SNLE Question Discussion -Training4Nurse Academy

Question : A nurse is caring for an eight year-old male with cystic fibrosis .

Based on the nurse's understanding of the disease what nursing intervention should the nurse expect to perform ?

A-Restrict Sodium and fluid intake
B-Give antidiarrheal medications
C-Discourage coughing after postural drainage
D- Administer pancreatic enzymes with each meal

Correct Answer : D- Administer Pancreatic enzymes with each meal 

 من ضمن اسئلة شهر ديسمبر ورد سؤال يتعلق بتكرار اجراء Pap smear test لاكتشاف سرطان عنق الرحم المبكر ،، والجدول اعلاه يبين لكم بدقة وفقا للمرحلة العمرية للمريضة كل كم يجب اجراء فحص Pap smear

Question : A female patient has been advised that labratory tests confirm herpes simplex virus (HSV ),type 2 .The nurse should teach the patient that a Papanicolaou test ( Pap smear ) is recommended . 

A- Every 6 months if symptoms persist despite treatment  

B- Every year even if asymptomatic    

c-whenever symptoms recur     

D- Every 3 years if other Pap smear have been negative

Pap smears should be performed every 3 years in average risk women with a cervix who are 21 to 65 years old

All women should begin cervical cancer testing (screening) at age 21. Women aged 21 to 29, should have a Pap test every 3 years.

Routine screening with Pap smears should be carried out every two years for women who have no symptoms or history suggestive of cervical pathology

Current guidelines recommend that women who are or have been sexually active, or have reached age 18, should have Pap tests and pelvic exams regularly

Although annual (every year) screening should not be done, women who have abnormal screening results may need to have a follow-up Pap test (sometimes with a HPV test) done in 6 months or a year.

The American Cancer Society guidelines for early detection of cervical cancer do not apply to women who have been diagnosed with cervical cancer, cervical pre-cancer, or HIV infection. These women should have follow-up testing and cervical cancer screening as recommended by their health care team.

researchers at the International Agency for Research on Cancer in France found that women infected with both HPV and HSV-2 were two to three times more likely to get cervical cancer.

The herpes-2 virus is among several factors that work in conjunction with HPV in boosting cervical cancer risk.

There is no cure for HSV-2, which also is spread through unprotected sexual contact

Although among the more common cancers affecting women, when detected early -- via a Pap smear -- cervical cancer has a nearly 100% cure rate.

Most women have been advised to have at least one screening a year; those who have gotten "abnormal" results may require two or three per year.

that screening earlier than age 21 years, regardless of sexual history, would lead to more harm than benefit

Low risk patients:

• Cervical cancer screening should begin at age 21 years regardless of sexual history.
• For women aged 21 to 29 years, cervical cytology screening is recommended every 3 years.
• For women 30 years and older, who have had 3 consecutive negative (normal) PAP tests, the recommended screening interval may be continued at every 3 years. The recommended screening interval is every 5 years if HPV (human papillomavirus) testing is performed along with the routine Pap test. Women are candidates for this less frequent Pap testing schedule if they are HPV negative and have no history of CIN 2 or CIN 3 (Cervical Intraepithelial Neoplasia, which are potentially precancerous cells).
• Women who have HIV, another immunocompromised state (such as those who have had an organ transplant) or DES (diethylstilbestrol) exposure while in the womb should continue with yearly pap tests.
• Routine Pap testing should be discontinued in women who have had a total hysterectomy for benign conditions, assuming they have no history of high-grade CIN.
• Cervical cancer screening can be discontinued at age 65 in women who have 3 or more consecutive negative cytology test results and no abnormal test results in the past 10 years.

Herpes simplex virus type II, however, is classified as a sexually transmitted disease (STD) and can lead to the spread of infection around the body and to others.

One of the risk factors that are increased by the presence of Herpes Simplex Virus Type II is the contraction of cervical cancer.

Question  : The nurse is teaching a 17-year-old, sexually active female client about the
importance of regular Papanicolaou (Pap) smears. The nurse should instruct the client
that:

A-Pap smears are recommended every other year.

B- If four consecutive annual Pap smears are negative, the client should schedule
repeat Pap smears every 3 years.

C-The initial Pap smear should be done when at age 21.

D-The client should request a colposcopy.

Correct Answer is -- C

The American and Canadian Cancer Societies, American College of
Obstetricians and Gynecologists, and Society of Obstetricians and Gynecologists of
Canada recommend a Pap smear and pelvic examination 3 years after a woman first has
vaginal intercourse, but no later than 21 years of age.

Annual Pap smears are recommended only for clients at risk.

Women 21 to 30 years should have a Pap test every 2 years. Women older than 30 years, after three or more negative Pap smears, may have a Pap smear every 3 years.

Colposcopy is indicated for clients with an abnormal Pap smear.


