The nurse is presenting a class to a group of high school students about sexually transmitted infections. What would the nurse include as a major risk factor for cervical cancer?

Human papillomavirus

Human immunodeficiency virus

Syphilis

Gonorrhea

Answer and Explanation

The Correct Answer is A

Choice A reason: Human papillomavirus (HPV), especially types 16 and 18, is the primary cervical cancer risk, causing 99% of cases. This STI triggers oncogenic changes in cervical cells, making it the key factor for this class accurately and fully here.
Choice B reason: HIV weakens immunity, raising HPV persistence risk, but isn’t a direct cervical cancer cause. Its role is secondary, amplifying HPV effects, not independently driving carcinogenesis, excluding it as the major factor comprehensively here entirely.
Choice C reason: Syphilis, a bacterial STI, causes sores, not cervical cancer. It lacks the viral oncogenic mechanism of HPV, rendering it irrelevant as a primary risk factor for this malignancy in the educational context fully here.
Choice D reason: Gonorrhea causes inflammation, not cancer. This bacterial STI doesn’t alter cervical DNA like HPV, making it an incorrect choice for a major risk factor in cervical cancer education for these students entirely here fully.

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Correct Answer is B

Explanation

Choice A reason: Speaking very slowly distorts speech, worsening comprehension in presbycusis, an age-related high-frequency hearing loss. Facing the client aids lip-reading, but excessive slowness disrupts natural cadence, reducing clarity for those with sensorineural deficits typically seen here.

Choice B reason: Speaking directly, slightly slower, in a clear voice enhances understanding in presbycusis. Facing the client supports visual cues, while normal volume avoids distortion, addressing high-frequency loss effectively without assuming blockage or overcompensating unnecessarily for this condition.

Choice C reason: Presbycusis is sensorineural, not conductive from blockages like cerumen. Preparing to remove nonexistent wax misdiagnoses this age-related cochlear degeneration, wasting time and missing the communication adjustments needed for effective care in this scenario entirely.

Choice D reason: Raising the voice distorts sound, worsening presbycusis comprehension, as shouting amplifies lower frequencies, not the lost high ones. Assuming a “good ear” ignores bilateral degeneration, making this less effective than clear, direct speech for communication here.

A. Paraphimosis of prostate B. Epispadias C. Urethral stricture of bladder D. Age related changes

Correct Answer is B

Explanation

Choice A reason: Paraphimosis involves foreskin retraction, not meatal position, and isn’t prostate-related. Dorsal urethral meatus points to a congenital defect, not this acquired condition, making it an incorrect concern for this genitourinary finding entirely here fully.
Choice B reason: Epispadias is a congenital dorsal urethral opening, a key concern in males. This abnormal positioning may cause urinary issues or infertility, making it the most significant finding requiring attention in this assessment accurately and comprehensively here.
Choice C reason: Urethral stricture narrows the urethra, not shifting its position dorsally. This acquired issue isn’t bladder-specific, misaligning with the congenital anomaly observed, excluding it as the primary concern in this genitourinary exam fully here.
Choice D reason: Age doesn’t reposition the urethral meatus dorsally; this is congenital, not degenerative. Normal aging affects prostate size, not meatal anatomy, rendering this less critical than epispadias as the identified issue in this case entirely here.

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The nurse is presenting a class to a group of high school students about sexually transmitted infections. What would the nurse include as a major risk factor for cervical cancer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has presbycusis. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?

Correct Answer is B

Explanation

A client has sought care because of a sudden increase in the size of his scrotum after a cough. The nurse's assessment reveals the presence of a large scrotal mass. How can the nurse best assess for a scrotal hernia?

An older adult client has been admitted due to decreased cognition. What assessment finding is most suggestive of delirium as the cause of the client's cognitive impairment?

The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow up?

The nurse has completed the assessment of the client's ears. A small/moderate amount of brown cerumen was found in both ears. Which action by the nurse is warranted?

A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

The nurse is performing a peripheral vascular assessment of an adult client. The nurse is palpating the client's peripheral pulses but knows that some are not palpable, even in healthy clients. What pulse is not palpable in a large proportion of healthy clients?