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NUR 253 LATEST EXAM WITH VERIFIED QUESTIONS AND DETAILED ANSWERS FOR GUARANTEED PASS ALREA, Exams of Medicine

United States University (USU)Medicine

NUR 253 LATEST EXAM WITH VERIFIED QUESTIONS AND DETAILED ANSWERS FOR GUARANTEED PASS ALREADY GRADED A+.pdf

Typology: Exams

2024/2025

Available from 07/11/2025

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NUR 253 LATEST EXAM WITH
VERIFIED QUESTIONS AND
DETAILED ANSWERS FOR
GUARANTEED PASS ALREADY
GRADED A+
Question-A client is discussing birth control pills with her nurse and asks whether she will still
be able to breastfeed. The nurse correctly responds:
1. Oral contraceptives don't contain any hormones, so you will be able to continue to breastfeed
2. If you want to continue breastfeeding, the best choice is a combination birth control pill
3. We usually recommend the mini pill for breastfeeding mothers
4. The best method for breastfeeding mothers is actually the depo-provera injection - answer-3
Question-A 74 year old male was just given a prescription for tadalafil from his urologist to treat
ED. Which medication would have contraindicated the addition of this prescription?
1. Anticholinergics
2. Antihistamines
3. Nitrates
4. Anticoagulants - answer-3
Question-Which client should the nurse see first?
1. 23 year old who states he has a lump in his scrotum
2. 42 year old who complains of frequent urination and a burning feeling in his penis.
3. 83 year old who says his scrotum looks like a bag of worms
4. 32 year old who says he has had an erection for 5 hours - answer-4
A nurse is providing education about breast self exams to a perimenopausal client. The nurse
knows that teaching has been successful when the client makes which of the following
statements? SATA
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Download NUR 253 LATEST EXAM WITH VERIFIED QUESTIONS AND DETAILED ANSWERS FOR GUARANTEED PASS ALREA and more Exams Medicine in PDF only on Docsity!

NUR 253 LATEST EXAM WITH

VERIFIED QUESTIONS AND

DETAILED ANSWERS FOR

GUARANTEED PASS ALREADY

GRADED A+

Question-A client is discussing birth control pills with her nurse and asks whether she will still be able to breastfeed. The nurse correctly responds:

  1. Oral contraceptives don't contain any hormones, so you will be able to continue to breastfeed
  2. If you want to continue breastfeeding, the best choice is a combination birth control pill
  3. We usually recommend the mini pill for breastfeeding mothers
  4. The best method for breastfeeding mothers is actually the depo-provera injection - answer- 3 Question-A 74 year old male was just given a prescription for tadalafil from his urologist to treat ED. Which medication would have contraindicated the addition of this prescription?
  5. Anticholinergics
  6. Antihistamines
  7. Nitrates
  8. Anticoagulants - answer- 3 Question-Which client should the nurse see first?
  9. 23 year old who states he has a lump in his scrotum
  10. 42 year old who complains of frequent urination and a burning feeling in his penis.
  11. 83 year old who says his scrotum looks like a bag of worms
  12. 32 year old who says he has had an erection for 5 hours - answer- 4 A nurse is providing education about breast self exams to a perimenopausal client. The nurse knows that teaching has been successful when the client makes which of the following statements? SATA
  1. I will do my exam about 5 days after the start of each period
  2. I will call my doctor if I notice dimpling, nipple retraction, or nipple discharge.
  3. I will use my middle three fingers to palpate my breast tissue
  4. I do not need to palpate any tissue that is not part of my breast
  5. I should report any unusual lumps to my doctor - answer-1, 2, 3, 5 Question-Match the syphilis stage: Primary, Secondary, Latent, Tertiary
  6. Highly infectious, chancres form
  7. Occurs 2 - 6 weeks following infection, includes fever and swollen lymph nodes
  8. Bacteria causes irreversible organ damage
  9. Begins 2 years after infection, asymptomatic, may last 50 years - answer-1 primary 2 secondary 3 tertiary 4 latent Question-A 35 year old male presents to the clinic with complaints of poor sleep, some erection problems, and having less energy than usual. The doctor prescribes testosterone supplementation. Which additional assessment information would make the nurse question this order? SATA
  10. History of family prostate problems
  11. Personal history of sleep apnea
  12. BMI of 24
  13. Family history of heart attack
  14. Family history of stroke - answer-2, 4, 5 Question-The nurse is performing a blood draw for PSA levels. She knows that the blood draw should occur:
  15. After palpation of the patient's abdomen
  16. Before the digital rectal exam
  17. After fasting for at least 12 hours
  1. Epididymitis
  2. Testicular cancer
  3. This is a normal part of the prostate cancer disease process - answer- 2 Question-A teenager comes to the school nurse complaining of sudden and intense pain in his scrotal area and feeling like he may vomit. During the assessment, the nurse determines that there was no injury to the area and the scrotum is beginning to swell. Which of the following treatment plans by the nurse is correct?
  4. You need to see your primary care doctor to get some antibiotics because I suspect you have an infection
  5. These are normal growing pains, but I can give you some tylenol and an ice pack
  6. We need to call your guardian to take you to the hospital
  7. Perform a testicular exam to rule out cancer - answer- 3 Question-Which patients are most at risk for testicular cancer? SATA
  8. 10 year old who recently underwent surgery to remove his appendix
  9. 17 year old who was born with cryptorchidism
  10. 35 year old who works in a tannery
  11. 22 year old who was recently diagnosed as HIV+
  12. African American who has recurrent bouts of epididymitis - answer-2, 3, 4, 5 Question-A client is considering his options for treatment of his testicular cancer. The doctor has told him that he will need to have his right testicle removed, but the patient is concerned about having children in a few years. Which of the following statements by the student nurse would require correction by the preceptor?
  13. If you are concerned, you can always look into cryopreservation for sperm storage
  14. Removal of either testicle will result in infertility so you will need to use donor sperm to have children
  15. Since the doctor is only removing one testicle, your fertility should not be affected
  16. I can ask the doctor to come back in and explain the fertility aspects again if you are unsure. - answer- 2

