NRSG-121 Quiz Questions with 100% Correct Answers: A Comprehensive Guide to Nursing Exams, Exams of Nursing

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NRSG-121 Quiz QUESTIONS WITH 100%

CORRECT ANSWERS

A nurse in a clinic is reviewing the facility's testing process and procedures for human immune deficiency virus (HIV) with a new employee. Which of the following information should the nurse include? A. In the presence of HIV, the enzyme immunoassay (EIA) test is typically reactive within 72 hr after the client is infected. B. The Western blot assay is used to confirm diagnosis of HIV C. The polymerase chain reaction (PRC) test is used to confirm diagnosis of HIV

D. CD4+ cell counts will be elevated in a client who is infected with HIV - CORRECT

ANSWER -B: Confirming HIV is a two-step process. If the EIA is positive, a second

test (the Western blot assay), is done. A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure? A. "You should not take any aspirin products prior to the mammogram." B. "Do not apply any deodorant the day of the exam." C. "You will need to avoid sexual intercourse the day before the mammogram."

D. "You should avoid exercise prior to the exam." - CORRECT ANSWER -B:

Applying deodorant or powder can alter the accuracy of a mammogram by causing a shadow to appear. A nurse is providing education to a client prior to an initial Papanicolaou (Pap) test. Which of the following statements should the nurse make? A. "You should urinate immediately after the procedure is over." B. "You will not feel any discomfort." C. "You may experience some bleeding after the procedure."

D. "You will need to hold your breath during the procedure." - CORRECT

ANSWER -C: The client can experience a small amount of vaginal bleeding due to

scraping of the cervix. A nurse in a provider's office is reviewing a client's laboratory results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis? A. Venereal Disease Research Laboratory (VDRL) B. D-dimer C. Fluorescent treponemal antibody absorbed (FTA-ABS)

D. Sickledex - CORRECT ANSWER -C: The FTA-ABS is used to confirm the

diagnosis of syphilis A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? (Select all that apply.) A. "The procedure is painless." B. "Avoid heavy lifting for approximately 2 weeks after the procedure." C. "Heavy bleeding is common during the first 12 hours after the procedure." D. "Plan to rest for the first 72 hours after the procedure."

E. "Avoid the use of tampons for 2 weeks after the procedure." - CORRECT

ANSWER -B: The client should avoid heavy lifting until the cervix has healed, which

takes approximately 2 weeks. E: The client should not use tampons until the cervix has healed, which takes approximately 2 weeks. A school nurse is providing an education session about menstruation with a group of adolescent students. Which of the following statements should the nurse include? (Select all that apply.) A. "The average age of onset of menstruation is 10." B. "The range for a typical menstrual cycle is between 23 and 35 days." C. "The first day of the menstrual cycle begins with the last day of the menstrual cycle." D. "Ovulation typically occurs around the 14th day of the menstrual cycle."

E. "A menstrual period can last as long as 9 days." - CORRECT ANSWER -B:

Although a typical menstrual cycle is 28 days, a range of 23 to 35 days is considered a regular menstrual cycle. D: The first half of the menstrual cycle is the follicuar phase, and the second half is the luteal phase. Ovulation typically occurs around the middle of the cycle, or day 14 in a 28-day cycle. E: A menstrual period typically lasts from 4 to 6 days but can continue for up to 9 days. A nurse is reviewing the medical record of a client who has premenstrual syndrome (PMS). The nurse should identify that which of the following medications are used to treat PMS? (Select all that apply.) A. Fluoxetine B. Spironolactone C. Ethinyl estradiol/drospirenone D. Ferrous sulfate

E. Methylergonovine - CORRECT ANSWER -A: Fluoxetine, an SSRI, is used to

treat the emotional manifestations of PMS, such as irritability and mood swings, and has an added effect of treating physical manifestations. B: Spironolactone is a diuretic and can reduce bloating and weight gain associated with PMS C: Oral contraceptives can be prescribed to reduce the manifestations of PMS.

