202 Practice Questions
Which are, in general, the earliest changes that occur during pubertal growth? a) Breast buds in females, size of penis in males b) Underarm hair in females, size of penis in males c) Breast buds in females, growth of testes in males d) Menarche in females, growth of testes in males
C
Which is the goal for the "Orientation Phase" of the nurse-client relationship? a) Explore self-perceptions b) Promote change c) Establish trust d) Evaluate goal attainment
C
Which of the following best describes parallel play between two toddlers? a) Sharing crayons to color separate pictures b) Playing a board game with the nurse c) Sitting near each other while playing with separate dolls d) Sharing their dolls while playing
C
Four years ago, a 16-year-old African American girl began breast development but has not yet had menarche. These finding would indicate to the nurse which of the following? a) Tanner stage IV b) Precocious Puberty c) Normal Growth and Development d) Stalled Puberty
D
When a nurse revises a client's care plan based on the client's responses that show evidence that goals were not attained, the phase of the nursing process being applied is: a) Assessment b) Planning c) Implementation d) Evaluation
D
When teaching a 10-year-old child about their impending heart surgery, the nurse should a) Provide verbal explanation just prior to the surgery b) Provide the child with a booklet to read about the surgery c) Introduce the child to another child who had heart surgery three days ago d) Explain the surgery using a model of heart
D
Which is an example of a response to mild anxiety a) Increased respirations b) Feelings of horror and dread c) Blocked thoughts d) Increased concentration
D
Which of the following demonstrates a nurse taking action to promote health and prevent disease? a) Making a home visit to a person who is recovering from an amputation b) Administering insulin to the client with diabetes c) Providing resuscitation during an episode of hypoglycemia d) Educating a person about the advantages of a diabetic diet during a home visit
D
Which of the following is a correct statement regarding safe sleep? a) Co-sleeping is approved if the parents choose this is the best option for their family b) To reduce separation anxiety, I will allow my infant to begin sleeping with a lovey at 6 months of age c) The bumper that is in the bedding set I purchased is safe to use d) I will put my infant on their back to sleep
D
Which of the following represents a method of tertiary prevention? a) Drunk driving campaign b) Road blocks for drunk driving c) Emergency neurosurgery after a motor vehicle accident d) Physical therapy after a motor vehicle accident
D
You notice that you look forward to talking to the client because her sense of humor reminds you of your best friend. You also begin to make little jokes, hoping to have a good laugh together. What is the relationship showing early signs of? a) Accountability b) Self-reflection c) Transference d) Countertransference
D
Your client lives with his mother, stepfather, brother, sister and 2 stepsisters. What type of family structure is this? a) Extended b) Nuclear c) Alternative d) Blended
D
"I don't know the answer right now, but I will find out in about an hour." This is an example of being honest with a client which is essential in: a) Developing a trusting relationship with the client b) Developing a friendship with the client c) Helping the client with termination d) Believing that you are a competent nurse
A
"Rather than talking about what your husband thinks, I would like to hear how you're feeling right now" a) Therapeutic b) Non-therapeutic
A
"So far we have talked about..." a) Therapeutic b) Non-therapeutic
A
"Tell me what is worrying you most right now." a) Therapeutic b) Non-therapeutic
A
"Tell me what the doctor told you about this medication" a) Therapeutic b) Non-therapeutic
A
"You seem upset" a) Therapeutic b) Non-therapeutic
A
A community nurse is developing a program for those in their early 30s. Which of the following is priority for the nurse to promote? a) Exercise promotion activities b) Accident prevention activities c) Substance abuse prevention activities d) Pregnancy prevention activities
A
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to: a) Allow the Infant to signal a need b) Anticipate all needs of the newborn infant c) Avoid the newborn infant during the first 10 minutes of crying d) Being the allowing the infant to cry for 10 minutes at 1 month old
A
A nurse has recently accepted the position of unit nurse manager on a long-term care unit. Which of the following directives should the nurse give to the staff nurses? a) Encourage residents to participate in unit activities such as Scrabble™ and bingo. b) Demonstrate the caring aspect of nursing by dressing residents before breakfast. c) Fill in "missing words" during conversation with the residents to avoid embarrassment. d) Instruct the aides to get residents ready for breakfast as quickly as possible to make sure they are ready to eat.