Question-A client is taking clomiphene citrate for PCOS and wants to know when the medication will start regulating her period. The nurse correctly replies:

  1. This medication will take about a month to regulate your periods
  2. This medication should cause you to begin your period within the next week
  3. This medication regulates ovulation, not your period
  4. This medication will cause you to start your period after you stop taking it - answer- 3 Question-A 23 year old woman with endometriosis asks her nurse about possible treatments. The nurse could mention which of the following: SATA
  5. Analgesics and nsaids
  6. Oral contraceptives
  7. Oophorectomy
  8. Antibiotics
  9. Clomiphene citrate - answer-1, 2, 3 Question-A nurse is hosting a booth at a reproductive health fair at a local college. A female student asks the nurse if there is anything she can do to prevent cervical cancer, as the student's grandmother recently died from complications of it. The nurse's best response is:
  10. Unfortunately, we do not have any screening tools for cervical cancer, so just make sure you get your annual bloodwork done
  11. Using oral contraception will decrease your risk of developing cervical cancer
  12. You can get a vaccine that will prevent HPV, which is a leading cause of cervical cancer
  13. Cervical cancer is very slow growing, so we have a long time to find it, even though we don't have any screening tools - answer- 3 Question-A woman asks the nurse for help using the calendar method. The woman says her longest cycle is 32 days and her shortest cycle is 22. Which days of her cycle should be avoided if she is trying not to get pregnant?
  14. Days 11 - 17
  15. Days 13 - 15
  1. 14 weeks
  2. 28 weeks
  3. 36 weeks - answer- 2 Question-A diabetic woman is pregnant with her first child and asks her nurse why her blood sugar keeps going up. The nurse's best response is:
  4. Since you are eating more, your blood glucose is rising. You will need to lower your insulin dosage to counter it.
  5. The placenta is releasing a hormone that makes you more resistant to insulin. This is normal and you will just need to increase your insulin dosage.
  6. The baby isn't taking enough glucose from you, so we need to do an ultrasound and make sure the baby is healthy.
  7. You need to eat fewer carbs and your sugar will go back down. - answer- 2 Question-A woman is making her first prenatal appointment and tells the nurse that she has no idea what is going to happen and she is nervous. Which of the following would the nurse expect to happen at this appointment? SATA
  8. Detailed health history
  9. Full set of vitals, height, weight
  10. An ultrasound to check fetal heart tones
  11. An amniocentesis
  12. Blood draws for several tests, including type and Rh status - answer-1, 2, 3, 5 Question-A woman is worried about preeclampsia and asks the nurse what she should look out for. The nurse could include which of the following in this patient's education? SATA
  13. Fever
  14. Severe headache
  15. Persistent vomiting
  16. Vaginal bleeding
  17. Facial edema - answer-2, 5

