NRS 240 MIDTERM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
A nurse in a provider's office is answering a call from a client who had unprotected
sexual relations and is requesting additional information about emergency
contraception. What information should the nurse provide the client?
Answer:
Emergency contraceptives should be taken with 72 hr after unprotected coitus. The
provider recommends taking an over-the-counter antiemetic 1 hr prior to each dose to
decrease that nausea that occurs with high doses of progestin and estrogen.
Additionally, a follow up with the provider to test for pregnancy if menstruation does
not begin within 21 days. (source from ATI book)
Question:
A school nurse is providing teaching to an adolescent about levonorgestrel for
emergency contraception. Which of the following information should the nurse include
in the teaching?
a. you should take the medication within 120 hours following unprotected sexual
intercourse
b. you should avoid taking this medication if you are on an oral contraceptive
c. if you don't start your period within 3 days of this medication, you will need a
pregnancy test
d. one dose of this medication will prevent you from becoming pregnant for 14 days
after taking it.
Answer:
a. you should take the medication within 120 hours following unprotected sexual
intercourse instruct the adolescent to take the medication as soon as possible after
having unprotected sexual intercourse to be the most effective, but the medication is
effective up to 120
hr. after intercourse.
Question:
A nurse is discussing the use of a penile condom with a client. Which of the following
information should the nurse include in the teaching as a disadvantage of using a
penile condom? Select all that apply.
a. Reduces spontaneity of intercourse
b. Offers low rate of nonadherence
c. Usage one time
d. Protects against HSV
e. Decreases sensation
Answer:
a. Reduces spontaneity of intercourse
c. Usage one time
e. Decreases sensation
,Question:
a nurse is discussing signs of pregnancy with a newly licensed nurse. sort the following
findings the nurse should include into presumptive, probably or positive signs of
pregnancy?
a. hegar's sign
b. fetal movement
c. positive pregnancy test
d. amenorrhea
Answer:
presumptive: D probable: A,C positive: B
Question:
A nurse is caring for a client who is pregnant and states that their last menstrual period
was September 9th. what is the client's estimated date of delivery?
Answer:
Negele's rule: take the first day of the client's last menstrual cycle, subtract 3 month,
and then dd 7 days. September 9th minus 3 months plus 7 days and 1 year equals an
estimated date of delivery of June 16
Question:
A nurse is assessing a client who gave birth vaginally 12 hr. ago and palpates their
uterus to the right above the umbilicus. which of the following interventions should the
nurse perform?
a. reassess the client in 2 hr.
b. administer simethicone
c. assist the client to empty their bladder
d. instruct the client to lie on their right side
Answer:
c. assist the client to empty their bladder
Question:
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirunemia. Which of the follow actions should the nurse include in the plan?
a. feed the newborn 1 oz of water every 4 hr.
b. apply lotion to the newborn's skin three times a day
c. remove all clothing from the newborn except the diaper
d. discontinue therapy if the newborn develops a rash
Answer:
c. remove all clothing from the newborn except the diaper
, Question:
a nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. which of the following statements by the client indicates an understanding
of the teaching?
a. I should increase my protein intake to 60 grams each day
b. I should drink 2 liters of water each day
c. I should increase my overall daily caloric intake by 300 calories
d. I should take 600 micrograms of folic acid each day
Answer:
d. I should take 600 micrograms of folic acid each day
Question:
A nurse is preparing to administer oxytocin to a client who is postpartum. which of the
following finding is an indication for the administration of the medication? (select all
that apply)
a. flaccid uterus
b. cervical laceration
c. excess vaginal bleeding
d. increased afterbirth cramping
e. increased maternal temperature
Answer:
a. flaccid uterus
c. excess vaginal bleeding
Question:
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of
potential pregnancy complications to report to the provider. which of the following
manifestations should the nurse include?
a. shortness of breath when climbing the stairs
b. swelling of the feet and ankles a the end of the day
c. headache that is unrelieved by analgesia
d. Braxton hicks contractions
Answer:
c. headache that is unrelieved by analgesia
Question:
A nurse is teaching postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. which of the following statements should
the nurse make?
a. the nurse will carry your baby in their arms to the nursery for scheduled procedures
b. we will document the relationship of the visitors in your medical record
c. it's okay for your baby to sleep in the bed with you while in the hospital
d. staff members who take care of your baby will be wearing a photo identification
badge
Answer:
d. staff members who take care of your baby will be wearing a photo identification
badge
CORRECT ANSWERS
Question:
A nurse in a provider's office is answering a call from a client who had unprotected
sexual relations and is requesting additional information about emergency
contraception. What information should the nurse provide the client?
