A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse’s most appropriate response?

Correct Answer: D

Rationale: The correct answer is D. The first Pap test should be done when a woman becomes sexually active or at age 21, whichever comes first. This is because cervical cancer is associated with the human papillomavirus (HPV), which is a sexually transmitted infection. Screening at this stage helps detect any abnormalities early on, increasing the chances of successful treatment. A: Incorrect. Waiting until after pregnancy is not recommended as early detection is crucial in preventing cervical cancer. B: Incorrect. The age of menarche is not a reliable indicator for when to start screening for cervical cancer. C: Incorrect. Waiting until 19 may miss early signs of cervical abnormalities that could lead to cancer. In summary, choice D is the most appropriate response as it aligns with current screening guidelines and focuses on early detection for optimal outcomes.

Correct Answer: A

Rationale: Step 1: The correct answer is A because testicular cancer has the highest incidence in men between 20 and 34 years of age, making it crucial to educate this age group. Step 2: Choice B is incorrect as testicular cancer is not correlated with HPV; it is more associated with undescended testicles. Step 3: Choice C is incorrect as there is no direct link between the number of sexual partners and testicular cancer risk. Step 4: Choice D is incorrect as circumcision status is not a significant factor in the development of testicular cancer.

Correct Answer: A

Rationale: The correct answer is A because it directly asks about the patient's sexual partners without assuming their orientation. This open-ended question allows the patient to freely disclose their sexual orientation and related risk factors. Answer B assumes a preference rather than orientation. Answer C focuses on activities rather than orientation. Answer D limits the options to specific labels, which may not accurately reflect the patient's experience.

Correct Answer: B

Rationale: The correct answer is B: Assisting the client into a lithotomy position. This task can be safely delegated to the UAP as it involves physically assisting the client into a specific position and does not require specialized nursing knowledge or assessment skills. The nurse should be available to provide guidance and supervision to ensure the safety and comfort of the client during the procedure. Choices A, C, and D involve tasks that require nursing assessment and critical thinking skills, which should be performed by the nurse. Witnessing the consent form (choice A) ensures proper documentation and understanding of the procedure. Asking about allergies to iodine or shellfish (choice C) is crucial to prevent adverse reactions during the procedure. Assessing for pelvic or shoulder pain after the study (choice D) is important to monitor for any potential complications post-procedure. These tasks are within the scope of nursing practice and should not be delegated to a UAP.

Correct Answer: C

Rationale: The correct answer is C: Luteinizing hormone (LH). LH is responsible for stimulating the development of the corpus luteum after ovulation. It triggers the release of the egg from the follicle and promotes the transformation of the follicle into the corpus luteum, which is crucial for the production of progesterone. Estrogen (A) is involved in the development of the follicle, not the corpus luteum. Progesterone (B) is produced by the corpus luteum, not responsible for its development. FSH (D) is primarily involved in stimulating the growth of ovarian follicles, not the formation of the corpus luteum.