N4150 Final Exam Questions With Complete Solutions
15 y/o Annie tells the nurse that her boyfriend sometimes slaps
her when he gets mad. What is the nurse's most appropriate
response?
a. That's terrible! Have you told your mother?
b. Would you like to tell me more about how your partner treats
you when he gets mad at you?
c. Why did you make him mad?
d. Because you're a minor, I am required by law to report his
action to the authorities because it is considered child abuse
Correct Answers B
25 y/o Susan presents to the prenatal clinic with her partner for
her first prenatal visit. What is the best strategy for the nurse to
implement in order to assess for IPV?
a. Ask Susan if her partner hurts her while he is in the room
b. Wait to ask Susan about IPV at a visit when her partner is not
present
c. Ask Susan about IPV while escorting her to the restroom to
collect urine and her partner is in the clinic room
d. No need to ask since her partner is with her Correct Answers
C
27 y/o Mandy tells the nurse she is thinking about leaving her
partner. She is tired of the abuse. What is the nurse's best first
response?
a. Great! Let's call the police
b. I think it is time. Let's contact a counselor from the shelter
and they can help you leave your partner ASAP.
,c. I am here to support you. Let's talk about a safe plan for you
to prepare to leave your partner.
d. It's about time. When do you want to leave? Correct Answers
C
47 y/o Sallie is interested in HRT for her hot flashes and vaginal
dryness. She has high blood pressure and her LMP was 3
months ago. She asks the nurse what can she use? What is the
nurse's best response?
Select one:
a. "You need to be on the birth control pill for your symptoms
and contraception"
b. "All women should take the bio-identical estrogen and
progesterone pills"
c. "It would be best to talk to the health care provider to
determine what type of HRT might be best for you"
d. "You cannot take HRT since your blood pressure is high"
Correct Answers C
54 y/o Janice has a history of blood clots in her legs when she
used birth control pills. Her hot flashes are "driving me crazy".
What alternative comfort measure might be appropriate for
Janice? (Select all that apply).
a. Avoid heavy blankets at night
b. Wear layered clothing
c. Take a compound estrogen pill once a week
d. Avoid triggers that bring about hot flashes Correct Answers
A, D
,A 27 y/o pregnant woman had a preconceptual body mass index
(BMI) of 29. What is this client's total recommended weight
gain during pregnancy?
a. 15-25 pounds
b. 11-20 pounds
c. 25-35 pounds
d. 28-40 pounds Correct Answers A
A G21001 patient is Rh neg and states she did not receive
RhoGAM after delivery of her first baby. What is the nurse's
best response to the patient?
a. Are you sure?
b. This is not good, your current baby may be at risk for
complications
c. What was the blood type of your first baby?
d. Did you have Rh neg blood during your first pregnancy?
Correct Answers C
A gravida G41201, fetal HR 150s, is 14 weeks pregnant, fundal
height 1 cm above the symphysis. She denies experiencing
quickening. Which of the following nursing conclusions made
by the nurse is correct?
a. The woman is experiencing a normal pregnancy
b. The woman may be having difficulty accepting this
pregnancy
c. The woman must see a nutritionist as soon as possible
d. The woman will likely miscarry the conceptus Correct
Answers A
A married couple lives in a single-family house with their
newborn son and the husband's daughter from a previous
, marriage. Based on this information, what family form best
describes this family?
Select one:
a. Same-sex family
b. Nuclear family
c. Extended family
d. Married-blended family Correct Answers d. Married-
blended family
A nurse is teaching a woman about her menstrual cycle. The
nurse states that ___ is the most important change that happens
during the follicular phase of the menstrual cycle.
a. Maturation of the Graafian follicle
b. Multiplication of the fimbriae
c. Proliferation of the endometrium
d. Secretion of the human chorionic gonadotropin
e. Release of the egg from the mature follicle Correct Answers
A
A nurse is teaching a woman about her menstrual cycle. The
nurse states that ____ is the most important change that happens
during the secretory phase of the menstrual cycle.