Answer:
Emergency contraceptives should be taken with 72 hr after unprotected coitus. The
provider recommends taking an over-the-counter antiemetic 1 hr prior to each dose to
decrease that nausea that occurs with high doses of progestin and estrogen.
Additionally, a follow up with the provider to test for pregnancy if menstruation does
not begin within 21 days. (source from ATI book)
Question:
A school nurse is providing teaching to an adolescent about levonorgestrel for
emergency contraception. Which of the following information should the nurse include
in the teaching?
a. you should take the medication within 120 hours following unprotected sexual
intercourse
b. you should avoid taking this medication if you are on an oral contraceptive
c. if you don't start your period within 3 days of this medication, you will need a
pregnancy test
d. one dose of this medication will prevent you from becoming pregnant for 14 days
after taking it.
Answer:
a. you should take the medication within 120 hours following unprotected sexual
intercourse instruct the adolescent to take the medication as soon as possible after
having unprotected sexual intercourse to be the most effective, but the medication is
effective up to 120
hr. after intercourse.
Question:
A nurse is discussing the use of a penile condom with a client. Which of the following
information should the nurse include in the teaching as a disadvantage of using a
penile condom? Select all that apply.
a. Reduces spontaneity of intercourse
b. Offers low rate of nonadherence
c. Usage one time
d. Protects against HSV
e. Decreases sensation
Answer:
a. Reduces spontaneity of intercourse
c. Usage one time
e. Decreases sensation
,Question:
a nurse is discussing signs of pregnancy with a newly licensed nurse. sort the following
findings the nurse should include into presumptive, probably or positive signs of
pregnancy?
a. hegar's sign
b. fetal movement
c. positive pregnancy test
d. amenorrhea
Answer:
presumptive: D probable: A,C positive: B
Question:
A nurse is caring for a client who is pregnant and states that their last menstrual period
was September 9th. what is the client's estimated date of delivery?
Answer:
Negele's rule: take the first day of the client's last menstrual cycle, subtract 3 month,
and then dd 7 days. September 9th minus 3 months plus 7 days and 1 year equals an
estimated date of delivery of June 16
Question:
A nurse is assessing a client who gave birth vaginally 12 hr. ago and palpates their
uterus to the right above the umbilicus. which of the following interventions should the
nurse perform?
a. reassess the client in 2 hr.
b. administer simethicone
c. assist the client to empty their bladder
d. instruct the client to lie on their right side
Answer:
c. assist the client to empty their bladder
Question:
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirunemia. Which of the follow actions should the nurse include in the plan?
a. feed the newborn 1 oz of water every 4 hr.
b. apply lotion to the newborn's skin three times a day
c. remove all clothing from the newborn except the diaper
d. discontinue therapy if the newborn develops a rash
Answer:
c. remove all clothing from the newborn except the diaper
, Question:
a nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. which of the following statements by the client indicates an understanding
of the teaching?
a. I should increase my protein intake to 60 grams each day
b. I should drink 2 liters of water each day
c. I should increase my overall daily caloric intake by 300 calories
d. I should take 600 micrograms of folic acid each day
Answer:
d. I should take 600 micrograms of folic acid each day
Question:
A nurse is preparing to administer oxytocin to a client who is postpartum. which of the
following finding is an indication for the administration of the medication? (select all
that apply)
a. flaccid uterus
b. cervical laceration
c. excess vaginal bleeding
d. increased afterbirth cramping
e. increased maternal temperature
Answer:
a. flaccid uterus
c. excess vaginal bleeding
Question:
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of
potential pregnancy complications to report to the provider. which of the following
manifestations should the nurse include?
a. shortness of breath when climbing the stairs
b. swelling of the feet and ankles a the end of the day
c. headache that is unrelieved by analgesia
d. Braxton hicks contractions
Answer:
c. headache that is unrelieved by analgesia
Question:
A nurse is teaching postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. which of the following statements should
the nurse make?
a. the nurse will carry your baby in their arms to the nursery for scheduled procedures
b. we will document the relationship of the visitors in your medical record
c. it's okay for your baby to sleep in the bed with you while in the hospital
d. staff members who take care of your baby will be wearing a photo identification
badge
Answer:
d. staff members who take care of your baby will be wearing a photo identification
badge
