Unit 1 Nursing 1400

How many days is the neonatal period? Record your answer using whole numbers. __________ days

28

For which person seen at a physician's office appointment would patient and family education be most critical? a. A 24-year-old male patient with a cold virus and on no medications b. A 45-year-old male patient on metformin for type 2 diabetes for the past 3 years c. A 75-year-old female patient just prescribed the anticoagulant warfarin d. A 40-year-old male asthmatic patient diagnosed 10 years ago and on albuterol

A 75-year-old female patient just prescribed the anticoagulant warfarin

At which age would the nurse anticipate the appearance of an imaginary friend for a preschool-age client? A) 3-year-old B) 4-year-old C) 5-year-old D) 6-year-old

A) 3-year-old

From which client does the nurse expect dramatic physical growth and marked development? A) 9-month-old infant B) 24-month-old toddler C) 4-year-old preschool-age child D) 10-year-old school-age child

A) 9-month-old infant

Children with special needs have the same needs as other children, although their means of satisfying these needs may be limited. What effect should the nurse expect that these limitations will frequently cause? A) Frustration B) Overcompensation C) Feelings of rejection D) Emotional dysfunction

A) Frustration

The nurse is assessing an 8-month-old child's gross motor development. Which action by the child indicates late development? A) The child is unable to stand by holding onto furniture. B) The child cannot change from a prone to a sitting position. C) The child cannot sit down from a standing position without help. D) The child cannot sit steadily on the floor for a prolonged period of time

A) The child is unable to stand by holding onto furniture

Which symptoms present in a child indicate Turner syndrome? Select all that apply. A) Webbed neck B) Impaired language C) Tall stature with long legs D) Low position of posterior hairline E) Shield-shaped chest with wide space between the nipples

A) Webbed neck D) Low position of posterior hairline E) Shield-shaped chest with wide space between the nipples

Several 3-year-old girls in the daycare center are having a tea party with their dolls. The center's nurse concludes that this behavior is what? A) Evidence of abstract thought B) Appropriate make-believe play C) Inappropriate exclusion of boys D) Maladaptive use of magical thinking

B) Appropriate make-believe play

According to Freud, which must occur before an individual is able to have a mature adult sexual relationship? A) Puberty B) Conflict resolution C) Acquisition of new skills D) Loss of self in another person

B) Conflict resolution

A nurse is caring for an infant with Down syndrome. What does the nurse recall as the most common serious anomaly associated with this disorder? A) Renal disease B) Hepatic defects C) Congenital heart disease D) Endocrine gland malfunctio

C) Congenital heart disease

What are the physiologic changes noticed in an adolescent during puberty? Select all that apply. A) Increase in the respiratory rate B) Increase in the number of neurons C) Increase in number of neural connections D) Decrease in the basal body temperature gradually E) Increase in serum iron, hemoglobin, and hematocrit

C) Increase in number of neural connections, D) Decrease in the basal body temperature gradually E) Increase in serum iron, hemoglobin, and hematocrit

Which stage of development classifies boys and girls as differing very little in terms of size? A) Toddler B) Preschool C) School-age D Adolescence

C) School-age

Which factor(s) is/are likely to influence the transition from adolescence to adulthood? (Select all that apply.) a. Cultural beliefs b. Societal values c. Personal beliefs and expectations d. Governmental rules e. Societal expectations

Cultural beliefs Societal values Personal beliefs and expectations

In which stage of Kohlberg's theory of moral development does the nurse anticipate a client to expand focus from relationships with others to societal concerns? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

D) Stage 4

Which term indicates a mental health disorder that is frequently seen in older adults? a. Schizophrenia b. Bipolar disorder c. Depression d. Posttraumatic stress disorder

Depression

Which of these statements about language development in children ages 12 to 36 months are true? Select all that apply. a. 24-month-old children use pronouns. b. 18-month-old children use approximately 25 words. c. 24-month-old children speak in four-word sentences. d. 24-month-old children have a vocabulary of up to 500 words. e. 36-month-old children learn to use five or six new words each day

a. 24-month-old children use pronouns e. 36-month-old children learn to use five or six new words each day.

Which action by a 3-month-old infant would the nurse interpret as an example of Piaget's stage of primary circular reaction? a. Deliberately placing the thumb into the mouth b. Accidentally kicking a ball c. Searching for an object under a blanket d. Shaking a rattle

a. Deliberately placing the thumb into the mouth

A teenage girl faces a long hospitalization after surgery. How can the girl's continued development be fostered? a. Encourage her to write her feelings in a journal. b. Divert her attention by playing video games. c. Encourage her to work on craft projects. d. Make sure her parents are constantly by her side.

a. Encourage her to write her feelings in a journal.

