NURS 167 EXAM 1 (2026/2027) NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
What is an adverse effect associated with estrogen
therapy?
1. Nausea
2. Dry Skin
3. Weight loss
4. Higher-pitched voice - Correct Answer 1. Nausea
The most common undesirable effect of estrogen use is
nausea. Photosensitivity may also occur with estrogen
therapy. One common dermatologic effect of note is
chloasma, not dry skin. Weight loss and a higher-pitched
voice are not caused by estrogen therapy.
Which patient statement indicates to the nurse full patient
understanding of the discharge instructions regarding
alendronate?
1. "I need to decrease my intake of dairy products to
prevent hypercalcemia."
2. "I need to take this medication with food to prevent
damage to my esophagus."
3. "This medication will help relieve the bone pain I have
from my osteoporosis."
4. "I will take the medication on an empty stomach and not
lie down for 30 minutes." - Correct Answer 4. "I will take
,the medication on an empty stomach and not lie down for
30 minutes."
Alendronate can cause erosive esophagitis. To prevent
this side effect, it is important to take the medication first
thing in the morning on an empty stomach without any
other medications and to maintain an upright position for
30 minutes. These actions facilitate rapid absorption and
prevent reflux into the esophagus. Decreasing dairy intake
is not indicated. The medication does not directly relieve
bone pain caused by osteoporosis.
Which statement indicates that the patient understands
the benefit of continuous administration of progestin with
an estrogen regimen?
1. "Endometrial cancer risk can be reduced by adding
progestin."
2. "The progestin in the regimen will help prevent breast
cancer."
3. "The progestin in the regimen will help prevent ovarian
cancer."
4. "Vaginal cancer is prevented by adding progestin to the
regimen." - Correct Answer 1. "Endometrial cancer risk
can be reduced by adding progestin."
Estrogen, given alone, has been associated with an
increased risk of endometrial hyperplasia, which can lead
to endometrial cancer. Progestin reduces the incidence of
endometrial hyperplasia.
,The nurse is teaching a group of students about the use of
megestrol. Which statement by a student suggests the
need for additional teaching?
1. "It is used for breast cancer."
2. "It is used for endometrial cancer."
3. "It is used for the prevention of pregnancy."
4. "It is used for cachexia of AIDS." - Correct Answer 3.
"It is used for the prevention of pregnancy."
Megestrol is not used for prevention of pregnancy. It is a
synthetic progestin that is structurally very similar to
progesterone. Although megestrol shares the actions of
the progestins, it is primarily used in the palliative
management of recurrent, inoperable, or metastatic
endometrial or breast cancer. Because it can cause
appetite stimulation and weight gain, it is also used in the
management of anorexia, cachexia, or unexplained
substantial weight loss in patients with AIDS and in
patients with cancer.
Which adverse reaction may occur as a result of raloxifene
use during perimenopause?
1. Hot flashes
2. Loss of hair
3. Brown discoloration of face
4. Yellow undertone to the skin - Correct Answer 1. Hot
flashes
Raloxifene is a selective estrogen receptor modulator
(SERM) used in the treatment of osteoporosis. An adverse
reaction associated with this medication, especially during
, perimenopause, is hot flashes. Although hair loss and
chloasma may occur with other estrogen therapies, these
are not adverse reactions associated with this specific
medication. Progestin therapy can cause liver dysfunction
and jaundice, which is a yellowing of the skin and the
sclera of the eyes.
STUDY TIP: A word of warning: do not expect to achieve
the maximum benefits of this review tool by cramming a
few days before the examination. It doesn't work! Instead,
organize planned study sessions in an environment that
you find relaxing, free of stress, and supportive of the
learning process.
A patient with which condition should not use oral
contraceptives as a method of birth control?
1. Renal failure
2. Ovarian failure
3. Pulmonary embolism
4. Abnormal vaginal bleeding - Correct Answer 3.
Pulmonary embolism
A history of pulmonary embolism increases the patient's
risk for developing thromboembolism, so this patient
should not use oral contraceptives. Renal failure, ovarian
failure, and abnormal vaginal bleeding are not
contraindications for the use of oral contraceptives.
Denosumab is contraindicated in patients who have renal
failure. Fertility medications, such as clomiphene, are
contraindicated in patients who have ovarian failure.
