Final Exam NCLEX style questions
A nurse is counseling an extremely distressed victim immediately after a sexual assault. What should be the nurse's most important initial intervention? A) reassure the victim that the sexual assault was not her fault B) ask the client to provide a sample of pubic hair for the evidence kit C) collect a serum specimen for pregnancy testing D) teach the client about the risk for sexually transmitted infections
A
A parent tells the nurse that the 3-month-old infant is fussy, spits up constantly, and has a lot of gas, and there is a family history of allergies. These symptoms are related to which diagnosis? A) failure to thrive B) sensitive to cows milk C) phenylketonuria D) pancreatic insufficiency
A
A pediatric client has severe injuries to the abdomen. The nurse should suspect child abuse if the parents do which of the following? A) delay seeking treatment for the child's injuries B) give a very detailed description of the events prior to the injuries C) exhibit an anxious and concerned attitude D) encourage the child to explain the injuries
A
A pregnant woman comes to the emergency department with bruises on her arms and abdomen after a fight with her boyfriend. What is most important for the nurse to address when teaching this client? A) risks of pregnancy complications caused by abuse B) assertiveness training to deal with the boyfriend C) childbirth classes to prepare for the birth D) instructions on the use of resources available to her
A
A woman has just entered an emergency department after a stranger rape. Which of the following interventions is highest priority at this time? A) create a safe environment B) offer postcoital contraceptive therapy C) provide sexually transmitted disease prophylaxis D) take a thorough health history
A
An 18-month-old client is scheduled for a minor surgical procedure. The client has numerous large bruises of different stages over the back and buttocks. The mother states that the child must have fallen down while playing alone but cannot provide specific information. How should the nurse evaluate the situation? A) possible child abuse B) immature parenting C) normal findings in an 18-month-old D) indications of tissue fragility
A
An older adult has been admitted to the hospital for dehydration. The client is poorly dressed, has body odor, appears unkempt, and has numerous unexplained plained bruises. The client also states that he has not been receiving his medications from his caregiver. What should be the nurse's priority initial action? A) determine if the client is experiencing abuse or neglect B) contact the appropriate elderly protective services agency C) explore methods of rehydration attempted at home D) inquire about medications the client is taking
A
The nurse determines that teaching about sudden infant death syndrome (SIDS) has been effective when the client makes which statement? A) "No definite cause of death is found at autopsy" B) "Infants who sleep on their backs are more at risk for sudden infant death syndrome" C) "Bottle-feeding causes sudden infant death syndrome" D) "Genetic disorders are the cause of SIDS"
A
The nurse suspects the client has been physically abused. The woman refuses to report the abuse to the police. Which statement by the client suggests to the nurse that the relationship may be in the "honeymoon" phase? A) "my partner said that he will never hurt me again" B) "my partner drinks alcohol only on the weekends" C) "my partner yells less than he used to" D) "my partner has frequent bouts of insomnia"
A
What is the diagnostic criterion for the diagnosis of ADHD? A) inattention B) recurrent and persistent thoughts C) physical aggression D) anxiety and panic attacks
A
Which is a description of the etiology of autism spectrum disorder from a genetic perspective? A) parents who have one child diagnosed with autism spectrum disorder are at a higher risk for having other children with the disorder B) Amygdala abnormality in the anterior portion of the temporal lobe is associated with the diagnosis of autism spectrum disorder C) decreased levels of serotonin have been found in individuals diagnosed with autism spectrum disorder D) congenital rubella has been implicated in the predisposition leading to autism spectrum disorder
A
Which is the diagnostic criterion for the diagnosis of ADHD? A) inattention B) recurrent or persistent thoughts C) physical aggression D) anxiety and panic attacks
A
A newly licensed nurse asks an experienced nurse about theories related to violent behaviors toward others. The experienced nurse should respond by making which statements? SATA A) "the underpinnings of social learning theory lay in the idea that the violent behavior is related to the perpetrator's need for control and power" B) "there is no etiologic basis for violent behavior toward others" C) "poor impulse control may be one reason for violent behavior" D) "feminist theory states that it is due to the physiology of the male gender" E) "the male response theory states that women provoke men, and that women are responsible for the abuse"
A and C
A nurse administering a medication for ADHD, believes the client is "cheeking" the medication. Which of the following medications would limit the "cheeking"? SATA A) Dyanavel XR (d- & 1-amphetamine) B) Quillivant XR (methyphenidate) C) Contempla XR- ODT (methylphenidate extended base) D) Adzenys XR-ODT (d- & 1-amphetamine) E) Kapvay (clonidine extended release)
A, B, C, D
Which of the following questions should be asked of women during all routine medical examinations? SATA A) "has anyone ever forced you to have sex?" B) "are you sexually active?" C) "are you ever afraid to go home?" D) "does anyone you know ever hit you?" E) "have you ever breastfed a child?"
