Page 1 of 71
NURS 167 EXAM WITH COMPLETE 300 QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES JUST RELEASED THIS YEAR
Question: A patient tests positive for pregnancy even though she has been taking oral
contraceptives. What is a possible cause of this unintended pregnancy?
1 The patient has diabetes.
2 The patient has hypertension.
3 The patient takes anticonvulsants.
4 The patient is on antibiotic therapy. - CORRECT ANSWER✔✔4 The patient is on antibiotic
therapy.
Antibiotics reduce the effectiveness of oral contraceptives; hence, the nurse needs to instruct
patients to use alternative birth control methods during antibiotic therapy. Diabetes does not
reduce the effect of oral contraceptives. Hypertension may be an adverse effect of oral
contraceptives. The effectiveness of anticonvulsants is reduced when taken with oral
contraceptives.
Test-Taking Tip: Many times the correct answer is the longest alternative given, but do not count
on it. Item writers (those who write the questions) are also aware of this and attempt to avoid
offering you such "helpful hints."
, Page 2 of 71
Question: Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate - CORRECT ANSWER✔✔1 Oxytocin
Oxytocin is a uterine stimulant that is used to induce uterine contractions for labor. Terbutaline
is a medication used to arrest preterm labor. Methylergonovine is used to treat postpartum
hemorrhage. Magnesium sulfate is used to treat gestational hypertension.
Question: Which medication is used for treating infertility?
1 Oxytocin
2 Clomiphene
3 Indomethacin
4 Dinoprostone - CORRECT ANSWER✔✔2 Clomiphene
Infertility is an absence of ovulation caused by an imbalance in reproductive hormones.
Clomiphene stimulates the production of gonadotropin hormones, which in turn leads to
ovulation. Oxytocin is used to induce labor when uterine contractions are weak. Indomethacin
, Page 3 of 71
is used during preterm labor. Dinoprostone is used to evacuate the uterine contents during
miscarriage and for cervical ripening.
Question: Ovulation commonly occurs at which day during the menstrual cycle?
1. Day 3
2. Day 7
3. Day 14
4. Day 21 - CORRECT ANSWER✔✔3. Day 14
Ovulation typically occurs at day 14 in the menstrual cycle, when the mature follicle ruptures
and releases its ovum. It does not occur on day 3, 7, or 21.
Test-Taking Tip: Look for options that are similar in nature. If all are correct, either the question
is poor or all options are incorrect, the latter of which is more likely. Example: If the answer you
are seeking is directed to a specific treatment and all but one option deal with signs and
symptoms, you would be correct in choosing the treatment-specific option.
Question: A patient with menopausal symptoms is seeking hormone replacement therapy.
During the assessment, the nurse finds that the patient has a history of endometrial cancer and
is a smoker. Which is the most important information for this patient?
1 "The therapy may cause thromboembolic events."
, Page 4 of 71
2 "You may need to stop smoking during the therapy."
3 "The treatment should be started as soon as possible."
4 "The treatment is likely to cause endometrial cancer." - CORRECT ANSWER✔✔1 "The therapy
may cause thromboembolic events."
Progesterone therapy may result in thromboembolic events, which should be the first
information shared with the patient. In patients with a history of endometrial cancer, estrogen
therapy may increase the possibility of recurrence of cancer. The nurse may advise the patient
to stop smoking if she starts the therapy. The treatment is not started as soon as possible, but
may be prevented.
Question: The clinical report of a patient who is undergoing estrogen therapy indicates
thrombosis. Which event may the nurse suspect as the cause of thrombosis?
1 The patient smokes cigarettes.
2 The patient's fluid intake is low.
3 The patient takes herbal supplements.
4 The patient takes tricyclic antidepressants. - CORRECT ANSWER✔✔1 The patient smokes
cigarettes.
Smoking causes thrombosis in patients who undergo estrogen therapy. Thrombosis is not
caused by a decrease in fluids. Herbal medicines such as St. John's wort decrease the estrogenic
effect of drugs. The use of estrogen therapy with tricyclic antidepressants causes toxicity of the
antidepressant.
