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A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: The evaluation phase involves determining if the person is moving toward their goals, such as weight loss, after a plan has been implemented.
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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.
A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover?
- A. Positive test for HCG in the maternal urine
- B. Detection of fetal heart tones
- C. Enlargement of the uterus
- D. Palpation of fetal body parts
Correct Answer: B
Rationale: Positive signs of pregnancy include detection of fetal heart tones and palpation of fetal body parts.
Reducing HIV Transmission in Africa
- A. Culture-specific practices
- B. Unavailability of antibiotic therapy
- C. Lack of understanding about the transmission process
- D. Overcrowded living areas
Correct Answer: A
Rationale: Cultural practices and lack of understanding about transmission are major barriers to HIV prevention in Africa.
A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
- A. Health promotion activities
- B. Accident prevention activities
- C. Drug prevention activities
- D. Pregnancy prevention activities
Correct Answer: A
Rationale: The priority would be health promotion activities to encourage physical activity, especially for older adults.