NUR 254 EXAM 3 2026-2027 WITH
QUESTIONS AND WELL-VERIFIED
CORRECT ANSWERS | DETAILED
RATIONALES | ALREADY GRADED
A+ | GALEN COLLEGE OF NURSING
LATEST EXAM
1. Because a 45-year-old woman is worried that she still has regular menstrual
periods, she asks about menopause. Which answer by the nurse is most
appropriate?
1. "Regular menses in a 45-year-old woman should be promptly evaluated by a
gynecologist."
2. "Although you continue to have menstrual periods, you are unlikely to become
pregnant."
3. "It is common for women to experience menopause in their late 40s."
4. "Many women dread menopause because it is an unpleasant experience." -
ANSWER-1. Answer: 3. Rationale: The average age for the onset of menopause in
American women is 47 years. Therefore, there is nothing abnormal about ongoing
menses in a 45-year-old woman, and gynecologic care is not warranted (option 1).
As a woman nears menopause, ovulation may become irregular and difficult to
predict. Conception remains a possibility, and the lack of predictable ovulation
may actually increase the likelihood of unintended pregnancy (option 2). Many
,women have no negative symptoms of menopause, and the experience of
menopause is highly culturally determined (option 4).
2. A nurse is planning a teaching session on a wellness topic. Which adult
generation group would be most likely to be skeptical about health teaching by the
nurse?
1. Baby boomer
2. Generation X
3. Generation Y
4. Millennial - ANSWER-Answer: 2. Rationale: Generation X is characterized by
both skepticism and resentment of people in authority (such as a nurse). Baby
boomers tend to be interested in improving themselves, and health teaching may be
viewed as self-improvement (option 1). Generation Y and Millennials are the same
cohort, and are most likely to receive their health information from technologic
sources, such as the Internet (options 3 and 4).
3. A woman is seen at her primary care provider's office. She has been losing
weight and not feeling well. She is 44 years old. What is the leading cancer death
in female clients between the ages of 25 and 64?
1. Breast cancer
2. Lymphoma
3. Lung cancer
4. Colon cancer - ANSWER-Answer: 3. Rationale: Lung cancer is the most
common cause of cancer death in women age 24 to 65 years. Breast cancer is
common, but deaths related to breast cancer have declined. Lymphoma and colon
cancer are significant diseases for both men and women (options 2, 3, and 4).
4. The nurse is planning an educational program on sexually transmitted infections
(STIs) for young adults. Which topic should be given priority? 1. Syphilis
2. HIV
, 3. Gonorrhea
4. Chlamydia - ANSWER-Answer: 4. Rationale: Although HIV and syphilis may
have more disastrous health effects, chlamydia is the most prevalent infectious
disease in the United States. Gonorrhea is still common, and its prevalence may
vary geographically, but chlamydia is more common and therefore the most likely
contracted STI (option 3).
5. Which statement about moral development in adults is the most correct?
1. Moral development is completed during adolescence.
2. Moral development continues throughout adulthood.
3. Moral development is highly individualized.
4. Moral development correlates to spiritual development. - ANSWER-Answer: 2.
Rationale: Kohlberg's initial work indicated that moral development was
completed by adulthood, but more recent research has demonstrated that moral
development continues throughout adulthood. Moral development refers to a
decision-making process of right and wrong, and proceeds in a series of predictable
stages (option 3). Moral development and spirituality are unrelated, and represent
very different spheres of human thought and behavior (option 4).
6. If the nurse were assessing the status of a middle-aged client's psychosocial
development, which activity should be the focus?
1. Selecting a life partner 2. Balancing the needs of others
3. Reviewing one's life course
4. Establishing a sense of self - ANSWER-Answer: 2. Rationale: The middle-aged
person is generally attempting to relate to adult children and grandchildren as well
as assisting aging parents. Hence, continuous efforts to meet the needs of others
occur. Selecting a life partner is the developmental task for young adults.
Reviewing one's life course is the task for older adulthood (option 3). Establishing
a sense of self is usually achieved during adolescence (option 4).
