1. Those persons most likely to become infected with a sexually transmitted disease share the common characteristic of :
A. Being IV drug users.
B. Being homosexual.
C. Having unprotected sex with multiple partners.
D. Having sex with people they don't know.

2. A young mother expresses concern that her 18-month-old son plays with himself when she bathes him in the tub.  The best response by the nurse would be:
A. "You are right to be concerned, slap his hands whenever this occurs."
B. "This is normal exploratory behavior and is best handled by distraction."
C. "This is normal sexual behavior and is best handled by ignoring the behavior."
D. "This is abnormal behavior and you should consult a child psychologist."

3. A new parent asks the nurse, "How can diaper rash be prevented?"   The nurse should recommend which of the following?
A. Wash with soap before applying a thin layer of oil.
B. When changing the diaper, wipe the buttocks with oil and powder the creases.
C. Wash with a mild cleanser such as Dove and water and dry thoroughly whenever stooling has occurred.
D. Wash with soap and water every time diaper is changed.

4. The nurse must administer an oral medication to a three year old child. What is the best way for the nurse to proceed?
A. "Would you like to take your medication now?"
B. "If you take your medication, you'll go home sooner."
C. "Here is your medication. Would you like apple or grape juice after?"
D. "See how Jimmy took his medicine. He's a good boy. It's your turn."

5. The school nurse is doing screenings for pediculosis capitis (head lice) since several children have been diagnosed with it.  The nurse should:
A. Wear gloves.
B. Explain to children how infectious this is.
C. Use a fine-toothed comb.
D. Wash hands after each examination.

6.  A mother tells the nurse that her 22 month old child says "NO" to everything. When scolded, the toddler becomes angry and starts to cry loudly, but then immediately wants to be held. What is the best interpretation of this behavior?
A. The toddler is not effectively coping with stress.
B. The toddler's need for affection is not being met.
C. This behavior suggests the need for counseling.
D. This is normal behavior for a two year old child.

7. The nurse is concerned with the prevention of communicable disease. Primary prevention results from which of the following?
A. Early diagnosis
B. Strict isolation
C. Antibiotics
D. Immunizations

8. A nine month old infant is admitted to the pediatric unit with diarrhea and dehydration. The nurse plans to assess this infants vital signs frequently. What other action would provide the most important assessment information?
A. Obtaining a stool specimen for analysis.
B. Obtaining a urine specimen for analysis.
C. Measuring the infant's body weight.
D. Inspecting the infant's posterior fontanel.

9.  Ringworm frequently found in school age children is caused by which of the following?
A. Bacterial infection
B. Fungus
C. Allergic reaction
D. Virus

10. A newly married couple plan to use natural family planning. It is important for them to know how long an ovum can live after ovulation. The nurse knows her/his teaching is effective when the couple responds that an ovum is considered fertile for:
A. 6 to 8 hours.
B. 24 hours.
C. 2 to 3 days.
D. 1 week.

11. In planning care for a 14-year-old client, an appropriate nutritional goal would be that the client:
A. Gain less weight than the 25-35 pounds recommended for adult women.
B. Consume a diet higher in protein and fat than recommended for older adolescents.
C. Follow dietary guidelines through a menu established by their health professionals.
D. Participate in planning a diet emphasizing folic acid, iron, and calcium sources.

12. A woman presents to the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14. Her expected date of birth (EDB) would be:
A. September 17.
B. November 7.
C. November 21.
D. December 17.


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