NUR 333 Final Exam
A 22-year-old nulligravid client (never been pregnant) tells the
nurse that she and her husband have been considering using
condoms for family planning. Which of the following
instructions would the nurse include about the use of condoms
as a method for family planning?
1. Using a spermicide with the condom offers added protection
against pregnancy.
2. Natural skin condoms protect against sexually transmitted
diseases.
3. The typical failure for couples using condoms is about 25%.
4. Condom users frequently report penile sensitivity Correct
Answer 1. Using a spermicide with the condom offers added
protection against pregnancy.
A 28 year old female patient asks you when it is best to perform
a self breast exam. Your response is the following:
1. It is best to perform a self breast exam 4 to 7 days after
menses.
2. It is best to perform a self breast exam on the day after
ovulation.
3. It is best to perform a self breast exam every 6 months on the
1st day of bleeding.
4. It is best to perform a self breast exam on the same time every
month of the day. Correct Answer 1. It is best to perform a
self breast exam 4 to 7 days after menses.
,A client with diabetes asks the nurse for advice regarding
methods of birth control. Which method of birth control is most
suitable for the client with diabetes?
1. Intrauterine device
2. Oral contraceptives
3. Diaphragm
4. Contraceptive sponge Correct Answer 3. Diaphragm
Note. The best method of birth control for the client with
diabetes is the diaphragm. A permanent intrauterine device can
cause a continuing inflammatory response in diabetics that
should be avoided. Oral contraceptives tend to elevate blood
glucose levels. Contraceptive sponges are not good at preventing
pregnancy. Therefore, answers 1, 2, and 4 are incorrect.
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
1. The nurse shifts her focus to understanding the patient by
asking her, "Describe for me the course of your illness."
2. The nurse tells the patient, "Your choices of food and
unwillingness to exercise are adding to your health problems."
3. The nurse asks the patient, "Tell me about the main problems
you have had with your health from not having a home."
4. The nurse explains, "Because you have obesity, it is important
to know the effects it has on wound healing because of reduced
tissue perfusion." Correct Answer 3. The nurse asks the
, patient, "Tell me about the main problems you have had with
your health from not having a home."
A patient in the early stages of pregnancy is suffering from
"morning sickness". Which statement by the patient requires you
to further educate the patient about this condition?
1. "I eat frequently through out the day and they are small
amounts".
2. "I know this morning sickness will pass and I should feel
better in the 2nd trimester"
3. "I have been addicted to Mexican food and fried pickles
lately."
4. "I have my saltines at my bedside to munch on before I get
up". Correct Answer 3. "I have been addicted to Mexican
food and fried pickles lately."
Note: Morning sickness (nausea accompanied sometimes by
vomiting) is very common in the first trimester. The patient who
suffers from this condition should avoid spicy and fried food
because this can makes the morning sickness worst. All other
options are correct statements.
A patient is in the third trimester of her pregnancy states she has
been getting "terrible" leg cramps at night. Which statement is
true about leg cramps during pregnancy?
1. Tell the patient to increase her intake of iron fortified foods
because low irons levels can cause leg cramps.
2. A prenatal work up needs to be performed for this is not
normal in the third trimester of pregnancy.
A 22-year-old nulligravid client (never been pregnant) tells the
nurse that she and her husband have been considering using
condoms for family planning. Which of the following
instructions would the nurse include about the use of condoms
as a method for family planning?
1. Using a spermicide with the condom offers added protection
against pregnancy.
2. Natural skin condoms protect against sexually transmitted
diseases.
3. The typical failure for couples using condoms is about 25%.
4. Condom users frequently report penile sensitivity Correct
Answer 1. Using a spermicide with the condom offers added
protection against pregnancy.
A 28 year old female patient asks you when it is best to perform
a self breast exam. Your response is the following:
1. It is best to perform a self breast exam 4 to 7 days after
menses.
2. It is best to perform a self breast exam on the day after
ovulation.
3. It is best to perform a self breast exam every 6 months on the
1st day of bleeding.
4. It is best to perform a self breast exam on the same time every
month of the day. Correct Answer 1. It is best to perform a
self breast exam 4 to 7 days after menses.
,A client with diabetes asks the nurse for advice regarding
methods of birth control. Which method of birth control is most
suitable for the client with diabetes?
1. Intrauterine device
2. Oral contraceptives
3. Diaphragm
4. Contraceptive sponge Correct Answer 3. Diaphragm
Note. The best method of birth control for the client with
diabetes is the diaphragm. A permanent intrauterine device can
cause a continuing inflammatory response in diabetics that
should be avoided. Oral contraceptives tend to elevate blood
glucose levels. Contraceptive sponges are not good at preventing
pregnancy. Therefore, answers 1, 2, and 4 are incorrect.
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
1. The nurse shifts her focus to understanding the patient by
asking her, "Describe for me the course of your illness."
2. The nurse tells the patient, "Your choices of food and
unwillingness to exercise are adding to your health problems."
3. The nurse asks the patient, "Tell me about the main problems
you have had with your health from not having a home."
4. The nurse explains, "Because you have obesity, it is important
to know the effects it has on wound healing because of reduced
tissue perfusion." Correct Answer 3. The nurse asks the
, patient, "Tell me about the main problems you have had with
your health from not having a home."
A patient in the early stages of pregnancy is suffering from
"morning sickness". Which statement by the patient requires you
to further educate the patient about this condition?
1. "I eat frequently through out the day and they are small
amounts".
2. "I know this morning sickness will pass and I should feel
better in the 2nd trimester"
3. "I have been addicted to Mexican food and fried pickles
lately."
4. "I have my saltines at my bedside to munch on before I get
up". Correct Answer 3. "I have been addicted to Mexican
food and fried pickles lately."
Note: Morning sickness (nausea accompanied sometimes by
vomiting) is very common in the first trimester. The patient who
suffers from this condition should avoid spicy and fried food
because this can makes the morning sickness worst. All other
options are correct statements.
A patient is in the third trimester of her pregnancy states she has
been getting "terrible" leg cramps at night. Which statement is
true about leg cramps during pregnancy?
1. Tell the patient to increase her intake of iron fortified foods
because low irons levels can cause leg cramps.
2. A prenatal work up needs to be performed for this is not
normal in the third trimester of pregnancy.
