Health Promotion and Maintenance

The nurse is providing disease prevention education to a 63-year-old woman with a negative family history of breast cancer. The nurse recommends the patient schedule mammograms with which frequency?

The nurse is providing teaching to the patient who suffered third degree burns two weeks ago to the bilateral anterior legs and anterior lower abdomen. Which statement by the patient indicates an understanding of the teaching? 

The nurse is reviewing patient charts for risk factors for hypertension. Which characteristics does the nurse include in the search? Select all that apply.

The patient in the clinic requests information on preventing pregnancy and sexually transmitted infections. The nurse advises the patient about which strategy?

A 60-year-old patient never received a varicella vaccine and does not remember ever having chickenpox. However, you notice several ulcerated scars that look like scars from chickenpox. You anticipate an order for which of the following?

The nurse is caring for a pregnant 25-year-old female who is late in her second trimester. When coming in for a checkup, she has a blood pressure of 170/120 mm Hg and has a 2+ protein in her urine. Which is the most likely complication of this patient’s diagnosis?

The nurse is assessing an elderly patient whose husband died 9 months ago. Which indicates ineffective coping with his death?

The nurse is educating a pregnant woman on prenatal nutrition. Which food, if selected by the expectant mother, indicates teaching of sources of vitamin A was effective?

The nurse is putting together a prenatal nutrition plan for a pregnant patient. Which of the following food are important to include giving adequate vitamin B?

When does the nurse counsel the pregnant woman to schedule her first ultrasound?

Which prenatal test does the nurse administer at the pregnant patient’s 28-week appointment?

Which prenatal test is appropriate for a patient at 18 weeks gestation?

Which is the proper treatment for subclinical hypothyroidism in a pregnant patient?

The nurse is providing genetic counselling to a couple of Ashkenazi Jewish descent, who wish to have a child. For which of the following conditions would the child be at an increased risk?

The nurse is educating some prospective parents about Down syndrome. Which of the following characteristics is associated with the highest risk for Down syndrome?

The nurse is assisting with prenatal testing in a patient who is 15 weeks pregnant. Amniocentesis reveals the fetus to have fragile X syndrome. Which of the following statements by the nurse to the patient is most accurate?

The nurse is assisting with genetic counseling for a couple who wishes to have a child. Both individuals have an autosomal dominant condition for which both are heterozygous. With each pregnancy, what is the chance the child will be unaffected by the condition?

The nurse is providing education to a woman of childbearing age about prenatal care. The nurse counsels the woman to increase dietary intake of which of the following substances that would help prevent neural tube defects in her future children?

The nurse is obtaining the history of a new mother who gave birth to her first child 3 months ago. Over the 3 months since the delivery, although the patient says she is happy her child is doing well, she says the majority of the time she feels negative and depressed about herself. This has progressively gotten worse over the past 3 months and for the last month, she cannot recall taking any pleasure at interacting with her child. She also feels constantly anxious that the child will develop a serious health problem and is not growing as she should. Which of the following statements is accurate regarding this new mother’s condition?

The nurse is on the treatment team for an African American patient who is being hospitalized for a recent hypertensive emergency. The nurse anticipates administering which medication?

The nurse is discussing preventive health issues with an 18-year-old patient about to head to college. Patient says she will be living in the dormitories for the first year, at least, and is concerned about the possibility of catching meningococcal meningitis. Which of the following statements are accurate regarding meningococcal meningitis? Select all that apply

The nurse is getting the history of a patient with a history of long heavy sun exposure who presents with multiple lesions concerning for skin cancer. The lesions are pearly white, almost translucent, with a central depression. The patient remembers plenty of days of sun exposure as a child with frequent sunburns and says she has kept up the same habits as an adult. Which of the following statements is most correct regarding this patient’s condition?

The community health nurse is teaching a class on diabetes mellitus. Which symptoms of diabetes mellitus does the nurse include in the teaching? Select all that apply.

A patient with type 2 diabetes is noted to be hypertensive at this and the last clinic appointments. Which nursing intervention is most appropriate?

The nurse notes a mother attempting to remove the vernix from her newborn baby during a bath. Which response by the nurse is most appropriate?

The nurse is counseling the pregnant woman on care the baby will receive after birth. Which statement by the nurse is correct?

Which type of heat loss has the greatest effect on a neonate immediately after delivery?

The 4-hours-old neonate is brought to the special care nursery from the mother’s room for an assessment. The temperature is 35.4° Celsius. Which initial action does the nurse take?

The middle-aged patient requests information on how to prevent Alzheimer disease. The nurse provides information about which diet that has shown promise in reducing the risk of developing Alzheimer disease?

The 24-year-old G1P0 female at 32 weeks estimated gestational age presents to the labor and delivery unit with recent onset of contractions and rupture of membranes. Which finding, if present in this patient, most definitively indicates the patient has entered the second stage of labor?

The nurse is caring for a G3P0 female at 40 weeks estimated gestational age in the second stage of labor. The patient does not have an epidural in place. After how many hours does the nurse contact the provider to report a prolonged second stage of labor?

Place the cardinal movements the fetus makes during labor in the correct order from start to finish.

A 31-year-old G2P1 female at 37 weeks estimated gestational age presents reporting contractions. Which question by the nurse would best determine if the patient is in labor?

The 25-year-old G1P0 female at 31 weeks estimated gestational age presents to the labor and delivery unit. The nurse assesses the patient and palpates the head of the fetus to be 2 inches above the maternal ischial spines. Which term does the nurse use to document this finding?

The mother of a 6-month-old boy tells the nurse that her mother (the boy’s grandmother) keeps admonishing her to, “let the baby cry it out,” instead of calming the crying infant. The nurse advises the mother based on an understanding of which of Erikson’s developmental stages?

The nurse is assigned to care for an 8-year-old boy who presents with pneumonia. The nurse would determine the patient is developing appropriately if the boy is found to be in which of Erikson’s developmental stages?

The nurse is performing a psychosocial assessment on an 84-year-old male in a hospice. The patient says, “I have had a good life. My children are grown and successful, and I was a successful businessman.” How does the nurse document this patient’s psychosocial development?

During a routine clinic visit by a 25-year-old male, which question does the nurse use to appropriately assess the psychosocial development of the individual according to Erikson's psychosocial stages?

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

A 14-year-old patient presents to the clinic complaining of right outer ear pain. Which characteristic most likely explains the cause of the pain?

The woman who is 32-weeks-pregnant presents to a prenatal appointment reporting irregular contractions that occur a few times per day. Upon assessment, the patient's cervix is noted to be closed, long, and high. Which action by the nurse is most appropriate? 

Patients with which characteristics are at an increased risk for falls? Select all that apply.

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?

A first-time mother brings in her one-year-old daughter for a check-up. Which assessment finding requires further investigation?

Which patient is at risk for failure to progress past the Industry vs. Inferiority stage of Erik Erikson’s developmental stages?

The patient tells the nurse “I drink three cups of black coffee a day. Is that okay?” Which response by the nurse is best?

Which patient is at highest risk for thyroid disease?

The nurse is assisting with the development of a tool in the electronic medical record to prompt providers to screen appropriate individuals for hypothyroidism. The nurse provides which characteristics to the informatics team to include in the tool? Select all that apply.

At a routine ultrasound screening, the pregnant mother is diagnosed with polyhydramnios. This patient’s fetus may have which condition?

The premature neonate with severe intrauterine growth restriction is being evaluated for possible in utero TORCH organism exposure. The nurse obtains lab specimens to test for which organisms? Select all that apply.