ATI PN Comprehensive Exit Exam Version 4

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1.A parent asks about the human papillomavirus (HPV) vaccine. Whichinformation will the nurse include in the teaching session? a.It is recommended for girls 6 to 9 years old. b.It is recommended for... females ages 11 to 26. c.It is recommended that booster injections be given. d.It is recommended to receive four required injections. ANS: B The vaccine is safe for girls as young as 9 years old and is recommended for females ages 11 to 26 if they have not already completed the three required injections. Booster doses currently are not recommended. The vaccine is most effective if administered before sexual activity or exposure. 2.A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which statement made by the nursing student requires the nurse to intervene? a.“Avoiding alcohol use will enhance your sexual functioning.” “You need to tell your partner how you feel about sex and any fears b.you may have.” “You do not need to worry about getting a sexually transmitted c.infection at this point in your life.” “Using pillows and taking pain medication if needed before having sexual intercourse often help alleviate pain and improve sexual d.functioning.”ANS: C Research indicates many older adults are more sexuality active than previously thought and engage in high-risk sexual encounters, resulting in a steady increase HIV and STI rates over the past 12 years. Therefore, the nurse needs to intervene when the student tells the older adults that they are not at risk for developing an STI. Avoiding the use of alcohol; using pillows; taking pain medications before having intercourse if needed; and communicating thoughts, fears, and feelings about sex all enhance sexual functioning. 3.A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up? a.“I have lost 12 pounds on this diet.” b.“I use the diaphragm to prevent pregnancy.” c.“I use a contraceptive cream with my diaphragm.” d.“I know this provides a barrier over the cervical opening.” ANS: A The woman needs to be refitted after a significant change in weight (10-pound gain or loss) or pregnancy. The diaphragm is a round, rubber dome that has a flexible spring around the edge. It is used with a contraceptive cream or jelly and is inserted in the vagina so it provides a contraceptive barrier over the cervical opening. [Show More]

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