Nokea
Which one of the following is not one of the secondary sex characteristics typical of males?
- A. Deepening voice
- B. Increased growth of body hair
- C. Enlargement of skeletal muscle mass
- D. Development of breast tissue
Correct Answer: D
Rationale: The correct answer is D: Development of breast tissue. This is not a secondary sex characteristic typical of males because breast development is a primary sex characteristic associated with females due to the presence of estrogen. In males, the secondary sex characteristics include deepening voice, increased growth of body hair, and enlargement of skeletal muscle mass due to the effects of testosterone. Breast tissue development in males, known as gynecomastia, is abnormal and can be caused by hormonal imbalances or certain medical conditions.
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The testicle is located:
- A. inside a muscular pouch;
- B. inside the scrotum;
- C. at the inguinal canal;
- D. inside the abdominal cavity;
Correct Answer: B
Rationale: The correct answer is B: inside the scrotum. The testicles are located outside the abdominal cavity in a structure called the scrotum. This location is essential for temperature regulation as sperm production requires a slightly lower temperature than the body's core. Choices A, C, and D are incorrect as the testicles are not inside a muscular pouch, at the inguinal canal, or inside the abdominal cavity.
Which of the following is a surgical procedure in which a pendulous breast is lifted and fixed to the chest wall?
- A. Mastostomy
- B. Mastectomy
- C. Mastopexy
- D. Mesopexy
Correct Answer: C
Rationale: The correct answer is C: Mastopexy. This surgical procedure involves lifting and fixing a pendulous breast to the chest wall to achieve a more youthful and firmer appearance. It does not involve removal of breast tissue like in mastectomy (B) or creation of a new breast mound like in mastostomy (A). Mesopexy (D) is not a recognized surgical procedure for breast lifting.
The pregnant patient tells the nurse that she has had three pregnancies and two live births to date. How does the nurse record this in the patient’s history?
- A. Gravida 3, para 3
- B. Gravida 3, para 2
- C. Gravida 2, para 3
- D. Gravida 2, para 2
Correct Answer: B
Rationale: Rationale:
1. Gravida refers to the total number of pregnancies, which is 3 in this case.
2. Para refers to the number of live births, which is 2.
3. Therefore, the correct way to record this patient's history is Gravida 3, para 2.
Summary:
A: Incorrect - para should be 2, not 3.
C: Incorrect - gravida should be 3, not 2.
D: Incorrect - gravida should be 3, not 2.
A client with stage IV ovarian cancer and recurrent ascites is admitted to the medical unit for a paracentesis. Which nursing actions included in the plan of care will you delegate to an LPN who has worked on the medical unit for several years?
- A. Obtain a paracentesis tray from the central supply area.
- B. Complete the short-stay client admission form.
- C. Take vital signs every 15 minutes after the procedure.
- D. Provide discharge instructions after the procedure.
Correct Answer: C
Rationale: Taking vital signs is within the scope of practice for an LPN.
The nurse is reviewing discharge instructions with a client who has just experienced an endometrial biopsy. Which finding should be reported to the health care provider immediately?
- A. Mild cramping
- B. Slight chills and fever
- C. Spotting of blood on a perineal pad
- D. Fatigue after anesthesia
Correct Answer: B
Rationale: The correct answer is B because slight chills and fever could indicate an infection post-endometrial biopsy, which requires immediate medical attention to prevent complications. Mild cramping (A) is expected after the procedure and can be managed with over-the-counter pain relievers. Spotting of blood (C) is a common side effect and should be monitored but does not require immediate reporting. Fatigue (D) after anesthesia is a normal response and should resolve with rest.