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UMB ABSN NU 335 Final Chapters /199 Questions And Answers (A+)
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UMB ABSN NU 335 Final Chapters /199 QuestionsAnd Answers (A+)
Quiz :1) The clinic nurse is returning phone calls. Which call should the nurse
return first?
1. The call from a 22-year-old reporting that she has menstrual cramps and
vomiting every month
2. The call from a 17-year-old asking whether there is a problem with using one
tampon for a whole day
3. The call from a 46-year-old mother of a teen wondering if her daughter
should be on birth control
4. The call from a 34-year-old requesting information on douching after
intercourse - √Answer :Answer: 2
Explanation: 2. Using a single tampon for an entire day can lead to toxic shock
syndrome, a potentially life-threatening condition. This client needs education
on the danger of using one tampon longer than 3-6 hours.
Quiz :2) The nurse who is taking a sexual history from a client should do which
of the following?
1. Ask questions that the client can answer with "yes" or "no."
2. Ask mostly open-ended questions.
3. Have the client fill out a comprehensive questionnaire and review it after the
client leaves.
4. Try not to make much direct eye contact. - √Answer :Answer: 2
Quiz :3) The nurse is taking a history on a new client in the clinic. She
determines from talking with the client that she is recently divorced, is dating,
and has had sex with various men. The nurse would be concerned about and
would provide some education on what issues?
1. The ethics of dating and having sex with more than one man
2. The client having some kind of permanent birth control done, so she does not
become pregnant
3. Education about sexual activity and sexually transmitted infections
4. Referral to a psychologist or counselor for follow-up on the multiple dating -
√Answer :Answer: 3
Explanation: 3. Education about sexual activity and sexually transmitted
infections is correct, since it has been determined that the client is having sex
with multiple partners.
Quiz :4) The nurse is taking a history of a new client in the clinic. Histories tend
to be lengthy, and the sexual part can be difficult for the client. The nurse
should use what technique to make it easier for the client?
,1. Let the client fill out a paper copy, so she does not have to talk about intimate
matters.
2. Skip the sexual part until the next time the client comes into the clinic.
3. Start with the easier medical and surgical questions, and develop a feeling of
trust with the client.
4. Leave the sexual part of the history for the doctor to ask about. -
√Answer :Answer: 3
Explanation: 3. Starting with easy-to-answer questions and then going to the
sexual ones helps, as client might be at ease by then.
Quiz :5) The nurse working in a women's clinic is training a recent graduate of
nursing school who has been hired. The experienced nurse explains that nurses
caring for women of all ages must be which of the following? Select all that
apply.
1. Aware of their own feelings
2. Judgmental when discussing sexuality
3. Aware of personal values and attitudes
4. Minimally knowledgeable about reproduction
5. Willing to discuss sexuality only one-on-one - √Answer :Answer: 1, 3
Quiz :6) A client asks her nurse, "Is it okay for me to take a tub bath during the
heavy part of my menstruation?" What is the nurse's correct response?
1. "Tub baths are contraindicated during menstruation."
2. "You should shower and douche daily instead."
3. "Either a bath or a shower is fine at that time."
4. "You should bathe and use a feminine deodorant spray during menstruation."
- √Answer :Answer: 3
Quiz :7) Which client would the nurse document as exhibiting signs and
symptoms of primary dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for 4 years, but has had no menses in 4
months
3. 19-year-old, regular menses for 5 years that have suddenly become painful
4. 14-year-old, irregular menses for 1 year, experiences cramping every cycle -
√Answer :Answer: 4
Explanation: 4. Dysmenorrhea, or painful menstruation, occurs at, or a day
before, the onset of menstruation and disappears by the end of menses. Primary
dysmenorrhea is defined as cramps without underlying disease.
Quiz :8) The nurse is conducting health screening at a community clinic. The
client has asked whether there are any risks with body piercing and tattooing, or
,whether these activities would impact sexual activity. How should the nurse
respond?
1. "You should avoid piercing your genitalia and your nipples."
