Nokea
Persons at risk are the target population for cancer screening programs. Which asymptomatic patient(s) needs extra encouragement to participate in cancer screening? (Choose all that apply.)
- A. A 19-year-old white-American female who is sexually inactive for a Pap smear.
- B. A 35-year-old white-American female for an annual mammogram.
- C. A 45-year-old African-American male for an annual prostate-specific antigen.
- D. A 49-year-old African-American male for an annual fecal occult blood test.
Correct Answer: D
Rationale: African-American males are at higher risk for prostate and colorectal cancers, making regular screening crucial for early detection.
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When assessing a client with anxiety disorder, what does the nurse observe for evidence of various levels of anxiety?
- A. Absence of crying
- B. Talking excessively
- C. Being motionless
- D. Not complaining
Correct Answer: B
Rationale: Excessive talking may indicate heightened anxiety as the client attempts to distract themselves from their worries.
Why would T3, T4, blood chemistry panel, and drug screen tests be performed prior to admission?
- A. Deep breathing exercises
- B. Avoid social interactions
- C. Ignore stressors
- D. Increase workload
Correct Answer: D
Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.
Which factors place a client at risk for serotonin syndrome?
- A. Coprescription of antidepressants from different classes such as MAOIs and SSRIs
- B. Abnormal levels of cortisol in the body
- C. Adequate time between weaning from one antidepressant drug to initiating another
- D. Premenstrual syndrome
Correct Answer: A
Rationale: Combining certain classes of antidepressants increases serotonin levels excessively, leading to serotonin syndrome.
Sue is having a minor procedure performed. Which type of anesthesia is most likely to be used?
- A. General.
- B. Epidural.
- C. Regional.
- D. Conscious sedation.
Correct Answer: D
Rationale: Conscious sedation is often used for minor procedures.
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these demonstrates the normal pathway?
- A. AV node, SA node, Bundle of His, Purkinje fibers.
- B. Purkinje fibers, SA node, AV node, Bundle of His.
- C. Bundle of His, Purkinje fibers, SA node , AV node.
- D. SA node, AV node, Bundle of His, Purkinje fibers.
Correct Answer: D
Rationale: The normal conduction pathway starts at the SA node.