Q 1 A nurse in a family planning clinic is caring for a 17 yr. old female client who is
requesting oral contraceptives. The client states that she is nervous because she has
never had a pelvic examination. Which of the following responses should the nurse
make?
What part of the exam makes you most nervous?
Don’t worry, I will be with you during the exam.
All you need is to relax.
A pelvic exam is required if you want birth control pill.
Q 2 nurse is reviewing contraception options for four clients. The nurse should identify
that which of the following clients has a contraindication for receiving oral
contraceptives?
A 26-year-old client who has migraine headaches at the start of each menstrual
cycle.
A 28-year-old client who has a history of pelvic inflammatory disease.
A 32-year-old client who has benign breast disease.
A 38-year-old client who reports smoking one pack of cigarettes every day.
Q 3. A nurse in the ED is admitting a pt. who is 40 wks. gest, has ruptured membranes,
nurse observes NB head crowning. Client tells nurse she wants to push. Correct reply?
"You should go ahead and push to assist the delivery."
You should try to pant as the delivery proceeds."
"You should try to perform slow-paced breathing."
You should take a deep, cleansing breath and breathe naturally."
Q 4, a nurse is preparing an in service about St. John's wort. Which of the following
information should the nurse include in the teaching?
"St. John's wort potentiates the hypoglycemic effects of a client's antidiabetic
medication."
St. John's wort provides an anti-inflammatory effect."
"St. John's wort can cause photophobia."
St. John's wort can delay diagnosing prostate cancer in some clients."
Q 5. A nurse at a family practice clinic receives a call from a client a client who is
prescribed oral contraceptives but forgot to take one dose. The client reports she is in
the first week of a 28-day cycle pack. Which of the following instructions should the
nurse provide?
Do not have vaginal intercourse until after your next period."