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Which annual screening should the nurse include when planning an eye health program at a preschool?
- A. Glaucoma.
- B. Red light reflex.
- C. Visual acuity.
- D. Conjunctivitis.
Correct Answer: C
Rationale: Visual acuity screening is essential for preschoolers to detect vision issues like amblyopia or refractive errors that could impact development and learning, making it the priority for annual eye health programs.
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Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?
- A. 80% of the students attend a voluntary sex education seminar.
- B. Students report an average delay of 2 years for their first sexual experience.
- C. Students requesting information about adolescent pregnancy has increased by 25%.
- D. 75% of the parents agree to support a pregnancy prevention program in the schools.
Correct Answer: B
Rationale: A delay in first sexual experience directly indicates behavioral change, reducing pregnancy risk and demonstrating the program's effectiveness in altering student behavior.
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.
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 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.
A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?
- A. Small bruises on the lower extremities.
- B. A one-inch laceration across center of forehead.
- C. Refusal to answer simple questions.
- D. Several dime-sized circular burns on the back.
Correct Answer: D
Rationale: Circular burns are suggestive of abuse, requiring immediate intervention to ensure the child's safety and further investigation.