Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexually transmitted infections is nationally notifiable.
A. Gonorrhea
Gonorrhea is a nationally notifiable sexually transmitted infection (STI). This means that healthcare providers are required to report cases of gonorrhea to public health authorities to track and monitor the spread of the disease.
B. Bacterial vaginosis trichomoniasis
Bacterial vaginosis and trichomoniasis are common STIs but are not nationally notifiable.
C. Genital herpes simplex virus
Genital herpes simplex virus is a common STI but is not nationally notifiable.
D. Human papilloma virus
Human papillomavirus (HPV) is a common STI, but it is not nationally notifiable. However, HPV vaccines are recommended to prevent certain strains of the virus that can cause cervical cancer.
This question is an excerpt from Nurse Dive's nursing test bank - RN Nursing Care of Children 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
A. Gonorrhea is a nationally notifiable sexually transmitted infection (STI). This means that healthcare providers are required to report cases of gonorrhea to public health authorities to track and monitor the spread of the disease.
B. Bacterial vaginosis and trichomoniasis are common STIs but are not nationally notifiable.
C. Genital herpes simplex virus is a common STI but is not nationally notifiable.
D. Human papillomavirus (HPV) is a common STI, but it is not nationally notifiable.
However, HPV vaccines are recommended to prevent certain strains of the virus that can cause cervical cancer.
Similar Questions
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
A. BUN 12 mg/dL
Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.
B. BUN 6 mg/dL
Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.
C. Creatinine 1.4 mg/dL
A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.
D. Creatinine 0.3 mg/dL
Creatinine level of 0.3 mg/dL is within the normal range for a child.
Full Explanation
A. Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.
B. Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.
C. A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.
This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.
D. Creatinine level of 0.3 mg/dL is within the normal range for a child.
A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following actions should the nurse take? (Select all that apply.)
A. Provide a high-calorie det
Providing a high-calorie diet is important for a child with extensive burns to support wound healing and recovery.
B. Monitor intake and output.
Monitoring intake and output is crucial to assess fluid balance and ensure that the child is receiving enough fluids and nutrients for healing.
C. Change dressings using aseptic technique
Changing dressings using aseptic technique helps prevent infection, which is a significant risk in burn wounds.
D. Remove splints during sleep
Removing splints during sleep is not recommended, as they are in place to prevent contractures. They should be worn consistently, including during sleep.
E. Administer analgesics IM
Administering analgesics IM (intramuscularly) is not typically indicated. Pain management can be achieved through various routes, and IM administration may not be necessary. Additionally, it's important to consider the child's pain level and choose the most appropriate and effective route for analgesia.
Full Explanation
A. Providing a high-calorie diet is important for a child with extensive burns to support wound healing and recovery.
B. Monitoring intake and output is crucial to assess fluid balance and ensure that the child is receiving enough fluids and nutrients for healing.
C. Changing dressings using an aseptic technique helps prevent infection, which is a significant risk in burn wounds.
D. Removing splints during sleep is not recommended, as they are in place to prevent contractures. They should be worn consistently, including during sleep.
E. Administering analgesics IM (intramuscularly) is not typically indicated. Pain
management can be achieved through various routes, and IM administration may not be necessary. Additionally, it's important to consider the child's pain level and choose the most appropriate and effective route for analgesia.
A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence?
A. Increased self-esteem
Increased self-esteem is a positive aspect of development, but it may not be a consistent characteristic during early adolescence. Self-esteem can fluctuate based on various factors.
B. Mood swings
Mood swings are common during early adolescence due to hormonal changes and the emotional challenges that come with this stage of development. It's important for parents to be understanding and supportive during this time.
C. Decelerating growth rate
The growth rate during early adolescence may vary from person to person, but it generally accelerates rather than decelerates. This period is associated with rapid physical growth, known as the adolescent growth spurt.
D. Emotional separation from parents
Emotional separation from parents is a normal part of adolescent development, but it tends to become more prominent in later adolescence rather than early adolescence. During early adolescence, there may be a mix of seeking independence and still relying on parental support and guidance.
Full Explanation
A. Increased self-esteem is a positive aspect of development, but it may not be a consistent characteristic during early adolescence. Self-esteem can fluctuate based on various factors.
B. Mood swings are common during early adolescence due to hormonal changes and the emotional challenges that come with this stage of development. It's important for parents to be understanding and supportive during this time.
C. The growth rate during early adolescence may vary from person to person, but it generally accelerates rather than decelerates. This period is associated with rapid physical growth, known as the adolescent growth spurt.
D. Emotional separation from parents is a normal part of adolescent development, but it tends to become more prominent in later adolescence rather than early adolescence. During early adolescence, there may be a mix of seeking independence and still relying on parental support and guidance.