Question-Using Nagele's Rule, determine the due date for a client whose LMP was October 1,

    • answer-July 8, 2021 Question-Determine GTPAL: A woman has just delivered a boy at 38 weeks. She has twin daughters who were born at 32 weeks, and a miscarriage at 19 weeks. - answer-G3P Question-The nurse is reviewing her pregnant patient's labwork. Which of the following values would be considered abnormal?
  2. Hemoglobin 12
  3. Hematocrit 47
  4. WBC 13000
  5. Platelets 250,0 00 - answer- 2 Question-A woman and her partner are planning to try to conceive in six months. The woman has an equivocal rubella titer and says "I'm so glad I don't have rubella." What education should the nurse provide? SATA
  6. Your titer means that you have immunity to rubella, so your baby will be immune too
  7. You should get the rubella vaccine to prevent miscarriage or birth defects in your baby
  8. You shouldn't get the vaccine until after your baby is born
  9. You can get the vaccine anytime, even if you are pregnant - answer- 2 Question-A child is suspected of being exposed to cytomegalovirus in utero. Which of the following conditions will the healthcare team monitor for? SATA
  10. Hydrocephalus
  11. IUGR
  12. Microcephaly
  13. Hepatomegaly
  14. PDA - answer- 1 , 3
  1. The fetus is showing signs of distress and will likely be delivered in the next 24 hours
  2. The fetus is showing signs of distress and needs to be delivered immediately
  3. The fetus is doing well right now
  4. The fetus has passed away in utero - answer- 3 Question-The nurse listens as the doctor explains the risks of an amniocentesis to a pregnant patient. The nurse would need to intervene if the doctor stated which of the following:
  5. This procedure could cause a miscarriage
  6. This procedure has a risk of infection
  7. Please let us know if you have contractions after this procedure
  8. Since you are Rh negative, you do not need Rhogam before this procedure - answer- 4 Question-A pregnant woman wants to know which test should be done to give the earliest results of genetic anomalies in the baby. The nurse's correct answer is:
  9. Amniocentesis
  10. Quad screen
  11. Chorionic villi sampling
  12. Oral GTT - answer- 3 Question-The NICU nurse has been notified that a new admission is coming from the L&D floor and the mother has congenital heart problems. Which of the following could the nurse expect to see in the neonate? SATA
  13. Complications from hypoxia
  14. IUGR
  15. Increased risk of cardiac anomalies
  16. Microcephaly
  17. Pathologic jaundice - answer-1, 2, 3 Question-A diabetic woman has just discovered that she is pregnant. The woman's diabetes has not been well controlled in the past, but she is able to keep her glucose levels under control for

the duration of her pregnancy. Which of the following are possible complications of her newborn?

