Page 1 of 71
NURS 167: EXAM 1 LATEST VERSION THIS YEAR
WITH ALL 350 QUESTIONS AND CORRECT
RATIONALISED ANSWERS UPDATED RECENTLY
Question: Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate - CORRECT ANSWER✔✔1 Oxytocin
Oxytocin is a uterine stimulant that is used to induce uterine contractions for labor. Terbutaline
is a medication used to arrest preterm labor. Methylergonovine is used to treat postpartum
hemorrhage. Magnesium sulfate is used to treat gestational hypertension.
Question: Which medication is used for treating infertility?
1 Oxytocin
2 Clomiphene
3 Indomethacin
4 Dinoprostone - CORRECT ANSWER✔✔2 Clomiphene
, Page 2 of 71
Infertility is an absence of ovulation caused by an imbalance in reproductive hormones.
Clomiphene stimulates the production of gonadotropin hormones, which in turn leads to
ovulation. Oxytocin is used to induce labor when uterine contractions are weak. Indomethacin
is used during preterm labor. Dinoprostone is used to evacuate the uterine contents during
miscarriage and for cervical ripening.
Question: Ovulation commonly occurs at which day during the menstrual cycle?
1. Day 3
2. Day 7
3. Day 14
4. Day 21 - CORRECT ANSWER✔✔3. Day 14
Ovulation typically occurs at day 14 in the menstrual cycle, when the mature follicle ruptures
and releases its ovum. It does not occur on day 3, 7, or 21.
Test-Taking Tip: Look for options that are similar in nature. If all are correct, either the question
is poor or all options are incorrect, the latter of which is more likely. Example: If the answer you
are seeking is directed to a specific treatment and all but one option deal with signs and
symptoms, you would be correct in choosing the treatment-specific option.
Question: If fertilization of an ovum does not occur during a menstrual cycle, which of the
following structures responds to the increased levels of estrogen and progesterone?
, Page 3 of 71
1 Ovary
2 Hypothalamus
3 Pituitary gland
4 Corpus luteum - CORRECT ANSWER✔✔3. Pituitary gland
If fertilization does not occur, the pituitary responds to the increased levels of estrogen and
progesterone by shutting off the release of follicle-stimulating hormone and luteinizing
hormone. The ovaries, hypothalamus, and corpus luteum are not directly involved.
Question: What is an adverse effect associated with estrogen therapy?
1. Nausea
2. Dry Skin
3. Weight loss
4. Higher-pitched voice - CORRECT ANSWER✔✔1. Nausea
The most common undesirable effect of estrogen use is nausea. Photosensitivity may also occur
with estrogen therapy. One common dermatologic effect of note is chloasma, not dry skin.
Weight loss and a higher-pitched voice are not caused by estrogen therapy.
Question: Which patient statement indicates to the nurse full patient understanding of the
discharge instructions regarding alendronate?
, Page 4 of 71
1. "I need to decrease my intake of dairy products to prevent hypercalcemia."
2. "I need to take this medication with food to prevent damage to my esophagus."
3. "This medication will help relieve the bone pain I have from my osteoporosis."
4. "I will take the medication on an empty stomach and not lie down for 30 minutes." -
CORRECT ANSWER✔✔4. "I will take the medication on an empty stomach and not lie down for
30 minutes."
Alendronate can cause erosive esophagitis. To prevent this side effect, it is important to take the
medication first thing in the morning on an empty stomach without any other medications and
to maintain an upright position for 30 minutes. These actions facilitate rapid absorption and
prevent reflux into the esophagus. Decreasing dairy intake is not indicated. The medication does
not directly relieve bone pain caused by osteoporosis.
Question: Which statement indicates that the patient understands the benefit of continuous
administration of progestin with an estrogen regimen?
1. "Endometrial cancer risk can be reduced by adding progestin."
2. "The progestin in the regimen will help prevent breast cancer."
3. "The progestin in the regimen will help prevent ovarian cancer."
4. "Vaginal cancer is prevented by adding progestin to the regimen." - CORRECT ANSWER✔✔1.
"Endometrial cancer risk can be reduced by adding progestin."
