NURS 167: Exam 1 Questions with Detailed
Verified Answers
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."
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." Ans: 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.
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. Ans: 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.
What monitoring parameter should be evaluated for drug effectiveness for a patient in
labor who is receiving oxytocin? Select all that apply.
1 Fetal heart rate
2 Asking no questions about fetal movement
3 Continuing the agent if uterine hyperactivity occurs
4 The patient's blood pressure and pulse during administration of the oxytocic agent
Ans: 1, 4
Before administering uterine stimulants (e.g., oxytocin or prostaglandins), the nurse
should determine the fetal heart rate and contraction-related fetal heart rates and
document findings. The nurse should also assess and document the patient's blood
pressure, pulse, and respiration. Continuing the agent if uterine hyperactivity occurs is
not safe. Asking no questions about fetal movement will not reveal anything useful for
assessment.
Test-Taking Tip: Be alert for grammatical inconsistencies. If the response is intended to
complete the stem (an incomplete sentence) but makes no grammatical sense to you,
it might be a distractor rather than the correct response. Question writers typically
try to eliminate these inconsistencies.
Which phase of the menstrual cycle involves the release of an unfertilized ovum?
1. Phase 1
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,2. Phase 2
3. Phase 3
4. Phase 4 Ans: 3. Phase 3
The menstrual cycle has four phases. The unfertilized ovum is released from the ovum
during phase 3, which is the ovulation phase. Phase 1 is referred to as the
menstruation phase. The phase initiates the cycle and lasts 5 to 7 days. Phase 2 is
known as the follicular phase. During this phase, the mature ovum develops from the
ovarian follicle. Phase 4 is the luteal phase. During this phase, the corpus luteum is
formed from the ruptured ovarian follicle.
The nurse is explaining the effects of estrogen therapy to a patient. Which effect
mentioned by the patient indicates a need for additional teaching?
1 Prevention of breast cancer
2 Treatment of prostate cancer
3 Decrease in vasomotor symptoms
4 Improvement of atrophic vaginitis Ans: 1. Prevention of breast cancer
Estrogen therapy increases the chances of breast cancer in women. Estrogen therapy
leads to improvement of atrophic vaginitis, female hypogonadism, insufficient primary
ovarian function, abnormal uterine bleeding, and severe vasomotor symptoms in
women. It is also used to treat prostate cancer.
A patient tests positive for pregnancy even though she has been taking oral
contraceptives. What is a possible cause of this unintended pregnancy?
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, 1 The patient has diabetes.
2 The patient has hypertension.
3 The patient takes anticonvulsants.
4 The patient is on antibiotic therapy. Ans: 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."
Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate Ans: 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
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
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."
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." Ans: 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.
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. Ans: 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.
What monitoring parameter should be evaluated for drug effectiveness for a patient in
labor who is receiving oxytocin? Select all that apply.
1 Fetal heart rate
2 Asking no questions about fetal movement
3 Continuing the agent if uterine hyperactivity occurs
4 The patient's blood pressure and pulse during administration of the oxytocic agent
Ans: 1, 4
Before administering uterine stimulants (e.g., oxytocin or prostaglandins), the nurse
should determine the fetal heart rate and contraction-related fetal heart rates and
document findings. The nurse should also assess and document the patient's blood
pressure, pulse, and respiration. Continuing the agent if uterine hyperactivity occurs is
not safe. Asking no questions about fetal movement will not reveal anything useful for
assessment.
Test-Taking Tip: Be alert for grammatical inconsistencies. If the response is intended to
complete the stem (an incomplete sentence) but makes no grammatical sense to you,
it might be a distractor rather than the correct response. Question writers typically
try to eliminate these inconsistencies.
Which phase of the menstrual cycle involves the release of an unfertilized ovum?
1. Phase 1
© Get it right 2025 Getaway - Stuvia US All rights reserved
,2. Phase 2
3. Phase 3
4. Phase 4 Ans: 3. Phase 3
The menstrual cycle has four phases. The unfertilized ovum is released from the ovum
during phase 3, which is the ovulation phase. Phase 1 is referred to as the
menstruation phase. The phase initiates the cycle and lasts 5 to 7 days. Phase 2 is
known as the follicular phase. During this phase, the mature ovum develops from the
ovarian follicle. Phase 4 is the luteal phase. During this phase, the corpus luteum is
formed from the ruptured ovarian follicle.
The nurse is explaining the effects of estrogen therapy to a patient. Which effect
mentioned by the patient indicates a need for additional teaching?
1 Prevention of breast cancer
2 Treatment of prostate cancer
3 Decrease in vasomotor symptoms
4 Improvement of atrophic vaginitis Ans: 1. Prevention of breast cancer
Estrogen therapy increases the chances of breast cancer in women. Estrogen therapy
leads to improvement of atrophic vaginitis, female hypogonadism, insufficient primary
ovarian function, abnormal uterine bleeding, and severe vasomotor symptoms in
women. It is also used to treat prostate cancer.
A patient tests positive for pregnancy even though she has been taking oral
contraceptives. What is a possible cause of this unintended pregnancy?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 1 The patient has diabetes.
2 The patient has hypertension.
3 The patient takes anticonvulsants.
4 The patient is on antibiotic therapy. Ans: 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."
Which medication is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
4 Magnesium sulfate Ans: 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
© Get it right 2025 Getaway - Stuvia US All rights reserved
