Question 1

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection.Which organism causes leukorrhea?

Accepted Answer

A)   Herpes simplex
B)   Mycoplasma hominis
C)   Human papillomavirus (HPV) 
D)   Candida albicans D

Question 2

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?

Accepted Answer

A)   Ovulation, dysmenorrhea, and breakthrough bleeding
B)   Excessive weight gain and breast tenderness
C)   Increased estrogen-related adverse effects
D)   Difficulty breastfeeding after pregnancy A

Question 3

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses.Which alternative plan will the nurse suggest that she discuss with her health care provider?

Accepted Answer

A)   Changing to the 28-day packet
B)   Using the inert pills every other month
C)   Changing her prescription to the mini pill
D)   Calling the health care provider whenever she forgets to get appropriate instruction A

Question 4

What is the mechanism whereby estrogen functions as a contraceptive?

Accepted Answer

A)   Inhibiting luteinizing hormone (LH) , blocking release of ovum from a follicle
B)   Thinning cervical mucus, which inhibits sperm migration
C)   Trapping the ovum in the endometrial wall, preventing its growth
D)   Blocking follicle-stimulating hormone (FSH) , thereby preventing release of ovum

Question 5

The nurse is completing a female reproductive history on a 16 year old.What important assessment(s)should be included?(Select all that apply.)

Accepted Answer

A)   Breast self-examination (BS
E)   routine
B)   Age of menarche and pattern of menses
C)   Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs) 
D)   Sexual orientation and number of partners
E)   Number of pregnancies, live births, miscarriages, and abortionsF)  Nutritional intake of carbohydrates

Question 6

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax),an alpha-1 adrenergic blocking agent,has been prescribed.Which explanation by the nurse is most accurate?

Accepted Answer

A)   It inhibits the action of testosterone.
B)   It improves sexual function.
C)   It reduces the size of the prostate.
D)   It increases urinary flow.

Question 7

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago.The nurse will instruct this patient to

Accepted Answer

A)   rinse the ring in cool water and reinsert as soon as possible.
B)   rinse the ring in hot water and reinsert as soon as possible.
C)   rinse the ring in lukewarm water, reinsert, and use a nonhormonal backup contraceptive.
D)   insert a new ring.

Question 8

Which type of drug is most effective in the treatment of erectile dysfunction (ED)?

Accepted Answer

A)   Phosphodiesterase inhibitors
B)   Antiandrogen agents
C)   Sympathomimetic agents
D)   Alpha-1 adrenergic blocking agents

Question 9

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat)cream to treat her vaginal yeast infection.What information is important to include in patient education?(Select all that apply.)

Accepted Answer

A)   Wash the genital area thoroughly before inserting the vaginal cream.
B)   Wash the applicator before usage.
C)   Wear a minipad to catch remaining discharge following vaginal administration.
D)   Wash hands before and after administration.
E)   The sexual partner may require treatment as well.

Question 10

Why must caution be used when taking a phosphodiesterase inhibitor to enhance male sexual function?

Accepted Answer

A)   It can become habit forming.
B)   Life-threatening consequences can occur with cardiovascular disorders.
C)   It is an ineffective treatment.
D)   It is expensive and available only by special prescription.

Question 11

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections.Information will include(Select all that apply.)

Accepted Answer

A)   the use of hormonal contraceptives.
B)   the use of latex condoms when infection is present.
C)   abstinence.
D)   frequent use of nonoxynol 9.
E)   the importance of "partner services."

Question 12

The nurse is instructing a patient on use of a transdermal contraceptive.When evaluating the patient's understanding of the information provided,the nurse identifies a need for further education when the patient states

Accepted Answer

A)   "Apply the first patch during the first 24 hours of the menstrual period."
B)   "Use a backup contraceptive concurrently for the first 7 days of the first cycle."
C)   "Fold the used patch over on itself before discarding."
D)   "Trim the patch carefully prior to application."

Question 13

A nurse working at the community health clinic receives a call from a teen patient who reports that she has missed one of her birth control pills.Which response by the nurse is accurate?(Select all that apply.)

Accepted Answer

A)   Take the missed pill now.
B)   Take the next pill at the regularly scheduled time.
C)   Come into the clinic for a pregnancy test.
D)   Start with the next month's pill packet at day 1.
E)   Take the missed pill and the next pill together at the next regularly scheduled time.

Question 14

The nurse will teach the patient beginning therapy with alfuzosin,an alpha-1 adrenergic blocking agent,to expect which common (and usually self-limiting)adverse effect(s)?(Select all that apply.)

Accepted Answer

A)   Nausea
B)   Insomnia
C)   Dizziness
D)   Headache
E)   LethargyF)  Anorexia

Question 15

The nurse is obtaining a history on a patient who is seeking oral contraceptives.Which condition would contraindicate the use of oral contraceptives?

Accepted Answer

A)   Sexually transmitted diseases (STDs) 
B)   Hypothyroidism
C)   Varicose veins
D)   Thromboembolic disease

Question 16

The nurse is teaching a patient beginning therapy with dutasteride (Avodart).How long will it take before the patient can expect results?

Accepted Answer

A)   24 hours
B)   2 weeks
C)   1 month
D)   6 months

Question 17

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy.What information will the nurse include?(Select all that apply.)

Accepted Answer

A)   Medication should be taken at approximately the same time daily.
B)   A backup birth control method should be used for the first 6 months.
C)   Medication should be discontinued 1 year before attempting pregnancy.
D)   Headaches, dizziness, and chest or abdominal pain should be reported immediately.
E)   If a pill is missed, take it immediately and remain on schedule for the next dosage.

Exam 40: Drugs Used in Men’s and Women’s Health

A female patient has developed leukorrhea since being on oral broad spectrum antibiotics for the past week for a lower respiratory infection.Which organism causes leukorrhea?

Which is more likely to be experienced by women taking the mini pill as an oral contraceptive?

A patient states that she has a difficult time remembering when to resume her triphasic contraceptive pills following her menses.Which alternative plan will the nurse suggest that she discuss with her health care provider?

What is the mechanism whereby estrogen functions as a contraceptive?

The nurse is completing a female reproductive history on a 16 year old.What important assessment(s) should be included?(Select all that apply.)

A patient diagnosed with benign prostatic hypertrophy asks why tamsulosin (Flomax) ,an alpha-1 adrenergic blocking agent,has been prescribed.Which explanation by the nurse is most accurate?

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago.The nurse will instruct this patient to

Which type of drug is most effective in the treatment of erectile dysfunction (ED) ?

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat) cream to treat her vaginal yeast infection.What information is important to include in patient education?(Select all that apply.)