A, B, C, D
A 37-week-gestation neonate, APGARs 1 and 3, is admitted to the neonatal intensive care nursery. The neonatologist orders induced hypothermia to be instituted to prevent which of the following complications of hypoxic-ischemic encephalopathy? SATA A) cerebral palsy B) autism C) attention deficit disorder D) bipolar disease E) epilepsy
A, B, C, E
A client is being seen following a sexual assault. A rape examination is being conducted. Which of the following specimens may be collected from the victim during the examination? SATA A) buccal swab for genetic analysis B) samples of pubic hair C) toenail scrapings D) samples of head hair E) sputum for microbiological analysis
A, B, D
Which statement is true of shaken baby syndrome? SATA A) there may be absence of external signs of injury B) multiple reports of the baby crying for long periods of time C) shaken babies usually do not have retinal hemorrhage D) shaken babies usually have signs of a subdural hematoma E) shaken babies have signs of external head injury
A, B, D
Which of the following behaviors would indicate to a nurse that a gravid woman may be being abused? SATA A) denies that any injuries occurred, even when bruising is visible B) gives an implausible explanation for any injuries C) gives the nurse eye contact while answering questions D) allows her partner to answer the nurse's questions E) frequently calls to change appointment times
A, B, D, E
Which of the following stimulant medications are prescribed in the treatment of ADHD? SATA A) methylphenidate B) guanfacine C) lisdexamfetamine D) amphetamine/dextroamphetamine E) clonidine
A, C, D
Which would the nurse expect a child with spastic CP to demonstrate? SATA A) increased deep tendon reflexes B) decreased muscle tone C) scoliosis D) contractures E) scissoring F) good control of posture G) good fine motor skills
A, C, D, E
The nurse is conducting a seminar with young adolescent women regarding actions they can take to protect themselves from date rape. Which of the following guidelines are essential to include in the discussion? SATA A) the girls should consume drinks from enclosed containers B) the girls should keep extra money in their shoes or bras C) the girls should keep condoms in their pocketbooks D) the girls should meet a new date in a public place E) the girls should go on group dates whenever possible
A, D, E
The nurse is scaring for a client who comes to the emergency department with bruises on the face, a cracked tooth, and back pain. She voices concern about the safety of her pets and children, and her ability to enroll in her college as she plans. The nurse replies by explaining which of the following? SATA A) she is correct that her pets may be at risk for injury or death from her spouse B) her pets are safe; there is no correlation between interpersonal violence and injury to pets C) her children are safe; there is no correlation between spousal violence and injury to children D) it is probably that her husband may try to sabotage her career goals E) she is correct that her children may be at risk for abuse
A, D, and E
A 3-year-old child with CP is admitted for dehydration following an episode of diarrhea. The nurse's assessment follows: awake; pale, thing child lying in bed; multiple contractures; drooling; coughing spells noted when parent feeds. T 97.8 F (36.5 C), P 75, R 25, weight 7.2 kg, no diarrheal stool for 48 hours. Which nursing diagnosis is most important? A) potential for skin breakdown: lying in one position B) alteration in nutrition: less than body requirements C) potential for impaired social support: parent sole caretaker D) alteration in elimination: diarrhea
B
A child diagnosed with autism spectrum disorder has a nursing diagnosis of impaired social interaction. The child is currently making eye contact and allowing physical touch. Which statement addresses the evaluation of this child's behaviors? A) the nurse is unable to evaluate the child's ability to interact socially based on the observed behaviors B) the child is experiencing improved social interaction as evidenced by making eye contact and allowing physical touch C) The nurse is unable to evaluate this child's ability to interact socially because the child has not experienced these behaviors for an extended period D) the child making eye contact and allowing physical touch are indications of improver personal identity, and not improved social interaction
