Health Promotion and Maintenance

The triage nurse asks the patient presenting with abdominal pain which question to satisfy the “P” section of the PQRST mnemonic?

The patient presents with concern for a respiratory virus with a cough. The nurse uses which question to assess the “Q” in the PQRST mnemonic?

The nurse is educating a middle-aged wellness group on lifestyle changes that may prevent Alzheimer’s disease. Which diet does the nurse recommend?

The 40-week-gestation patient is brought to the emergency department in active labor. Which assessment alerts the nurse to an impending emergency?

The American Cancer Society recommends the patient's initial cervical cancer screening occurs at which time?

The parents of a 6-month-old baby are introducing solid foods into the baby's diet and would like to know which foods are appropriate. How does the nurse respond?

The public health nurse is planning an informational session about recognizing the signs of Alzheimer’s disease in a loved one. Which initial signs of the disease does the nurse include in the presentation? Select all that apply.

The 17-year-old patient is seeking advice on testing for sexually transmitted diseases. He states, “I kissed my girlfriend with my tongue inside her mouth. What do I need to be tested for?” Which is the most therapeutic response by the nurse?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

The community health nurse is developing an initiative to prevent long-term morbidity of cerebrovascular accidents by raising awareness of transient ischemic attacks. To which patient populations does the nurse direct these efforts? Select all that apply.

The 7-month-old infant is sitting quietly on the mother’s lap. Which assessment does the nurse perform first?

Which term does the nurse use to document a 1.5 cm, dark red, fluid-filled lesion on the patient's cheek?

Which term does the nurse use to document the pinpoint, non-blanchable rash in the child who has invasive meningococcal disease (IMD) caused by Neisseria meningitidis? 

The patient with vasculitis has a rash of red marks that are greater than 3 mm and do not blanch when pressed. Which term does the nurse use to document this finding? 

During the initial examination of the full-term baby, the nurse notes an irregular red reflex. The nurse reports the finding to the provider and reviews the mother’s chart for which information?

The nurse is performing an admission assessment on the 73-year-old patient. Which question does the nurse ask to determine if the patient is experiencing cataract development?

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

Which instruction does the nurse provide to the patient with recurrent otitis externa infections?

The school nurse is creating a health pamphlet to send home with the students prior to summer break on how to prevent otitis externa. Which information does the nurse include on the cause of otitis externa?

The nurse is assigned to care for a large for gestational age neonate with respiratory distress and significant tachypnea that is requiring continuous positive airway pressure at 12 hours of life. The nurse notes the patient has good muscle tone with flexed bilateral legs and a flexed right arm. The left arm is extended and adducted. The nurse is MOST concerned about which condition?

The mother of the healthy baby born 12 hours ago at 42 weeks’ gestation asks the nurse why the baby’s arms and legs quiver when she cries. Which response by the nurse is most appropriate?

The mother of a 1-month-old neonate brings the child to the clinic with concerns that the child’s head seems large. The nurse measures the occipitofrontal circumference (OFC) and notes a 4 cm increase in the OFC since birth. When reporting this information to the provider, the nurse requests which test?

On the initial assessment after birth, the neonate is found to have a 1 cm x 0.5 cm hemangioma on the right cheek. Which additional assessment does the nurse make related to this finding?

The parents of an 18-month-old with cystic fibrosis (CF) are in the office for a well-child visit and ask the nurse about immunization against influenza. Which response from the nurse is correct?

Which information is true regarding developmental coordination disorder (DCD)?

At which age does the nurse instruct the parent to bring the child in to the clinic for the measles, mumps, and rubella (MMR) vaccine?

The nurse provides which education to parents of a 1-day-old infant to prevent Sudden Infant Death Syndrome? Select all that apply.

The 58-year-old patient with chronic obstructive pulmonary disorder (COPD) presents to the clinic requesting the pneumococcal vaccine. Which response by the nurse is appropriate?

The American Academy of Pediatrics recommends children remain in rear-facing car seats away from airbags until which age?

Which term is used to describe normal dark red vaginal bleeding in the postpartum period?

Which hormone is produced in the mother as a result of breastfeeding?

The fetus is delivered in which stage of labor?

Which reflex is demonstrated by allowing the infant to fall a few inches to a padded surface?

Which term describes the white biofilm that covers neonatal skin at birth?

Which statement is true regarding an autosomal recessive disorder?

The nurse is preparing educational material about brown recluse spider bites. Which information is most important to include?

The nurse is providing education to the parents of a child who experienced anaphylaxis following a bee sting. Which statement by the parents indicates a need for further teaching?

The nurse more closely assesses patients with which conditions for signs of pernicious anemia? Select all that apply.  

The nurse is creating a screening form to determine which patients are at heightened risk for laryngeal cancer. Which professions does the nurse include? Select all that apply.  

The nurse is preparing an informational session for individuals at risk for prostate cancer. Which statement does the nurse include in the talk?  

The nurse is selecting patients to receive a brochure about detecting testicular cancer. Which patient most needs the brochure? 

Which patient is most at risk for uterine cancer?  

The nurse is caring for a 12-year-old male patient with hemophilia A. Which statement is most likely true? 

The nurse is providing health promotion and disease prevention education to the 15-year-old patient receiving chemotherapy. Which statement does the nurse include?  

The newborn male child experienced hemorrhage from a circumcision site at 2 days old. Coagulation studies revealed normal prothrombin time and a prolonged activated partial thromboplastin time (aPTT). The von Willebrand factor is found to be 0.5%. Which individuals need to undergo genetic testing?   

The nurse is supervising the assessment of a 4-year-old patient with a Wilms tumor who was brought to the emergency department for profuse vomiting. Which statement by the student nurse requires prompt intervention by the nurse? 

The nurse is preparing to care for a baby antenatally diagnosed with type C esophageal atresia with tracheoesophageal fistula. Which interventions are the priority in the first day after birth?  

The 30-year-old couple presents to the infertility clinic after trying to conceive for 14 months. The man’s sperm analysis reveals sperm that have good motility and are adequate in number. On exam today, the woman’s cervical mucus is thin and stringy, with ferning on the slide. Which statement by the nurse is most appropriate?  

The 36-hour-old neonate who was born at 37 weeks gestation to a G3P2 mother has yet to pass meconium. The baby was born by cesarean section due to refractory preeclampsia with severe features. The mother reports the baby has been breastfeeding well after a slow first 12 hours. Upon assessment, the baby appears well with good tone and responsiveness. The baby’s anus is patent and the abdomen is soft and rounded; bowel sounds present. The mother denies emesis in the baby. An abdominal x-ray is obtained, which is normal. The nurse informs the mother that which test will be performed next? 

During the 1-hour assessment of the healthy, full-term neonate born to the 25-year-old G1P1 mother, the nurse notes the urethral meatus is on the ventral part of the penile shaft just proximal to the glans. The assessment is also notable for widely-spaced, downward-slanting eyes that resemble the baby’s father. The nurse provides which information to the parents?