NUR 253 Final Exam Review –2025-2026 Mental Health Nursing
Overview with Questions and Answers Latest Version||NURS 253
Final Exam Already Graded A+
A teenager comes to the school nurse complaining of sudden and
intense pain in his scrotal area and feeling like he may vomit. During
the assessment, the nurse determines that there was no injury to the
area and the scrotum is beginning to swell. Which of the following
treatment plans by the nurse is correct?
1. you need to see your primary care doctor to get some antibiotics
because I suspect you have an infection
2. these are normal growing pains, but I can give you some Tylenol
and an ice pack
3. we need to call your guardian to take you to the hospital
4. perform a testicular exam to rule out cancer - Answer-3
Which patients are most at risk for testicular cancer? SATA
1. 10 year old who recently underwent surgery to remove his
appendix
2. 17 year old who was born with cryptorchidism
3. 35 year old who works in a tannery
4. 22 year old who was recently diagnosed as HIV+
5. African American who has recurrent bouts of epididymitis -
Answer-2, 3, 4, 5
A client is considering his options for treatment of his testicular
cancer. The doctor has told him that he will need to have his right
testicle removed, but the patient is concerned about having children in
a few years. Which of the following statements by the student nurse
would require correction by the preceptor?
1. If you are concerned, you can always look into cryopreservation for
sperm storage
pg. 1
,2. removal of either testicle will result in infertility so you will need to
use donor sperm to have children
3. Since the doctor is only removing one testicle, your fertility should
not be affected
4. I can ask the doctor to come back in and explain the fertility aspects
again if you are unsure. - Answer-2
A client is taking clomiphene citrate for PCOS and wants to know
when the medication will start regulating her period. The nurse
correctly replies:
1. this medication will take about a month to regulate your periods
2. this medication should cause you to begin your period within the
next week
3. this medication regulates ovulation, not your period
4. this medication will cause you to start your period after you stop
taking it - Answer-3
A 23 year old woman with endometriosis asks her nurse about
possible treatments. The nurse could mention which of the following:
SATA
1. analgesics and NSAIDs
2. oral contraceptives
3. oophorectomy
4. antibiotics
5. clomiphene citrate - Answer-1, 2, 3
A nurse is hosting a booth at a reproductive health fair at a local
college. A female student asks the nurse if there is anything she can
do to prevent cervical cancer, as the student's grandmother recently
died from complications of it. The nurse's best response is:
1. unfortunately, we do not have any screening tools for cervical
cancer, so just make sure you get your annual bloodwork done
pg. 2
, 2. using oral contraception will decrease your risk of developing
cervical cancer
3. you can get a vaccine that will prevent HPV, which is a leading
cause of cervical cancer
4. cervical cancer is very slow growing, so we have a long time to
find it, even though we don't have any screening tools - Answer-3
A woman asks the nurse for help using the calendar method. The
woman says her longest cycle is 32 days and her shortest cycle is 22.
Which days of her cycle should be avoided if she is trying not to get
pregnant?
1. days 11-17
2. days 13-15
3. days 4-21
4. day 14, since that is the day she should ovulate - Answer-3
A nurse is providing education about breast self exams to a
perimenopausal client. The nurse knows that teaching has been
successful when the client makes which of the following statements?
SATA
1. I will do my exam about 5 days after the start of each period
2. I will call my doctor if I notice dimpling, nipple retraction, or
nipple discharge.
3. I will use my middle three fingers to palpate my breast tissue
4. I do not need to palpate any tissue that is not part of my breast
5. I should report any unusual lumps to my doctor - Answer-1, 2, 3, 5
A client is discussing birth control pills with her nurse and asks
whether she will still be able to breastfeed. The nurse correctly
responds:
1. Oral contraceptives don't contain any hormones, so you will be able
to continue to breastfeed
pg. 3
Overview with Questions and Answers Latest Version||NURS 253
Final Exam Already Graded A+
A teenager comes to the school nurse complaining of sudden and
intense pain in his scrotal area and feeling like he may vomit. During
the assessment, the nurse determines that there was no injury to the
area and the scrotum is beginning to swell. Which of the following
treatment plans by the nurse is correct?
1. you need to see your primary care doctor to get some antibiotics
because I suspect you have an infection
2. these are normal growing pains, but I can give you some Tylenol
and an ice pack
3. we need to call your guardian to take you to the hospital
4. perform a testicular exam to rule out cancer - Answer-3
Which patients are most at risk for testicular cancer? SATA
1. 10 year old who recently underwent surgery to remove his
appendix
2. 17 year old who was born with cryptorchidism
3. 35 year old who works in a tannery
4. 22 year old who was recently diagnosed as HIV+
5. African American who has recurrent bouts of epididymitis -
Answer-2, 3, 4, 5
A client is considering his options for treatment of his testicular
cancer. The doctor has told him that he will need to have his right
testicle removed, but the patient is concerned about having children in
a few years. Which of the following statements by the student nurse
would require correction by the preceptor?
1. If you are concerned, you can always look into cryopreservation for
sperm storage
pg. 1
,2. removal of either testicle will result in infertility so you will need to
use donor sperm to have children
3. Since the doctor is only removing one testicle, your fertility should
not be affected
4. I can ask the doctor to come back in and explain the fertility aspects
again if you are unsure. - Answer-2
A client is taking clomiphene citrate for PCOS and wants to know
when the medication will start regulating her period. The nurse
correctly replies:
1. this medication will take about a month to regulate your periods
2. this medication should cause you to begin your period within the
next week
3. this medication regulates ovulation, not your period
4. this medication will cause you to start your period after you stop
taking it - Answer-3
A 23 year old woman with endometriosis asks her nurse about
possible treatments. The nurse could mention which of the following:
SATA
1. analgesics and NSAIDs
2. oral contraceptives
3. oophorectomy
4. antibiotics
5. clomiphene citrate - Answer-1, 2, 3
A nurse is hosting a booth at a reproductive health fair at a local
college. A female student asks the nurse if there is anything she can
do to prevent cervical cancer, as the student's grandmother recently
died from complications of it. The nurse's best response is:
1. unfortunately, we do not have any screening tools for cervical
cancer, so just make sure you get your annual bloodwork done
pg. 2
, 2. using oral contraception will decrease your risk of developing
cervical cancer
3. you can get a vaccine that will prevent HPV, which is a leading
cause of cervical cancer
4. cervical cancer is very slow growing, so we have a long time to
find it, even though we don't have any screening tools - Answer-3
A woman asks the nurse for help using the calendar method. The
woman says her longest cycle is 32 days and her shortest cycle is 22.
Which days of her cycle should be avoided if she is trying not to get
pregnant?
1. days 11-17
2. days 13-15
3. days 4-21
4. day 14, since that is the day she should ovulate - Answer-3
A nurse is providing education about breast self exams to a
perimenopausal client. The nurse knows that teaching has been
successful when the client makes which of the following statements?
SATA
1. I will do my exam about 5 days after the start of each period
2. I will call my doctor if I notice dimpling, nipple retraction, or
nipple discharge.
3. I will use my middle three fingers to palpate my breast tissue
4. I do not need to palpate any tissue that is not part of my breast
5. I should report any unusual lumps to my doctor - Answer-1, 2, 3, 5
A client is discussing birth control pills with her nurse and asks
whether she will still be able to breastfeed. The nurse correctly
responds:
1. Oral contraceptives don't contain any hormones, so you will be able
to continue to breastfeed
pg. 3