B
A child diagnosed with autism spectrum disorder withdraws into self and, when spoken to, makes inappropriate nonverbal expressions. The nursing diagnosis of imputed verbal communications is documented. Which intervention would address this problem? A) assist the child in recognizing separateness during self-care activities B) use a face-to-face and eye- to-eye approach when communicating C) provide the child with a familiar toy or blanket to increase feelings of security D) offer self to the child during times of increasing anxiety
B
A client's amniocentesis results were reported as 46, XY. Her obstetrician informed her at the time that everything "looks good." Shortly after birth the baby is diagnosed with cerebral palsy. Which of the following responses will explain this result? A) it is likely that the client received the wrong amniocentesis results B) cerebral palsy is not a genetic disease C) the genes that cause cerebral palsy have not yet been discovered D) the genes were never tested for cerebral palsy
B
A mother brings in an eight-month-old infant who is having difficulty breathing. The nurse assesses bleeding in the baby's retinas. The mother states that the child was being cared for by the father while the mother was out of the house. What is the most appropriate initial response of the nurse? A) question the mother of the events prior to the respiratory distress B) identify the situation as a medical emergency C) inform the mother that the period of greatest danger has passed D) report the situation to the children's protective services agency
B
A nurse is conducting a home visit. The nurse observes a five-year-old child wearing a diaper while sucking his thumb, rocking, and banging his head. The child made adequate verbal responses to the nurse's verbal greeting. What should the nurse suspect this behavior to represent? A) intellectual developmental delay B) possible emotional abuse or neglect C) an indication of autistic disorder D) pervasive developmental disorder
B
A woman is being seen in the gynecology clinic. The nurse notes that the woman has a swollen eye and a bruise on her cheek. Which of the following is an appropriate statement for the nurse to make? A) "I am required by law to notify the police department of your injuries" B) "women who are abused often have injuries like yours" C) "you must leave your partner before you are injured again" D) "it is important that you refrain from doing things that anger your partner"
B
A woman with multiple bruises on her arms and face is seen in the emergency department accompanied by her partner. When asked about the injuries, the partner states, "she ran into a door." Which of the following actions by the nurse is of highest priority? A) take the woman's vital signs B) interview the woman in private C) assess for additional bruising D) document the location of the bruises
B
A young woman, age 12, is postpartum from a vaginal delivery. Which of the following actions is appropriate for the nurse to make at this time? A) ask the young woman when her boyfriend will be visiting her in the hospital B) report the young woman to the local child abuse agency C) strongly advise the young woman always to use birth control in the future D) advise the young woman that she is much too young to be having sex
B
Parents confide to the nurse that their child, who is 35 months old, does not talk and spends hours sitting on the floor watching the ceiling fan go around. They are concerned their child may have autism. The nurse should ask the parents which question? A) "does your child have brothers or sisters?" B) "does your child seek you out for comfort and love?" C) "do you have trouble getting babysitters for your child?" D) "does your child receive speech therapy?"
