NURS 326 Final Exam Questions and
Answers Graded A+ 2026
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 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."
a. "I have abdominal bloating and breast pain after a couple days of my period."
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.
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.
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
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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
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.
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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 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
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c. Vaginal intercourse with condom
d. Blood contact during sexual act due to menses
e. Oral-anal contact
b and c
A woman is using the basal body temperature (BBT) method of contraception. She calls
the clinic and tells the nurse, "My period is due in a few days, and my temperature has
not gone up." What is the nurse's mostappropriate response?
a. "You probably didn't ovulate during this cycle."
b. "Have you been sick this month?"
c. "Don't worry; it's probably nothing."
d. "This probably means you're pregnant."
a. "You probably didn't ovulate during this cycle."
A male client asks the nurse why it is better to purchase condoms that are not lubricated
with nonoxynol-9 (a common spermicide). What is the nurse's most appropriate
response?
a. "The lubricant prevents vaginal irritation."
b. "The additional lubrication improves sex."
c. "Nonoxynol-9 does not provide protection against sexually transmitted infections, as
originally thought; also, it has been linked to an increase in the transmission of human
immunodeficiency virus (HIV) and can cause genital lesions."
d. "Nonoxynol-9 improves penile sensitivity."
c. "Nonoxynol-9 does not provide protection against sexually transmitted infections, as
originally thought; also, it has been linked to an increase in the transmission of human
immunodeficiency virus (HIV) and can cause genital lesions."
A nurse is reviewing contraceptive failure rate. Which statement should the nurse
identify as being accurate?
a. It varies from couple to couple, depending on the method and the users.
b. It refers to the minimum level that must be achieved to receive a government license.
c. It refers to the percentage of users expected to have an accidental pregnancy over a
5-year span.
d. It increases over time as couples become more careless.
a. It varies from couple to couple, depending on the method and the users.
A nurse is reviewing aspects of fertilty awareness-based (FAB) methods. What should
the nurse identify as being in common for these methods?
a. They all rely on measurement of body temperature.
b. They all involve abstinence at some point.
c. They all require the cooperation of the woman's partner.
d. They all require a woman to be able to touch her genitals to assess cervical mucus.
c. They all require the cooperation of the woman's partner.
What information should nurses be aware of with regard to emergency contraception
pills?
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