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A nurse in a college health center is preparing a program on meningococcal disease. What information should be included?
- A. Living in the dorm increases one’s risk of developing meningococcal disease.
- B. The mortality rate from meningococcal disease is very low.
- C. There are no antiviral medications to treat meningococcal outbreaks.
- D. A vaccine for meningococcal disease has not been developed.
Correct Answer: A
Rationale: Dorm living increases the risk for meningococcal disease, and a vaccine is available for prevention.
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The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
- A. The person will exercise more often.
- B. The person will consume 900 calories a day.
- C. The person will walk one-quarter mile a day, 5 days a week.
- D. The person will eliminate all refined sugar and processed foods from her diet.
Correct Answer: C
Rationale: Goals must be realistic, specific, and measurable. Exercising “more often” is too broad a statement.
Which of the following disorders is characterized by males having an extra chromosome, typically being tall and initially thin, and not developing secondary sex characteristics?
- A. Gynecomastia
- B. Menstruation
- C. Turner syndrome
- D. Klinefelter syndrome
Correct Answer: D
Rationale: Klinefelter syndrome occurs in males with an extra X chromosome, affecting their secondary sex characteristics.
Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?
- A. Establishing a new park with a well-lit track
- B. Establishing a smoking cessation campaign
- C. Providing reduced-cost transportation passes
- D. Providing free condoms at health clinics
Correct Answer: B
Rationale: Smoking cessation aligns with health promotion and disease prevention goals of Healthy People 2020.
Which individuals have a higher than average risk of homicide?
- A. 33-year-old woman who served 5 years in prison
- B. 20-year-old homeless man
- C. 28-year-old man with a history of bipolar disorder
- D. 24-year-old woman with a female partner
Correct Answer: B
Rationale: Homelessness and a history of violence place individuals at a significantly higher risk of homicide.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.