B
The nurse at Victims Assistance Services is speaking with a young woman who states that she was sexually assaulted at a party the evening before. The victim states, "I ran home and took a shower as soon as it happened. I felt so dirty." Which of the following responses should the nurse make first? 1. "The evidence kit may still reveal important information." 2. "It was important for you to do that for yourself." 3. "Have you washed your clothes? If not, we might be able to obtain evidence from them." 4. "Do you remember what happened? If not, someone may have put a drug in your drink"
B
The nurse is doing a follow-up assessment of a 9-month-old. The infant rolls both ways, sits with some support, pushes food out of the mouth, and pushes away when held. The parent asks about the infant's development. The nurse responds, by saying which of the following? A) "your child is developing normally" B) "your child needs to see the primary care provider" C) "you need to help your child learn to sit unassisted" D) "push the food back when your child pushes food out"
B
The nurse knows that young infants are at risk for injury from shaken baby syndrome (SBS) because: A) the anterior fontanel is open B) they have insufficient musculoskeletal support and a disproportionate head-to-body ratio C) they have an immature vascular system with veins and arteries that are more superficial D) there is immature myelination of the nervous system in a young infant
B
The parents of a toddler newly diagnosed with CP asks the nurse what caused it. The nurse should answer which of the following? A) most cases are caused by unknown prenatal factors B) it is commonly caused by perinatal factors C) the exact cause is not known D) the exact cause is known in every instance
B
What would be the best response if the mother of a child on a kidney dialysis tells the nurse he has no appetite and eats only bananas? A) "right now his stomach is upset, and as long as he is eating something to give him strength, it is fine" B) "let's talk about your son and his diet" C) "bananas are good to eat; they are risk in needed nutrients" D) "did you try asking him what else he may want to eat?"
B
Which factor does Mahler attribute to the etiology of attention deficit-hyperactivity disorder? A) genetic factors B) psychodynamic factors C) neurological factors D) family dynamic factors
B
Which factor is associated with the etiology of ADHD from a genetic perspective? A) inborn error of metabolism B) having a sibling diagnosed with ADHD C) a possible dopamine neurotransmitter deficit D) retarded id development
B
Which is a predisposing factor in the diagnosis of autism spectrum disorder> A) having a sibling diagnosed with intellectual developmental disorder (IDD) B) congenital rubella C) dysfunctional family systems D) inadequate ego development
B
Which medication is used for the treatment of spasticity in cerebral palsy (CP)? A) dexamethasone (decadron) B) baclofen (lioresal) C) diclofenac ( voltaren) D) carbamazepine (tegretol)
B
Which statement is true of abused children? A) they will tell the truth if asked about their injuries B) they will repeat the same story that their parents tell C) they usually are not noted to have any changes in behavior D) they will have outgoing personalities and be active in school activities
B
What would be the priority intervention when a 10-year-old comes to the school nurse's office because of a headache, and the nurse notices various stages of bleeding on the inner aspects of the upper arms? SATA A) call the child's parent and ask if acetaminophen (tylenol) can be given for the headache B) call the child's parent and ask about the arm bruises C) ask the child what happened to her arms and have her describe the headache D) inquire about the child's headache and bruising on her arms; file mandatory reporting forms E) call the child's parent to pick her up from school, and complete required school nurse visit forms
B and C
A 14-year-old client, diagnosed with ADHD, reports that by the end of the school day the prescribed short-acting stimulant is less effective. Which of the following medications would the nurse expect to order? SATA A) evekeo (d-& l-amphetamine salt) B) mydayis (mixed amphetamine based) C) aptensio (methylphenidate) D) sensedi (d- amphetamine sulfate) E) procentra (d- amphetamine sulfate)
B, C
A nurse is working on a neurologic unit. A client with three young children is unconscious and has sustained a traumatic brain injury from a severe beating. Another staff nurse on the unit states, "she was stupid for staying in that relationship. she deserved it." What is the most appropriate responses by the nurse? SATA A) "yes, she has a lot of family and friends whom she could have gone to" B) "one reason she may have stayed is because of traumatic bonding" C) "one reason she may have stayed is the fear of losing her children" D) "women may stay in violent relationships due to fear, hopelessness, guilt, or shame" E) "maybe she has come to think violence is acceptable"
