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Choice C reason: Tying Pap smears to sexual activity is outdated.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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Correct Answer is C

Explanation

Choice A reason: Inspection visually assesses abdominal shape and distention but cannot differentiate gas from constipation, as both may cause distention. It lacks the specificity to identify the cause, making it less effective for this purpose.

Choice B reason: Auscultation assesses bowel sounds but cannot directly distinguish gas from constipation. Hyperactive sounds may suggest gas, but this is indirect, and constipation can also alter sounds, making this less specific than percussion.

Choice C reason: Percussion produces a tympanic sound over gas-filled areas, indicating air in the bowel, versus a dull sound over solid masses like feces in constipation. This directly differentiates the cause of distention, making it the correct technique.

Choice D reason: Palpation assesses tenderness or masses but cannot reliably distinguish gas from constipation, as both may feel firm or distended. It lacks the specificity of percussion’s auditory cues, making it less effective for this purpose.

A. Starts with palpation and then inspection B. Should be performed yearly C. Should be performed while bathing D. Should be restricted to adults with a prior cryptorchidism

Correct Answer is C

Explanation

Choice A reason: Genital self-examination begins with inspection to observe abnormalities like swelling or lesions, followed by palpation to assess texture or masses. Starting with palpation may miss visual cues, making this sequence incorrect for effective self-examination.

Choice B reason: Testicular self-examination should be performed monthly, not yearly, to detect early changes like lumps, which could indicate testicular cancer. Annual exams are insufficient for timely detection, making this frequency incorrect for the teaching plan.

Choice C reason: Performing testicular self-examination while bathing is ideal, as warm water relaxes the scrotum, making it easier to palpate for abnormalities. This enhances detection of masses or irregularities, making it a key instruction for effective self-examination.

Choice D reason: Testicular self-examination is recommended for all adult males, not just those with prior cryptorchidism, which increases cancer risk. Restricting it to this group excludes others who could benefit from early detection, making this an incorrect limitation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a patient’s abdomen. Which examination technique would aid the nurse in determining whether gas (air) in the bowel is causing distention rather than constipation?

Correct Answer is C

Explanation

When teaching the patient about self-examination of the male genitalia, the nurse would include which instructions in the teaching plan?

Correct Answer is C

Explanation

In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?

The nurse finds that a patient’s skin tents when assessing skin turgor. How would the nurse interpret this finding?

A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information?

A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. The nurse should be concerned with which additional finding?

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?

During a health history, a patient tells the nurse that he has had trouble in starting his urine stream. Which term is used to document this symptom?

Which of these specific measurements is the best index of a child’s general health?

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