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NRNP 6552 Exam 3 – Questions With Correct Answers (Rated A+)
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NRNP 6552 Exam 3 – Questions With Correct Answers (Rated A+)
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NRNP 6552 Exam 3 – Questions With Correct Answers(Rated A+)
Margo, age 50, is perimenopausal. She tells
you she is taking dehydroepiandrosterone (DHEA)
and wants to start on hormone replacement therapy
(HRT). When she asks for your opinion, you tell
her that
A. taking both DHEA and HRT is not
recommended because it is like "double dosing."
B. DHEA is safe and will not affect prescribed
medications.
C. she will be safe as long as she takes the minimum
dose of both therapies.
D. DHEA has the same pharmacotherapeutic effects
as HRT. ✔️Right Answer A
Dehydroepiandrosterone (DHEA) is a hormone
that is abundant in the body and is naturally
produced from cholesterol by the adrenal glands,
with smaller amounts manufactured by ovaries.
Taking both DHEA and hormonal replacement
therapy (HRT) is not recommended because
it is like "double dosing."
A 68-year-old woman presents to your office
for screening for osteoporosis. Sandy states that her
grandmother and mother both lost inches in their
old age. Sandy has been postmenopausal for the past
15 years and never took any hormone replacement
medications. She is Caucasian, weighs 108 lb, and
is 5 ft 1 in. tall on today's measurement. When do
women lose the greatest amount of bone density?
A. During adolescence
B. The first year of menopause
C. The first 10 years after menopause
D. Bone loss occurs continuously at the same rate
from menopause to death. ✔️Right Answer C
Bone loss begins at a rate of 0.5% a year in a
,woman's middle to late 40s. When menopause
occurs, the rate increases up to 7% a year for the
first decade after menopause. This increase in the
rate of bone loss is directly related to a decrease in
a woman's estrogen
Emily, a healthy 26-year-old woman, asks
you how she can prevent bone loss as she ages. She
is concerned because both her maternal grandmother
and now her mother have severe osteoporosis.
What guidance would you give to Emily?
A. Drink all the soda you like—it has no effect on
your bone density.
B. It has not been proved that smoking affects
bone loss.
C. Replace estrogen when you reach menopause.
D. Perform aerobic exercise at least three times
a week. ✔️Right Answer D
Emily is only 26 years old and has not reached her
peak bone mass yet. It has been proven that aerobic
exercise increases bone mass. Smoking and soda
drinking both have been shown to decrease bone
mass.
The National Cancer Institute (NCI)
recommends that mammography, as a method of
screening for breast cancer, should be performed
A. every year after age 40.
B. only after a woman finds a lump when performing
monthly breast self-examinations.
C. every 1-2 years after the age of 40.
D. After a clinical breast exam every 2 years ✔️Right Answer C
The National Cancer Institute (NCI) recommends
that mammograms, as a method of screening for
breast cancer, begin at age 40 for women at average
risk of breast cancer and continue every 1 to 2 years
Which of the following is a major risk
factor associated with osteoporosis and fragility
,fractures?
A. Body weight less than 127 lb
B. Alcohol intake greater than 2 drinks/day
C. Estrogen deficiency occurring before 45 years
of age
D. Low physical activity ✔️Right Answer A
Many major risk factors are associated with
osteoporosis and fragility fractures. The major risk
factors are body weight less than 127 lb, personal
history of fracture as an adult, history of fracture in
a first-degree relative, oral corticosteroid therapy of
longer than 3 months, and current smoking
Postmenopausal women who are not on
hormone replacement therapy need how much
calcium per day to help prevent osteoporosis?
A. 1,000 mg
B. 1,200 mg
C. 1,500 mg
D. 1,800 mg ✔️Right Answer C
Postmenopausal women who are not taking
hormone replacement therapy need 1,500 mg of
calcium a day to help prevent osteoporosis. Because
treatment for osteoporosis is limited, prevention is necessary to reduce the
occurrence.
Which of the following dietary changes would
you recommend to Heather, who is experiencing
nausea during her first trimester?
A. A bland diet taken frequently and in small amounts
B. An increase in fat intake
C. A decrease in carbohydrate intake
D. Restriction of fluid intake after 7 p.m. ✔️Right Answer A
Nausea during pregnancy may be helped somewhat
by dietary changes, such as eating a bland diet
taken frequently and in small amounts, increasing
carbohydrate intake, decreasing fat intake,
and trying to stay away from food odors. Good
hydration is important in pregnancy; therefore, fluid
, restriction is never recommended
Which of the following instructions should
be included in the discharge teaching plan to assist
the postpartal woman in recognizing early signs
of complications?
A. The passage of clots as large as an orange is expected.
B. Call the office to report any decrease in the
amount of brownish-red lochia.
C. Palpate the fundus daily to make sure it is soft.
D. Notify your health-care provider of a return
to bright red vaginal bleeding. ✔️Right Answer D
A return to bright red vaginal bleeding is a sign of
a complication and potentially a late postpartum
hemorrhage. The client should not be passing
clots. It is expected that the amount of lochia will
decrease over time. The fundus should be firm; a
soft uterine fundus would result in increased vaginal
bleeding.
When should a woman start getting Pap tests?
A. When she becomes sexually active
B. At age 21
C. During her first pregnancy
D. Before birth control is prescribed ✔️Right Answer B
Women are advised to begin Pap testing either
3 years after the onset of vaginal intercourse or at
the age of 21, whichever comes first. For a young
teenager, birth control may be prescribed without
first performing a pelvic exam
Mimi, age 52, asks why she should perform
a monthly breast self-examination (BSE) when she
has an annual exam by the physician, as well as a
yearly mammogram. You respond,
A. "If you are faithful about your annual exams and
mammograms, that is enough. "
B. "More breast abnormalities are picked up by
mammograms than by clinical exams or BSE. "
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