Deck 70: Fundamentals of Pediatric Nursing

Question 1

A 22-year-old male client says he is attracted to persons of the same sex only. How should the nurse document his stated sexual orientation?

A) Heterosexual
B) Asexual
C) Homosexual
D) Lesbian

Answer 1

Homosexual

Question 2

What information should the nurse provide to a female who reports being raped?

A) Encourage the victim to seek psychological treatment within 2 weeks.
B) Counsel the victim to put the experience behind her as quickly as possible.
C) Do not notify the police until there is positive evidence a rape has occurred.
D) Encourage the victim to seek physical help and have a "rape kit" documented.

Answer 2

Encourage the victim to seek physical help and have a "rape kit" documented.

Question 3

A male client being treated for erectile dysfunction is prescribed sildenafil (Viagra). Which of the following drugs should the nurse educate the client about its ability to cause an adverse reaction when taken with Viagra?

A) Insulin
B) Nitrates
C) Theophylline
D) Antihistamines

Answer 3

Nitrates

Question 4

A female client tells the nurse that she can feel contractions in her vagina and that they prevent her husband's penis from entering her. What form of female sexual dysfunction would the nurse suspect?

A) Dyspareunia
B) Hormonal imbalances
C) Vaginismus
D) Infertility

Question 5

A woman is undergoing testing for infertility. Her healthcare provider orders Rubin test. What information should the nurse provide a client regarding this test's purpose?

A) Tests vaginal and cervical secretions
B) Identifies abnormal structures within the uterus
C) Determines patency of the oviducts
D) Determines whether the uterine lining is normal

Question 6

Which assessment finding indicates that a female is currently ovulating?

A) Slight weight gain
B) Change in the cervical mucus
C) Abdominal cramps
D) Fall in body temperature

Question 7

A young couple ask their nurse practitioner for recommendations concerning the various forms of assisted reproductive technology (ART). Their only concern is that they do not want a multiple pregnancy. Which of the following forms of ART would be the best procedure for this couple?

A) Gamete intrafallopian transfer (GIFT)
B) Zygote intrafallopian transfer (ZIFT)
C) Artificial insemination (AI)
D) Elective single-embryo transfer (eSET)

Question 8

A nurse is teaching a client about the various contraceptives on the market. Which of the following is a 100% effective method of birth control and protection against sexually transmitted diseases (STDs)?

A) Medroxyprogesterone injection
B) Oral contraceptives
C) Rhythm method
D) Abstinence

Question 9

A 26-year-old mother of three children tells the nurse at her annual check-up that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which of the following methods would be the best option for this client?

A) Rhythm method
B) Diaphragm
C) Intrauterine device
D) Hormonal method

Question 10

Which of the following clients would be at highest risk for heart attack or stroke related to use of these contraceptives?

A) A 15-year-old with a previous miscarriage
B) A 22-year-old woman who drinks alcohol
C) A 38-year-old woman who smokes
D) A 32-year-old woman who has asthma

Question 11

Which of the following is an advantage of intrauterine devices (IUDs)?

A) Decreased incidence of tubal pregnancies
B) Decreased incidence of pelvic inflammatory disease
C) Continuous protection without client's active participation
D) Protection against sexually transmitted diseases

Question 12

A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?

A) Reduced menstrual flow after insertion
B) Insertion procedure is painless
C) Regular check of threads must be done
D) Continuous cramps after insertion

Question 13

Which contraceptive should the nurse identify as a mechanical barrier contraceptive?

A) Vaginal foams
B) Cervical cap
C) Spermicidal creams
D) Spermicidal jellies

Question 14

What information should the nurse include in the teaching plan related to the use of a vaginal sponge?

A) It is effective for a long as 36 hours following insertion.
B) It is more effective in women who have had babies.
C) It needs to be left in place for at least 12 hours after intercourse.
D) It must be removed within 30 hours of insertion.

Question 15

What information a nurse should include when providing education on a vasectomy?