The most commonly reported illicit drugs are a. marijuana and hashish. b. oxycontin and oxycodone. c. fentanyl and oxycontin. d. Robitussin with codeine and Tylenol with codeine.

marijuana and hashish.

Which statement below is not true about fluid intelligence? a. Increases throughout middle adulthood b. Supports reasoning, abstraction, and problem solving c. Represents basic information-processing skills d. Peaks in adolescence and progressively declines beginning around age 30

a. Increases throughout middle adulthood

Which stage of Kohlberg's theory is an individual in if he or she wants to modify a law if it is not fair to a particular group? A) Social contract orientation B) Society-maintaining orientation C) Instrument relativist orientation D) Universal ethical principle orientation

d. Universal ethical principle orientation

Which of the following questions may help the nurse determine the mental health status of a patient? a. How often do you have trouble relaxing? How often do you feel nervous? Do you have thoughts of harming yourself? b. Do you exercise? Do you work out 3 times a week? c. Do you eat a low-calorie, high-fiber diet? d. Are you sexually active? Do you practice safe sex?

a. How often do you have trouble relaxing? How often do you feel nervous? Do you have thoughts of harming yourself?

At what age, the pubertal growth spurt reaches its peak in males? A) 12 years B) 14 years C) 16 years D) 18 years

B) 14 years

A nurse is teaching parents about growth and development in preadolescent girls, and a mother asks at what age her daughter will have her first period. What is the most accurate response by the nurse? A) Before the pubic hair appears B) At the end of the growth spurt C) Near the age when their mothers did D) Around the time when the breasts develop

B) At the end of the growth spurt

During which period of pregnancy may drug exposure cause meromelia, cleft lip, and enamel hypoplasia? A) Fetal period B) Embryonic period C) Presomite period D) Preimplantation period

B) Embryonic period

A nurse is planning to foster independence in a group of 4-year-old children. What self-care skill does the nurse expect 4-year-olds to be capable of performing? A) Parting and combing hair B) Putting on a shirt and buttoning it C) Cutting meat with a fork and knife D) Slipping into shoes and tying shoelaces

B) Putting on a shirt and buttoning it

Which genetic syndromes are mostly recognized in adolescence? Select all that apply. A) Down syndrome B) Turner syndrome C) Edwards syndrome D) Angelman syndrome E) Klinefelter syndrome

B) Turner syndrome E) Klinefelter syndrome

To provide appropriate psychosocial support to clients, a nurse must understand development across the life span. What theory is the nurse using in considering relationships and resulting behaviors as the central factors that influence development? A) Cognitive theory B) Psychosocial theory C) Interpersonal theory D) Psychosexual theory

C) Interpersonal theory

A mother brings her 7-year-old son into an outpatient clinic for a follow-up appointment. The mother appears angry and agitated with the boy. Looking at the boy's medical chart, the nurse notes that the boy has a diagnosis of encopresis. What is the primary symptom of encopresis? A) Practicing self-mutilation B) Practicing self-induced vomiting C) Passing feces either voluntarily or involuntarily into inappropriate places D) Passing urine either voluntarily or involuntarily into inappropriate places

C) Passing feces either voluntarily or involuntarily into inappropriate places

Which is a characteristic of the glands that secrete a thick substance in response to emotional stimulation and become odoriferous because of bacterial action? A) Highly active in childhood B) Absent around the umbilicus C) Widely distributed throughout the body D) Grow in conjunction with axillary hair follicles

D) Grow in conjunction with axillary hair follicles

What stage of Kohlberg's theory of moral development defines "right" by the decision of the conscience? A) Social contract orientation B) Society-maintaining orientation C) Instrumental relativist orientation D) Universal ethical principle orientation

D) Universal ethical principle orientation

Arrange the stages of Sigmund Freud's psychoanalytical model of personality development in its correct order. 1.Oral 2.Anal 3.Genital 4.Phallic or Oedipal 5.Latency

In order= Oral, Anal, Phallic or Oedipal, Latency, Genital

Which group is referred to as the "sandwich generation?" a. Older adults who are caretakers for their elderly parents b. Younger adults who are reexamining their life choices c. Middle adults who are caretakers for multiple generations of their family d. Younger adults who are changing employment constantly

Middle adults who are caretakers for multiple generations of their family

10. _______________ syndrome is a neurotoxic disorder that has been linked to febrile illness and aspirin use in children less than 18 years of age.