A
A nursing diagnosis is a clinical judgment about actual or potential problems a) True b) False
A
A nursing student has a special feeling toward a client that is based on acceptance, warmth and nonjudgmental attitude. The student is experiencing which characteristic that enhances the achievement of the nurse-client relationship? a) Rapport b) Trust c) Respect d) Professionalism
A
A patient tells the nurse about experiencing problems with sleep and requests sleeping medication. Which concept associated with drug therapy and quality of sleep is important for the nurse to understand when planning nursing care for this patient? a) Sleeping medication that has sedative effects are not well tolerated by OA b) All OA should be given anti-anxiety drugs because coping with aging is difficult c) The nurse should tell the client instead to have one alcoholic beverage at night because that will help her sleep d) The nurse should tell the client she needs to stop napping and that will solve her sleep problems
A
According to the family systems theory... a) A change in one member of the family affects other members b) A family with closed boundaries allows for growth and adaptation c) In a healthy family the members are enmeshed (overly involved) d) A family is simply a collection of its members
A
Do infant's need discipline? a) Yes b) No
A
The development of primary sex characteristics is evident by: a) A rapid change in height and weight b) Growth and development of the breasts c) Growth and development of the ovaries d) Changes in the distribution of fat
C
The nurse is assessing the motor skills of a 5-year-old. Which finding would cause the nurse to be concerned? a) Can copy a square on another piece of paper b) Can dress and undress without help c) Draws a person with 3 body parts d) Is starting to learn to tie her shoelaces
C
The nurse is attempting to establish a therapeutic relationship with an angry, depressed client. Which is the most appropriate intervention? a) Work on establishing a friendship with the client b) Use humor to defuse emotionally charged topics of discussion c) Show respect that is not based on client's behavior Sympathize with the client when the client shares feelings
C
The nurse is teaching a new mother about infant dental health. Which of the following statements by the mother would require further teaching? a) "When my infant is teething, I will give them a frozen teething ring." b) "I will brush my infant's teeth with a smear of fluoride toothpaste at 6 months of age and older." c) "I shouldn't give my child any Tylenol to relieve teething pain." d) "I should have a dental provider stablished by 1 year of age."
C
The nurse understands that according to Erikson, establishing relationships based on commitment mainly occurs in which stage of psychosocial development? a) Generativity vs. Stagnation b) Identity vs. Role Confusion c) Intimacy vs. Isolation d) Trust vs. Mistrust
C
What question does a nurse ask a 14-year-old patient/parent to determine whether a varicella vaccine is needed? a) "Has the child ever had shingles?" b) "Have you taken the booster dose of tetanus?" c) "Is the child immunocompromised?" d) "Are the surroundings of your home hygienic?"
C
When assessing a person's nutritional-metabolic pattern, which objective finding would have implications for nursing intervention? a) The client's 24-hour intake diary b) The client's food preferences c) The client's dentition d) The client's food allergies
C
When taking a sexual history from an adolescent, which of the following questions should be asked first? a) "Are you having sex with anyone?" b) "How old were you the first time you had sex?" c) "Are any of your best friends sexually active?" d) "Do you use a condom when you have sex?"