A) Vasectomy is a relatively easy procedure with few complications.
B) Regular sperm counts are not essential.
C) The procedure cannot be reversed.
D) Birth-control measures are not required.

Question 16

The nurse is providing preoperative teaching for a woman who is undergoing a tubal sterilization. Which teaching point accurately describes this procedure?

A) Severe postoperative cramping may result from manipulation of the ovaries.
B) ^{Referred pain to the shoulder may occur after abdominal distention with CO}2^.
C) The client is expected to remain overnight following the surgery.
D) Moderate bleeding may occur for a few days following the surgery.

Question 17

A client visits the healthcare facility for information on tubal ligation. What information should the nurse provide the client?

A) The client needs only a minor dressing.
B) The client can drive home after surgery.
C) Only one nonabsorbable stitch is needed.
D) It is a temporary sterilization technique.

Question 18

The high school nurse teaching a class of adolescents about the characteristics of sexually transmitted diseases (STDs), should include what information? Select all that apply.

A) They decrease the chance of infection with HIV.
B) They have many, distinct symptoms.
C) They cause infections that lead to PID.
D) They can cause infertility.
E) They are most common in sexually active older adults.
F) They cause significant side effects and/or death in newborns.

Question 19

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which method would the nurse recommend?

A) Oral contraceptives
B) Withdrawal
C) Condom
D) Intrauterine device

Question 20

A male client is undergoing testing for sexually transmitted diseases (STDs) at a community health clinic. What information regarding STDs should the nurse give the client?

A) Treatment of STDs is simple and involves using antibiotics.
B) A person can only have one STD at a time.
C) Antibody immunity develops with the occurrence of an STD.
D) Individuals infected with viral STDs are infected for life.

Question 21

What are the signs/symptoms of HIV? Select all that apply.

A) Rapid weight gain
B) Productive cough
C) Fever, night sweats
D) Severe diarrhea
E) White spots on the tongue or mouth
F) Purplish blotches under the skin

Question 22

The nurse is caring for clients who are diagnosed with a sexually transmitted disease (STD). Which infection places a woman at greatest risk of infertility?

A) Gonorrhea
B) Chlamydia
C) Syphilis
D) Herpes simplex virus

Question 23

A 23-year-old sexually active male tells the nurse practitioner that he is worried because he has been having "burning sensation when urinating and a yellowish discharge from his penis." On assessment, the nurse notes that his testicles are swollen. What sexually transmitted infection diagnosis is supported by this assessment data?

A) Chlamydia
B) Syphilis
C) Gonorrhea
D) HSV

Question 24

A homeless man is brought to the ER after falling in the street and hitting his head. On assessment, the nurse documents lack of muscle coordination, poor vision, and moderate dementia. Based on these data, the diagnosis of which sexually transmitted disease (STD) is suggested?

A) Syphilis
B) Gonorrhea
C) Chlamydia
D) Herpes simplex virus

Question 25

Which factor is known to contribute to the development of a genital herpes infection?

A) A monogamous relationship
B) Higher socioeconomic status
C) Age ranging from 20 to 40 years
D) Minority ethnic origin

Question 26

What should the nurse state as being the greatest danger associated with this human papillomavirus (HPV)?

A) Infertility
B) Cervical cancer
C) Muscular degeneration
D) Throat cancer

Question 27

What client teaching should the nurse provide a male client diagnosed with genital herpes?

A) Keep area moist to promote healing.
B) Do not share food or engage in kissing.
C) Wear only synthetic underwear.
D) Use a condom to prevent spread.

Question 28

What situation should the nurse identify to a client as being a trigger for the growth of trichomoniasis?

A) Trauma to the bladder
B) Being postmenopausal
C) Irritation of vaginal walls
D) Spontaneous abortion

Question 29

Which is a symptom of bacterial vaginosis?

A) Cottage cheese-like discharge
B) Intense itching of the vulva
C) Warts in the vulva and labia
D) Vaginal odor smelling of fish