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Instructions for a patient at risk for testicular cancer include
- A. Restrict potassium, phosphate, sodium, protein in diet.
- B. Self-catheterization of ileal reservoir.
- C. Testicular self-exam.
- D. Change in color of urine is to be expected.
Correct Answer: C
Rationale: Regular self-exams help detect testicular cancer early.
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Which of the following would you include as risk factors for the development of skin cancer when assessing the integumentary system?
- A. Advancing age
- B. Positive family history
- C. Dark pigmentation
- D. White collar job
Correct Answer: B
Rationale: Advancing age by itself is not a risk factor. If that person has been exposed to a lot of sun there may be increased risk, but that information is not given here. There is a known genetic risk, with some cancers being seen to be present in families with low risk factors. Those with dark pigmentation develop skin cancer, but at a lower rate than those with low amounts of pigmentation. White collar jobs, which occur in offices and inside buildings, are a low risk for skin cancer.
What are the six competencies from Quality and Safety Education for Nurses (QSEN) that are expected of new nursing graduates?
- A. Patient-centered care
- B. Teamwork and collaboration
- C. Evidence-based practice
- D. Quality improvement
Correct Answer: B
Rationale: QSEN competencies include patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Which task should be delegated to the LPN/LVN?
- A. Gently cleanse the amputated digits with Betadine solution
- B. Place the amputated digits directly into ice slurry
- C. Wrap the amputated digits in sterile gauze moistened with saline
- D. Store the amputated digits in a solution of sterile normal saline
Correct Answer: C
Rationale: Wrapping the digits in sterile gauze moistened with saline is a simple task that can be performed by an LPN/LVN.
A 55-year-old smoker who is normally in good health reports having had a bad cough for the past 3 weeks. He does not have crackles, rhonchi, or discolored blood-tinged sputum. What would you expect his physician to rule out?
- A. Asthma.
- B. Pneumonia.
- C. The flu.
- D. Lung cancer.
Correct Answer: D
Rationale: Persistent cough in smokers raises suspicion for lung cancer.
Mary presents difficulty breathing, fatigue, orthopnea, and palpitation, and is diagnosed as having aortic insufficiency. After undergoing aortic valve repair, what medication would you expect her physician to prescribe?
- A. Ativan.
- B. Haldol.
- C. Heparin.
- D. Thorazine.
Correct Answer: C
Rationale: Anticoagulation is often required post-valve repair to prevent clot formation.