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A nurse is providing teaching to a client who is scheduled for a Papanicolaou (pap) test. The nurse should inform the client that the Pap test is used to screen for which of the following? A. uterine cancer B. cervical cancer C. ovarian cysts Fibroids - ANSWER B. Cervical cancer the nurse should inform the client that a pap test is used to screen for cervical cancer A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding Lyme Disease? A. If bitten by a tick, you should be tested immediately. B. If you have a tick embedded in your skin, apply a lit match to remove it C. You should
wear dark colored clothing to deter ticks from biting D. If you develop pain and stiffness in your joints, you should see your doctor - ANSWER D. If you develop pain and stiffness in your joints, you should see your doctor The nurse should inform the group that manifestations of stage 1 Lyme disease include influenza-like manifestations, a "bull's-eye" rash, muscle and joint pain, and stiffness. The nurse should instruct the group to report these findings to a provider. A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding? A. WBC count 21000 B. Hgb 14 C. Hct 40% D. Platelets 170,000 - ANSWER A. WBC count 21000 The nurse should expect a client who has acute leukemia to have an elevated WBC count A nurse is providing teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? A.. I should use a sunscreen with a SPF of at least 15 B. Long-term immunosuppressive therapy could cure this disease C. I should wear gloves when it is cold outside D. SLE should not affect my lungs or breathing - ANSWER C. I should wear gloves when it is cold outside Raynaud's phenomenon commonly accompanies SLE and can cause painful vasoconstriction in the client's fingers when exposed to cold temperatures A nurse is reviewing the laboratory report for a client who has hodgkin's lymphoma. Which of the following findings should the nurse expect? A. overgrowth of B-lymphocyte plasma cells B. Reed- Sternberg cells C. Epstein-Barr virus D. Overproduction of blast phase cells - ANSWER B. Reed sternberg cells The nurse should expect to find Reed-Sternberg cells, which are cancer cells specific to a client who has Hodgkin's lymphoma, in the client's lymph nodes. A nurse is providing teaching to a client who takes an oral contraceptive and has a new prescription for
A nurse is providing teaching to a client who has Hodkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include? A. Use an antibacterial soap to cleanse the skin B. Wash the ink marking off when showering C. Rub the skin with a towel when drying D. Avoid direct sun exposure to the skin - ANSWER D. Avoid direct sun exposure to the skin The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to sunburn due to the external radiation. A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the following risk factors should the nurse include in the teaching? A. Light skin pigmentation B. Psoriasis C. History of frostbite D. Immunodeficiency disorder - ANSWER A. Light skin pigmentation The nurse should inform the clients that light skin pigmentation is a risk factor for the development of skin cancer A nursing is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching? A. Hyperacute rejection can occur during the first few weeks after the transplant B. If hyperacute rejection occurs, the kidney can become enlarged C. The organ will need to be removed if hyperacute rejection occurs D. Immunosuppressive therapy is given to reverse hyperacute rejection - ANSWER C. The organ will need to be removed if hyperacute rejection occurs Removing the transplanted organ is the only treatment for hyperacute rejection, due to the widespread clotting cascade that leads to ischemic necrosis of the transplant kidney A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider? A. an asymmetrical papule that is pigmented
B. A patch of silvery-white scales with a red epidermal base C. A collection of irregular, dry papules that are black D. An elevated red lesion that arises from a scar - ANSWER A. An asymmetrical papule that is pigmented The nurse should identify an asymmetrical papule that is pigmented as an indication of malignant melanoma. The nurse should report the client's skin change to the provider.