C
One of the key factors in addressing the health concerns and needs of the adolescent in a clinic or primary care office setting is to: a) Provide confidentiality b) Include the parents in a discussion about the adolescents' sexual health c) Ask the adolescent if she or he is sexually active d) Discuss the negative effects of tobacco use
A
The nurse identifies that the patient in middle adulthood is experiencing a developmental crisis when there is an inability to: a) Achieve a feeling of success b) Develop peer relationships c) Delay satisfaction d) Face death
A
The nurse is administering meningococcal A vaccine (MEN ACWY) to a 12-year-old adolescent. What instruction does the nurse give to the patient? a) "You will have to take a booster dose after 4 years" b) "You will not take a booster dose of this vaccine" c) "You need to take a booster dose on an annual basis" d) "You should get the booster dose between 18-20 years of age"
A
The nurse observes an adolescent client's peers calling the client names. Which statement by the nurse exemplifies the concept of empathy? a) "I can tell that you are upset. Tell me how you feel" b) "Your peers are being insensitive. I would be upset also." c) "I used to be called names as a child. I know it can hurt feelings." d) "I get angry when people are treated cruelly."
A
The nurse's ability to be open, honest, and real interactions with clients is described as which characteristics that enhances the achievement of the nurse-client relationship. a) Genuineness b) Empathy c) Objectivity d) Harmony
A
The type of play in which infants engage is called: a) Solitary b) Parallel c) Associative d) Cooperative
A
What is the despair associated with old age related to as described by Erikson? a) Regrets of goals not achieved b) Results from physical changes related to the aging process c) Feeling disconnected with the community d) Not participating in the activities with grandchildren
A
What stage of change is a 28 yo old successful female lawyer in if she states, "I can quit consuming one bottle of wine per day if I attend AA meetings daily starting this Monday." a) Preparation b) Contemplation c) Action d) Maintenance
A
You are counseling your 21 yo client about Safe sex practices because he is currently being treated for gonorrhea. He claims sexual intercourse without condoms will still be okay because he will choose his partners more wisely. This way he will not contract another sti. He is in what stage of change? a) Precontemplation b) Contemplation c) Action d) Maintenance
A
A mother brings her 12-month-old into your office and tells you "I am at my wits end with his behavior." How do you instruct her to discipline a child at this age? a) Set limits to ensure safety b) Redirect negative behavior with a preferred positive action c) It is okay to spank as long as it doesn't leave a mark d) Put him in time out for 5 minutes
A and B
An 80-year-old patient presents to the clinic for a routine physical. He wants to know if he should get the Herpes Zoster vaccine. Which medical history risk factors show he should receive the vaccine today? SELECT ALL THAT APPLY a) His age b) His sex c) Previous infection with varicella d) His sexual history includes unprotected sex with multiple partners
A and C
Which of the following demonstrates family resiliency? a) Resuming full-time work when spouse loses job b) Arguing ways to deal with problems among siblings c) Developing hobbies when children leave home d) Placing blame on family members
A and C
A nurse is working in a domestic violence shelter. Which of the following individuals would the nurse expect to encounter? (select all that apply) a) 34-year-old White woman who is vice president of a communications company b) 26-year-old Black woman who has a live-in boyfriend c) 29-year-old Hispanic man who has been married for 2 years d) 21-year-old unemployed White woman who has been with her boyfriend for 3 years
A, B, C, D
4-month-old presents to the clinic today for vaccines. She is UTD prior to today and has no reactions to prior immunizations. Which vaccines would you be prepared to administer? SELECT ALL THAT APPLY a) Rotavirus b) DTAP c) HiB d) IPV e) Influenza f) Hepatitis B g) HPV h) PCV13
A, B, C, D, H
When teaching an older client, which teaching activities would be effective? Select all that apply a) Keeping session between 20-30 minutes b) Relating new material to past experiences c) Providing a summary of the session d) Incorporating various topics into one teaching session