A nurse in a provider's office is providing information to a client who has dysfunctional uterine bleeding (DUB). Which of the following statements by the client indicate understanding of the information? A. "My heavy bleeding can be due to a hormonal imbalance." B. "If I experience menstrual pain I should take aspirin." C. "Oral contraceptives are contraindicated for clients who have heavy uterine bleeding like mine." D. "My doctor can perform a D&C to find out what's causing my abnormal bleeding."

E. "My condition is more common in clients who are in their 30s." - CORRECT

ANSWER -A: The client should be aware that DUB can be caused by a progesterone

deficiency. A nurse is providing support to a client who has a new diagnosis of endometriosis. The nurse should inform the client that which of the following conditions is a possible complication of endometriosis? A. Insulin resistance B. Infertility C. Vaginitis

D. Pelvic inflammatory disease - CORRECT ANSWER -B: Infertility is a

complication of endometriosis because endometrial tissue overgrowth can block the fallopian tubes A nurse is reviewing the medical record of a client who is menopausal. Which of the following findings should the nurse expect? (Select all that apply.) A. Increased vaginal secretions B. Decreased bone density C. Increased HDL level D. Decreased skin elasticity E. Increased pubic hair growth

F. Decreased follicle stimulating hormone level - CORRECT ANSWER -B:

Clients who are menopausal are expected to have decreased bone density. D: Clients who are menopausal are expected to have decreased skin elasticity. A nurse is instructing a client how to perform Kegel exercises. Which of the following instructions should the nurse include? (Select all that apply.) A. Perform exercises about 50 times each day. B. Contract the circumvaginal and/or perirectal muscles C. Gradually increase the contraction period to 10 seconds. D. Follow each contraction with at least a 10-second relaxation period. E. Perform while sitting, lying, and standing.

F. Tighten abdominal muscles during contractions - CORRECT ANSWER -A:

The client should perform Kegel exercises 30 to 80 times a day. B. The client should contract the circumvaginal and perirectal muscles as if trying to stop the flow of urine or passing flatus.

C: The client should hold the contraction for 10 seconds. They might need to gradually increase the contraction period to reach this goal. D: The client should follow each contraction with a relaxation period of 10 seconds. E: The client can perform the exercises while lying, sitting, or standing A nurse is performing a perioperative assessment for a client who is scheduled for an anterior colporraphy. Which of the following client statements should the nurse expect as an indication for this procedure? A. "I have to push the feces out of a pouch in my vagina with my fingers." B. "I have pain and bleeding when I have a bowel movement." C. "I have had frequent UTIs."

D. I am embarrassed by frequent flatus." - CORRECT ANSWER -C: Due to

urinary stasis associated with a cystocele, this finding is an expected finding of a cystocele. The surgery for a cystocele is an anterior colporraphy. A nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder? A. BMI of 18 B. Nulliparity C. Chronic constipation

D. Post menopausal - CORRECT ANSWER -D: Identify that the advancing age

and loss of estrogen that correlate with postmenopausal status are risk factors for the development of a cystocele A nurse is preparing to discharge a client following an anterior and posterior colporraphy. Which of the following instructions should the nurse provide? A. "Do not bend over for at least 6 weeks." B. "You can lift objects as heavy as 10 pounds." C. "Do not engage in intercourse for at least 6 weeks." D. "You might have a foul-smelling drainage for the first week after surgery." -

CORRECT ANSWER -C. The client should refrain from intercourse to allow time

for the surgical site to heal, which is typically about 6 weeks. A nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast condition. Which of the following findings should the nurse expect? A. Palpable rubberlike lump in the upper outer quadrant. B. BRCA1 gene mutation C. Elevated CA-

D. Peau d'orange dimpling of the breast - CORRECT ANSWER -A. Clients who

have fibrocystic breast condition typically have breast pain and rubbery palpable lumps in the upper outer quadrant of the breasts.