Nursing Elites

1. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

• A. Encourage and assure the client of effective use of the method
• B. Explain how to use the method
• C. Tell the client about modern FP methods available, and discuss each in detail
• D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

2. A client 12 weeks pregnant comes to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?

• A. Threatened abortion
• B. Inevitable abortion
• C. Complete abortion
• D. Missed abortion

Correct answer: B

Rationale: The nurse would document these findings as an inevitable abortion. Inevitable abortion is characterized by cervical dilation with or without rupture of membranes and is associated with moderate to heavy vaginal bleeding. 'Threatened abortion' (choice A) refers to vaginal bleeding with a closed cervical os and no tissue passage. 'Complete abortion' (choice C) involves the passage of all products of conception. 'Missed abortion' (choice D) is the retention of a failed intrauterine pregnancy for an extended period without symptoms.

3. What is one of the major issues affecting adolescents in terms of sexual and reproductive health?

• A. Limited access to contraceptives and family planning
• B. Equal representation in decision-making
• C. Decreased need for sexual education
• D. Equal opportunities for career growth

Correct answer: A

Rationale: Limited access to contraceptives and family planning is indeed a major issue affecting adolescents in terms of sexual and reproductive health. This lack of access can lead to unintended pregnancies, sexually transmitted infections, and limited reproductive choices. Choice B, equal representation in decision-making, although important, is not directly related to sexual and reproductive health issues faced by adolescents. Choice C, decreased need for sexual education, is incorrect as proper sexual education is crucial in promoting healthy behaviors and preventing risks. Choice D, equal opportunities for career growth, is also unrelated to the specific issues surrounding sexual and reproductive health in adolescents.

4. Which of the following is the most effective method of contraception?

• A. Barrier methods
• B. Hormonal pills
• C. Intrauterine devices (IUDs)
• D. Sterilization

Correct answer: D

Rationale: Sterilization is considered the most effective method of contraception because it permanently prevents pregnancy. Barrier methods, hormonal pills, and IUDs are highly effective as well, but they are reversible methods and may have a higher failure rate compared to sterilization.

5. What is the content of the acrosome?

• A. Lipids
• B. Hormones
• C. Digestive enzymes
• D. None of the above

Correct answer: C

Rationale: The correct answer is C: Digestive enzymes. The acrosome is a structure found in sperm cells that contains enzymes used to penetrate the egg during fertilization. Choice A (Lipids) and Choice B (Hormones) are incorrect as the primary content of the acrosome is digestive enzymes, not lipids or hormones. Choice D (None of the above) is incorrect as the acrosome does contain a specific substance, which are digestive enzymes.

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