NCLEX EPISODE 2

Which intervention is an example of primary prevention?

A. Administering digoxin (Lanoxicaps) to a patient with heart failure B. Administering a measles, mumps, and rubella immunization to an infant C. Obtaining a Papanicolaou smear to screen for cervical cancer D. Using occupational therapy to help a patient cope with arthritis

CORRECT ANSWER: B

Immunizing an infant is an example of primary prevention, which aims to prevent health problems. Administering digoxin to treat heart failure and obtaining a smear for a screening test are examples for secondary prevention, which promotes early detection and treatment of disease. Using occupational therapy to help a patient cope with arthritis is an example of tertiary prevention, which aims to help a patient deal with the residual consequences of a problem or to prevent the problem from recurring.

The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first?

A. Auscultation B. Inspection C. Percussion D. Palpation

CORRECT ANSWER: B

Inspection always comes first when performing a physical examination. Percussion and palpation of the abdomen may affect bowel motility and therefore should follow auscultation.