Nokea
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
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A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
Which health care provider represents a primary care provider?
- A. Psychiatric advanced practice nurse
- B. Clinical nurse specialist
- C. Pediatric nurse practitioner
- D. Acute care nurse practitioner
Correct Answer: C
Rationale: A pediatric nurse practitioner provides primary care and serves as a gatekeeper for referrals and procedures.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
For which of the following is Type 2 diabetes mellitus screening recommended?
- A. Overweight woman
- B. Teenager
- C. Man with hypertension
- D. Woman with a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Screening for Type 2 diabetes is recommended for individuals with hypertension.
An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.