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The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?
- A. Weight and height.
- B. Sexual activity.
- C. Immunization history.
- D. Visual acuity.
Correct Answer: B
Rationale: Assessing sexual activity is critical for high school students to address sexual health, STIs, and pregnancy risks, guiding tailored education and interventions.
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The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?
- A. Make a referral to have the scoliosis further evaluated.
- B. Measure the degree of the thoracic and lumbar curvature.
- C. Ask about the student's ability to participate in sports.
- D. Review students health record for a recent growth spurt.
Correct Answer: A
Rationale: Referring for further evaluation by a specialist ensures accurate diagnosis and timely management of potential scoliosis, addressing the observed asymmetry.
A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?
- A. Provide the information for research purposes only.
- B. Ask the student to sign a standard waiver form.
- C. Obtain written authorization from clients to release the information.
- D. Ask if permission has been obtained from the research committee.
Correct Answer: C
Rationale: Obtaining client authorization ensures compliance with privacy laws like HIPAA, protecting client confidentiality.
The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
- A. The Senior Citizen Center.
- B. The Social Security Administration office.
- C. The Adult Day Care Center.
- D. The Women, Infant, and Children office.
Correct Answer: A
Rationale: The Senior Citizen Center offers social activities and meal programs that can address potential causes of weight loss, such as isolation or inadequate nutrition, suitable for an independent older adult.
A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?
- A. Provide the information for research purposes only.
- B. Ask the student to sign a standard waiver form.
- C. Obtain written authorization from clients to release the information.
- D. Ask if permission has been obtained from the research committee.
Correct Answer: C
Rationale: Obtaining client authorization ensures compliance with privacy laws like HIPAA, protecting client confidentiality.
The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?
- A. Diabetes mellitus.
- B. Hypothyroidism.
- C. English proficiency.
- D. Iron deficiency anemia.
Correct Answer: A
Rationale: Overweight Hispanic children are at high risk for type 2 diabetes, making diabetes screening a priority to detect and manage this condition early, given its increasing prevalence in this population.