care provider assess any medications she should consider taking.
The nurse should teach the woman that drug-induced teratogenicity is most likely to
occur at what point in her pregnancy?
, A) during the second half of her third trimester
B) in the 7 to 10 days after conception
C) in the first trimester during organogenesis
D) during 30 to 34 weeks of gestation - ✔✔C) in the first trimester during organogenesis
✔✔A nurse is instructing a pregnant client concerning the potential risk to her fetus from
a Pregnancy Category D drug. What should the nurse inform the client?
A) "Adequate studies in pregnant women have demonstrated there is no risk to the
fetus."
B) "Animal studies have not demonstrated a risk to the fetus, but there have been no
adequate studies in pregnant women."
C) "Animal studies have shown an adverse effect on the fetus, but there are no
adequate studies in pregnant women."
D) "There is evidence of human fetal risk, but the potential benefits from use of the drug
may be acceptable despite potential risks." - ✔✔D) "There is evidence of human fetal
risk, but the potential benefits from use of the drug may be acceptable despite potential
risks."
✔✔During client teaching, a young woman asks the nurse the following question: "If I
get pregnant on the 'pill,' should I continue to take it?" What is the nurse's best
response?
A) "The pill has no effect on pregnancy."
B) "The pill will cause miscarriage."
C) "This is a personal choice for each woman."
D) "The pill can be harmful to the fetus and should be discontinued." - ✔✔D) "The pill
can be harmful to the fetus and should be discontinued."
✔✔A client taking hormonal contraceptives will soon turn 35 years of age. She is
moderately obese and has smoked for 15 years. Which action should the nurse
encourage the client to take to best minimize risk for complications associated with
contraception use?
A) Beginning an exercise regime.
B) Beginning smoking cessation.
C) Beginning daily aspirin therapy.
D) Beginning taking a loop diuretic to aid weight loss. - ✔✔B) Beginning smoking
cessation.
✔✔A client with a complex medical history is considering the use of oral contraceptives.
The nurse should be aware that many antibiotics and antiseizure medications cause
what effect when combined with oral contraceptives?
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse at a long-term care facility is surprised to learn that a new resident's
medication administration record runs four pages in length. The nurse knows that
polypharmacy carries risks and will include which interventions into the resident's plan
of care? Select all that apply.
A) assessment focused on possible drug complications
B) evaluation of swallowing ability
C) assessment of cognition and mood
D) evaluation of medication adherence
E) planning for effective cost containment - ✔✔A) assessment focused on possible drug
complications
C) assessment of cognition and mood
✔✔A pregnant woman asks why she needs to take a folic acid supplement. What is the
nurse's best explanation for the administration of folic acid?
A) "Folic acid prevents the development of contractions."
B) "Folic acid prevents neural tube birth defects."
C) "Folic acid builds strong fetal bones."
,D) "Folic acid will decrease nausea and vomiting." - ✔✔B) "Folic acid prevents neural
tube birth defects."
✔✔A woman is being administered IV magnesium sulfate. What is a desired outcome
related to the administration of magnesium sulfate?
A) increased contractions
B) respiratory rate above 18
C) decreased blood pressure
D) increased uterine tone - ✔✔C) decreased blood pressure
✔✔A woman who began labor several hours ago is now prescribed oxytocin. What is
the goal of oxytocin therapy?
A) prevent postpartum bleeding
B) decrease fetal hyperactivity
C) augment weak or irregular contractions
D) diminish periods of uterine relaxation - ✔✔C) augment weak or irregular contractions
✔✔A woman in preterm labor has been administered terbutaline sulfate. For what
potential adverse effects should the nurse assess the client?
A) pruritus (itching) and copious diaphoresis
B) joint pain and numbness in her extremities
C) headache and visual disturbances
D) palpitations and shortness of breath - ✔✔D) palpitations and shortness of breath
✔✔A woman who is at 31 week's gestation comes to the clinic in labor. The health care
provider decides to use terbutaline therapy before transferring the woman to the
hospital. The client is upset and confused and ask the nurse why can't just have the
baby, that it's only 5 weeks early. An appropriate response by the nurse should be:
A) "This drug will make you delivery in few days less painful."
B) "The drug that you are being given will prevent and control postpartum bleeding."
C) "The drug provides sufficient time for other medication to be given to improve your
baby's outcome."
D) "This drug helps induce uterine contractions and milk ejection for breast-feeding." -
✔✔C) "The drug provides sufficient time for other medication to be given to improve
your baby's outcome."
✔✔A nurse is performing health education with a woman who has just learned that she
is pregnant. The nurse has explained the concept of teratogenic drugs and emphasized
the need to have her care provider assess any medications she should consider taking.
The nurse should teach the woman that drug-induced teratogenicity is most likely to
occur at what point in her pregnancy?
, A) during the second half of her third trimester
B) in the 7 to 10 days after conception
C) in the first trimester during organogenesis
D) during 30 to 34 weeks of gestation - ✔✔C) in the first trimester during organogenesis
✔✔A nurse is instructing a pregnant client concerning the potential risk to her fetus from
a Pregnancy Category D drug. What should the nurse inform the client?
A) "Adequate studies in pregnant women have demonstrated there is no risk to the
fetus."
B) "Animal studies have not demonstrated a risk to the fetus, but there have been no
adequate studies in pregnant women."
C) "Animal studies have shown an adverse effect on the fetus, but there are no
adequate studies in pregnant women."
D) "There is evidence of human fetal risk, but the potential benefits from use of the drug
may be acceptable despite potential risks." - ✔✔D) "There is evidence of human fetal
risk, but the potential benefits from use of the drug may be acceptable despite potential
risks."
✔✔During client teaching, a young woman asks the nurse the following question: "If I
get pregnant on the 'pill,' should I continue to take it?" What is the nurse's best
response?
A) "The pill has no effect on pregnancy."
B) "The pill will cause miscarriage."
C) "This is a personal choice for each woman."
D) "The pill can be harmful to the fetus and should be discontinued." - ✔✔D) "The pill
can be harmful to the fetus and should be discontinued."
✔✔A client taking hormonal contraceptives will soon turn 35 years of age. She is
moderately obese and has smoked for 15 years. Which action should the nurse
encourage the client to take to best minimize risk for complications associated with
contraception use?
A) Beginning an exercise regime.
B) Beginning smoking cessation.
C) Beginning daily aspirin therapy.
D) Beginning taking a loop diuretic to aid weight loss. - ✔✔B) Beginning smoking
cessation.
✔✔A client with a complex medical history is considering the use of oral contraceptives.
The nurse should be aware that many antibiotics and antiseizure medications cause
what effect when combined with oral contraceptives?
