Online Practice Test 40

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 40 > NCLEX® Review Date/Time Submitted: July 27, 2012 at 4:35 PM (UTC/GMT)

Summary of Results 70% Correct of 10 Scored items: 7 Correct:  70% 3 Incorrect:  30% More information about scoring

1.		At what age do children normally begin to identify with the parent of the same sex?  Your Answer: Four years old Correct Answer: Three years old
		Objective: Describe sexual development and concerns across the life span. Rationale: Children aged 4 to 6 years continue to develop gender identity, but the process is initiated by age 3. At age 1, the infant is assigned a gender but is not aware of the assignment. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		A mother states that her 14-year-old daughter has abdominal cramps during menstruation. What should the nurse advise? Your Answer: "Have your daughter rest and apply warmth to the abdomen."
		Objective: Recognize health promotion teaching related to reproductive structures. Rationale: Dysmenorrhea is common among adolescents. Warmth is more beneficial than because it promotes circulation; dysmenorrhea is caused by intense uterine contraction, not a desire to miss school. There is no need to go to the Emergency Department. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
3.		After teaching a class about menopause and sexuality changes with aging, a nurse knows that a client does not fully understand the changes of aging when the client says:  Your Answer: "With aging, less time is needed for a man to ejaculate."
		Objective: Describe sexual development and concerns across the life span. Rationale: "With aging, less time is needed for a man to ejaculate" indicates the client did not fully understand. All of the incorrect answers normally occur with aging. These reflect that the client understood the teaching. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which of the following are considered sexually transmitted diseases? (Select all that apply.) Your Answer: Gonorrhea AIDS Trichomoniasis
		Objective: Identify common illnesses affecting sexuality. Rationale: Commons STDs include: gonorrhea, syphilis, genital warts, chlamydial urethritis, trichomoniasis, candidiasis, AIDS, and herpes genitalis. Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Application Strategy: Use nursing knowledge of sexually transmitted diseases.
5.		Monthly __________for women can play an important role in early detection of breast cancer. Your Answer: breast examination Correct Answer: Breast Self-Examinations
		Objective: Recognize health promotion teaching related to reproductive structure. Rationale: Monthly breast self-examinations for women can play an important role in early detection of disease resulting in a greater chance of cure and less complex treatment. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge of health promotion activities.
6.		While giving discharge instructions to new parents, the couple begins to argue about the baby's impending circumcision. The wife, in an emotional state, is upset with the husband's refusal to allow the baby to be circumcised. The nurse's best response would be: Your Answer: "Can you tell me the reasons why you do not want the baby circumcised?"
		Objective: Give examples of how the family, culture, religion, and personal ethics influence one's sexuality. Rationale: Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. Nurses should not offer unwanted advice to clients. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Decide what is the best action for client and situation
7.		In the sexual response cycle, what occurs during the plateau phase? Your Answer: Sexual tension increases to levels nearing orgasm
		Objective: Describe physiologic changes in males and females during the sexual response cycle. Rationale: Sexual tension increasing to levels nearing orgasm occurs during the plateau phase. An involuntary contraction of the anal sphincter is not related to the plateau. An involuntary climax of sexual tension describes the orgasmic phase. The body no longer responds to sexual stimulationdescribes the orgasmic phase. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		A 28-year-old male client admits to using marijuana regularly to try to boost his sexual performance. Which of the following is true of the effects of marijuana?  Your Answer: Marijuana can reduce testosterone levels and sperm production.
		Objective: Identify the forms of male and female sexual dysfunction. Rationale: Reduced testosterone levels from marijuana use result in decreased sexual function.Frequent marijuana use can enhance sexuality, A small amount of marijuana can cause impotence, andMarijuana has no effect on sexuality are false statements. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		A nurse advises a female client to learn Kegel exercises. What is the purpose of these exercises? Your Answer: Contracting and relaxing the pubococcygeal muscle
		Objective: Recognize health promotion teaching related to reproductive structures. Rationale: Kegel exercises have many benefits, but none of them is included in Answers 2, 3, or 4. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		When experimenting with new sexual activities, both partners must give consent. Which of the following demonstrates consent? Your Answer: "We discussed this before. I'm ready if you are." Correct Answer: "You're feeling OK about this, right? We discussed it before, and you've had time to think it over."
		Objective: Recognize health promotion teaching related to reproductive structures. Rationale: "You're feeling OK about this, right? We discussed it before, and you've had time to think it over" demonstrates consent. It shows the couple has even talked about it before. Consent cannot be given if intoxicated. In Answer 3 and 4, consent is not given because there is no current agreement. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection