Nokea
The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?
- A. Ask her, "Are you sexually active?"
- B. Ask her, "Are you having sex with anyone?"
- C. Ask her, "Are you having sex with a boyfriend?"
- D. Ask both the girl and her parent if she is sexually active
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which data should be included in a health history?
- A. Review of systems
- B. Physical assessment
- C. Growth measurements
- D. Record of vital signs
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
An infant is born with anencephaly. Based on the knowledge of this diagnosis, what information does the nurse consider when interacting with the family?
- A. Many treatment options exist.
- B. Immediate surgery is necessary.
- C. The condition is incompatible with life.
- D. The child will have permanent disabilities.
Correct Answer: C
Rationale: The correct answer is C: 'The condition is incompatible with life.' Anencephaly is the most serious neural tube defect where both hemispheres of the brain are absent. It is incompatible with life, as there are no medical or surgical treatment options available. While some infants with mature brain stem function can maintain vital functions for a short period, anencephaly is ultimately not survivable. Choice A is incorrect as there are no treatment options for anencephaly. Choice B is incorrect as immediate surgery is not necessary for this condition. Choice D is incorrect as an infant with anencephaly will not have permanent disabilities since the condition is not compatible with life.
The nurse is teaching the mother of a 9-month-old infant about administering liquid iron preparation. Which information should be included in the teaching?
- A. Adequate dosage will turn the stools a tarry, black color.
- B. Give Vitamin D to enhance absorption.
- C. Allow the liquid iron to mix with saliva before swallowing.
- D. Give the liquid iron with meals.
Correct Answer: A
Rationale: The correct answer is A. Iron supplements can cause stools to turn black, which is a normal and harmless side effect. Iron is best absorbed on an empty stomach, although it can be given with food if gastrointestinal upset occurs. Vitamin C, not D, enhances iron absorption. Choice B is incorrect because Vitamin C enhances iron absorption, not Vitamin D. Choice C is incorrect as there is no need to mix liquid iron with saliva before swallowing. Choice D is incorrect because iron is best absorbed on an empty stomach.
Which heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?
- A. S1 and S2
- B. S3 and S4
- C. Murmur
- D. Physiologic splitting
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When the nurse interviews an adolescent, which is especially important?
- A. Focus the discussion on the peer group
- B. Allow an opportunity to express feelings
- C. Use the same type of language as the adolescent
- D. Emphasize that confidentiality will always be maintained
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.