A,B,C
The RN notices her 73 yo female client has had a decline in her ability to perform her adls and iadls. What are factors that could have influenced her health? a) Death of spouse b) History of falls within the previous year c) Playing solitaire online d) Change in vision e) Eating two meals/day f) Talking with her daughter two times/week
A,B,C,D,E
Which of the following are examples of society's misconceptions regarding elders? Select all that apply. a) Disease is normal and unavoidable b) Health promotion is not important since their lives are almost over c) Older adults are senile d) Damage to health resulting from inactivity or poor nutrition is irreversible e) All older adults are similar
A,B,C,D,E
A 12-month-old has been adopted from a Third World country and is behind on vaccines. Her parents have brought her immunization record which states she has had the following: three doses DTAP, two doses of HIB, three doses PCV13, three doses IPV, and two doses this year's annual influenza shot. Which vaccines do you prepare to administer? Select all that apply. a) Hepatitis B b) Rotavirus c) Hib d) PCV13 e) MMR f) Varicella g) Hepatitis A
A,C,D,E,F,G
A 4-year-old presents to the clinic for vaccines. All immunizations are UTD prior to today. Which immunizations are you prepared to administer? SELECT ALL THAT APPLY a) DTAP b) Hib c) IPV d) Meningococcal A e) MMR f) Varicella
A,C,E,F
Which of the following are examples well written outcomes? Select all that apply. a) The client will walk 100 feet twice a day b) The client will demonstrate how to properly check his blood sugar c) The nurse will show the patient how to use a walker by the end of the twenty minute teaching session d) The nurse will show the patient how to use his glucometer e) The client will describe three healthy snacks by the end of the 50 minute educational session
A,E
"Does it hurt when you raise your arm" a) Therapeutic b) Non-therapeutic
B
"I'm sure your doctor has your best interests in mind." a) Therapeutic b) Non-therapeutic
B
"If I were you, I would not get angry." a) Therapeutic b) Non-therapeutic
B
"Is the bandage too tight?" a) Therapeutic b) Non-therapeutic
B
"That's right. I agree" a) Therapeutic b) Non-therapeutic
B
"Why did you do that?" a) Therapeutic b) Non-therapeutic
B
"You shouldn't feel that way" a) Therapeutic b) Non-therapeutic
B
A 10-year-old forgets to feed the dog. The mother doesn't say anything to the child and feeds the dog herself. This is an example of what style of parenting a) Authoritarian b) Permissive c) Authoritative d) Negligent
B
A 26 yo struggling with his weight understands that he needs to exercise in order to better manage his health. Yesterday he walked for 5 minutes in his down time. He is wanting to get on an exercise program soon. What state of change is this person in? a) Contemplation b) Preparation c) Action d) Maintenance
B
A 4-year-old boy who presents to clinic for his 4-year-old immunizations. All immunizations are UPD prior to today. Which statement, if made by mother would alert you to omit certain immunizations? a) He had febrile seizure when he was 2 years old but has had none since then b) We will need to schedule his next appointment around his chemotherapy infusion appointments c) He had a serious reaction to Hep B vaccine as a baby d) He has never had chickenpox
B
A 70 yo client A&Ox3 reports that she is eating 3 meals/day, getting 7 hours of sleep per night, always makes it to the bathroom, and has not fallen. What is the final part of the Fulmer SPICES tool to show that she is aging well? a) No illness within the past three months b) Skin is warm, dry, intact c) Immunizations are UTD d) Still sexually active
B
A RN is reviewing the chart of a 31 year old female who has been sexually active since the age of 12. Which of the following would be of most concern? a) She has not had a mammogram b) She has never had a PAP test c) She had one HIV test performed at age 18 d) She does not use birth control polls
B
A client in the hospital says, "it's a waste of time to be here. I can't talk to you or anyone." Which would be an appropriate therapeutic response? a) "I find that hard to believe" b) "Are you feeling that no one understands?" c) "I think that you should calm down and look on the positive side." d) "Our staff here is excellent, and you are in good hands."