Select one:
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of hCG
d. Proliferation of the endometrium Correct Answers D
15 y/o Annie tells the nurse that her boyfriend sometimes slaps
her when he gets mad. What is the nurse's most appropriate
response?
a. That's terrible! Have you told your mother?
b. Would you like to tell me more about how your partner treats
you when he gets mad at you?
c. Why did you make him mad?
d. Because you're a minor, I am required by law to report his
action to the authorities because it is considered child abuse
Correct Answers B
25 y/o Susan presents to the prenatal clinic with her partner for
her first prenatal visit. What is the best strategy for the nurse to
implement in order to assess for IPV?
a. Ask Susan if her partner hurts her while he is in the room
b. Wait to ask Susan about IPV at a visit when her partner is not
present
c. Ask Susan about IPV while escorting her to the restroom to
collect urine and her partner is in the clinic room
d. No need to ask since her partner is with her Correct Answers
C
27 y/o Mandy tells the nurse she is thinking about leaving her
partner. She is tired of the abuse. What is the nurse's best first
response?
a. Great! Let's call the police
b. I think it is time. Let's contact a counselor from the shelter
and they can help you leave your partner ASAP.
,c. I am here to support you. Let's talk about a safe plan for you
to prepare to leave your partner.
d. It's about time. When do you want to leave? Correct Answers
C
47 y/o Sallie is interested in HRT for her hot flashes and vaginal
dryness. She has high blood pressure and her LMP was 3
months ago. She asks the nurse what can she use? What is the
nurse's best response?
Select one:
a. "You need to be on the birth control pill for your symptoms
and contraception"
b. "All women should take the bio-identical estrogen and
progesterone pills"
c. "It would be best to talk to the health care provider to
determine what type of HRT might be best for you"
d. "You cannot take HRT since your blood pressure is high"
Correct Answers C
54 y/o Janice has a history of blood clots in her legs when she
used birth control pills. Her hot flashes are "driving me crazy".
What alternative comfort measure might be appropriate for
Janice? (Select all that apply).
a. Avoid heavy blankets at night
b. Wear layered clothing
c. Take a compound estrogen pill once a week
d. Avoid triggers that bring about hot flashes Correct Answers
A, D
,A 27 y/o pregnant woman had a preconceptual body mass index
(BMI) of 29. What is this client's total recommended weight
gain during pregnancy?
a. 15-25 pounds
b. 11-20 pounds
c. 25-35 pounds
d. 28-40 pounds Correct Answers A
A G21001 patient is Rh neg and states she did not receive
RhoGAM after delivery of her first baby. What is the nurse's
best response to the patient?
a. Are you sure?
b. This is not good, your current baby may be at risk for
complications
c. What was the blood type of your first baby?
d. Did you have Rh neg blood during your first pregnancy?
Correct Answers C
A gravida G41201, fetal HR 150s, is 14 weeks pregnant, fundal
height 1 cm above the symphysis. She denies experiencing
quickening. Which of the following nursing conclusions made
by the nurse is correct?
a. The woman is experiencing a normal pregnancy
b. The woman may be having difficulty accepting this
pregnancy
c. The woman must see a nutritionist as soon as possible
d. The woman will likely miscarry the conceptus Correct
Answers A
A married couple lives in a single-family house with their
newborn son and the husband's daughter from a previous
, marriage. Based on this information, what family form best
describes this family?
Select one:
a. Same-sex family
b. Nuclear family
c. Extended family
d. Married-blended family Correct Answers d. Married-
blended family
A nurse is teaching a woman about her menstrual cycle. The
nurse states that ___ is the most important change that happens
during the follicular phase of the menstrual cycle.
a. Maturation of the Graafian follicle
b. Multiplication of the fimbriae
c. Proliferation of the endometrium
d. Secretion of the human chorionic gonadotropin
e. Release of the egg from the mature follicle Correct Answers
A
A nurse is teaching a woman about her menstrual cycle. The
nurse states that ____ is the most important change that happens
during the secretory phase of the menstrual cycle.
Select one:
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of hCG
d. Proliferation of the endometrium Correct Answers D