  1. Macrosomia
  2. Low birth weight
  3. Cephalopelvic disproportion
  4. Decreased surfactant production - answer- 2 Question-A Type 1 diabetic has become pregnant and asks the nurse what this means for her glucose and insulin needs. The nurse correctly replies:
  5. Your baby will take glucose and insulin from you, so you will need to keep your diabetes well controlled
  6. Your baby needs glucose to grow, so make sure that you keep your blood sugar higher than normal
  7. Your baby can produce insulin, but you'll need to make sure your glucose stays in range to prevent complications
  8. We won't know what your needs are until your oral glucose challenge test, which is scheduled for around 24 weeks gestation - answer- 3 Question-The nurse is reviewing the chart of a pregnant patient and notices that this is her third pregnancy and she is blood type A-. The nurse knows that this patient:
  9. Will not need a rhogam shot because she is Rh-
  10. Will not need a rhogam shot because this is not her first pregnancy
  11. Will need a rhogam shot if her baby shows signs of distress
  12. Will need a rhogam shot at 28 weeks - answer- 4 Question-A woman is pregnant for the first time and asks why her doctor has ordered rhogam injections. The nurse's best reply is:
  13. Since you have a negative blood type, your blood could attack your baby's blood and result in miscarriage or severe birth defects
  14. Since you have a negative blood type, you could transfer antigens to your baby and cause hyperbilirubinemia in your baby
  15. This injection will help prevent complications in a future pregnancy
  1. Gestational hypertension
  2. Chronic hypertension
  3. Eclampsia
  4. Preeclampsia - answer- 4 Question-A client has been diagnosed with severe preeclampsia. The nurse knows that the diagnostic criteria for this can include: SATA
  5. Systolic BP of greater than 160
  6. Urine dipstick of 3+
  7. Low platelets
  8. Scotoma
  9. Epigastric pain - answer-1, 2, 3, 4, 5 Question-The nurse is caring for a patient with preeclampsia who is being given magnesium sulfate. The patient asks what the purpose of the medication is. The nurse's best response is:
  10. We use mag sulfate to slow your labor so you can rest and bring down your BP
  11. Mag sulfate is a tocolytic and will help your labor to progress faster
  12. Mag sulfate is given to prevent seizures
  13. Mag sulfate is given to preeclamptic patients because it lowers their blood pressure - answer- 3 Question-A nurse in L&D reads the EFM and notes a heartrate at 120 baseline with about 15 beats of variability. The nurse would classify this as:
  14. Normal heartrate, not enough variability
  15. Fetal bradycardia, moderate variability
  16. Normal heartrate, moderate variability
  17. Fetal tachycardia, marked variability - answer- 3 Question-A woman comes to the ED in labor and says she has not had any prenatal care and has no idea how long she has been pregnant. The baby is born and is covered in lanugo, the

fingernails reach the tips, has some brown fat deposits, but the baby is unable to sufficiently breathe on its own. What is the estimated gestational age?

  1. 25 weeks
  2. 28 weeks
  3. 33 weeks
  4. 39 weeks - answer- 3 Question-The nurse is getting report for three laboring patients. Who should she see first?
  5. Primip who was admitted several hours ago and has been on pitocin for the last hour
  6. Multip who rates her pain at 6/
  7. Primip who states that she feels like she needs to have a bowel movement - answer- 3 Question-The charge nurse is observing the FHR monitors. Which patient's image is the most concerning?
  8. HR 140, early decels, moderate variability
  9. HR 110, accelerations, moderate variability
  10. HR 100, variable decels, minimal variability
  11. HR 160, early decels, minimal variability - answer- 3 Question-The nurse looks at the FHR monitor and sees several late decels. What should her priority actions be?
  12. Bolus LR
  13. Apply oxygen
  14. Turn the patient to her side
  15. Increase pitocin rate
  16. Request an ultrasound - answer-1, 2, 3 Question-A nurse is caring for a laboring severe preeclampsia patient who is on magnesium sulfate. Which statement is most concerning for the nurse?
  17. My contractions are getting closer together and they really hurt
  1. Assist the patient to the bedside commode to urinate
  2. Go to the nurse's station to call the doctor
  3. Prepare to administer misoprostol - answer-1, 2, 5 Question-A patient is 12 hours post C section and her vitals are: HR 55, BP 115/80, R 18, T 100.6. The nurse knows that this client has:
  4. Bradycardia
  5. Hypotension
  6. An infection
  7. Normal vital signs for this time period - answer- 4 Question-Which patient should the postpartum nurse see first?
  8. 24 hours post C section, reports pain 6/
  9. Preeclamptic patient who has been off mag for 12 hours, last BP was 130/
  10. 1st time mother who says she has never urinated this much in her life
  11. Multip who had vacuum assisted delivery 6 horus ago, R 16, HR 90, T 99 - answer- 4 Question-A mom with A- blood has just given birth to an infant with type B+ blood. The nurse knows that which medication needs to be administered within 72 hours of the birth?
  12. Pertussis vaccine
  13. Rhogam injection
  14. Coombs IVPB
  15. A- blood products - answer- 2 Question-A postpartum client is experiencing uterine atony and the doctor orders prostaglandin. The nurse would question this order if it was given to which patient? SATA
  16. 12 hour PP with preeclampsia
  17. 6 hour PP via C section with mitral valve prolapse
  18. 18 hour PP with assisted vagina delivery and hx of asthma
  1. 4 hour PP with history of precipitous labor
  2. Primip with 2nd degree laceration - answer-2, 3 Question-The nurse is reading the lab notes on a recent blood sample from a patient with cancer. The nurse notices that the lab tech has termed the sample neutropenic. Priority interventions for this patient are: SATA
  3. Avoiding rectal temps, IM injections, and catheter placement
  4. Removing the vase of flowers that the patient received yesterday
  5. Encouraging the patient to ambulate in the hallways as tolerated
  6. Exchanging the patient's manual razor with an electric one
  7. Monitoring closely for fever or LOC changes - answer-1, 2, 5 Question-A 74 year old male who recently completed chemotherapy presents to the ED with complains of excessive bleeding and fatigue. The nurse gets his bloodwork back and sees that the patient is thrombocytopenic, anemic, and has a very high WBC count. The nurse would suspect which condition?
  8. Mono
  9. Leukemia
  10. Chronic fatigue syndrome
  11. A side effect from the chemotherapy - answer- 2 Question-A patient arrives for his annual physical and complains of a recent onset of frequent bruising, bone and joint pain, and having trouble catching his breath. A CBC reveals monocytosis and low hemoglobin and platelets. The nurse suspects a diagnosis of:
  12. Acute myelocytic leukemia
  13. Chronic lymphocytic leukemia
  14. Chronic myelocytic leukemia
  15. Acute lymphocytic leukemia - answer- 1

