Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
- A. intrauterine device (IUD)
- B. Norplant
- C. oral contraceptives
- D. vaginal sponge
Correct Answer: D
Rationale: The vaginal sponge is a barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs. Clients using the contraceptive methods in Choices A, B, and C should be counseled to use a chemical or barrier contraceptive to decrease transmission of HIV or STDs.
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During an emergency procedure, is the surgical timeout a requirement?
- A. As long as the surgical timeout would not cause a delay leading to injury or death, the time-out should be performed by the surgical team.
- B. No, in an emergency procedure, the timeout does not need to be performed.
- C. No, the surgical timeout is optional depending on the surgeon's preferences.
- D. Yes, the surgical timeout should be performed in all cases.
Correct Answer: A
Rationale: The surgical timeout should be performed as long as the delay in performing the timeout would not have negative consequences.
The nurse has a client who is being transferred to another floor right around change of shift. Which of the following actions is least appropriate?
- A. Inform the staff on the other floor of any unresolved issues with the client.
- B. Ask the charge nurse if overtime would be permitted to complete the client's transfer to the other floor.
- C. Ask the new nurse to take care of the transfer since the client's medical record has all of the information and a report should not be needed.
- D. Complete the transfer paperwork before the client is transferred.
Correct Answer: C
Rationale: The nurse should ensure a safe handoff of care during the transfer. The nurse on the next shift should not be asked to complete the transfer for the client without a full handoff of care.
Which of the following is true of advanced directives?
- A. They should be appropriately documented in the client's chart.
- B. They are only applicable if the client has a terminal illness.
- C. They are required if the client is unconscious.
- D. They are non-legal requests.
Correct Answer: A
Rationale: Advanced directives are legal requests regarding a client's health care regardless of the severity of their illness or level of consciousness. They should be verified on admission and documented in the client's chart.
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
- A. 6
- B. 8
- C. 12
- D. 16
Correct Answer: C
Rationale: In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18 - 6 = 12. An 18-month-old child should have approximately 12 teeth.
Which of these clients should the LPN/LVN see first?
- A. a client with a newly placed NG who is complaining of pain around the face and a plugged nose
- B. a post-op prostatectomy client who complains of bladder spasms and blood in his foley bag
- C. a client in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm
- D. a client newly diagnosed with Hepatitis A who reports stomach pain and itchy skin
Correct Answer: C
Rationale: Numbness and tingling hours or days after a cast is applied may indicate compartment syndrome and should be reported to a medical provider right away. The other options all feature expected or typical symptoms related to their diagnosis.