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NCLEX - REPRODUCTION - Day 1 (Part1 )

Total questions: 15

Worksheet time: 15mins

Name
Class
Date
1.
The nurse is screening female clients for those at risk for infertility. Which of the following factors would increase a client's risk for infertility? Select all that apply.
a)
age 38 years
b)
endometriosis
c)
BMI of 22 kg/m2
d)
polycystic ovary syndrome
e)
recurrent chlamydial infections
2.
The nurse assesses a client 2 days after breast reconstruction. Two Jackson Pratt drains have 10 mL each, then 200 mL of bright red output appears. What is the priority action?
a)
Notify the health care provider
b)
Open the bulb to release negative pressure
c)
Record amount as wound drainage
d)
Reposition client on right side
e)
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3.
The nurse teaches clients at a health fair about managing premenstrual syndrome. What should be included? Select all that apply.
a)
Use stress-reduction techniques
b)
Consume complex carbs
c)
Use antidepressants for mood changes
d)
Opioids are prescribed for pain
e)
Reduce high-sodium foods
4.
The nurse teaches a postpartum Rh-negative client whose newborn is Rh-positive. Which statement shows correct understanding?
a)
I can receive the medication at my 6-week follow-up
b)
The dose I got during pregnancy wasn’t effective
c)
I need blood work in 3 months to confirm effectiveness
d)
I will get Rh immune globulin to prevent antibody formation
e)
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5.
UAP and nurse are caring for a client post-vaginal hysterectomy. Which UAP statement needs follow-up?
a)
Client has done leg exercises
b)
Client had 250 mL of straw-colored urine
c)
Client saturated 3 pads in 2 hours
d)
BP 108/60, pulse 61, RR 14
e)
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6.
The nurse attends a staff program on meds during pregnancy. Which are contraindicated? Select all that apply.
a)
lisinopril
b)
albuterol
c)
isotretinoin
d)
doxycycline
e)
levothyroxine
7.
Nurse teaches college students about STIs. Which two cause pelvic inflammatory disease and infertility?
a)
genital herpes and HIV
b)
gonorrhea and chlamydia
c)
human papillomavirus and syphilis
d)
yeast and trichomoniasis
e)
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8.
Client with Marfan syndrome and aortic root dilation asks about pregnancy. What is the nurse’s response?
a)
Stop beta blockers if pregnant
b)
Wait until older to conceive
c)
Use reliable birth control
d)
Your condition isn’t inherited
e)
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9.
Client newly diagnosed with fibrocystic breast changes. What teaching is most important?
a)
Report noncyclic changes to HCP
b)
Take ibuprofen if breasts are sore
c)
Schedule annual clinical breast exams
d)
These cysts don’t increase cancer risk
e)
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10.
Perinatal nurse reviews client messages. Who should be called first?
a)
18 weeks, ceftriaxone, mild diarrhea
b)
22 weeks, taking acetaminophen
c)
28 weeks, metronidazole, dark urine
d)
34 weeks, taking ibuprofen daily
e)
-
11.
Client discharged after vasectomy asks when to stop using condoms. What’s the best response?
a)
Discontinue after at least 5 ejaculations
b)
No need for condoms after procedure
c)
Use alternate birth control for 6 months
d)
Use alternate method until cleared by HCP
e)
-
12.
Client with suspected PID—what history questions assess risk factors?
a)
Currently on oral contraceptives
b)
Age at first menstruation
c)
Multiple sexual partners
d)
History of STI
e)
Recent abortion or pelvic surgery
13.
Which clients have increased breast cancer risk?
a)
24-year-old with sister diagnosed at 38
b)
32-year-old with BRCA1/BRCA2 mutation
c)
45-year-old with menarche at age 17
d)
56-year-old postmenopausal with 50 lb weight gain
e)
65-year-old on estrogen/progestin pills for 15 years
14.
Teaching points about combined estrogen-progestin oral contraceptives include:
a)
Report leg pain or swelling
b)
Discontinue if spotting occurs
c)
Don’t smoke while taking OCPs
d)
Report breast tenderness immediately
e)
Seek help for vision changes
15.
Pregnant client with syphilis refuses antibiotics. What should nurse do?
a)
Educate on fetal harm/death if untreated
b)
Prioritize fetus’s right over client’s autonomy
c)
Respect belief and discuss natural alternatives
d)
Warn of possible Jarisch-Herxheimer reaction
e)
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