Nokea
The inner lining of the vagina is _____ epithelium.
- A. simple cuboidal
- B. simple columnar
- C. mucous
- D. stratified squamous
Correct Answer: D
Rationale: The correct answer is D: stratified squamous epithelium. This type of epithelium is found in the vagina to provide protection against abrasion and infection due to its multiple layers of cells. The stratified nature allows for wear and tear resistance. Simple cuboidal and columnar epithelia are not ideal for this function due to their single layer structure. Mucous epithelium is not a recognized epithelial type.
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Which patients meet the criteria for Chlamydia screening?
- A. A 40-year-old woman who is sexually active and uses barrier protection consistently
- B. A 15-year-old female woman who is sexually active with one partner
- C. A 22-year-old woman who is sexually active and uses barrier protection inconsistently
- D. A 23-year-old woman who has had four sexual partners in the last 3 months
Correct Answer: C
Rationale: The correct answer is C because the 22-year-old woman who is sexually active and uses barrier protection inconsistently is at higher risk for Chlamydia infection. Inconsistent use of barrier protection increases the likelihood of exposure to the infection. The other choices (A, B, D) do not specifically mention increased risk factors for Chlamydia. Choice A mentions consistent barrier protection, which lowers the risk. Choice B mentions having one partner, which may reduce the risk compared to multiple partners. Choice D mentions having multiple partners, which increases the risk, but it does not mention current risky behavior like inconsistent barrier protection.
Inflammation of joints
- A. Arthritis
- B. Osteomyelitis
- C. Chondritis
- D. Chondritis
Correct Answer: A
Rationale: The correct answer is A: Arthritis. Arthritis specifically refers to inflammation of joints, making it the most appropriate choice. Osteomyelitis (B) is an infection of the bone, not joints. Chondritis (C) is inflammation of cartilage, not joints. The duplicate choice of Chondritis (D) is incorrect.
After a radical prostatectomy, a client is to be discharged with a retention catheter. He has prescriptions for hydrocodone/acetaminophen 5 mg/500 mg (Vicodin) and sulfamethoxazole-trimethoprim (Septra). Which nursing action included in the client discharge plan is best to delegate to an experienced LPN working with you?
- A. Reinforce the need to check his temperature daily.
- B. Demonstrate how to clean around his urinary meatus.
- C. Document a discharge assessment in the client's chart.
- D. Instruct the client about the need to use stool softeners.
Correct Answer: A
Rationale: Reinforcing health teaching is appropriate to delegate to an LPN.
Why is rupturing of the hymen not considered a confirmation of loss of virginity?
- A. Because the hymen is not affected by any sexual activity
- B. Because the hymen can be perforated during physical activity, insertion of a tampon, or pelvic examination.
- C. Because the hymen is ruptured the first time a person urinates.
- D. Because the hymen is very delicate and may be ruptured even when running or doing strenuous exercises.
Correct Answer: B
Rationale: The hymen can be perforated by various non-sexual activities, making it an unreliable indicator of virginity.
The external female genital organs are represented by the following structures, EXCEPT:
- A. Fallopian tubes;
- B. vagina;
- C. vulva;
- D. ovary;
Correct Answer: A
Rationale: The correct answer is A: Fallopian tubes. The external female genital organs include the vagina, vulva, and ovary, which are visible on the outside of the body. The fallopian tubes, however, are internal structures that connect the ovaries to the uterus. They are not part of the external genitalia. Therefore, the fallopian tubes do not fall under the category of external female genital organs. Choices B, C, and D are incorrect because they are all part of the external female genital organs.