Nokea
Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
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A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- A. DTaP-1
- B. MMR
- C. Varicella
- D. Influenza
Correct Answer: A
Rationale: The recommended immunizations for 2-month-olds include DTaP-1, Hib-1, PCV, Polio, and RV.
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is characterized by impartial, nondiscriminatory care.
A nurse is reviewing the chart of a 15-year-old girl who has been sexually active since the age of 12. Which of the following findings would be of most concern?
- A. She does not perform self-breast exams.
- B. She has never had a Pap test.
- C. She had one HIV test performed at the age of 13.
- D. She does not use birth control pills.
Correct Answer: B
Rationale: Sexual activity at a young age warrants cervical cancer screening, and the lack of a Pap test is concerning.
An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?
- A. High deductible health insurance plan (HDHP)
- B. Point-of-service plan (POS)
- C. Health maintenance organization (HMO)
- D. Preferred provider organization (PPO)
Correct Answer: A
Rationale: High deductible health insurance plans have high out-of-pocket costs before insurance coverage kicks in, making routine care expensive.
A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?
- A. Arranging for home delivery of medication from the pharmacy
- B. Providing education regarding the dangers of smoking
- C. Instituting visiting nurse services for blood pressure checks
- D. Providing direct observed therapy for tuberculosis medications
Correct Answer: B
Rationale: Education about the dangers of smoking addresses the risk and provides the person with information to improve health practices, fostering active participation in health management.