B
A client states "I want to learn better ways to handle my anger." This interaction is most likely to occur during which phase of the nurse-client relationship? a) Pre-interaction Phase b) Orientation Phase c) Working Phase d) Termination Phase
B
A nurse is communicating with a client. The client moves closer and invades the nurse's personal space, making the nurse feel uncomfortable. Which is the appropriate nursing intervention? a) The nurse ignores this behavior because it shows the client is progressing b) The nurse expresses a sense of discomfort and limits behaviors c) The nurse understands that clients require various amounts of personal space and accepts the behavior d) The nurse confronts and informs the client that the client will be secluded if this behavior continues
B
A nurse is comparing physical growth patterns between school-aged and adolescents. Which principle should the nurse consider? a) Physical growth usually slows during the adolescent period b) Secondary sex characteristics usually develop during the adolescent years c) Boys usually exceed girls in height by the end of school years d) The distribution of muscle and fat remains constant during the adolescent years
B
A nurse is evaluating the developmental level of a 2-year-old. Which of the following should the nurse expect to observe in this child? a) Uses a fork to eat b) Uses a cup to drink c) Uses a knife for cutting d) Pours own milk into a cup
B
A term neonate weights 7.5 at birth. The parents ask the nurse how much the child should weigh when he is 1 year old. What is the best response by the nurse? a) 15 lbs. b) 22.5 lbs. c) 28 lbs. d) 32.5 lbs.
B
After your first conversation, the client withdraws from you before you've even really began. Which statement will contribute most to establishing the client's trust? a) "Weren't you complying with your medication regimen." b) "It must be discouraging to be readmitted into the hospital so soon." c) "Everyone with Type 1 diabetes mellitus ends up in the hospital eventually." d) "You must take your insulin as prescribed or you will be back in the hospital"
B
During an overall assessment with older adults, the nurse uses the SPICES tool. In this tool the P stands for: a) Performing ADLs b) Problems with eating or feeding c) Pain d) Presence of pressure ulcers
B
For an 8-month-old infant, the nurse should plan to provide which toy to promote the child's cognitive development? a) Blocks to stack b) Jack in the Box c) Small Rubber ball d) Play gym strung across the crib
B
If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of which of the following? a) Mistrust b) Shame c) Guilt d) Inferiority
B
Mother and her 4-month-old infant present for a dual appointment today in the clinic. She is choosing not to get the inactivated flu vaccine because she 'got the flu last year from the flu shot.' What is your best response? a) We can give the baby the flu shot, her immunization is stronger b) The inactivated flu shot cannot cause the flu because it is a killed virus, however, it can give you a mild cold like illness. It is important for you to receive a flu shot today. c) You can't get the flu from the flu shot. We need to vaccinate you and your baby d) You must be immunocompromised if you got the flu from the flu shot. Let's give your baby the flu shot today so you don't get the flu
B
In relation to developmental milestones, the infant scan be expected to roll from back to abdomen at approximately: a) 2 months b) 3 months c) 6 months d) 8 months
C
The client states "I have something to tell you, but you can't tell anyone else." The nurse agrees. What is the likely consequence of the nurse's action? a) Healthy feelings of sympathy by the nurse toward the client b) Blurred boundaries in the nurse-client relationship c) Improved rapport between the nurse and client d) Enhanced trust between the nurse and client
B
The father of an 8-month-old infant alerts you they will be traveling internationally with the child. All immunizations are UTD prior to today. Which do you administer? a) DTAP b) MMR c) Hepatitis B d) Varicella
B
The nurse is providing care to a shy toddler-age child. Which of the following communication techniques would be most successful? a) Be persistent in asking the patient what is wrong when he runs away from you b) Read a story regarding the patient's illness c) Have the patient journal how they are feeling d) Respond promptly when the child whines
B
The nurse must recognize that when a client is a member of a different ethnic community it is important to: a) Ensure that the nurse's beliefs are concealed from the client b) Offer a therapeutic regimen compatible with the lifestyle of the client c) Understand the need to explain misunderstandings related to treatment plan with the client d) Recognize the client's responses will be similar to the other client's responses
B
The nursing instructor is observing a mentoring session with a nursing student and child. The nursing student makes the following statements to the child. Which statement would require intervention by the instruction? a) "I am proud of your for cleaning up" b) "Stop throwing you toys" c) "I really like the way you traced the letter C" d) "Thank you for putting your coat away so quickly"
B
What should the nurse recognize when comparing the physical changes in young and middle adulthood? a) Fertility issues do not occur in young adulthood. b) Young adults are quite active but are at risk for illness in later years. c) Young adults tend to suffer more from severe illness. d) Exercise is less important in young adulthood than in middle adulthood.
