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Exam (elaborations)

NUR 270 Exam 1 Practice Questions and Complete Solutions

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  • Course
  • NUR 270
  • Institution
  • NUR 270

A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive? a. Provides long-term continuous protection, up to 5 years b. Requires daily administration of medication by mouth c. Prevents pregnancy if given withi...

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  • September 24, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 270
  • NUR 270
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NUR 270 Exam 1 Practice Questions and
Complete Solutions
A sexually active female adolescent asks the nurse about the contraceptive Depo-
Provera. What should the nurse explain regarding the contraceptive?
a. Provides long-term continuous protection, up to 5 years
b. Requires daily administration of medication by mouth
c. Prevents pregnancy if given within 72 hours of unprotected sex
d. Requires injections every 3 months ✅d. Requires injections every 3 months

A 32-year-old man who has a profuse, purulent urethral discharge with painful urination
is seen at the clinic. Which information will be most important for the nurse to obtain?
a. Contraceptive use
b. Sexual orientation
c. Immunization history
d. Recent sexual contacts ✅d. Recent sexual contacts

Information about sexual contacts is needed to help establish whether the patient has
been exposed to a sexually transmitted infection (STI) and because sexual contacts
also will need treatment

A female infertility patient is found to be hypoestrogenic at the preconceptual clinic visit.
She asks the nurse why she has never been able to get pregnant. Which response is
best?

a. Hyperestrogen may be preventing the zona pellucida from forming an ovum
protective layer.
b. Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor
in infertility.
c. Circulating estrogen contributes to secondary sex characteristics.
d. The corona radiata is preventing fertilization of the ovum. ✅b. Estrogen deficiency
prevents the ovum from reaching the uterus and may be a factor in infertility

A newly married woman states, "My friend told me I would never have a baby because I
had pelvic inflammatory disease when I was younger. I don't understand how that can
affect whether or not I get pregnant." The nurse's best response is

a. Your friend is right. The disease will affect your ability to conceive.
b. Pelvic inflammatory disease may damage the ovaries and prevent ovulation.
c. Infection may cause scarring and obstruction of the fallopian tubes, which can
prevent the fertilized egg from reaching the uterus.
d. Your friend has been misinformed. Fallopian tube damage occurs only following
gonorrhea. ✅c. Infection may cause scarring and obstruction of the fallopian tubes,
which can prevent the fertilized egg from reaching the uterus.

, The nurse is assessing the sexual-reproductive functional health pattern of a 32-yr-old
woman. Which question is most useful in determining the patient's sexual orientation
and related risk factors?

"Do you have sex with men, women, or both?"
"Which gender do you prefer to have sex with?"
"What types of sexual activities do you prefer?"
"Are you heterosexual, homosexual, or bisexual?" ✅"Do you have sex with men,
women, or both?"

Which woman is the safest candidate for the use of oral contraceptives?

a. 39-year-old woman with a history of thrombophlebitis
b. 16-year-old woman with a liver tumor
c. 20-year-old woman who suspects she may be pregnant
d. 33-year-old woman who does not smoke cigarettes ✅d. 33-year-old woman who
does not smoke cigarettes

A client is to take Clomiphene Citrate for infertility. Which of the following is the
expected action of this medication?

a. Reduce the acidity of vaginal secretions
b. Decrease the symptoms of endometriosis
c. Increase serum progesterone levels
d. Stimulate release of FSH and LH ✅d. Stimulate release of FSH and LH

A nurse on the unit makes a error in the calculation of the dose of medication for a
critically ill patient. The patient suffered no ill consequences from the administration.
The nurse decides not to report the error or file an incident report. The nurse is violating
which principle of ethics?

a. Individuality
b. Fidelity
c. Justice
d. Values clarification ✅b. Fidelity

Fidelity is the principle that requires us to act in ways that are loyal

An adolescent girl calls the nurse at the clinic because she had unprotected sex the
night before and does not want to be pregnant. The nurse should explain that:

a. postcoital contraception is available to prevent implantation.
b. it is too late to prevent an unwanted pregnancy.
c. an abortion may be the best option if she is pregnant.

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