2. "There are no problems that occur with either body piercing or tattooing."
3. "Both piercing and tattooing carry risks of infection, including hepatitis."
4. "The benefit of body art outweighs any risk of infection of a tattoo or
piercing." - √Answer :Answer: 3
Explanation: 3. For tattooing and body piercing, risks include infections such as
HIV and hepatitis B and C because of the use of inadequately sterilized
equipment, as well as allergic reactions, local swelling and burns, granulomas,
and keloid formation.
Quiz :9) The nurse is teaching a class on menstruation to young girls. What
information would be important for 10-12-year-olds to know?
1. The age they will start having their periods
2. Variations in the age menstruation begins, length of the cycle, and duration of
the menses
3. The number of days they will be ill when they have their menses
4. The number of days they will not be able to take part in physical education at
school during their menses - √Answer :Answer: 2
Quiz :10) The nurse is interviewing a 16-year-old client who has been using
deodorant tampons during her menses. She comes into the gynecology office
complaining of a rash and open sores on her labia and tenderness in the vagina.
After obtaining her history, what will the nurse determine is the most likely
cause of this client's problem?
1. She had forceful intercourse, which caused the trauma.
2. She is reacting to the deodorant in the tampon.
3. She might be allergic to the underwear she is wearing.
4. She is having a normal reaction to her menses. - √Answer :Answer: 2
Explanation: 2. This is the correct answer, as women often will react to the
deodorant used on pads and tampons.
Quiz :11) The nurse educator is teaching a group of teens and 20-year-olds
reproductive health care. When several of the women bring up douching, what
is the best response the nurse could make?
1. "One should always douche after having intercourse."
2. "When douching, use force putting them in and get the solution up high."
3. "It is a good idea to douche before intercourse so the area is clean for the
sperm."
4. "Douching is unnecessary because the lining of the vagina has numerous
glands that provide natural cleansing." - √Answer :Answer: 4
, Quiz :12) The nurse is instructing a young client on avoiding toxic shock
syndrome. Education was successful when the client makes which statements?
Select all that apply.
1. "I will wash my hands before inserting a tampon."
2. "I will change my tampon every 3-6 hours."
3. "I will not touch the part of the tampon I insert."
4. "I will just put the used tampon in the trash."
5. "I will take prophylactic antibiotics if needed." - √Answer :Answer: 1, 2, 3
Quiz :13) The nurse is interviewing an adolescent client. The client reports a
weight loss of 50 pounds over the last 4 months, and reports running at least 5
miles per day. The client asserts that her menarche was 5 years ago. Her menses
are usually every 28 days, but her last menstrual period was 4 months ago. The
client denies any sexual activity. Which is the best statement for the nurse to
make?
1. "Your lack of menses might be related to your rapid weight loss."
2. "It is common and normal for runners to stop having any menses."
3. "Increase your intake of iron-rich foods to reestablish menses."
4. "Adolescents rarely have regular menses, even if they used to be regular." -
√Answer :Answer: 1
Explanation: 1. Secondary amenorrhea can be caused by rapid weight loss,
including the development of the eating disorders anorexia and bulimia.
Runners with low body fat might have irregular menses, but amenorrhea is not a
normal condition.
Quiz :14) A 19-year-old woman comes to the gynecologist's office. When the
nurse asks the reason for this visit, the client explains that she has never had a
menstrual period, and that she is concerned there might be something wrong.
What is the diagnosis that the physician is most likely to make based on this
information?
1. Primary dysmenorrhea
2. Secondary infertility
3. Primary amenorrhea
4. Secondary amenorrhea - √Answer :Answer: 3
Explanation: 3. Primary amenorrhea is the term for the condition when menses
have never occurred.
Quiz :15) The nurse educator is talking with the students in the clinical area
about amenorrhea. She has discussed both primary and secondary amenorrhea
and their possible causes and knows that her teaching has been successful when,
upon being questioned, a student explains that amenorrhea can be caused by
which of the following?
1. Malfunctioning of the pancreas and insulin usage
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