ATI RN
Drugs Affecting the Female Reproductive System NCLEX Quizlet Questions
Question 1 of 5
A patient asks the nurse why her baby is receiving a vitamin K injection. The nurse's best response is based on what knowledge?
Correct Answer: C
Rationale: The correct answer is C because newborns lack appropriate intestinal flora to synthesize vitamin K. This is important as newborns are at risk of vitamin K deficiency bleeding due to insufficient stores at birth. Choice A is incorrect because vitamin K primarily plays a role in coagulation, not platelet production. Choice B is incorrect as newborns can produce vitamin K but are deficient in intestinal flora. Choice D is incorrect because vitamin K is synthesized by gut bacteria, not in bone marrow.
Question 2 of 5
A 24-year-old patient tells the nurse that she would like to use the progestin-only pill for contraception. Nursing evaluation of this patient as a candidate for the progestin-only pill includes what?
Correct Answer: C
Rationale: The correct answer is C because assessing patient reliability in taking an oral pill daily is crucial for the effectiveness of progestin-only pills. This type of contraceptive requires strict adherence to daily dosing. Option A is incorrect because prior childbirth does not impact eligibility for progestin-only pills. Option B is incorrect as regular periods are not a requirement for this contraceptive method. Option D is irrelevant as smoking history is not a determining factor for using progestin-only pills.
Question 3 of 5
A 48-year-old patient arrives at the clinic to discuss her perimenopausal symptoms. She states that her last menstrual period was 8 months ago, and before that, her periods had been irregular. What is the most important nursing advice to give this patient?
Correct Answer: B
Rationale: The correct answer is B: The patient should be using some form of contraception to avoid pregnancy. Rationale: 1. Perimenopause does not guarantee the cessation of ovulation, so pregnancy is still possible. 2. Irregular periods increase the difficulty of predicting ovulation. 3. Pregnancy at an older age carries increased risks for both the mother and the baby. 4. Contraception is essential until menopause is confirmed. Incorrect Choices: A: Hormone therapy addresses menopausal symptoms, not contraception. C: Dual-energy x-ray absorptiometry scan is for bone density, not pregnancy prevention. D: Incomplete option, not relevant to the scenario.
Question 4 of 5
A patient is given corticotropin. The nurse knows to monitor the patient for which condition?
Correct Answer: C
Rationale: The correct answer is C: Hypoglycemia. Corticotropin is a hormone that stimulates the production of cortisol, which can lead to increased glucose utilization and lower blood sugar levels. Therefore, monitoring for hypoglycemia is crucial. Weight gain (A) is not typically associated with corticotropin. Hyperkalemia (B) is more commonly seen with medications like ACE inhibitors. Dehydration (D) is not a common side effect of corticotropin.
Question 5 of 5
A patient is to receive insulin before breakfast, and
Correct Answer: D
Rationale: The correct answer is D: Regular insulin. Regular insulin should be administered before breakfast as it has an onset of action of about 30 minutes to 1 hour, making it suitable for pre-meal administration. NPH insulin (choice B) has a slower onset and is typically given before dinner. Lispro insulin (choice C) is a rapid-acting insulin that is also given before meals but has a quicker onset than Regular insulin. Choice A is incorrect because Regular insulin does not need to wait for the breakfast tray to arrive, unlike some other insulins that require food intake.