NSG 2400 EXAM 4 EXAM QUESTIONS & VERIFIED
ANSWERS A+ GRADE
A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes
fromher prescribed medications. Which medication should the nurse explain causes this side
effect?
1. Estrogen
2. Leuprolide
3. Diclofenac
4. Ergonovine
2
A client at the women's health clinic tells the nurse that she has endometriosis. What factors
associated with endometriosis does the nurse anticipate the client will report? Select all that apply.
1. Insomnia
2. Ecchymosis
3. Rectal pressure
4. Abdominal pain
5. Skipped periods
6. Pelvic infections
3, 4
The nurse is obtaining a health history from a client with endometriosis. What consequences can
occur as a result of this disorder? Select all that apply.
1. Menopause
2. Metrorrhagia
3. Impaired fertility
4. Bowel strictures
5. Voiding difficulties
2, 3, 4, 5
,The parents of a 12-year-old boy with cystic fibrosis (CF) ask the nurse why he needs a glucose
tolerance test. What information should the nurse consider before replying?
1. Pancreatic scarring predisposes the child to diabetes.
2. The thickened mucus blocks the insulin-secreting glands.
3. The test reveals the degree to which the child adheres to the diet.
4. Adjustments of the dosage of pancreatic enzymes are based on the results of the test.
1
A nurse is caring for several school-aged children with cystic fibrosis. Why does the nurse
anticipatethat these children will probably be small and underdeveloped for their age?
1. There is muscle atrophy from lack of motor activity.
2. There is decreased secretion of pituitary growth hormone.
3. These children digest little food because pancreatic enzymes are blocked.
4. These children have anorexia with minimal amounts of nutritional intake
3
A nurse is caring for a child with a diagnosis of cystic fibrosis. Which schedule of chest
physiotherapy(CPT) is best?
1. Three times a day, before meals
2. Three times a day, halfway between meals
3. Two times a day, on awakening and at bedtime
4. Two times a day, after breakfast and after dinner
2
A nurse manager is providing a class on cystic fibrosis for the pediatric staff nurses. Physiologic
adaptations to cystic fibrosis are a result of which problem?
1. Dysfunction of sweat glands
2. Inactivity of respiratory tract cilia
3. Pathology of mucus-secreting glands
4. Overproduction of endocrine gland activity
, 3
A nurse is explaining the genetic pattern of inheritance to the parents of a 6-year-old child with
newlydiagnosed cystic fibrosis. The parents should be taught that the disorder follows an
autosomal recessive pattern of inheritance and occurs when the parents have what relationship
to the disease?
1. One parent has cystic fibrosis
2. Both parents have cystic fibrosis
3. One parent is a carrier of cystic fibrosis
4. Both parents are carriers of cystic fibrosis
4
A nurse is reviewing previous education with the parents and a 12-year-old child with cystic
fibrosis(CF). The disease was diagnosed when the child was 3 years old and has resulted in one
hospitalization for a respiratory infection. For which potential complications of CF should the
familybe alert? Select all that apply.
1. Diabetes
2. Hematuria
3. Nasal polyps
4. Prolapsed rectum
5. Pulmonary infections
6. Urinary tract infections
1, 3, 4, 5
A school-aged child with cystic fibrosis has been admitted with a respiratory infection. The child
has been very disruptive and angry with staff and parents. What does the nurse suspect is the
reason forthe child's uncooperative behavior?
1. Spoiled and needs to be adequately disciplined
2. Resentful of the restriction of the hospitalizations
3. Having a reaction to the new respiratory medications
4. Angry about dietary restrictions related to the disease
ANSWERS A+ GRADE
A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes
fromher prescribed medications. Which medication should the nurse explain causes this side
effect?
1. Estrogen
2. Leuprolide
3. Diclofenac
4. Ergonovine
2
A client at the women's health clinic tells the nurse that she has endometriosis. What factors
associated with endometriosis does the nurse anticipate the client will report? Select all that apply.
1. Insomnia
2. Ecchymosis
3. Rectal pressure
4. Abdominal pain
5. Skipped periods
6. Pelvic infections
3, 4
The nurse is obtaining a health history from a client with endometriosis. What consequences can
occur as a result of this disorder? Select all that apply.
1. Menopause
2. Metrorrhagia
3. Impaired fertility
4. Bowel strictures
5. Voiding difficulties
2, 3, 4, 5
,The parents of a 12-year-old boy with cystic fibrosis (CF) ask the nurse why he needs a glucose
tolerance test. What information should the nurse consider before replying?
1. Pancreatic scarring predisposes the child to diabetes.
2. The thickened mucus blocks the insulin-secreting glands.
3. The test reveals the degree to which the child adheres to the diet.
4. Adjustments of the dosage of pancreatic enzymes are based on the results of the test.
1
A nurse is caring for several school-aged children with cystic fibrosis. Why does the nurse
anticipatethat these children will probably be small and underdeveloped for their age?
1. There is muscle atrophy from lack of motor activity.
2. There is decreased secretion of pituitary growth hormone.
3. These children digest little food because pancreatic enzymes are blocked.
4. These children have anorexia with minimal amounts of nutritional intake
3
A nurse is caring for a child with a diagnosis of cystic fibrosis. Which schedule of chest
physiotherapy(CPT) is best?
1. Three times a day, before meals
2. Three times a day, halfway between meals
3. Two times a day, on awakening and at bedtime
4. Two times a day, after breakfast and after dinner
2
A nurse manager is providing a class on cystic fibrosis for the pediatric staff nurses. Physiologic
adaptations to cystic fibrosis are a result of which problem?
1. Dysfunction of sweat glands
2. Inactivity of respiratory tract cilia
3. Pathology of mucus-secreting glands
4. Overproduction of endocrine gland activity
, 3
A nurse is explaining the genetic pattern of inheritance to the parents of a 6-year-old child with
newlydiagnosed cystic fibrosis. The parents should be taught that the disorder follows an
autosomal recessive pattern of inheritance and occurs when the parents have what relationship
to the disease?
1. One parent has cystic fibrosis
2. Both parents have cystic fibrosis
3. One parent is a carrier of cystic fibrosis
4. Both parents are carriers of cystic fibrosis
4
A nurse is reviewing previous education with the parents and a 12-year-old child with cystic
fibrosis(CF). The disease was diagnosed when the child was 3 years old and has resulted in one
hospitalization for a respiratory infection. For which potential complications of CF should the
familybe alert? Select all that apply.
1. Diabetes
2. Hematuria
3. Nasal polyps
4. Prolapsed rectum
5. Pulmonary infections
6. Urinary tract infections
1, 3, 4, 5
A school-aged child with cystic fibrosis has been admitted with a respiratory infection. The child
has been very disruptive and angry with staff and parents. What does the nurse suspect is the
reason forthe child's uncooperative behavior?
1. Spoiled and needs to be adequately disciplined
2. Resentful of the restriction of the hospitalizations
3. Having a reaction to the new respiratory medications
4. Angry about dietary restrictions related to the disease
