Nokea
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
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What is the best response by the nurse regarding condoms plus spermicide for contraception and infection prevention?
- A. That is correct. It is best to use a condom with spermicide during every sexual contact.
- B. That is true, except if you have intercourse twice in one evening. Then you do not have to apply more spermicide.
- C. That is not true. It has been shown that condoms alone are very effective and that the spermicide might increase the transmission of some viruses.
- D. That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently.
Correct Answer: A
Rationale: Combining condoms and spermicide enhances protection against pregnancy and STIs.
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.
What is an appropriate reply to a woman who denies needing medical attention for gonorrhea exposure?
- A. I am sure that you are upset by the disturbing news, but there is no reason to be angry with me.
- B. I am sorry. We must have received the wrong information.
- C. That certainly could be the case. Women often report no symptoms.
- D. All right, but please tell me your contacts because it is possible for you to pass the disease on even if you have no symptoms.
Correct Answer: C
Rationale: Asymptomatic cases of gonorrhea are common, and transmission can occur without symptoms.
What should the nurse teach a man requesting testing for human papillomavirus (HPV)?
- A. There is currently no approved test to detect HPV in men.
- B. A viral culture of the penis and rectum is used to detect HPV in men.
- C. A Pap smear of the meatus of the penis is used to detect HPV in men.
- D. There is no need for a test because men do not become infected with HPV.
Correct Answer: A
Rationale: No approved HPV test exists for men.
As a nurse assessing a newborn, what action should you take if the Apgar score of a newborn is less than 7?
- A. Immediately notify the physician
- B. Immediately administer oxygen
- C. Immediately transfer the newborn to the NICU
- D. Repeat assessment at 1-minute intervals until the newborn is stable
Correct Answer: D
Rationale: Reassessment allows continuous monitoring of the newborn's condition.