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
What is an adverse effect associated with estrogen
therapy?
1. Nausea
2. Dry Skin
3. Weight loss
4. Higher-pitched voice - Correct Answer 1. Nausea
The most common undesirable effect of estrogen use is
nausea. Photosensitivity may also occur with estrogen
therapy. One common dermatologic effect of note is
chloasma, not dry skin. Weight loss and a higher-pitched
voice are not caused by estrogen therapy.
Which patient statement indicates to the nurse full patient
understanding of the discharge instructions regarding
alendronate?
1. "I need to decrease my intake of dairy products to
prevent hypercalcemia."
2. "I need to take this medication with food to prevent
damage to my esophagus."
3. "This medication will help relieve the bone pain I have
from my osteoporosis."
4. "I will take the medication on an empty stomach and not
lie down for 30 minutes." - Correct Answer 4. "I will take
,the medication on an empty stomach and not lie down for
30 minutes."
Alendronate can cause erosive esophagitis. To prevent
this side effect, it is important to take the medication first
thing in the morning on an empty stomach without any
other medications and to maintain an upright position for
30 minutes. These actions facilitate rapid absorption and
prevent reflux into the esophagus. Decreasing dairy intake
is not indicated. The medication does not directly relieve
bone pain caused by osteoporosis.
Which statement indicates that the patient understands
the benefit of continuous administration of progestin with
an estrogen regimen?
1. "Endometrial cancer risk can be reduced by adding
progestin."
2. "The progestin in the regimen will help prevent breast
cancer."
3. "The progestin in the regimen will help prevent ovarian
cancer."
4. "Vaginal cancer is prevented by adding progestin to the
regimen." - Correct Answer 1. "Endometrial cancer risk
can be reduced by adding progestin."
Estrogen, given alone, has been associated with an
increased risk of endometrial hyperplasia, which can lead
to endometrial cancer. Progestin reduces the incidence of
endometrial hyperplasia.
,The nurse is teaching a group of students about the use of
megestrol. Which statement by a student suggests the
need for additional teaching?
1. "It is used for breast cancer."
2. "It is used for endometrial cancer."
3. "It is used for the prevention of pregnancy."
4. "It is used for cachexia of AIDS." - Correct Answer 3.
"It is used for the prevention of pregnancy."
Megestrol is not used for prevention of pregnancy. It is a
synthetic progestin that is structurally very similar to
progesterone. Although megestrol shares the actions of
the progestins, it is primarily used in the palliative
management of recurrent, inoperable, or metastatic
endometrial or breast cancer. Because it can cause
appetite stimulation and weight gain, it is also used in the
management of anorexia, cachexia, or unexplained
substantial weight loss in patients with AIDS and in
patients with cancer.
Which adverse reaction may occur as a result of raloxifene
use during perimenopause?
1. Hot flashes
2. Loss of hair
3. Brown discoloration of face
4. Yellow undertone to the skin - Correct Answer 1. Hot
flashes
Raloxifene is a selective estrogen receptor modulator
(SERM) used in the treatment of osteoporosis. An adverse
reaction associated with this medication, especially during
, perimenopause, is hot flashes. Although hair loss and
chloasma may occur with other estrogen therapies, these
are not adverse reactions associated with this specific
medication. Progestin therapy can cause liver dysfunction
and jaundice, which is a yellowing of the skin and the
sclera of the eyes.
STUDY TIP: A word of warning: do not expect to achieve
the maximum benefits of this review tool by cramming a
few days before the examination. It doesn't work! Instead,
organize planned study sessions in an environment that
you find relaxing, free of stress, and supportive of the
learning process.
A patient with which condition should not use oral
contraceptives as a method of birth control?
1. Renal failure
2. Ovarian failure
3. Pulmonary embolism
4. Abnormal vaginal bleeding - Correct Answer 3.
Pulmonary embolism
A history of pulmonary embolism increases the patient's
risk for developing thromboembolism, so this patient
should not use oral contraceptives. Renal failure, ovarian
failure, and abnormal vaginal bleeding are not
contraindications for the use of oral contraceptives.
Denosumab is contraindicated in patients who have renal
failure. Fertility medications, such as clomiphene, are
contraindicated in patients who have ovarian failure.
