Nokea
Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?
- A. Rescreen the entire prison population in 6 weeks.
- B. Start the two inmates on antitubercular medications.
- C. Refer the two Inmates for chest x-rays.
- D. Screen the prison guards for TB.
Correct Answer: C
Rationale: A chest x-ray is essential to determine if the positive skin test indicates active TB or latent infection, guiding appropriate treatment and preventing unnecessary medication use.
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The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?
- A. Suicide discussion is dangerous with people with depression.
- B. The majority of suicides occur in lower socioeconomic groups.
- C. Social support systems ensure suicide prevention.
- D. Severe life stresses at any age is a risk factor for suicide.
Correct Answer: D
Rationale: Severe life stresses are a well-established risk factor for suicide across all ages, critical for awareness and prevention efforts.
A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?
- A. Census data.
- B. Bureau of Vital Statistics.
- C. Disease registry.
- D. Department of Health.
Correct Answer: B
Rationale: The Bureau of Vital Statistics provides detailed data on vital events like deaths, making it the best resource for accurate infant mortality rates for city and state comparisons.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. Which action should the nurse implement to evaluate the effectiveness of the program?
- A. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- B. Measure the prevalence of pediculosis capitis among the children after four months.
- C. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: B
Rationale: Measuring prevalence after the program compares pre- and post-intervention rates, directly assessing the program's success in reducing pediculosis cases.
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.
The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?
- A. Parent's report about behavior.
- B. Current grade report.
- C. Self-report about treatment progress.
- D. Past grade report.
Correct Answer: A
Rationale: Parents' reports on behavior provide critical insights into ADHD symptom management across settings, essential for evaluating methylphenidate's effectiveness.