Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching about lifestyle changes that can increase the chance for conception with a client who is experiencing infertility. Which of the following instructions should the nurse include?
A. "Increase your daily intake of fruits and vegetables."
A balanced diet that includes fruits and vegetables is important for overall health, but it is not specifically related to the timing of sexual intercourse for conception.
B. "Use a lubricant each time you have sexual intercourse."
Using a lubricant during sexual intercourse can sometimes interfere with sperm motility and decrease the chances of conception.
C. "Have sexual intercourse 2 days following ovulation."
Having sexual intercourse 2 days following ovulation can increase the chances of fertilization since sperm can survive in the female reproductive tract for several days, and the egg is viable for a shorter period.
D. "Encourage your partner to wear tight-fitting underwear."
While the type of underwear worn by the partner can influence testicular temperature, there is limited evidence to support the claim that tight-fitting underwear significantly affects fertility.
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Full Explanation
Choice A rationale:
A balanced diet that includes fruits and vegetables is important for overall health, but it is not specifically related to the timing of sexual intercourse for conception.
Choice B rationale:
Using a lubricant during sexual intercourse can sometimes interfere with sperm motility and decrease the chances of conception.
Choice C rationale:
Having sexual intercourse 2 days following ovulation can increase the chances of fertilization since sperm can survive in the female reproductive tract for several days, and the egg is viable for a shorter period.
Choice D rationale:
While the type of underwear worn by the partner can influence testicular temperature, there is limited evidence to support the claim that tight-fitting underwear significantly affects fertility.
Similar Questions
A nurse is obtaining a health history from a client who has diverticular disease. Which of the following should the nurse identify as a risk factor for this condition?
A. Low dietary intake of fiber
Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.
B. Prolonged use of steroids
Prolonged use of steroids is not a primary risk factor for diverticular disease.
C. Insufficient intake of protein
Insufficient intake of protein is not a significant risk factor for diverticular disease.
D. Family history of gallbladder disease
Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.
Full Explanation
Choice A rationale:
Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.
Choice B rationale:
Prolonged use of steroids is not a primary risk factor for diverticular disease.
Choice C rationale:
Insufficient intake of protein is not a significant risk factor for diverticular disease.
Choice D rationale:
Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.
A nurse is developing a plan of care for a toddler who has autism spectrum disorder.
Which of the following interventions should the nurse include?
A. Introduce the toddler to new situations slowly.
Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.
B. Administer valproic acid to the toddler.
Administering valproic acid is not a nursing intervention for autism spectrum disorder.
C. Allow the toddler to choose the daily routine.
Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.
D. Increase stimulation in the toddler's environment.
Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.
Full Explanation
Choice A rationale:
Children with autism spectrum disorder often have difficulty with transitions and new situations. Introducing new situations slowly can help reduce anxiety and support a smoother adjustment.
Choice B rationale:
Administering valproic acid is not a nursing intervention for autism spectrum disorder.
Choice C rationale:
Allowing the toddler to choose the daily routine might not be effective as they may struggle with decision-making and may prefer structured routines.
Choice D rationale:
Increasing stimulation in the toddler's environment might overwhelm a child with autism, who often prefers a calm and predictable environment.
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?
A. WBC count 12.000/mm3
A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.
B. History of asthma
Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.
C. Hgb 11.2 g/dL.
Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.
D. Blood pressure 154/98 mm Hg
Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.
Full Explanation
Choice A rationale:
A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.
Choice B rationale:
Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.
Choice C rationale:
Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.
Choice D rationale:
Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.