Question-The nurse is caring for a patient who had significant blood loss following a chainsaw accident. The doctor has ordered the transfusion of 2 units of rbcs. The nurse knows that which of the following should be completed prior to the administration of the blood? SATA

  1. Blood type and screen
  2. Ensuring a patent IV
  3. Educating the patient on S/S of reactions
  4. Vitals
  5. Ensuring the consent is signed - answer-2, 3, 4, 5 Question-The doctor has ordered a transfusion of fresh frozen plasma to a patient who has hemophilia A. The nurse's priority action is:
  6. Explain that this transfusion will increase the client's platelet count
  7. Start the transfusion within 4 hours of thawing the product
  8. Ensure that the consent form has been signed by the patient
  9. Question the order for the plasma - answer- 3 Question-A nurse is caring for a client who has had a bacterial reaction to a blood transfusion. The nurse knows that he will need to perform which interventions: SATA
  10. Send the blood products to the blood bank for investigation
  11. Send a blood sample from the patient to the lab for culturing
  12. Administer vasopressors as needed
  13. Administer fluids as needed
  14. Administer furosemide - answer-1, 2, 3, 4 Question-A client presents to the ED with complaints of recent, unintentional weight loss, pain in the ribs without a trauma, a low grade fever, and SOB. The nurse is assessing the patient and discovers that these symptoms have been building slowly for about a year. She suspects which type of leukemia?
  15. Acute myelocytic
  16. Acute lymphocytic
  1. Chronic myelocytic
  2. Chronic lymphocytic - answer- 3 Question-Name that ABG Result: (don't worry about compensation) Ph 7. Paco2 64 Pao2 75 HCO3 26 - answer-respiratory acidosis Question-Name that ABG Result: (don't worry about compensation) Ph 7. Paco2 20 Pao2 60 HCO3 23 - answer-respiratory alkalosis Question-A patient with COPD comes to the ED for an exacerbation. The doctor orders oxygen to be titrated for an oxygen level of 98%. The nurse's priority action for this patient is:
  3. Administer the ordered oxygen and request an ABG from the doctor
  4. Administer the oxygen and monitor the patient's vitals every four hours
  5. Question the titration order
  6. Request antibiotics and steroids instead of the oxygen therapy - answer- 3 Question-A patient with pneumonia is placed on a cpap machine. He asks what the machine is doing and the nurse correctly answers:
  7. This machine is initiating extra breaths for you so your lungs can rest
  8. This machine provides extra oxygen to help you breathe easier
  9. This machine keeps a constant level of pressure in your lungs to keep your airways open
  10. This machine is providing oxygen and humidified air to keep your sats above 93% - answer- 3