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Questions 158

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Question 1 of 5

The best diagnostic test for treponema pallidum is:

Correct Answer: C

Rationale: The fluorescent treponemal antibody (FT
A) test is the most specific and sensitive for detecting Treponema pallidum (syphilis). VDRL and RPR are non-treponemal tests used for screening and Thayer-Martin culture is for gonorrhea.

Question 2 of 5

The nurse is caring for a client post-appendectomy. Which finding requires immediate intervention?

Correct Answer: B

Rationale: A temperature of 101.5°F post-appendectomy suggests infection (e.g., abscess), requiring immediate intervention. Pain (
A), serous drainage (
C), and absent bowel sounds (
D) are expected initially.

Question 3 of 5

The client at 28 weeks gestation is admitted with a diagnosis of preterm labor. The physician orders a non-stress test. The nurse should explain to the client that this test is used to:

Correct Answer: C

Rationale: A non-stress test (NST) evaluates fetal well-being by monitoring fetal heart rate accelerations in response to movement. It does not assess lung maturity contractions or maternal hypertension.

Question 4 of 5

The nurse is caring for a client with a history of a mastectomy who is receiving Tamoxifen (Nolvadex). The nurse should teach the client to:

Correct Answer: A

Rationale: Tamoxifen increases the risk of endometrial cancer, so vaginal bleeding must be reported immediately. Sun exposure, caffeine, and fluid intake are not primary concerns.

Question 5 of 5

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

Correct Answer: C

Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.

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