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NUR 104 Exam 1 Questions And Answers With Verified Solutions

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a 45 year old client informs the nurse that they t

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NUR 104 Exam 1 Questions And Answers With
Verified Solutions
A 45-year-old client informs the nurse that they think the signs of menopause have started and would like to know if
they can stop their birth control pills. Which response by the nurse is best?
A. "It is possible for you to become pregnant during developing menopause."
B. "That would be fine. You should not take the pills during menopause."
C. "You cannot become pregnant during this time due to decreased ovarian function."
D. "Your symptoms are probably related to some other disorder."

A. "It is possible for you to become pregnant during developing menopause."

The nurse is obtaining a menstrual history from a female client. The client states that at times, they experiences
cramps about 2 weeks after their menstrual cycle ends. Which information would the nurse provide the client?
A. The client will have to have a biopsy to determine cancerous ovaries.
B. The cramps may occur due to ruptured ovarian cysts.
C. The cramps usually indicate ovulation.
D. No education is required since there is nothing wrong with the client.

C. The cramps usually indicate ovulation.

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Which nursing action would be provided to a client who has a decrease in estrogen production?
A. Discuss the necessity for hormone replacement.
B. Discuss the need for a low-fat, low-salt diet.
C. Discuss the increase in hair growth on the scalp, axillae, and external genitalia.
D. Discuss the likelihood of an increase in musculature of upper arms and legs.

B. Discuss the need for a low-fat, low-salt diet.

A 13-year-old girl arrives in the clinic and informs the nurse that they just had their first menstrual period on April
23. Which documentation for this event is accurate?
A. Onset of menstruation on April 23
B. Onset of menarche on April 23

,C. Onset of menopause on April 23
D. Onset of puberty on April 23

B. Onset of menarche on April 23

A client and their partner have been trying to conceive without results over the past 3 months. Which suggestion can
the nurse make that is noninvasive and may increase the probability of success?
A. Medications can be taken.
B. It has only been 3 months, let nature take its course.
C. Determine time of ovulation by checking basal body temperature.
D. It is time to seek the advice of a fertility specialist.

C. Determine time of ovulation by checking basal body temperature.

A client is scheduled for a pelvic examination. In preparation for the procedure, which intervention by the nurse is
appropriate?
A. Ask the client to empty their bladder.
B. Instruct the client to hold their breath when the speculum is inserted.
C. Place the client in the prone position.
D. Have a Vaseline-based gel available to lubricate the speculum.

A. Ask the client to empty their bladder.

A client requests an office visit for a Pap test. When is the best time for the nurse to schedule the client?
A. The timing of the test is not significant and the appointment can be scheduled at any time.
B. The appointment should be scheduled while the client is on their menstrual period.
C. The appointment should be scheduled the day after the client's menstrual period.
D. The appointment should be scheduled between the client's menstrual periods.

D. The appointment should be scheduled between the client's menstrual periods.

A client is having a breast biopsy with the entire lump to be removed and analyzed. Which type of breast biopsy
would the nurse prepare the client for?
A. Needle biopsy
B. Excisional biopsy
C. Incisional biopsy
D. Aspiration biopsy

B. Excisional biopsy

A client is postoperative after a laparoscopy. After the procedure, the client reports severe pain under the right
clavicle. Which is the priority action by the nurse?
A. Prepare the client to return to surgery.
B. Turn the client on the right side.
C. Notify the healthcare provider.
D. Administer an analgesic.

C. Notify the healthcare provider.

A client reports frequent vaginal infections. Which suggestions can the nurse make to decrease the risk of infection
in this client? Select all that apply.
A. Douche daily.
B. Wipe from front to back after voiding.
C. Avoid the use of bubble bath.
D. Thoroughly wash hands, especially during menses after voiding.
E. Wear nylon panties.

, B. Wipe from front to back after voiding.
C. Avoid the use of bubble bath.
D. Thoroughly wash hands, especially during menses after voiding.

A nurse is caring for an adolescent girl experiencing menstruation for the first time. What changes occur in the body
at this stage that the nurse should share with the adolescent girl?
A. Irritability and insomnia
B. Hot flashes
C. Breast development
D. Urinary incontinence

NOT A

What are the main effects of the gonadotropic hormones? Select all that apply.
A. Stimulation of the formation of ova
B. Stimulation of the secretion of hormones from sex organs
C. Stimulation of the development of secondary female sexual characteristics
D. Stimulation sustains pregnancy
E. Stimulation of the hormone progesterone

A. Stimulation of the formation of ova
B. Stimulation of the secretion of hormones from sex organs
C. Stimulation of the development of secondary female sexual characteristics

What are external indicators of menopause? Select all that apply.
A. Tendency to gain weight
B. Thinning of hair
C. Loss of eyebrows
D. Dry itchy skin
E. Hair growth on chin

GOT 0.75 WITH A,B,D potentially missing one more

What is the implication of decreased ovarian function?
A. Susceptibility to fractures
B. Increases the risk of heart disease
C. Changes in sexual response
D. Inability to become pregnant

NOT B

Which gonadotropic hormones should be included in a discussion of the female reproductive system? Select all that
apply.
A. Estrogen
B. Progesterone
C. Luteinizing hormone
D. Follicle-stimulating hormone
E. Cortisol

The school nurse is teaching teenage girls how to prevent vaginal infections. Which guidelines are recommended for
feminine care? Select all that apply.
A. Wipe from back to front when going to the bathroom.
B. Pull panties, with perineal pad attached, straight down.
C. Douche at least once a week.
D. Use vaginal sprays or scented powders between bathing.

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