NURS 167: EXAM 1 LATEST VERSION THIS YEAR
WITH ALL 350 QUESTIONS AND CORRECT
RATIONALISED ANSWERS UPDATED RECENTLY
Question: Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate - CORRECT ANSWER✔✔1 Oxytocin
Oxytocin is a uterine stimulant that is used to induce uterine contractions for labor. Terbutaline
is a medication used to arrest preterm labor. Methylergonovine is used to treat postpartum
hemorrhage. Magnesium sulfate is used to treat gestational hypertension.
Question: Which medication is used for treating infertility?
1 Oxytocin
2 Clomiphene
3 Indomethacin
4 Dinoprostone - CORRECT ANSWER✔✔2 Clomiphene
, Page 2 of 71
Infertility is an absence of ovulation caused by an imbalance in reproductive hormones.
Clomiphene stimulates the production of gonadotropin hormones, which in turn leads to
ovulation. Oxytocin is used to induce labor when uterine contractions are weak. Indomethacin
is used during preterm labor. Dinoprostone is used to evacuate the uterine contents during
miscarriage and for cervical ripening.
Question: Ovulation commonly occurs at which day during the menstrual cycle?
1. Day 3
2. Day 7
3. Day 14
4. Day 21 - CORRECT ANSWER✔✔3. Day 14
Ovulation typically occurs at day 14 in the menstrual cycle, when the mature follicle ruptures
and releases its ovum. It does not occur on day 3, 7, or 21.
Test-Taking Tip: Look for options that are similar in nature. If all are correct, either the question
is poor or all options are incorrect, the latter of which is more likely. Example: If the answer you
are seeking is directed to a specific treatment and all but one option deal with signs and
symptoms, you would be correct in choosing the treatment-specific option.
Question: If fertilization of an ovum does not occur during a menstrual cycle, which of the
following structures responds to the increased levels of estrogen and progesterone?
, Page 3 of 71
1 Ovary
2 Hypothalamus
3 Pituitary gland
4 Corpus luteum - CORRECT ANSWER✔✔3. Pituitary gland
If fertilization does not occur, the pituitary responds to the increased levels of estrogen and
progesterone by shutting off the release of follicle-stimulating hormone and luteinizing
hormone. The ovaries, hypothalamus, and corpus luteum are not directly involved.
Question: What is an adverse effect associated with estrogen therapy?
1. Nausea
2. Dry Skin
3. Weight loss
4. Higher-pitched voice - CORRECT ANSWER✔✔1. Nausea
The most common undesirable effect of estrogen use is nausea. Photosensitivity may also occur
with estrogen therapy. One common dermatologic effect of note is chloasma, not dry skin.
Weight loss and a higher-pitched voice are not caused by estrogen therapy.
Question: Which patient statement indicates to the nurse full patient understanding of the
discharge instructions regarding alendronate?
, Page 4 of 71
1. "I need to decrease my intake of dairy products to prevent hypercalcemia."
2. "I need to take this medication with food to prevent damage to my esophagus."
3. "This medication will help relieve the bone pain I have from my osteoporosis."
4. "I will take the medication on an empty stomach and not lie down for 30 minutes." -
CORRECT ANSWER✔✔4. "I will take the medication on an empty stomach and not lie down for
30 minutes."
Alendronate can cause erosive esophagitis. To prevent this side effect, it is important to take the
medication first thing in the morning on an empty stomach without any other medications and
to maintain an upright position for 30 minutes. These actions facilitate rapid absorption and
prevent reflux into the esophagus. Decreasing dairy intake is not indicated. The medication does
not directly relieve bone pain caused by osteoporosis.
Question: Which statement indicates that the patient understands the benefit of continuous
administration of progestin with an estrogen regimen?
1. "Endometrial cancer risk can be reduced by adding progestin."
2. "The progestin in the regimen will help prevent breast cancer."
3. "The progestin in the regimen will help prevent ovarian cancer."
4. "Vaginal cancer is prevented by adding progestin to the regimen." - CORRECT ANSWER✔✔1.
"Endometrial cancer risk can be reduced by adding progestin."