Question : The nurse is assisting a patient to ambulate in hall. The patient has a history of coronary artery disease (CAD) and had coronary artery bypass graft surgery (CABG) 3 days ago. The patient reports chest pain rated 3 on a scale of 0 (no pain) to 10 (severe pain). The nurse should first:

A. Determine how long it has been since the patient's last dose of

     Aspirin

B. Obtain a chair for the patient to sit down

C. Assess the patient's radial pulse

D. Ask the patient to take several slow, deep breaths.

Question : The nurse calls together an interdisciplinary team with members from

       medicine, social service, the clergy, and nutritional services to care for a

       patient with a terminal illness. Which of the following types of care would

       the team MOST likely be providing?

A. Palliative

B. Curative

C. Respite

D. Preventive

Question : 

The mother of a 14-month-old child reports to the nurse that her child will

       not fall asleep at night without a bottle of milk in the crib and often wakes

       during the night asking for another. Which of the following instructions by

       the nurse is correct?

         

       A. Allow the child to have the bottle at bedtime, but withhold the one

     later in the night.

        B. Put juice in the bottle instead of milk. 

                C. Give only a bottle of water at bedtime. 
                  D. Do not allow bottles in the crib. 

 Question :  

      The physician prescribes lithium carbonate (Lithobid) 300 mg PO QID for a

         47-year-old woman. The nurse in the outpatient clinic teaches the client

         about the medication. The nurse should encourage the client to make

         sure her diet has adequate

A.    Sodium.

B.     Protein.

C.     Potassium.

D.    Iron. 

Question :

A female client is scheduled for a hysterectomy When discusing the preoperative preparation, the Nurse identifies that the client has on under-standing Of the surgery. The nurse should:

A. Describe the proposed surgery to the client

B. Proceed with implementing the preoperative plan

C. Notify the physician that the client needs information

D. Explain to the client gently that she should have aksed more

     questions 

Question :
A husbnd is sitting in the in the waiting room while his wife is getting her  infertikity prescriptior reffiled by the clinic pharmacist. The nurse sitsdown beside him and he blurts our, “It’s like there are three of us in bed

my wife me, and the doctor.” This is reflective of his feelings of:

A.    Guilt

B.     Anger

C.     Depression

D.    Unworthiness

A three year-old has returned to the clinic 4 days after being diagnosed with gastroenteritis and dehydration. A parent reports that the vomiting has stopped, and the child is tolerating liquids, rice, applesauce, and bananas. The diarrhea persists, but seems to be decreasing in volume. When evaluating for signs of dehydration, the nurse will assess the patient's skin turgor by:

A. Grasping the skin over the abdomen with two fingers and raising

     the skin with two fingers

B.     Grasping the skin over the forehead with two fingers and raising the skin with two fingers

C.     Holding the patient's mouth open and assessing the tongue for deep creases or furrows

D.    Drawing two tubes of blood and running a blood urea nitrogen (BUN) and creatinine (Cr)

A 45 year-old man who is hospitalized feels the constant need to keep things in order, particularly whilst eating. The nurse observes him arranging the food on his plate into symmetrical and equal bite-sized pieces. He constantly worries that food served could be outdated and potentially cause illness.

Which nursing diagnosis is most important?

A.    Ineffective verbal communication

B.     Self-esteem disturbance

C.     Impaired social interaction

D.    Anxiety

 

A 30 year-old married man presents to the clinic with complaints of feeling sad for the past three months. He is unable to maintain a regular sleep routine, has lost his appetite and has difficulty concentrating. He is prescribed a medication which prevents the reuptake of specific neurotransmitters that could contribute to his mental health problem. Which side effects would be most important for the nurse to advise the patient of?

A. Polyuria

B. Photophobia

C. Fluid retention

D. Sexual dysfunction

A 68 year-old woman is receiving parenteral nutrition at home. The district nurse visits the woman and notes that she has gained one kilogram of weight since a health provider had visited one week ago. There is pitting edema of 2+ of the lower extremities. The patient is alert, active and oriented.

Which nursing diagnosis is most appropriate?

A.    Non-compliance

B.     Impaired gas exchange

C.     Imbalanced nutrition

D.    Fluid volume overload

A 54 year-old woman presented to the Emergency Department with sharp upper right abdominal pain that radiates to the right scapula. While performing the admission assessment, the patient becomes nauseous and begins vomiting. She states that she has had pain in the upper right quadrant previously but that this time it was far worse. There's a positive Murphy's sign and an ultrasound confirms gallbladder wall thickening and pericholecystic fluid collections. Which of the following would most likely be associated with her clinical findings?

A. Relief by drinking milk

B. Alleviation with exercise

C. Triggered by fatty meal

A 67 year-old man was admitted to the hospital following a closed bone fracture. An intramedullary nail is inserted and the patient is placed in balanced skeletal traction. The following day, the patient becomes restless, drowsy and confused, he has difficulty breathing and appears very tired.

Which additional sign or symptom would require immediate intervention?

A.    Anxiety

B.     Cold skin

C.     Constipation

D.    Petechiae on chest

  

An 82 year-old patient has Parkinson's disease. During the assessment, the nurse would expect which of the following actions to produce the MOST tremor activity of the hands?

A. Eating with a fork

B. Resting hands in lap

C. Standing with hands loose at sides

D. Rolling a small pill between the fingers

  

 

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