Nclex week 8 LAB

Which is the most common STI caused by bacteria? A. Gonorrhea B. Syphilis C. Chlamydia D. Genital warts

C. Chlamydia

A 4 year old is admitted to your unit with a severe case of impetigo. It is important the nurse follows _______________ while providing care to this patient:* A. Droplet precautions B. Standard precautions only C. Contact precautions D. Airborne precaution

C. Contact precautions

Symptoms of acute human immunodeficiency virus (HIV) typically occur within how long after infection? Possible Answers: A. 2-4 weeks. B. Greater than 1 year C. 4-8 weeks D. 8-12 weeks E. 1-2 weeks

A. 2-4 weeks.

An infant of a mother infected with human immunodeficiency virus (HIV) is seen in the clinic each month and is being monitored for symptoms indicative of HIV infection. With knowledge of the most common opportunistic infection of children infected with HIV, the nurse assesses the infant for which sign? A. Cough B. Liver failure C. Watery stool D. Nuchal rigidity

A. Cough

A child is diagnosed with scarlet fever. The nurse collects data regarding the child. Which is characteristic of scarlet fever? A. Pastia's sign B. Abdominal pain and flaccid paralysis C. Dense pseudoformation membrane in the throat D. Foul-smelling and mucopurulent nasal drainage

A. Pastia's sign

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually. B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse. D. The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex.

A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

You're providing education to a group of parents about impetigo. Which statement is CORRECT about this disease?* A. "It tends to affect the preadolescent and adolescent population." B. "Cases of impetigo most likely to occur during the summer when the weather is warm." C. "Most cases of impetigo are not contagious." D. "Impetigo is caused by a mite parasite."

B. "Cases of impetigo most likely to occur during the summer when the weather is warm."

A sexually active young adult client has developed viral hepatitis. Which client statement indicates the need for further teaching? A. "I should avoid drinking alcohol." 2584 B. "I can go back to work right away." C. "My partner should get the vaccine." D. "A condom should be used for sexual intercourse."

B. "I can go back to work right away."

Nurse Kathy is assessing infantile reflexes in a 9-month-old baby; which of the following would she identify as normal? A. Persistent rooting B. Bilateral parachute. C. Absent moro reflex D. Unilateral grasp

B. Bilateral parachute.

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department? A. Chlamydia B. Gonorrhea. C. Genital herpes D. Human papillomavirus infection

B. Gonorrhea.

Nurse Oliver is attending to a child with Cushing's syndrome. Which of the following nursing interventions would be most necessary? A. Observing the child for signs and symptoms of metabolic acidosis B. Handling the child carefully to prevent bruising C. Monitoring vital signs for hypertension and tachycardia D. Monitoring the child for signs and symptoms of hypoglycemia

B. Handling the child carefully to prevent bruising

When educating parents regarding known antecedent infections in acute glomerulonephritis, which of the following should the nurse cover? A. Scabies B. Impetigo. C. Herpes simplex D. Varicella

B. Impetigo.

Which of the following bodily fluids does not transmit human immunodeficiency virus (HIV)? Possible Answers: A. Vaginal secretions B. Saliva. C. Semen D. Breast milk E. Blood

B. Saliva.

A 2 year old with impetigo is ordered topical antibiotic ointment. You're teaching the child's mother how to apply the ointment. Which action by the mother during application of the ointment requires you to re-educate the parent?* A. The mother washes her hands before and after the application of the ointment. B. The mother applies a layer of ointment directly over the crust of the lesion. C. The mother uses warm water and antibacterial soap to cleanse the lesions prior to application of ointment. D. The mother uses a cotton swab to apply the ointment.

B. The mother applies a layer of ointment directly over the crust of the lesion.

A 36-year-old patient's lab work show anti-HAV and IgG present in the blood. As the nurse you would interpret this blood work as? A. The patient has an active infection of Hepatitis A. B. The patient has recovered from a previous Hepatitis A infection and is now immune to it. C. The patient is in the preicetric phase of viral Hepatitis. D. The patient is in the icteric phase of viral Hepatitis.

B. The patient has recovered from a previous Hepatitis A infection and is now immune to it.

Baby Melody is a neonate who has a very-low-birth-weight. Nurse Josie carefully monitors inspiratory pressure and oxygen (O2) concentration to prevent which of the following? A.) Meconium aspiration syndrome B.) Bronchopulmonary dysplasia (BPD) C.) Respiratory syncytial virus (RSV) D.) Respiratory distress syndrome (RDS)

B.) Bronchopulmonary dysplasia (BPD)

Which of these individuals is experiencing a symptom of the DSM-IV-TR diagnosis sexual aversion disorder? A. The patient who has genital pain associated with intercourse B.. The patient who avoids genital sexual contact with a partner. C. The patient who has absence of desire to engage in sexual activity D. The patient who has delayed orgasm following sexual excitement

B.. The patient who avoids genital sexual contact with a partner.

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A. A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis. D. Vomiting for 2 days

C. A recent episode of pharyngitis.

You're providing education to a patient with an active Hepatitis B infection. What will you include in their discharge instructions? Select all that apply:* A. "Take acetaminophen as needed for pain." B. "Eat large meals that are spread out through the day." C. "Follow a diet low in fat and high in carbs." D. "Do not share toothbrushes, razors, utensils, drinking cups, or any other type of personal hygiene product." E. "Perform aerobic exercises daily to maintain strength."

C. "Follow a diet low in fat and high in carbs." D. "Do not share toothbrushes, razors, utensils, drinking cups, or any other type of personal hygiene product."