B
When assessing a client's activity-exercise pattern, which subjective finding has implications for nursing practice? a) A person's decreased muscle tone b) A person's amount of leisure time c) A person's decrease range of motion d) A person's use of a walker
B
Which of the following best demonstrates the practice of transcultural nursing? a) Using previous knowledge about ethnic minority cultures to plan care b) Adapting nursing care to meet the need of a person from an ethnic minority c) Requesting an interpreter when caring for a person from an ethnic minority d) Attending a presentation about cultural diversity
B
Which of the following best describes a primary Prevention method for colon cancer? a) Hemoccult testing b) High fiber diet c) Colonoscopy d) Laparoscopy
B
Which pair of shoes should the nurse recommend to the parents of a 6-month-old? a) Hard b) Soft
B
Which situation reflects the defense mechanism of projection? a) A husband has an affair, then buys his wife a diamond bracelet b) A promiscuous wife accuses her husband of having an affair c) A wife, failing to become pregnant, works hard at becoming teacher of the year d) A man who was physically assaulted as a child remembers nothing of the event
B
With disease prevention there are three types. Secondary prevention focuses on what? a) Health promotion and illness prevention shown mostly through education b) Aims to reduce the impact of disease or injury; early detection done through screening c) Aims to lessen the impact of chronic illness that has developed or an injury that has occurred d) Interventions to reduce the incidence of disease, injury, or disability
B
You are the nurse caring for a 3-year-old who did well during a finger stick but is now breathing rapidly and screaming while her hand. What is the best initial action by the nurse? a) Call the doctor for a medication to reduce anxiety as she is having a panic attack b) Apply a band-aid c) Ask the child "can we read a story about a brave girl who was in the hospital?" d) Guide her to breathe in through her nose and out through her mouth until she calms down
B
Your child throws a fit and refuses to wear shoes out in the rain. What is the appropriate natural consequence for this behavior? a) Do not let your child watch TV for a week b) You child's feet will get wet c) Send your child to time out d) Throw the child's shoes away
B
Which of the following interventions will have the greatest impact on reducing constipation in older adults? (select all that apply) a) Offering pureed foods that are easy to digest b) Encouraging fluids between meals c) Administering laxatives on a daily basis d) Assisting with ambulation
B and D
A 17-year-old has not experienced enlargement of testes or scrotum. A nurse should recognize these as signs as indicative of: a) Precious Puberty b) Normal growth and development c) Delayed puberty d) Tanner Stage II
C
A 47 yo male is in the maintenance stage of change. How long has he been exercising? a) 3 months b) 5 months c) 6 months d) I don't know
C
A Physician has ordered the following: Cefazolin 250 mg q 8hr for Mrs. Smith who has a bacterial infection. Which patient "right" is not represented in the order? a) Dose b) Patient c) Route d) Time
C
A community nurse develops a plan to address the problem of unintended pregnancies. Which of the following actions should he take next? a) Determine the rate of teenage pregnancies b) Evaluate the success of his plan c) Provide educational programs at local schools about pregnancy prevention d) Determine which factors related to teenage pregnancy require intervention
C
A kindergarten child who has developed a fever at school asks the nurse, "when will my mommy be here to get me?" The nurse knows that the child's mother will be arriving in approximately 30 minutes. Which of the following would be the best response? a) "Your mommy should get here in about a half hour" b) "Your mommy should get here when the big hand on the clock reaches 12" c) "Your mommy should get here when lunch time begins for everyone" d) "Your mommy should be here soon"
C
A medication was given at 3:20 PM. Using the 24 hr. clock, how should this be documented on the MAR? a) 0320 b) 1320 c) 1520 d) 1720
C
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. In order to prevent tantrums, the nurse most appropriately tells the mother to: a) Punish the child every time the child says "NO" to change the behavior b) Allow the behavior because this is normal at this age period c) Set limits on the child's behavior d) Ignore the child when this behavior occurs
C
A nurse Is seeing his mentee for the last time to evaluate his nursing care plan. Which of the following actions would the nurse likely complete during his visit? a) Obtain vital signs on his mentee b) Ask his mentee to state the nursing interventions to determine if they were successful c) Collect data similar to that which was collected at the initial visit for comparison d) Educate his mentee about the importance of staying smoke free
C
A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements would most likely be made by the nurse? a) "The desire for sexual intimacy declines rapidly with age." b) "Older adults are very well-informed about sexuality." c) "Older adults need to practice safe sex." d) "The danger of contracting STDs during sexual intimacy is extremely low in older adults."