B, C, D, E
A woman who has been abused for a number of years is finally seeking assistance in leaving her relationship. Identify the actions that the nurse should take at this time. SATA A) comment that the victim could have left long ago B) assist the victim to develop a safety plan C) remind the victim that the abuse was not her fault D) assure the victim that she will receive support for her decision E) help the victim to contact a domestic violence center
B, C, D, E
A child born with spastic CP had an intrathecal dose of baclofen (Lioresal) in the early afternoon. What is the expected result 3.5 hours post-dose that suggests the child would benefit from a baclofen pump? A) the ability to self-feed B) the ability to walk with little assistance C) decreased spasticity D) increased spasticity
C
A child diagnosed with autism spectrum disorder makes no eye contact; is unresponsive to staff members; and continuously twists, spins, and head bangs. Which nursing diagnosis would take priority? A) personal identity disorder r/t poor ego differentiation B) impaired verbal communication r/t withdrawal into self C) risk for injury r/t head banging D) impaired social interaction
C
A client comes to the emergency department with a broken wrist and severe bruises inflicted by a beating by an intimate partner. The client states an intention to remain in the relationship at this time. What is the most appropriate response by the nurse? A) "You need to leave the relationship" B) "I will call a lawyer for you if you wish" C) "Let's develop a safety plan for repeated violence" D) "Here is a list of services that can help you"
C
A client diagnosed with ADHD and juvenile diabetes is prescribed methylphenidate. Which nursing intervention related to both diagnoses takes priority? A) teach the client and family that methylphenidate should be taking in the morning because it can effect sleep B) teach the client and family to report restlessness, insomnia, and dry mouth C) teach the client and family to monitor fasting blood sugar levels daily at various times during treatment D) teach the client and family that methylphenidate should be taken exactly as prescribed
C
A five-year-old child has been removed from the home because of sexual abuse by the stepfather. What information should the nurse include when teaching the child's mother about possible consequences the child might experiences? A) since the child was removed from the home at an early age, no long-term consequences are expected B) because the abuser was someone well known by the child, the situation will be less traumatic for the child C) the child is at current risk for developing depression and will remain so in the future D) once an adult, the child should be counseled not to have children, as the child will become an abuser
C
A five-year-old child is brought to the clinic for symptoms of a urinary tract infection (UTI). The nurse's assessment reveals bruises in the child's genital and rectal areas. The mother reports that she had left the little girl with her boyfriend the night before. Which action should be the nurse's first priority with this client? A) obtain a urine sample to confirm a UTI B) teach the mother about symptoms of UTI C) report suspected sexual abuse to protective services D) assess the child for other health problems
C
A nurse is teaching a class on domestic violence to high school students. Which statement by a student would indicate to the nurse that further teaching is needed? A) "violence often begins in a dating relationship" B) "the abuser will often apologize and promise to stop" C) "if you are educated and have money, abuse does not happen" D) "abusers are often excessively jealous and possessive"
C
An adult survivor of child abuse states, "why couldn't I make him stop the abuse? if i were a stronger person, I might have been able to make him stop. Maybe it was my fault he abused me." Based on this data, which would be the most appropriate priority nursing concern? A) inability of family to cope B) social isolation C) chronic low self-esteem D) anxiety
C
The mother of a six-year-old client in the emergency department (ED) says that the child vomits after every meal. The child has a normal appearance and is in no acute distress. This is the fifth time within 3 months that the child has been brought to the ED by the mother. The mother states, " This time I won't go away until my child is admitted for a complete and thorough workup. The doctors say there's nothing wrong, but I know my child is very ill." What should the nurse suspect about what the mother is experiencing? A) panic-level anxiety B) dissociative identity disorder C) Munchausen syndrome by proxy D) cluster A personality traits
