Nokea
A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit?
- A. Blood pressure: 146/88 mm Hg
- B. Waist measurement: 36 inches
- C. HDL: 48 mg/dL
- D. Triglycerides: 140 mg/dL
Correct Answer: A
Rationale: Metabolic syndrome includes elevated blood pressure, among other factors.
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A nurse is providing a group presentation about healthy eating. Which of the following activities must be addressed to ensure an adequate learning climate?
- A. Assessing group needs
- B. Creating a sense of preparedness and organization
- C. Observing group interactions
- D. Planning for alternative learning activities
Correct Answer: A
Rationale: Assessing group needs helps tailor the presentation to the audience and fosters a more effective learning environment.
The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
- A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
- B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
- C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
- D. Offer all teenagers free condoms when they come in for physical exams.
Correct Answer: A
Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.
The parents of a young adult female have divorced. What is she most likely to experience?
- A. Relief
- B. Depression
- C. Unemployment
- D. Inability to sustain relationships
Correct Answer: B
Rationale: Divorce in young adults often leads to emotional strain and depression, not necessarily to an inability to sustain relationships.
A nurse is completing a home visit of a new mother who is breast-feeding her infant. Which of the following instructions should the nurse provide during this visit?
- A. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss.
- B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.
- C. Use formula to provide the infant supplementation between feedings.
- D. Use a pacifier to help the infant to fall asleep so he does not fall asleep when breast-feeding.
Correct Answer: B
Rationale: Adequate fluid intake is essential for breastfeeding mothers to produce sufficient milk.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The ANA Code of Ethics allows nurses to refuse procedures that conflict with their personal values, but they must ensure client care is arranged.