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Choice C reason: Tying Pap smears to sexual activity is outdated.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

Explanation

Choice A reason: Tenderness in the right lower quadrant on light palpation is a classic sign of appendicitis, as the appendix is located in this region. Inflammation causes localized peritoneal irritation, leading to pain, which may be accompanied by rebound tenderness or guarding, making this the correct structure.

Choice B reason: The spleen is located in the left upper quadrant, not the right lower quadrant. Tenderness in the right lower quadrant does not correspond to splenic pathology, such as splenomegaly or rupture, making this an incorrect structure for the described finding.

Choice C reason: The gallbladder is in the right upper quadrant, where tenderness might suggest cholecystitis. Right lower quadrant tenderness does not align with gallbladder pathology, as its anatomical location is distinct, making this an incorrect structure for the observed symptom.

Choice D reason: The spine is a midline structure, and tenderness in the right lower quadrant is unrelated to spinal pathology. Spinal issues typically cause back or radicular pain, not localized abdominal tenderness, making this an incorrect choice for the finding.

A. Diet and weight B. Temperature and pulse C. Height and strength D. Height and weight

Correct Answer is D

Explanation

Choice A reason: Diet and weight provide partial insight into health but are incomplete. Diet is subjective and hard to quantify, and weight alone does not account for growth patterns or proportionality, making it less comprehensive than height and weight.

Choice B reason: Temperature and pulse reflect acute physiological status, not overall health. These vital signs can be normal despite chronic conditions or growth issues, making them inadequate as a primary index for a child’s general health status.

Choice C reason: Height and strength are not typically paired as a standard health index. Strength is subjective and difficult to measure consistently in children, while height alone misses weight-related nutritional status, making this less effective.

Choice D reason: Height and weight are key indicators of a child’s general health, reflecting growth, nutritional status, and development. These measurements, plotted on growth charts, allow comparison to age-specific norms, making them the best index for assessing overall health.

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

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Naxlex Comprehensive Predictor Exams

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure?

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

A 40-year-old Asian male with no family history of cancer is in the office for his annual physical examination. What should the nurse teach the patient regarding the PSA blood test according to the American Cancer Society?

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