C
The nurse is developing a plan of care for a child recently diagnosed with cerebral palsy (CP). Which should be the nurses priority goal? A) ensure the ingestion of sufficient calories for growth B) decrease intracranial pressure C) teach appropriate parenting strategies for a special-needs child D) ensure that the child reaches full potential
C
The parent of a young child with CP brings the child to the clinic for a checkup. Which parent's statement indicates an understanding of the child's long-term needs? A) "my child will need all my attention for the next 10 years" B) "once in school, my child will catch up and be like the other children" C) "my child will grow up and need to learn to do things independently" D) "I'm the one who knows the most about my child and can do the most for my child"
C
The parent of an infant with CP asks the nurse if the infant will be mentally retarded. Which is the nurse's best response? A) "children with CP have some amount of mental retardation" B) "approximately 20% of children with CP have some normal intelligence" C) "many children with CP have normal intelligence" D) "mental retardation is expected if motor and sensory deficits are severe"
C
Which short-term outcome would be considered a priority for a hospitalized child diagnosed with autism spectrum disorder who bites self when care is attempted? A) the child will initiate social interactions with one of the caregivers by discharge B) the child will demonstrate trust in one caregiver by day three C) the child will not inflict harm on self during the next 24-hour period D) the child will establish a means of communicating needs by discharge
C
A three-year old client has been diagnosed with attention deficit hyperactivity disorder (ADHD). A friend of the parents told them that the child will likely receive "lots of drugs." The nurse should reply that the child will most likely be prescribed which of the following drugs? SATA A) Amitriptyline B) Paroxetine C) Amphetamine and Dextroamphetamine D) Haloperidol E) Atomexetine
C and D
A client with autism spectrum disorder has a nursing diagnosis of impaired social interaction r/t withdrawal into self. Which of the following nursing interventions would be most appropriate to address this problem? SATA A) prevent physical aggression by recognizing signs of agitation B) Allow the client to behave spontaneously and shelter the client from peers C) remain with the client during initial interaction with others on the unit D) establish a procedure for behavior modification with rewards to the client for appropriate behaviors E) explain to other clients the meaning behind some of the client's nonverbal gestures and signals
C, D, E
A 15-year-old student visits the school nurse's office asking about date rape and pregnancy. She confides that her boyfriend forced her to have sex against her will. What would be the most appropriate initial intervention by the nurse? A) administer a pregnancy test B) teach safe sex practices C) teach methods of birth control D) identify the student's immediate concerns and feelings
D
A 7-year-old client has been prescribed atomoxetine. An appropriate nursing diagnosis os imbalanced nutrition: less than body requirements r/t a side effect of anorexia. Which short-term correctly written outcome is appropriate? A) the client will eat meals in the dinning area while socializing B) the client will maintain expected parameters of growth over the next 6 months C) the client will verbalize the importance of eating. 100% of all meals D) the client will eat 80% of all three meals throughout the hospital stay
D
A child in a classroom is disruptive with loud talking, has a short attention span, and has difficulty organizing work. Which is the most likely diagnosis for this child? A) enuresis B) sexual abuse C) learning disability D) attention deficit-hyperactivity disorder
D
A home care nurse is visiting a breastfeeding client who is 2 weeks post delivery of a 7-lb baby girl over a midline episiotomy. Which of the following findings should take priority? A) lochia is serosa B) client cries throughout the visit C) nipples are cracked D) client yells at the baby for crying
D
A nurse is caring for a client who is being treated for migraine headaches. Upon physical exam, the nurse assesses old scars on the client's arms and legs. The client confides childhood memories of sexual abuse by the father. What should be the nurse's immediate response? A) "tell me more about your migraines" B) "how did you get the scars?" C) "how old were you when the abuse stopped?" D) "are you comfortable discussing the abuse?"
