Nokea
The nurse is caring for a client at the first prenatal visit. The primary healthcare provider (PHCP) has prescribed testing for syphilis. The nurse anticipates which laboratory testing?
- A. Brain Natriuretic Peptide (BNP)
- B. Comprehensive Metabolic Panel (CMP)
- C. Complete Blood Count (CBC)
- D. Rapid Plasma Reagin (RPR)
Correct Answer: D
Rationale: The Rapid Plasma Reagin (RPR) test is a standard screening test for syphilis, especially in prenatal care.
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The nurse is interviewing a client who wants to anonymously test themselves for the human immunodeficiency (HIV) virus. The nurse should recommend which type of testing?
- A. HIV home self testing
- B. Rapid testing at the primary healthcare providers (PHCPs) office
- C. Inpatient antibody testing
- D. Community health fair rapid testing
Correct Answer: A
Rationale: HIV home self-testing allows for anonymity and convenience, aligning with the client's preference for privacy.
The nurse is assessing a client with hepatitis A. Which of the following would be an expected finding? Select all that apply.
- A. Pruritus
- B. Bloody stools
- C. Abdominal pain
- D. Scleral icterus
- E. Periumbilical bruising
Correct Answer: A,C,D
Rationale: Pruritus, abdominal pain, and scleral icterus are common symptoms of hepatitis A due to liver inflammation and jaundice.
The nurse is assessing her prenatal client for sexually transmitted infections (STIs) by looking for risk factors. Which of the following are risks of acquiring an STI? Select all that apply.
- A. Low socioeconomic status
- B. A monogamous relationship
- C. A past history of working in the sex industry
- D. Illicit drug use
- E. History of cancer
- F. Previous history of STIs
Correct Answer: A,C,D,F
Rationale: Low socioeconomic status, sex work, illicit drug use, and previous STIs increase STI risk due to behavioral and social factors.
Which of the following clients, receiving normal saline via IV infusion, is at the highest risk for bloodstream infections?
- A. A client who has a midline IV catheter in the left antecubital fossa.
- B. A client with a peripherally inserted central catheter (PICC) line in the right upper arm.
- C. A client with an implanted port in the right subclavian vein.
- D. A client who has a non-tunneled central line in the left internal jugular vein.
Correct Answer: D
Rationale: Non-tunneled central lines, such as those in the internal jugular vein, carry the highest risk of bloodstream infections due to their direct access to central circulation and external exposure.
The emergency department nurse is caring for a client exposed to inhalation anthrax. It would be essential for the nurse to take which action?
- A. Initiate continuous pulse oximetry
- B. Obtain a prescription for a chest radiograph
- C. Notify the public health department
- D. Prepare the client for a lumbar puncture
Correct Answer: C
Rationale: Inhalation anthrax is a reportable disease, and notifying the public health department is essential for containment and surveillance.