TEST LATEST UPDATED QUESTIONS AND ANSWERS
Inform the patient that, because of immoral issues, another nurse will
d. have to care for her.
ANS: B
The nurse must be aware of personal beliefs and values and is not required to
participate in counseling or procedures that compromise those values. However,
the patient is entitled to nonjudgmental care and should be referred to someone
who can create a trusting environment. The nurse should not care for a patient if
the quality of care could be jeopardized. The nurse should not attempt to push
personal values onto a patient. The nurse also should not create tension by
informing the patient that he or she does not have the same morals; this could
cause the patient to feel guilty or defensive when receiving care from any health
care professional.
,2. Which patient is most in need of a nurse’s referral to adoption services?
a. A woman considering abortion for an unwanted pregnancy
b. An infertile couple religiously opposed to artificial insemination
c. A woman who suffered miscarriage during her first pregnancy
d. An infertile couple who has been attempting conception for 3 months
ANS: B
Adoption is an option for someone with infertility, especially if infertility treatments
are unavailable owing to religious or financial constraints. A patient who wishes
to have an elective abortion may be educated about all the possibilities, but the
nurse should approach the patient in a nonjudgmental manner and should accept
the patient’s decision. When a patient has recently miscarried, the nurse should
assess the patient’s feelings about the loss and should address any concerns the
patient may have about fertility. Infertility is the inability to conceive after 1 year
of unprotected intercourse; therefore, talking about adoption after one miscarriage
or after only 3 months of attempting conception would be too soon.
3. The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV.
Which response by the nurse is best?
“You should have your blood drawn today to see if you were
a. infected.”
b. “If you have the virus, you will have flu-like symptoms in 6 months.” “Highly active antiretroviral therapy has been shown
effective in
c. slowing the disease process.”
“I will set you up with a support group to help you cope with dying
d. within the next 10 years.”
1
ANS: C
Highly active retroviral therapy increases the survival time of a person with HIV or
,ATI RN PEDIATRICS PROCTORED EXAM 2026 ACTUAL
TEST LATEST UPDATED QUESTIONS AND ANSWERS
AIDS. HIV antibodies will not show up in blood work for 6 weeks to 3 months.
The infection stage of HIV lasts for about a month after the virus is contracted;
during that time, the patient may experience flu-like symptoms. A support group
may be beneficial for a patient who contracts HIV; however, it is unknown
whether the patient has contracted HIV, and antiretroviral therapy has helped
people live beyond the 10 years expected if HIV goes untreated.
4. An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he
is attracted to both genders. Which response by the nurse will help establish a trusting relationship?
a. “Don’t worry. It’s just a phase you will grow out of.”
b. “Those are abnormal impulses. You should seek therapy.”
c. “At your age, it is normal to be curious about both genders.” “Having questions about sexuality is normal but if these
sexual
d. activities make you feel bad you should stop.”
ANS: C
Adolescents have questions about sexuality. The patient will feel most comfortable
discussing his sexual concerns further if the nurse establishes that it is normal to ask
questions about sexuality. The nurse can then discuss in greater detail. Although it
is normal for young adults to be curious about sexuality, the nurse should use
caution in giving advice on taking sexual action. The nurse should promote safe sex
practices. Telling the patient not to worry dismisses his concern. Telling the patient
that he is abnormal might offend the patient and prevent him from establishing an
open relationship.
, 5. A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after
repeated attempts at fertility treatment. The patient tells the nurse, “I feel happier, but my sex drive is
gone.” Which nursing diagnosis has the highest priority?
a. Sexual dysfunction
b. Ineffective coping
c. Risk for self-directed violence
d.
Deficient knowledge about contraception
ANS: A
Antidepressants have adverse effects on sexual desire and response. The nurse should
be sure to educate the patient on the potential for these side effects and how to
correct for them, for example, using lubricant to ease discomfort. The patient has
taken steps toward effective coping by seeking therapy. The patient has not
expressed a reason for the nurse to be concerned about contraceptives. The nurse
should always assess for concerns about violence in a patient’s life. Although some
antidepressants have been related to self-directed violence, this patient focus is on
becoming pregnant (fertility treatments) but sex drive is gone.
6. A nurse is using the PLISSIT model when caring for a patient with dyspareunia from
diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component
of PLISSIT is the nurse using?
a. P
b. LI
c. SS
d. IT 2