C
A patient stated, "I don't know what the pills are for or why I am taking them, so I don't want them." Which is an example of the therapeutic communication technique of "giving information"? a) "You must take your medication to get better." b) "The doctor wouldn't prescribe these pills if they were harmful." c) "Do you feel this way about all of your medication?" d) "Let me tell you about your medication."
C
An important nutritional supplement recommended to prevent rickets in infant who are exclusively breastfeeding is: a) Vitamin A b) Fluoride c) Vitamin D d) Folic Acid
C
During a health history, a client reports getting 6 hours of sleep a night. What does this information indicate to the nurse? a) The client is elderly and that is normal b) The client is not receiving enough sleep c) The nurse must ask additional questions d) The nurse does not need to further intervene
C
During what stage of cognitive development does individual thinking move to abstract and theoretical subjects and possibly venture into such topics as achieving world peace, finding justice and seeking meaning in life? a) Sensorimotor b) Pre-operational c) Formal operations d) Concrete operations
C
In relation to developmental milestones, the infant can be expected to roll over from back to abdomen approximately: a) 2 months b) 3 months c) 5 months d) 8 months
C
Ordered is clonazepam 0.5 mg at 0800 and 2000 for Mrs. Jones who has a seizure disorder. Which patient "right" is not represented in the order? a) Dose b) Time c) Route d)Patient
C
Which of the following is an appropriate choice to offer a preschool-age child? a) "Do you want to go to school today or stay home with mom?" b) "Would you like to play outside or take a bath?" c) "Would you like to read a book or play a boardgame?" d) "Do you want to take a nap or go to the pool?"
C
Which of the following is an appropriate toy for an 18-month-old? a) Multiple piece puzzle b) Miniature cars c) Non-toxic finger paints d) Comic/Chapter book
C
While adolescence is naturally a very healthy period of life, many adolescents experience health problems due to: a) Genetic Defects b) Hormonal Dysfunction c) Lifestyle choices d) Separation from parents
C
While giving care to a hospitalized adolescent, the nurse should be aware the MAJOR threat felt by the hospitalized adolescent is: a) Pain management b) Restricted physical activity c) Altered body image d) Separation from family
C
You are about to initiate your first contact with your client. Which is the most suitable goal in establishing the therapeutic relationship? a) Establish friendship and a sense of fun b) Ensure that mutual needs will be met c) Establish clear boundaries while identifying client needs d) Ensure two-way communication to give or ask for help
C
You are counseling a client who is concerned about symptoms of withdrawal from nicotine. Which of the following statements should you include when addressing this issue? a) Some people do not have significant withdrawal symptoms when quitting smoking b) Nicotine replacement therapy will alleviate the symptoms of withdrawal c) Most symptoms of withdrawal will be gone within two to four weeks after quitting d) Your cravings for tobacco will be gone when the symptoms of withdrawal disappear
C
A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing intervention is most appropriate to facilitate normal growth and development? a) Allow the family to bring the child's favorite computer games b) Encourage the parents to room-in with the child c) Encourage the child to rest and read d) Allow the child to participate in activities with other individuals in the same age group when the condition permits
D
A 17-year-old comes in the emergency department for treatment of a puncture wound sustained while camping. Which of the following immunizations should the nurse be prepared to administer? a) A tetanus diphtheria acellular pertussis booster if none has been administered in the past 10 years b) A meningococcal booster if none in has been administered in the past 2 years c) A hepatitis B booster if it has been at least six months since the last dose d) A tetanus diphtheria acellular pertussis booster if none has been administered in the past 5 years
D
A 47-year-old woman expresses dismay to the nurse that her young adult children are unemployed. Her husband is working and near retirement. She is not working and feels bored with her life and unneeded. She is experiencing which of Eriksons stages of development? a) Integrity versus despair b) Intimacy versus isolation c) Identity versus confusion d) Generativity versus self-absorption and stagnation