A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following client statements indicates an understanding of the teaching? A. I will avoid being in large crowds while taking this medication B. I should expect symptoms to subside in 1 to 2 weeks after starting this medication C. I will increase my intake of vitamin D while taking this meedication D. I should expect experience constipation while taking this medication - ANSWER A. I will avoid being in large crowds while taking this medication
The nurse should instruct the client to avoid crowds when taking methotrexate. Methotrexate can cause leukopenia due to bone marrow suppression, which can increase the client's risk for infection. A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests? A. indirect laryngoscopy B. Chest xray C. Throat culture D. Monospot test - ANSWER C. Throat culture Nurse should recongnize that a throat culture is used to confirm a diagnosis of bacterial pharyngitis by identifying specific micro-organisms present in the pharynx a nurse is providing discharge teaching to a client who has HIV. Which of the following statements by the client indicates an understanding of the teaching? A. I will clean the bathroom surfaces with full strength bleach B. I should discard open beverages that have been unrefrigerated for 1 hr C. I should wash laundry that is soiled with a body fluid in cool water D. I will work in the garden for exercise - ANSWER B. I should discard open beverages that have been unrefrigerated for 1 hr The nurse should instruct the client to discard beverages that have been unrefrigerated for 1 hr. Bacteria can grow in open, unrefrigerated beverages, which places the client at risk for infection. A nurse is providing teaching to a client who has an allergy to peanuts. Which of the following instructions is the priority to include in the teaching? A. Inform other health care professionals of the allergy B. Wear a medical identification tag C. Carry an emergency anaphylaxis kit D. Keep a food diary - ANSWER C. Carry an emergency anaphylaxis kit the greatest risk to the client is injury or death from an anaphylactic reaction. therefore, the priority instruction for the client is to be prepared for emergency treatment carrying an emergency anaphylaxis kit A nurse is planning care for a client who has leukemia and a platelet count of 48,000. Which of the
A client who is thrombocytopenic is at risk for occult bleeding. Therefore, the nurse should test the client's urine and stool for occult blood A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make? A. Take a cool bath in the evening B. Exercise every other day C. Use pillows to support your joints while in bed D. Ask a friend or a family member to help with household chores - ANSWER D. Ask a friend or a family member to help with household chores The nurse should A nurse is performing a breast examination on a female client who is pregnant. Which of the following findings should the nurse report to the provider? A. Slight asymmetrical breast size B. Breast tissue with an orange-peel appearance C. Nipple inversion of one breast since puberty D. Elevated Montgomery's glands - ANSWER B. Breast tissue with an orange-peel appearance The nurse should report an orange-peel appearance of the client's skin because this can indicate a blockage of lymph channels which is a manifestation of advanced breast cancer A nurse is planning discharge teaching for a client who is receiving chemotherapy and has bone marrow suppression. Which of the following instructions should the nurse plan to include in the teaching? A. Take aspirin for minor aches and pains B. Clean your toothbrush with warm water weekly C. Bathe with an antimicrobial soap twice per day D. Wear clothing that will minimize sun exposure - ANSWER C. Bathe with an antimicrobial soap twice per day The nurse should instruct the client to bathe twice per day with an antimicrobial soap to decrease their exposure to micro-organisms. A client who has bone marrow suppression is at increased risk for infection A nurse in an emergency department is assessing a newly admitted client. Which of the following actions places the client at increased risk for contracting hepatitis B?
A. residing in an institutional setting B. Engaging in unprotected sexual intercourse C. Working with hazardous chemical waste materials D. Traveling to a foreign country - ANSWER B. Engaging in unprotected sexual intercourse A client who engages in unprotected sexual intercourse is at increased risk because hepatitis B is transmitted by sexual contact.
A. palpation of testes B. Human chorionic gonadotropin level C. Digital rectal examination D. Pelvic ultrasound - ANSWER C. Digital rectal examination The nurse should recognize that a digital rectal examination is used to determine the size and consistency of the prostate, assisting with the differentiation between benign prostatic hypertrophy and prostate cancer
A nurse is assessing a client who has HIV which of the following findings should cause the nurse to suspect that the client's diagnosis has progressed to AIDS? A. small, purple colored skin lesions B. Fever and diarrhea lasting longer than 1 month C. Persistent, generalized lymphandenopathy D. CD4-T cells decreased to 750 cells - ANSWER A. Small purple colored skin lesions the nurse should identify the presence of small, purple-colored skin lesions as an indication that the client has acquired Kaposi's sarcoma, which is an AIDS-defining illness A nurse is assessing a client who has systemic lupus erythematosus. which of the following findings should the nurse expect? select all that apply A. subcutaneous nodules B. Decreased urine output C. Renal calculi D. Butterfly rash E. Joint inflammation - ANSWER B. Decreased urine output D. Butterfly rash is correct E. Joint inflammation