D
A nurse is evaluating a family in which an 18-month-old son has been abused by both parents. During the initial nursing interview, the parents stated that they spank the toddler because he "cries and cries and never tells us what's wrong." The parents are adolescents who are still in high school. The nurse determines that what parental outcome would indicate progress? A) less use of spanking for discipline B) joint attendance at parenting classes C) holding unreasonable expectations for their child D) recognizing crying as an age-appropriate way to communicate
D
A young woman in a disheveled state is admitted to the emergency department. She states that she awoke this morning without her underwear on but with no memory of what happened the evening before. She thinks she may have been raped. Which of the following assessments by the nurse is most likely accurate? A) the woman is spoiled and is exhibiting attention-seeking behavior B) the woman is experiencing a psychotic break C) the woman regrets having had consensual sex D) the woman unknowingly ingested a date rape drug
D
A young woman was a victim of sexual assault. After the rape examination was concluded, the client requests to be given emergency contraception. Which of the following information should the nurse teach the client regarding the therapy? A) EC is illegal in all 50 states B) the most common side effect of EC is excessive vaginal bleeding C) the same medicine that is used for EC is used to induce abortions D) EC is best when used within 72 hours of contact
D
The nurse evaluates teaching of parents of a child newly diagnosed with CP as successful when the parents state that CP is which of the following? A) inability to speak and uncontrolled drooling B) involuntary movements of lower extremities only C) involuntary movements of upper extremities only D) an increase in muscle tone and deep tendon reflexes
D
The nurse in a pediatric clinic is caring for a 9-year-old girl who has been diagnosed with gonorrhea. Which of the following actions is appropriate for the nurse to take? A) notify the physician so the child can be admitted to the hospital B) discuss with the girl the need to stop future sexual encounters C) question the mother about her daughters menstrual history D) report the girls' medical findings to child protective services
D
The nurse is providing community education about autism to a group of parents. The nurse concludes that teaching has been effective if the parents describe which of the following as common behavioral signs of autism? A) highly creative, imaginative play B) early development of language C) overly affectionate behavior toward parents D) indifference to being help or hugged
D
The nurse on an inpatient pediatric psychiatric unit is admitting a client diagnosed with autism spectrum disorder. Which would the nurse expect to assess? A) a strong connection with siblings B) an active imagination C) abnormalities in physical appearance D) absence of language
D
The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child doesn't follow instructions well. Which strategy should the nurse recommend to the parent? A) "Teach your child to be less aggressive and more assertive" B) "Consider developing a predictable daily routine" C) "It could be helpful to assign a time out if instructions aren't followed" D) "Try having your child repeat what was said before starting the task"
D
The parent of an infant asks the nurse what to watch for to determine whether the infant has CP. Which is the nurse's best response? A) "if the infant cannot sit up without support before 8 months" B) "if the infant demonstrates tongue thrust before 4 months" C) "if the infant has poor head control after 2 months" D) "if the infant has clenched fists after 3 months"
D
Which statement about attention deficit hyperactivity disorder (ADHD) is true? A) ADHD is characterized by a persistent pattern of withdrawal into self B) ADHD is frequently diagnosed before age 2 C) ADHD occurs equally among girls and boys D) ADHD is characterized by a persistent pattern of inattention
D
A child with severe cerebral palsy is admitted to the hospital with aspiration pneumonia. What is the most beneficial educational information that the nurse can provide to the parents? A) the signs and symptoms of aspiration pneumonia B) the treatment plan for aspiration pneumonia C) the risks associated with recurrent aspiration pneumonia D) the prevention of aspiration pneumonia
D `
A nurse is conducting an in-service program on risk factors for victims of domestic violence. The nurse should include which information about risk factors during the session? SATA A) a high school dropout is at higher risk than a high school graduate B) individuals at lower socioeconomic status are at higher risk than those of higher economic status C) gay and lesbian individuals are not at risk D) domestic violence cuts across all socioeconomic lines E) domestic violence cuts across all educational levels
D and E