D
A client is admitted to the ED after a car accident but doesn't remember anything about it. Which defense mechanism is the client displaying? a) Compensation b) Rationalization c) Suppression d) Repression
D
A mother brings her 12-month-old in for a checkup. She is concerned that his speech is delayed compared to other children in his class at daycare What is appropriate language development at 12 months old? a) The child can say 3-5 words besides "momma" and "dada" b) The child does not typically begin to say words until 15 months of age c) The child can say 10 words including 2-word phrases such as "momma go" d) The child can only say "momma" and "dada"
D
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use? a) Explore complementary and alternative medicine practices at a local primary care facility b) Discuss cultural differences with coworkers c) Provide care to diverse populations d) Participate in continuing education programs about cultural diversity
D
A severely anxious client experiencing headaches, palpitations, and inability to concentrate is admitted to a medical floor, which nursing intervention would take priority? a) Encourage the client to express feelings b) Discuss alternative coping strategies with the client c) Using distraction, such as having the client attend group d) Sit with the client, and use a calm but directive approach
D
A six-month-old infant is admitted to the pediatric unit for a two-week course of antibiotic. His parents can only visit on the weekends. Which action indicates the nurse understands infant emotional needs? a) The nurse places the infant in a four-bed unit b) The nurse places the infant a room away c) The nurse assigns the infant a new nurse every day d) The nurse assigns the infant to the same nurse as often as possible
D
All of the following clients are in the contemplation stage of change except: a) Sarah who analyzes the pros and cons of smoking b) John who weighs the costs vs benefits eating healthy c) Joanne who struggles with ambivalence and the importance of cutting down the amount of alcohol she consumes d) Tommy who has no awareness that he should change his sedentary lifestyle; he is young so he does not think he needs to exercise
D
RNs at a colleges Health Fair are planning interventions to focus on health promotion for college students. Which intervention is direction towards reducing the most common cause of death among YA? a) Teach early warning signs of cancer b) Encourage cardiovascular fitness c) Teach principles of safer sex d) Promote safe driving practices
D
The nurse is developing an exercise program for elderly patients living in a nursing home. To develop a beneficial health promotion program, the nurse needs to understand that when dealing with the elderly: a) Exercise is of very little benefit because the patients are old. b) It is important to disregard their current interests in favor of exercise. c) No physical benefit can be gained without a formal exercise program. d) Adjustments to exercise programs may have to be made to prevent problems.
D
The nurse performs an assessment on a new client in an outpatient clinic. The nurse understands that this admission assessment is conducted primarily to: a) Diagnose if the client has a knowledge deficit related to nutrition b) Address the client's coping mechanisms c) Establish a therapeutic relationship d) Identify important data
D
The parent asks you as the child's nurse, "Should I give my infant a pacifier?" What is your best response? a) "Sure, if you want to, pacifier use is a really personal decision" b) "No, they get dirty and it is difficult to take them away when the infant gets older." c) "No, pacifiers can decrease the amount of breast feeding and cause dental problems" d) "Yes, pacifiers provide comfort to infants and infants need to suck when they do not need to eat"
D
The parents of a 2-year-old child are concerned that the child wants to do everything by himself and seems to be rejecting their authority. The nurse's response should be based on which of the following? a) The parents need to tighten their control on the child b) The need for autonomy is not usually seen until puberty c) Limiting choices and punishing the child will restore trust d) The independence displayed by the child is a normal result of maturation
D