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A. A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 days

C. A recent episode of pharyngitis

Which of the following organisms is responsible for the development of rheumatic fever? A. Streptococcal pneumonia B. Haemophilus influenza C. Group A beta-hemolytic streptococcus D. Staphylococcus aureus

C. Group A beta-hemolytic streptococcus

While Lawrence is being assessed at the clinic, Nurse Rachel observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child's rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. As a knowledgeable nurse, you know that the child has a deficiency of which of the following? A. Antidiuretic hormone (ADH) B. Parathyroid hormone (PTH) C. Growth hormone (GH). D. Melanocyte-stimulating hormone (MSH)

C. Growth hormone (GH).

Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours after birth; this may indicate which of the following? A. Celiac disease B. Intussusception C. Hirschsprung's disease D. Abdominal-wall defect

C. Hirschsprung's disease

After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jessica inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility? A. Chickenpox B. Measles C. Mumps. D. Scarlet fever

C. Mumps.

The nurse is aware that the following laboratory values support a diagnosis of pyelonephritis? A. Myoglobinuria B. Ketonuria C. Pyuria D. Low white blood cell (WBC) count

C. Pyuria

A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother? A. To continue to monitor the child B. That lethargy and vomiting are normal with mumps C. To bring the child to the clinic to be seen by the pediatrician D. That, as long as there is no fever, there is nothing to be concerned about

C. To bring the child to the clinic to be seen by the pediatrician

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A.) A fever that started 3 days ago B.) Lack of interest in food C.) A recent episode of pharyngitis D.) Vomiting for 2 days

C.) A recent episode of pharyngitis

Which major organ can be affected by untreated syphilis? A. Heart B. Brain C. Liver D. A and B

D. A. Heart AND B. Brain

Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media? A. Placing the child in the supine position to bottle-feed B. Giving prescribed amoxicillin (Amoxil) on an empty stomach C. Cleaning the inside of the ear canals with cotton swabs D. Avoiding contact with people who have upper respiratory tract infections.

D. Avoiding contact with people who have upper respiratory tract infections.

The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate? A. Ten days after using the antibiotic ointment B. One week after using the antibiotic ointment C. As soon as the antibiotic ointment is started D. Forty-eight hours after using the antibiotic ointment

D. Forty-eight hours after using the antibiotic ointment

Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? A. Rashes on the palms of the hands and soles of the feet. B. Cauliflower-like warts on the penis. C. Painful red papules on the shaft of the penis. D. Foul-smelling discharge from the penis.

D. Foul-smelling discharge from the penis.

Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? A. Rashes on the palms of the hands and soles of the feet B. Cauliflower-like warts on the penis C. Painful red papules on the shaft of the penis D. Foul-smelling discharge from the penis.

D. Foul-smelling discharge from the penis.

A physician prescribes an IV solution of 500 ml 0.45% Saline with an incorporation of 20mEq potassium chloride for a child with dehydration. The nurse should check which of the following before administering this IV prescription? A. Blood pressure B. Height C. Weight D. Urine output.

D. Urine output.

The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent influenza. Which statement by the parent indicates a need for further teaching? A. "I will get a flu shot and I will have my child get a flu shot too." B."I will avoid having my child come into contact with sick children." C."I will have my child wash her hands frequently during the flu season." D."I will not let my child play with other children who have the flu unless they are taking acetaminophen.

D."I will not let my child play with other children who have the flu unless they are taking acetaminophen.

Which of the following regarding human immunodeficiency virus (HIV) is false? Possible Answers: A. The risk of transmission increases in individuals who have another sexually transmitted infection such as genital herpes B. The number of disease particles in a fluid is called the viral load C. Health care workers have a relatively low risk of contracting HIV when using standard precautions D. In heterosexual encounters, it may be easier for a woman to contract HIV E. HIV can spread to other individuals starting 2 weeks after the host is infected.

E. HIV can spread to other individuals starting 2 weeks after the host is infected.

Rubeola is caused by which of the following viruses? A. Parvovirus B19 B. Varicella zoster C. Coxsackievirus A16 D. Human herpesvirus E. Measles

E. Measles

Katrina Sterrett, a 26-year-old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. She is returning for her results and is devastated to learn that she has the sexually-transmitted infection, gonorrhea. What would contribute to her ignorance of her condition a) Being asymptomatic. b) All options are correct c) Being sexually inactive d) Knowing the signs and symptoms of STIs

a) Being asymptomatic.

A patient who has a sexual disorder mentions to the nurse, "I don't know why I bother looking for help. They don't know much about sex problems." Which statement best describes the evolution of research on sexuality and should serve as the basis for the nurse's response? a. Increased knowledge about sexual dysfunction has been available since the late 1960s. b. Masters and Johnson were the first persons to explore the area of sexual dysfunction c. Kaplan was instrumental in identifying the need for psychoanalysis in treating sexual dysfunction d. Sigmund Freud, a sexologist, based his work on scientific data from studying human sexual behavior

a. Increased knowledge about sexual dysfunction has been available since the late 1960s.

Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States? a) Gonorrhea b) Chlamydia. c) Herpes simplex 1 d) HPV

b) Chlamydia.

A patient who is being treated at the community health clinic complains of lack of sexual desire and mentions the problems this is causing in her marriage. Which of the following data is likely related to her sexual dysfunction? a. Being an adopted only child b. Taking an antidepressant medication. c. Growing up in a dysfunctional family d. Living in an isolated area in the country

b. Taking an antidepressant medication.

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of: a) why the disease is transmittable only when visible lesions are present b) the need for the use of petroleum products c) the option of disregarding safer-sex practices now that he's already infected d) the importance of informing his partners of the disease.

d) the importance of informing his partners of the disease.