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NURS 167 Exam 1 Questions And Accurate Answers
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NURS 167 Exam 1 Questions And Accurate AnswersA patient with menopausal symptoms is requesting hormone replacement therapy.
During the assessment, the nurse discovers that the patient had endometrial cancer;
she is also a smoker. Which is the most significant information for this patient?
1 "The therapy can be complicated by thromboembolic events."
2 "You might need to quit smoking during the therapy."
3 "The treatment should be instituted as soon as possible."
4 "The treatment is likely to cause cancer of the endometrium." - Answer 1 "The therapy
may cause thromboembolic events."
The patient should be informed first of the thromboembolic events that may occur
following a progesterone therapy. Estrogen therapy may increase the risk of recurrence
of malignancy in patients with a history of endometrial malignancy. It may be advised to
start this type of therapy with the advice of the nurse to quit smoking. The treatment
may not be started as soon as possible but may be prevented.
Estrogen therapy has been prescribed for the patient, and a clinical report reveals
thrombosis. Which event could the nurse suspect as possibly causing 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. Answer 1 The patient smokes cigarettes.
Smoking promotes thrombosis in individuals undergoing estrogen therapy. Besides,
thrombosis does not occur due to a deficiency of fluids. Herbal medicines such as St.
John's wort reduce the estrogenic action of drugs. Estrogen therapy administered in
conjunction with tricyclic antidepressants leads to toxicity of the antidepressant.
Monitoring Parameter
A patient in labor is receiving oxytocin. What monitoring parameter should be evaluated
for drug effectiveness? Choose all that apply.
,1. Fetal heart rate
2 Not asking any questions about fetal movement
3 Not discontinuing the agent if uterine hyperactivity occurs
4 Blood pressure and pulse of the patient during the administration of the oxytocic agent
- Answer 1, 4
Before the administration of uterine stimulants (e.g., oxytocin or prostaglandins) the
nurse should determine the fetal heart rate and contraction-related fetal heart rates and
document the findings. The nurse also should monitor and document the patient's blood
pressure, pulse, and respiration. It is unsafe to continue the agent if uterine
hyperactivity occurs. Asking no questions about fetal movement will not reveal anything
useful for assessment.
Test-Taking Tip: Watch for grammatical discrepancies. If the answer is supposed to
complete the stem (an incomplete sentence) but makes no grammatical sense to you, it
may be a distractor and not the correct answer. The question writers usually try to
resolve these discrepancies.
Which phase of the menstrual cycle does the unfertilized ovum get released?
1. Phase 1
2. Phase 2
3. Phase 3
4. Phase 4 - Answer 3. Phase 3
The menstrual cycle has four phases in it. The ovulation phase is phase 3, during which
the unfertilized ovum is released from the ovum. Phase 1 is the menstruation phase. The
phase initiates the cycle and takes around 5 to 7 days. Phase 2 is called the follicular
phase. In this phase, the mature ovum forms from the ovarian follicle. Phase 4 is the
luteal phase at which the corpus luteum forms from the ruptured ovarian follicle.
The nurse is discussing the effects of estrogen therapy with a patient. The patient
identifies which effect of the therapy that would require further teaching?
1 Prevention of breast cancer
,2 Treatment of prostate cancer
3 Reduction in vasomotor symptoms
4 Improvement in atrophic vaginitis - Answer 1. Prevention of breast cancer
Estrogen therapy promotes an increased risk of breast cancer. Estrogen therapy is
indicated for atrophic vaginitis improvement, female hypogonadism, inadequate primary
ovarian function, abnormal uterine bleeding, and serious vasomotor symptoms in
females. This drug is also useful in the treatment of prostate cancer.
Oral contraceptives are prescribed to a patient who continues to become pregnant. A
possible cause of this unplanned pregnancy may be
1 The patient has diabetes.
2 The patient has hypertension.
3 The patient is receiving anticonvulsants
4 The patient is receiving antibiotic therapy Answer 4 The patient is receiving antibiotic
therapy.
Antibiotics reduce the efficacy of oral contraceptives; thus, the nurse should instruct
the patient to use other methods of birth control while taking antibiotics. Diabetes does
not impact the effectiveness of oral contraceptives. Hypertension is a potential side
effect of oral contraceptives. Anticonvulsants are less effective if administered 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 drug is used to induce labor?
1 Oxytocin
2 Terbutaline
3 Methylergonovine
, 4 Magnesium sulfate - Answer 1 Oxytocin
Oxytocin is a uterine stimulant used to induce uterine contractions for labor. Terbutaline
is used to arrest preterm labor. Methylergonovine treats postpartum hemorrhage.
Magnesium sulfate is used to treat gestational hypertension.
Which medication is utilized for the treatment of infertility?
1 Oxytocin
2 Clomiphene
3 Indomethacin
4 Dinoprostone -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 is used during preterm labor. Dinoprostone is used to evacuate the
uterine contents during miscarriage and for cervical ripening.
Ovulation commonly occurs at which day during the menstrual cycle?
1. Day 3
2. Day 7
3. Day 14
4. Day 21 - Answer 3. Day 14
Ovulation during the menstrual cycle usually occurs on day 14 when the mature follicle
ruptures and releases its ovum. It is not 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
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