QUESTIONS AND WELL-VERIFIED
CORRECT ANSWERS | DETAILED
RATIONALES | ALREADY GRADED
A+ | GALEN COLLEGE OF NURSING
LATEST EXAM
1. Because a 45-year-old woman is worried that she still has regular menstrual
periods, she asks about menopause. Which answer by the nurse is most
appropriate?
1. "Regular menses in a 45-year-old woman should be promptly evaluated by a
gynecologist."
2. "Although you continue to have menstrual periods, you are unlikely to become
pregnant."
3. "It is common for women to experience menopause in their late 40s."
4. "Many women dread menopause because it is an unpleasant experience." -
ANSWER-1. Answer: 3. Rationale: The average age for the onset of menopause in
American women is 47 years. Therefore, there is nothing abnormal about ongoing
menses in a 45-year-old woman, and gynecologic care is not warranted (option 1).
As a woman nears menopause, ovulation may become irregular and difficult to
predict. Conception remains a possibility, and the lack of predictable ovulation
may actually increase the likelihood of unintended pregnancy (option 2). Many
,women have no negative symptoms of menopause, and the experience of
menopause is highly culturally determined (option 4).
2. A nurse is planning a teaching session on a wellness topic. Which adult
generation group would be most likely to be skeptical about health teaching by the
nurse?
1. Baby boomer
2. Generation X
3. Generation Y
4. Millennial - ANSWER-Answer: 2. Rationale: Generation X is characterized by
both skepticism and resentment of people in authority (such as a nurse). Baby
boomers tend to be interested in improving themselves, and health teaching may be
viewed as self-improvement (option 1). Generation Y and Millennials are the same
cohort, and are most likely to receive their health information from technologic
sources, such as the Internet (options 3 and 4).
3. A woman is seen at her primary care provider's office. She has been losing
weight and not feeling well. She is 44 years old. What is the leading cancer death
in female clients between the ages of 25 and 64?
1. Breast cancer
2. Lymphoma
3. Lung cancer
4. Colon cancer - ANSWER-Answer: 3. Rationale: Lung cancer is the most
common cause of cancer death in women age 24 to 65 years. Breast cancer is
common, but deaths related to breast cancer have declined. Lymphoma and colon
cancer are significant diseases for both men and women (options 2, 3, and 4).
4. The nurse is planning an educational program on sexually transmitted infections
(STIs) for young adults. Which topic should be given priority? 1. Syphilis
2. HIV
, 3. Gonorrhea
4. Chlamydia - ANSWER-Answer: 4. Rationale: Although HIV and syphilis may
have more disastrous health effects, chlamydia is the most prevalent infectious
disease in the United States. Gonorrhea is still common, and its prevalence may
vary geographically, but chlamydia is more common and therefore the most likely
contracted STI (option 3).
5. Which statement about moral development in adults is the most correct?
1. Moral development is completed during adolescence.
2. Moral development continues throughout adulthood.
3. Moral development is highly individualized.
4. Moral development correlates to spiritual development. - ANSWER-Answer: 2.
Rationale: Kohlberg's initial work indicated that moral development was
completed by adulthood, but more recent research has demonstrated that moral
development continues throughout adulthood. Moral development refers to a
decision-making process of right and wrong, and proceeds in a series of predictable
stages (option 3). Moral development and spirituality are unrelated, and represent
very different spheres of human thought and behavior (option 4).
6. If the nurse were assessing the status of a middle-aged client's psychosocial
development, which activity should be the focus?
1. Selecting a life partner 2. Balancing the needs of others
3. Reviewing one's life course
4. Establishing a sense of self - ANSWER-Answer: 2. Rationale: The middle-aged
person is generally attempting to relate to adult children and grandchildren as well
as assisting aging parents. Hence, continuous efforts to meet the needs of others
occur. Selecting a life partner is the developmental task for young adults.
Reviewing one's life course is the task for older adulthood (option 3). Establishing
a sense of self is usually achieved during adolescence (option 4).