NURS 167 EXAM WITH COMPLETE 300 QUESTIONS
AND CORRECT DETAILED SOLUTIONS WITH
RATIONALES JUST RELEASED THIS YEAR
Question: A patient tests positive for pregnancy even though she has been taking oral
contraceptives. What is a possible cause of this unintended pregnancy?
1 The patient has diabetes.
2 The patient has hypertension.
3 The patient takes anticonvulsants.
4 The patient is on antibiotic therapy. - CORRECT ANSWER✔✔4 The patient is on antibiotic
therapy.
Antibiotics reduce the effectiveness of oral contraceptives; hence, the nurse needs to instruct
patients to use alternative birth control methods during antibiotic therapy. Diabetes does not
reduce the effect of oral contraceptives. Hypertension may be an adverse effect of oral
contraceptives. The effectiveness of anticonvulsants is reduced when taken with oral
contraceptives.
Test-Taking Tip: Many times the correct answer is the longest alternative given, but do not count
on it. Item writers (those who write the questions) are also aware of this and attempt to avoid
offering you such "helpful hints."
, Page 2 of 71
Question: Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate - CORRECT ANSWER✔✔1 Oxytocin
Oxytocin is a uterine stimulant that is used to induce uterine contractions for labor. Terbutaline
is a medication used to arrest preterm labor. Methylergonovine is used to treat postpartum
hemorrhage. Magnesium sulfate is used to treat gestational hypertension.
Question: Which medication is used for treating infertility?
1 Oxytocin
2 Clomiphene
3 Indomethacin
4 Dinoprostone - CORRECT ANSWER✔✔2 Clomiphene
Infertility is an absence of ovulation caused by an imbalance in reproductive hormones.
Clomiphene stimulates the production of gonadotropin hormones, which in turn leads to
ovulation. Oxytocin is used to induce labor when uterine contractions are weak. Indomethacin
, Page 3 of 71
is used during preterm labor. Dinoprostone is used to evacuate the uterine contents during
miscarriage and for cervical ripening.
Question: Ovulation commonly occurs at which day during the menstrual cycle?
1. Day 3
2. Day 7
3. Day 14
4. Day 21 - CORRECT ANSWER✔✔3. Day 14
Ovulation typically occurs at day 14 in the menstrual cycle, when the mature follicle ruptures
and releases its ovum. It does not occur on day 3, 7, or 21.
Test-Taking Tip: Look for options that are similar in nature. If all are correct, either the question
is poor or all options are incorrect, the latter of which is more likely. Example: If the answer you
are seeking is directed to a specific treatment and all but one option deal with signs and
symptoms, you would be correct in choosing the treatment-specific option.
Question: A patient with menopausal symptoms is seeking hormone replacement therapy.
During the assessment, the nurse finds that the patient has a history of endometrial cancer and
is a smoker. Which is the most important information for this patient?
1 "The therapy may cause thromboembolic events."
, Page 4 of 71
2 "You may need to stop smoking during the therapy."
3 "The treatment should be started as soon as possible."
4 "The treatment is likely to cause endometrial cancer." - CORRECT ANSWER✔✔1 "The therapy
may cause thromboembolic events."
Progesterone therapy may result in thromboembolic events, which should be the first
information shared with the patient. In patients with a history of endometrial cancer, estrogen
therapy may increase the possibility of recurrence of cancer. The nurse may advise the patient
to stop smoking if she starts the therapy. The treatment is not started as soon as possible, but
may be prevented.
Question: The clinical report of a patient who is undergoing estrogen therapy indicates
thrombosis. Which event may the nurse suspect as the cause of thrombosis?
1 The patient smokes cigarettes.
2 The patient's fluid intake is low.
3 The patient takes herbal supplements.
4 The patient takes tricyclic antidepressants. - CORRECT ANSWER✔✔1 The patient smokes
cigarettes.
Smoking causes thrombosis in patients who undergo estrogen therapy. Thrombosis is not
caused by a decrease in fluids. Herbal medicines such as St. John's wort decrease the estrogenic
effect of drugs. The use of estrogen therapy with tricyclic antidepressants causes toxicity of the
antidepressant.