Reye Syndrome The presence of viral infection and the use of aspirin in children are linked to Reye syndrome, a potentially fatal toxic encephalopathy. Avoid use of aspirin and non-aspirin-con¬taining salicylates during febrile illnesses in children.

Which of the following questions should be included in the health assessment of the young adult? (Select all that apply.) a. Have you attempted to harm yourself in the past or do you have plans to do so now? b. What is your salary range? c. Do you keep guns in your house? d. Do you wear your seat belt?

a. Have you attempted to harm yourself in the past or do you have plans to do so now? c. Do you keep guns in your house? d. Do you wear your seat belt?

When an injury to a child is suspicious for abuse, which findings are important to document? (Select all that apply.) a. Size and location of bruising b. Distinguishing characteristics of injuries c. Height and weight of the child d. Time of last meal e. General state of health of the child

a. Size and location of bruising b. Distinguishing characteristics of injuries c. Height and weight of the child e. General state of health of the child

From the nurse's knowledge about the emerging adult according to Arnett's theory, which behavior by a 21-year-old hospitalized male patient is most appropriate for his age group? a. Talking about college courses that he is taking while working part-time at a restaurant b. Requesting that his mom be present when his IV line is started c. Stating that he cares for his disabled father and his 2-year-old daughter d. Becoming upset that he is not giving back to his community

a. Talking about college courses that he is taking while working part-time at a restaurant

The nurse is caring for a group of older adults. Which patient(s) in this group is/are exhibiting normal signs of aging? (Select all that apply.) a. The patient with knee pain and wrinkles around the eyes b. The patient who needs reading glasses and states that the food tastes bland c. The patient who is confused and does not know the current year d. The patient who states that constipation is an increasing problem e. The patient who is showing signs of depression and hopelessness

a. The patient with knee pain and wrinkles around the eyes b. The patient who needs reading glasses and states that the food tastes bland d. The patient who states that constipation is an increasing problem

A father is upset because his preschool son has told him he wishes he were gone and pushes him and his wife apart whenever they are together. What advice should the nurse give the father? a. This is normal at this age and should resolve on its own. b. The child may need counseling to resolve his conflict. c. Tell the child this is inappropriate and will not be tolerated. d. The child needs to go to preschool to separate from his mother.

a. This is normal at this age and should resolve on its own.

The hallmark of the older adult populations is a. increases in diversity. b. highest death rates in the U.S. c. Alzheimer's disease. d. urinary incontinence.

a. increases in diversity.

How is the toddler's need for autonomy best met? a. The parents' consistently meeting the child's needs b. Allowing the child limited choices c. Encouraging imaginative play d. Promoting experimentation to determine cause and effect

b. Allowing the child limited choices

Which step(s) can nurses and health care providers take to remove barriers to identifying and treating victims of domestic violence? (Select all that apply.) a. Call the police. b. Ask about abuse. c. Ask for proof of domestic violence. d. Screen for domestic violence with all patients. e. Disregard reported abuse in spouses.

b. Ask about abuse, d. Screen for domestic violence with all patients.

A 1-year-old child grabs an Easter egg and attempts to throw it across the room. The nurse knows that the child is exhibiting which scheme according to Piaget? a. Adaptation b. Assimilation c. Accommodation d. Equilibration

b. Assimilation

Which of the following statements regarding older adults is not true? a. Common causes of death include heart disease, stroke, and influenza. b. Chronic illnesses include arthritis, COPD, and STDs. c. Declines in the immune system make older adults susceptible to infections. d. Acute injuries are often the result of falls and pneumonia.

b. Chronic illnesses include arthritis, COPD, and STDs.

A toddler's parent expresses frustration over trying to get her toddler to bed at night. She explains that she has "tried everything." When asked about a bedtime routine, the mother states she has established no set bedtime, she just waits until the child falls asleep in front of the TV. What is the best advice for the nurse to give the mother? a. Stop the television and just put the child to bed without ceremony. b. Establish a set bedtime with a quiet routine beforehand. c. Continue to allow the child to fall asleep in front of the TV. d. Put the child in time-out whenever he or she resists going to bed.

b. Establish a set bedtime with a quiet routine beforehand.

The nurse is teaching a patient about sexually transmitted diseases. Which of the following statements, if made by the nurse, could lead to the spread of STDs? (Select all that apply.) a. Always use latex condoms. b. If you don't have any symptoms then you probably don't have an STD. c. All HPV infections are low risk infections. d. There is no cure for HPV.

b. If you don't have any symptoms then you probably don't have an STD. c. All HPV infections are low risk infections.

