Health Screening

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 in the emergency department is obtaining a medical history from a female patient. Her husband answers the nurse’s questions before the patient can respond. The patient is quiet, trembling, and the nurse notes bruising to her face and arms. How does the nurse proceed?

Which is the best indicator of the effectiveness of the treatment plan for a patient with type 2 diabetes mellitus?

An 82-year-old client with a history of hypertension becomes acutely confused and complains of a severe headache. The nurse is concerned the client is having a stroke. Which action does the nurse take first?

The nurse is caring for a client following a diagnostic liver biopsy. Which interventions does the nurse include in the plan of care? Select all that apply.

The 18-year-old female patient presents to a women’s health clinic following unprotected sexual intercourse one week ago. Per the patient’s report, she has painful lesions on her genitals. On physical exam, the nurse notes blisters and ulcerations on the patient’s labia minora and vulva. The nurse anticipates testing will reveal which microorganism to explain this patient’s symptoms?

Which individual is at the highest risk for hepatitis C infection?

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

A 1-year-old male is brought to the hospital with a broken leg. Which action does the nurse take first?

A 12-month-old male presents with injuries. Which is most indicative of child abuse?

The nurse is assessing an elderly patient for possible mild cognitive impairment (MCI). Which of the following is the most efficient screening tool for MCI?

The patient with major depressive disorder tells the nurse, “I can’t stand it anymore. My life is worthless.” Which response by the nurse is most appropriate?

The nurse is called to assess a female patient who says she has been raped. Which of the following is part of an appropriate post-assault STD regimen?

The nurse educates the patient taking atorvastatin that she may need to return to the clinic for which laboratory test?

The nurse is caring for an elderly patient who accidentally got shot in the leg when his dog knocked his gun to the floor and it misfired. The patient mentions that he wants to get better quickly because he is anticipating a visit from his grandchildren soon. Which response by the nurse is most appropriate?

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

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?

A 28-year-old female who is 12-weeks pregnant is concerned about her baby having a neural tube defect. Which of the following prenatal tests does the nurse anticipate?

The nurse is reviewing the results of a chromosomal microarray. The results are significant for a chromosomal abnormality in which a single amino acid has been altered. Which of the following terms should the nurse use to describe this abnormality?

During prenatal testing, a fetus is found to have a 47,XXY karyotype. Which of the following statements by the nurse is most accurate?

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 assigned to care for a neonate who is born with a chromosomal abnormality. The nurse is reviewing the cytogenetic location of the chromosomal defect for this patient. The results state the patient has a deletion at 14q21. Which of the following is the correct interpretation of this result?

The nurse is assisting with genetic counseling for a couple in which the mother has a rare autosomal dominant condition, and the father does not have the condition. Which of the following statements by the nurse 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 caring for a child who has been diagnosed with cystic fibrosis, which the nurse knows is an autosomal recessive condition. What are the most likely genotypes of this patient’s healthy parents? C is the healthy allele and c is the disease allele.

The nurse is assisting with genetic counseling for a couple with a history of hemophilia A in their families. Which of the following statements by the nurse is true regarding X-linked diseases like hemophilia A?

A young adult patient with phenylketonuria who is taking tyrosine supplements complains of severe headaches. Which of the following responses by the nurse is most appropriate?

A neonate’s newborn screen has tested positive for phenylketonuria. While diagnostic testing is performed, the nurse educates the parents to avoid foods high in which nutrient?

The nurse is assessing a neonate who presents with fever and irritability. The nurse notes the patient is quiet when laying in bed but cries when anyone holds her. Which of the following terms should the nurse use to document this assessment?

A patient presents to the clinic complaining of a persistent vaginal yeast infection. Of note, the patient’s BMI is 32 and blood pressure is 134/92 mmHg; other vital signs and assessments are within normal limits. Which test is most appropriate for this patient?

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?

A 45-year-old overweight patient has a fasting blood glucose level of 130 mg/dL. Which is the initial therapy for this patient?

A patient has a blood pressure of 135/86 mm/Hg which was taken after the patient rested quietly in a room for 30 minutes. Using the AHA guidelines, how does the nurse classify this patient’s blood pressure?

The patient tells the nurse, “My provider told me to increase my dietary intake of vitamin C, but I’m not sure how to get it.” Which food does the nurse encourage the patient to eat?

The nurse would provide a meal with healthy fats to a patient taking which vitamin supplement(s) to increase vitamin absorption? Select all that apply.

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?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

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?

The nurse prepares the patient who has been newly prescribed atorvastatin (Lipitor) for which periodic laboratory evaluation prior to the first dose?

Which patient must be treated first in the emergency department following a mass shooting?

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

The nurse is providing education to a patient with localized shingles. Which statement by the patient indicates the teaching was effective?

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?

The patient presents with acute confusion after she was found outside by the police, and it appears she has taken some kind of illegal substance. She is unable to answer any questions. Which finding most indicates abuse?

Which patient requires further screening as a potential abuse victim?