Nokea
A client with a diagnosis of HPV is at risk for which of the following?
- A. Hodgkin's lymphoma
- B. Cervical cancer
- C. Multiple myeloma
- D. Ovarian cancer
Correct Answer: B
Rationale: Human papillomavirus (HPV) is a major risk factor for cervical cancer, particularly high-risk strains like HPV-16 and HPV-18.
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The nurse enters a client's room and finds him lying on the floor. The client says to the nurse, 'I fell because I was trying to go to the bathroom and no one answered my call light.' Which of the following actions by the nurse are correct? Select all that apply.
- A. assist the client back to bed
- B. complete an incident report
- C. notify the health care provider
- D. assess the client for any injuries
- E. document in the medical record that the client fell
Correct Answer: A,B,C,D,E
Rationale: All actions are appropriate: assist the client safely, assess for injuries, notify the provider, complete an incident report, and document the fall to ensure proper care and follow-up.
A client is admitted with suspected Hodgkin's lymphoma. The diagnosis is confirmed by the:
- A. Overproliferation of immature white cells
- B. Presence of Reed-Sternberg cells
- C. Increased incidence of microcytosis
- D. Reduction in the number of platelets
Correct Answer: B
Rationale: Hodgkin's lymphoma is diagnosed by the presence of Reed-Sternberg cells, large abnormal cells found in lymph node biopsies.
The nurse is assessing a client with suspected hypoparathyroidism. Which of the following findings would the nurse expect?
- A. Muscle cramps and tetany.
- B. Weight gain and lethargy.
- C. Hypertension and tachycardia.
- D. Increased bone density.
Correct Answer: A
Rationale: muscle cramps and tetany are signs of hypoparathyroidism due to hypocalcemia
All of the following are examples of secondary disease prevention EXCEPT
- A. leading a support group for people who suffer from depression.
- B. mammogram screenings.
- C. testing and treatment of babies born to mothers with syphilis.
- D. developing a daily exercise program to prevent a second MI.
Correct Answer: A
Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (A) are tertiary, aiding coping with existing disease.
The nurse is caring for a 70-year-old client with hypovolemia who is receiving a blood transfusion. Assessment findings reveal crackles on chest auscultation and distended neck veins. What is the nurse's initial action?
- A. Slow the transfusion
- B. Document the finding as the only action
- C. Stop the blood transfusion and turn on the normal saline
- D. Assess the client's pupils
Correct Answer: A
Rationale: Crackles and distended neck veins suggest fluid overload from the transfusion. Slowing the transfusion reduces further overload while maintaining access. Stopping it entirely or documenting only delays intervention.