A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- A. Snellen Screening test
- B. Denver Eye Screening test
- C. Ishihara’s test
- D. Cover test
Correct Answer: A
Rationale: The Snellen Screening test is commonly used to assess visual acuity in children.
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After offering a teenager the HPV vaccine, the teenager responds by saying, “I can’t have the vaccine because I have already been sexually active.” Which of the following statements is the best response by the nurse?
- A. You can still benefit from the vaccine, but there is a chance it will not be as effective.
- B. The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine.
- C. You are correct, the vaccine is only indicated for females who have never been sexually active.
- D. It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.
Correct Answer: A
Rationale: The vaccine is most effective if given before sexual activity, but sexually active teens can still benefit, though it may be less effective.
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
- A. 18 grams a day
- B. 28 grams a day
- C. 38 grams a day
- D. 48 grams a day
Correct Answer: C
Rationale: The recommended fat intake for infants this age is 3.8 g/kcal, so for a 10-kg infant, the minimum intake would be 38 grams.
A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.
A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
- A. Tell the mother not to worry about it and continue with the office visit
- B. Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides
- C. Say to the mother, “Don’t you remember fighting with your sibling? Don’t worry; everything will work out.”
- D. Say to the mother, “Don’t worry; this behavior will all end soon.”
Correct Answer: B
Rationale: Sibling rivalry is normal, and the nurse should provide guidance on firm, fair discipline without taking sides.
Which of the following people are participating in alternative/complementary therapies?
- A. A 15-year-old who listens to rap music to lessen anxiety related to a painful dressing change
- B. A 45-year-old who burns lavender-scented candles while meditating
- C. A 7-year-old who draws as a means of communicating feelings
- D. A 78-year-old who practices yoga to increase balance
Correct Answer: D
Rationale: Yoga is recognized as an effective form of movement therapy, fitting within the category of alternative/complementary therapies.