1- Which client should the nurse document as exhibiting signs and symptoms of primary
dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle.
2. 19-year-old, regular menses for 5 years that have suddenly become painful.
3. 14-year-old, irregular menses for 1 year, experiences cramping every cycle.
4. 16-year-old, had regular menses for 4 years, but has had no menses in 4 months.
2- The nurse is presenting a session on intimate partner violence. Which statement indicates a
need for further education?
1. “The ‘honeymoon period’ follows an episode of violence.”
2. “Everyone experiences anger and hitting in a relationship.”
3. “Abusers can be either husbands or boyfriends or wives or girlfriends.”
4. “My daughter is not to blame for the violence in her marriage.”
3- During the hospital admission process, a child’s parent asks for information about family-
centered care. What should the nurse explain to this parent?
1. Mother is the principal caregiver in each family.
2. Father is the leader in each home; thus, all communications should include him.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Child’s physician is the key person in ensuring the health of a child is maintained.
4- A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally
responsible for obtaining informed consent for an invasive procedure?
1. The nurse.
2. The physician.
3. The social worker.
4. The unit secretary.
,5- A genetic screening test completed on a newborn is found to be positive. What should the
nurse anticipate the next action will be for this infant?
1. Scheduling for diagnostic testing.
2. Discussing the need for major intervention.
3. Nothing, since further action is not necessary.
4. Instructing the parents on expression of the genetic disorder.
6- The nurse learns that a client from a different country and culture was married to her first
cousin before moving to the United States. The couple is expecting their first child in 4 months.
What should the nurse consider when counseling this client?
1. Birth control.
2. Carrier testing.
3. Pregnancy termination.
4. Legal issues in the United States.
7- The nurse is teaching a client who recently learned that she is pregnant. Which hormone
should the nurse instruct as being secreted by the fertilized egg?
1. Estrogen.
2. Progesterone.
3. Luteinizing hormone.
4. Human chorionic gonadotropin (hCG).
8- The nurse is presenting a community education session on female hormones. Which
participant statement indicates the need for further information?
1. “Estrogen is what causes females to look female.”
2. “Prostaglandin is responsible for achieving conception.”
3. “Progesterone is present at the end of the menstrual cycle.”
4. “The presence of some hormones causes others to be secreted.”
, 11- Which statement indicates that client teaching about vaginal infections has been effective?
1. “The fishy vaginal odor I have is caused by a bacterial infection.”
2. “I can use this antiyeast medication weekly to prevent another infection.”
3. “My diabetes is unrelated to the frequency of my vaginal yeast infections.”
4. “I should douche weekly to prevent a recurrence of my bacterial vaginosis.”
14- During an assessment, the nurse notices that an African American baby has a darker, slightly
bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?
1. Chart the presence of a Mongolian spot.
2. Ask the mother about the cause of the bruise.
3. Confer with the physician about the possibility of a bleeding tendency.
4. Call the Department of Social Services (DSS) to report this sign of abuse.
16- A woman has been unable to complete a full-term pregnancy because the fertilized ovum
failed to implant in the uterus. Which hormone is most likely causing this client’s issues with
pregnancy?
1. Estrogen.
2. Progesterone.
3. LH (luteinizing hormone).
4. FSH (follicle-stimulating hormone).
18- The nurse is caring for a client diagnosed with endometriosis. Which statement by the client
requires immediate follow-up?
1. “I’ve noticed my voice is lower since I started taking danazol.”
2. “I am having many hot flashes since I had the Lupron injection.”
3. “The pain I experience with intercourse is becoming more severe.”
4. “My leg has become painful and swollen since I started taking birth control pills.”
dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle.
2. 19-year-old, regular menses for 5 years that have suddenly become painful.
3. 14-year-old, irregular menses for 1 year, experiences cramping every cycle.
4. 16-year-old, had regular menses for 4 years, but has had no menses in 4 months.
2- The nurse is presenting a session on intimate partner violence. Which statement indicates a
need for further education?
1. “The ‘honeymoon period’ follows an episode of violence.”
2. “Everyone experiences anger and hitting in a relationship.”
3. “Abusers can be either husbands or boyfriends or wives or girlfriends.”
4. “My daughter is not to blame for the violence in her marriage.”
3- During the hospital admission process, a child’s parent asks for information about family-
centered care. What should the nurse explain to this parent?
1. Mother is the principal caregiver in each family.
2. Father is the leader in each home; thus, all communications should include him.
3. Family serves as the constant influence and continuing support in the child’s life.
4. Child’s physician is the key person in ensuring the health of a child is maintained.
4- A 12-year-old pediatric client is in need of surgery. Which healthcare member is legally
responsible for obtaining informed consent for an invasive procedure?
1. The nurse.
2. The physician.
3. The social worker.
4. The unit secretary.
,5- A genetic screening test completed on a newborn is found to be positive. What should the
nurse anticipate the next action will be for this infant?
1. Scheduling for diagnostic testing.
2. Discussing the need for major intervention.
3. Nothing, since further action is not necessary.
4. Instructing the parents on expression of the genetic disorder.
6- The nurse learns that a client from a different country and culture was married to her first
cousin before moving to the United States. The couple is expecting their first child in 4 months.
What should the nurse consider when counseling this client?
1. Birth control.
2. Carrier testing.
3. Pregnancy termination.
4. Legal issues in the United States.
7- The nurse is teaching a client who recently learned that she is pregnant. Which hormone
should the nurse instruct as being secreted by the fertilized egg?
1. Estrogen.
2. Progesterone.
3. Luteinizing hormone.
4. Human chorionic gonadotropin (hCG).
8- The nurse is presenting a community education session on female hormones. Which
participant statement indicates the need for further information?
1. “Estrogen is what causes females to look female.”
2. “Prostaglandin is responsible for achieving conception.”
3. “Progesterone is present at the end of the menstrual cycle.”
4. “The presence of some hormones causes others to be secreted.”
, 11- Which statement indicates that client teaching about vaginal infections has been effective?
1. “The fishy vaginal odor I have is caused by a bacterial infection.”
2. “I can use this antiyeast medication weekly to prevent another infection.”
3. “My diabetes is unrelated to the frequency of my vaginal yeast infections.”
4. “I should douche weekly to prevent a recurrence of my bacterial vaginosis.”
14- During an assessment, the nurse notices that an African American baby has a darker, slightly
bluish patch about 5 by 7 cm on the buttocks and lower back. What should the nurse do?
1. Chart the presence of a Mongolian spot.
2. Ask the mother about the cause of the bruise.
3. Confer with the physician about the possibility of a bleeding tendency.
4. Call the Department of Social Services (DSS) to report this sign of abuse.
16- A woman has been unable to complete a full-term pregnancy because the fertilized ovum
failed to implant in the uterus. Which hormone is most likely causing this client’s issues with
pregnancy?
1. Estrogen.
2. Progesterone.
3. LH (luteinizing hormone).
4. FSH (follicle-stimulating hormone).
18- The nurse is caring for a client diagnosed with endometriosis. Which statement by the client
requires immediate follow-up?
1. “I’ve noticed my voice is lower since I started taking danazol.”
2. “I am having many hot flashes since I had the Lupron injection.”
3. “The pain I experience with intercourse is becoming more severe.”
4. “My leg has become painful and swollen since I started taking birth control pills.”
