Nokea
What assessment is most accurate for a young woman admitted without memory of the previous evening?
- A. The woman is spoiled and is exhibiting attention-seeking behavior.
- B. The woman is experiencing a psychotic break.
- C. The woman regrets having had consensual sex.
- D. The woman unknowingly ingested a date rape drug.
Correct Answer: D
Rationale: Date rape drugs impair memory and judgment.
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In providing and teaching cord care, what is an important principle?
- A. Cord care is done only to control bleeding.
- B. Alcohol is the only agent used for cord care.
- C. The process of keeping the cord dry will decrease bacterial growth.
- D. It takes a minimum of 24 days for the cord to separate.
Correct Answer: C
Rationale: Keeping the cord dry helps prevent infection.
What is the best response by the nurse when a parent questions why their newborn needs hepatitis B vaccination?
- A. The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy.
- B. It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older.
- C. Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood as well as sexually.
- D. Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases.
Correct Answer: C
Rationale: Hepatitis B can be transmitted through non-sexual means such as contact with infected blood.
An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
What is one purpose of the Healthy People 2030 objectives?
- A. Stop world hunger.
- B. Prevent conflict and war in other countries.
- C. Address issues in health care to solve cancer.
- D. Recommend changes to increase health promotion and disease prevention.
Correct Answer: D
Rationale: The correct answer is D because the Healthy People 2030 objectives aim to recommend changes to increase health promotion and disease prevention. These objectives focus on improving the overall health of the population by setting specific targets and goals for health promotion and disease prevention strategies. Choices A, B, and C are incorrect because the Healthy People 2030 objectives are specifically designed to address public health issues within the United States, not worldwide hunger, conflict in other countries, or solely cancer-related issues.
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.