Young women should have their first Pap smear examination at which age?

Only after they become sexually active

Answer and Explanation

The Correct Answer is A

Choice A reason: Guidelines recommend the first Pap smear at age 21, regardless of sexual activity, to screen for cervical cancer. This age balances the risk of detecting clinically significant abnormalities while avoiding unnecessary testing in younger women, whose HPV infections often resolve.

Choice B reason: Age 16 is too early for routine Pap smears, as cervical cancer is rare in adolescents, and HPV infections often clear spontaneously. Screening at this age may lead to overdiagnosis and unnecessary procedures, making it an incorrect recommendation.

Choice C reason: Tying Pap smears to sexual activity is outdated. Current guidelines recommend starting at age 21, as earlier screening in sexually active younger women often detects transient HPV infections, leading to overtreatment, making this an incorrect criterion.

Choice D reason: Age 18 is not the recommended starting point for Pap smears, as cervical cancer risk is low in this age group, and screening may lead to unnecessary interventions. Guidelines specify age 21 for routine screening, making this choice incorrect.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Cranial Nerve VII (facial nerve) controls facial expression muscles. Asking the patient to smile tests the nerve’s motor function, specifically the zygomaticus muscles, which elevate the mouth corners, making this a correct assessment task for this nerve.

Choice B reason: Closing eyes tightly assesses Cranial Nerve VII’s motor function, specifically the orbicularis oculi muscle, which closes the eyelids. Weakness or asymmetry indicates potential facial nerve dysfunction, making this a correct task for evaluating this nerve.

Choice C reason: Shrugging shoulders tests Cranial Nerve XI (spinal accessory nerve), which innervates the trapezius and sternocleidomastoid muscles. This action is unrelated to Cranial Nerve VII’s facial motor functions, making it an incorrect choice for this assessment.

Choice D reason: Frowning assesses Cranial Nerve VII’s control over the corrugator supercilii and procerus muscles, which wrinkle the brow and depress the mouth. This task evaluates facial nerve function, making it a correct choice for the assessment.

Choice E reason: Smelling a flower tests Cranial Nerve I (olfactory nerve), responsible for smell sensation. This is unrelated to Cranial Nerve VII’s motor functions for facial expressions, making it an incorrect task for assessing this nerve.

A. Superficial tenderness B. Bowel motility C. Overall impression of skin surface and superficial musculature D. Enlarged organs

Correct Answer is D

Explanation

Choice A reason: Superficial tenderness is assessed with light palpation, which evaluates surface sensitivity. Deep palpation probes deeper structures, like organs, and is not primarily for detecting superficial pain, making this an incorrect rationale.

Choice B reason: Bowel motility is assessed via auscultation, which detects bowel sounds, not palpation. Deep palpation evaluates organ size or masses, not dynamic motility, making this an incorrect purpose for the technique.

Choice C reason: The overall impression of skin and superficial musculature is gained through inspection and light palpation. Deep palpation targets deeper structures like organs, not surface characteristics, making this an incorrect rationale.

Choice D reason: Deep palpation is used to assess for enlarged organs, such as hepatomegaly or splenomegaly, by probing deeper abdominal structures. This allows detection of abnormal masses or organ sizes, making this the correct rationale.

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Young women should have their first Pap smear examination at which age?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse assesses the Cranial Nerve VII, which would the nurse ask the patient to perform? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

The nurse knows that the rationale for using deep palpation during an abdominal assessment is to determine which of the following?

Correct Answer is D

Explanation

Which valves of the heart create the S2 heart sound?

A nurse is teaching a group of teen women. Which should the nurse discuss as the risk factor most associated with cervical cancer?

The nurse is listening to the breath sounds of a patient with severe asthma. Air passing through narrowed bronchioles would produce which of these adventitious sounds?

While obtaining a health history of a 3-month-old infant from the mother, the nurse asks about the infant’s ability to suck and grasp the mother’s finger. What is the nurse assessing?

A nurse is teaching a patient to perform self-breast examination and tells the patient to pay particular attention to examining the upper outer quadrant of the breast. When asked why, “why,” how should the nurse respond to the patient?

The nurse is examining a 3-year-old child. Which bruise, if found, would be of most concern?

The nurse will give Amoxicillin 25 mg/kg as ordered. How many tablet(s) of Amoxicillin is needed if the medication is supplied as 500 mg tablets and the patient weighs 10 kg?