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1. When preparing a presentation about screening for cervical cancer, the nurse would
include which recommendations?
A) initial Pap smear at age 18
B) Pap smears every 3 years until age 30 abirb.com/test
C) discontinuation of Pap smears between 30 and 70 years if last three were normal
D) Pap smears every 2 to 3 years for women over the age of 70
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2. A nurse prepares a woman with an abnormal Pap smear for further diagnostic
evaluation. Which procedure would the nurse expect to be done?
A) colposcopy abirb.com/test

B) HSV testing
C) transvaginal ultrasound
D) endometrial biopsy abirb.com/test

3. When interviewing a pregnant woman, how can the nurse best assess the patient's
dietary intake? abirb.com/test

A) Ask the woman to list her favorite foods.

B) Ask the woman to recall what she ate in the last 24 hours.
C) Ask the woman who does the cooking in the home. abirb.com/test
D) Ask the woman what foods she would like to include more of in her diet.

4. The school nurse is teaching middle-school students aboutabirb.com/test

cervical cancer and the HPV
virus. She is planning on administering the vaccine to protect them from this precursor
of cervical cancer. Which vaccine will she administer to the young girls for this
purpose? abirb.com/test
A) varicella
B) recombinant human papillomavirus vaccine
C) MMR
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D) DTP

5. The nurse is planning expected outcomes for a female patient who will be celebrating
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her 40th birthday in a few months. Which outcome would be appropriate for this
patient?
A) Patient will follow safer sex practices.
B) Patient will explain the process of reproduction. abirb.com/test
C) Patient will perform breast self-examination every 2 months.
D) Patient will schedule a mammogram shortly after 40th birthday.
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6. A nurse is working in a local community health care facility where she frequently
encounters victims of abuse. For which signs should the nurse assess to find out if a
client is a victim of abuse? Select all that apply.
A) frequent STIs abirb.com/test
B) mental health problems such as depression, anxiety, or substance abuse
C) injuries on the face, head, and neck
D) partner of suspected victim relaxed and not overly worried
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E) reported history of the injury inconsistent with the presenting problem

7. A nurse is working as part of a group of health care providers implementing a

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community health initiative for primary prevention of cervical cancer. The nurse would
focus educational efforts on which areas? Select all that apply.
A) steps to prevent sexually transmitted infections (STIs)abirb.com/test
B) consistent use of barrier contraceptives
C) immunization with the HPV vaccine
D) early treatment for abnormal Pap smears
E) pelvic rest after surgery abirb.com/test

8. A client has come to the clinic for an annual check up and expresses concern about
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developing breast cancer. Which factors in the client's history would the nurse discuss
as possibly placing this client at risk for breast cancer? Select all that apply.
A) Dense breasts
B) Never given birth abirb.com/test

C) Positive BRCA1 and BRCA2 gene mutations

D) Use of aluminum chlorohydrate antiperspirant
E) Family history of breast, ovarian, or peritoneal cancer abirb.com/test

9. The nurse is giving a presentation to a group of clients about healthy nutrition. The
nurse knows the teaching was effective when the clients abirb.com/test
identify which appropriate
percentages of daily calories that should come from each of the macronutrients? Select
all that apply.
A) Fat 10% to 35% abirb.com/test
B) Protein 10% to 35%
C) Protein 25% to 40%
D) Added sugars 10% or less
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E) Carbohydrates 45% to 65%

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10. The nurse is caring for a client who adheres to a vegan diet. Which micronutrient does
the nurse recommend for this client?
A) The client needs more protein and fat.
B) Additional calcium is needed in the vegan diet. abirb.com/test
C) The client needs to include a B vitamin supplement.
D) The client needs to take supplemental folic acid and iron.
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11. A nurse is teaching a group of clients about the benefits of regular exercise for adults.
The nurse knows the teaching was effective when the clients provide which appropriate
responses regarding benefits of regular exercise? Select all that apply.
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A) It improves bone density.

B) It improves the quality of sleep.
C) It lowers the risk of type 1 diabetes. abirb.com/test
D) It lowers the risk of high blood pressure, cardiovascular disease, and stroke.
E) It promotes weight loss with reduced caloric intake and maintenance of a healthy
weight.
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12. A nurse has been invited to teach a community group about gender identity issues.
Which issues does the nurse plan to address to ensure understanding
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Select all that apply.
A) Sexual orientation refers to whom a person is attracted to sexually.
B) Gender identity is a person's innate sense of being male, female, or neither.
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C) Gender expression is how a person presents to the world: male, female, or neither.
D) Children are typically raised according to their anatomical characteristics
identifying their sex.
E) Transgender refers to individuals whose gender identity is not the same as their
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assigned natal sex.
F) Transgenders and those with alternate sexual orientation are often depressed,
isolated, and exploited.
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13. The nurse is caring for clients in a community health clinic. Which clients does the
nurse recognize need screening for sexually transmitted infections?
abirb.com/test Select all that apply.
A) An incarcerated 28 year old client.
B) A pregnant woman in the third trimester.
C) Initial examination after a sexual assault.
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D) Annual exam for a 24 year old sexually active woman.
E) A 35 year old client in a committed heterosexual relationship.

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14. The nurse has been emphasizing the importance of reading labels to know the content of
foods the client is eating. When reading a nutrition label, the client recognizes which of
the following fats is the best option?
A) Palm oil abirb.com/test
B) Olive oil
C) Coconut oil
D) Butter and other milk fats abirb.com/test
E) Partially hydrogenated oils

15. When performing a diet assessment, which questions should the nurse include? Select
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all that apply.

A) Can you describe the portion size of the foods that you eat?
B) What do you typically eat for each meal and snack during the day?
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C) Do you take vitamin supplements? If so, which ones do you take?
D) Do you have any religious or cultural practices that impact your diet?
E) Are there any changes you think you should make to improve your diet?
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16. A school nurse is working with a group of adolescents. Which assessment findings
might prompt the nurse to screen for eating disorders? Select all that apply.
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A) weight fluctuation
B) erosion of teeth
C) menstrual irregularity
D) absence of hunger abirb.com/test

E) frequent nurse visits

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17. The nurse is admitting a client to the emergency clinic and notes that the client's gender
expression is different than the gender noted in the driver's license and insurance
documentation. What is the nurse's best response?
A) The nurse should communicate with the client basedabirb.com/test
on the client's preferred
pronoun.
B) The nurse should communicate with the client by the gender indicated on the
driver's license. abirb.com/test
C) The nurse needs to clarify the conflict between the driver's license and the client's
appearance.
D) The nurse should refer to the client using the pronoun based on the legal
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documented gender.
E) The nurse should avoid using any gender specific pronouns or anything that relates
to either gender.
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18. The nurse is teaching a community group about increasing physical activity and
exercise. When teaching about physical fitness, the nurse will include which statements?
Select all that apply.
A) Physical fitness refers to cardiovascular endurance as well as to the state of the
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skeletal muscles themselves.
B) It is recommended that healthy adults have at least 2.5 hours of moderate intensity
aerobic activity per week. abirb.com/test
C) It is recommended that healthy adults have at least 15 minutes of vigorous intensity
aerobic activity per week.
D) Adults should perform moderate- or high-intensity muscle strengthening activities
on 2 or more days a week. abirb.com/test

E) Anyone with underlying health conditions should undergo screening by a clinician

prior to starting an exercise program.
F) Small changes to one's activity level do not make a abirb.com/test
difference in the individual's
overall physical fitness.

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19. A client is starting a new exercise program. The nurse teaches the client that exercise is
effective when:
A) a target heart rate is achieved.
B) the client becomes out of breath when exercising. abirb.com/test
C) the client can exercise 5 times per week.
D) the client can walk on treadmill 1 hour.
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20. A group of postmenopausal women have started an exercise group and want to know
what exercises would be best for them. The nurse teaches the women about which
moderate-intensity exercise that would be good to do as abirb.com/test
a group?
A) Walking briskly
B) Jogging
C) Aerobic dancing
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D) Swimming laps

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Answer Key
1. B
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2. A
3. B
4. B
5. D abirb.com/test
6. B, C, E
7. A, B, C
8. A, B, C, E
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9. B, D, E
10. C
11. A, B, D, E
12. A, B, C, D, E, F abirb.com/test
13. A, B, C, D
14. B
15. A, B, D, E
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16. A, B, C
17. A
18. A, B, D, E
19. B abirb.com/test
20. A

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