While assessing a patient for domestic violence, the nurse knows that which statement is true regarding domestic violence? a. It is a health risk factor only during young adulthood. b. It occurs across socioeconomic levels and cultural boundaries. c. Young women aged 20 to 24 have the lowest incidence of rape and sexual assaults. d. Women are the only victims of domestic violence whom nurses should be concerned about.

b. It occurs across socioeconomic levels and cultural boundaries.

Which behavior by the young adult patient indicates an understanding of patient education aimed at reducing the health risks for that age group? a. Smoking only 1 pack of cigarettes per day b. Limiting alcohol use to an occasional drink c. Using drugs found in a roommate's drawer for anxiety d. Having a relationship with a partner who was threatening in the past

b. Limiting alcohol use to an occasional drink

Strategies for stress relief when caring for an aging parent include all of the following except: a. Seek social support b. Place him or her in a nursing home c. Use community resources d. Utilize respite care services

b. Place him or her in a nursing home

The nurse is performing a health assessment on a 15-year-old female patient. Which is the best way to obtain accurate information regarding her sexual activity? a. Ask the mother about the girl's sexual activity. b. Privately ask the girl about her sexual activity. c. Warn the girl about the dangers of sexual activity. d. Ask the girl if she wants birth control.

b. Privately ask the girl about her sexual activity.

A 14-year-old male is upset because he is shorter in stature and smaller in build than the other boys in his class. He is concerned about never growing. How should the nurse address his concern? a. Reassure him that everyone grows at his own rate. b. Reassure him that males often do not stop growing until they are 18-20 years old. c. Tell him that most males start their growth spurt around 9-14 years of age. d. Tell him to take in more protein in order to get his growth spurt started.

b. Reassure him that males often do not stop growing until they are 18-20 years old.

9. In examining a 3-month-old infant, you would expect to see all of the following except a. Raising chest and head when prone b. Responding to own name c. Social smile d. Bringing hand to mouth

b. Responding to own name

A 2-year-old child insists on having a drink of water and having a story read to him and says "Good night, sleep tight" at bedtime every night. The nurse knows the child is exhibiting which type of behavior? a. Controlling b. Ritualism c. Obsession d. Compulsion

b. Ritualism

The mother of a 5-month-old infant is concerned because her child is not yet sitting on his own. What is the nurse's best response to her concerns? a. Informing the mother that this is not normal and recommending further evaluation b. Telling the mother that this is normal development for a 5-month-old c. Encouraging the mother to do sit-ups with the child to encourage muscle development d. Asking the mother if the child had any trauma at birth

b. Telling the mother that this is normal development for a 5-month-old

Which safeguards should the school nurse teach parents to assess for prior to allowing school-age clients to participate in athletic programs? Select all that apply. a. A life-long enjoyment of fitness b. The use of appropriate equipment c. The development of basic motor skills d. A physical examination every two years e. Participation in warm-up exercises prior to physical activity

b. The use of appropriate equipment d. A physical examination every two years e. Participation in warm-up exercises prior to physical activity

A 16-year-old male patient has been involved in a motor vehicle accident. Every time the nurse enters his room, there are at least 4-5 friends laughing and talking with the patient. The nurse is frustrated in trying to get things done. What is the nurse's best action? a. Call security to escort the visitors from the room. b. Work with the boy and his friends to plan and coordinate activities to minimize interruptions. c. Ask the boy's parents to tell his friends to stay away. d. Post a "Do not disturb" sign on the door.

b. Work with the boy and his friends to plan and coordinate activities to minimize interruptions.

A kindergartener's mother is concerned because the child has had two bouts of respiratory infections in the past three months since school started. What is the nurse's best response? a. "His immune system should be stronger by now; I think we will need to do some further screening." b. "His immune system is compromised because his schedule has changed. Be sure he gets to bed on time." c. "He is exposed to more germs now that he is in school. Let's go over good handwashing." d. "You should talk to the school about disinfecting the classroom."

c. "He is exposed to more germs now that he is in school. Let's go over good handwashing."

The nurse is caring for an 11-year-old girl in a hospital. The nurse finds a bunch of gum wrappers in her bedside stand. Which is the most appropriate action by the nurse? a. Reprimand the girl for being so sloppy. b. Quietly clean up the mess and throw them away. c. Leave the wrappers as you found them. d. Tell the girl to clean up the mess.

c. Leave the wrappers as you found them.

What is the best activity for a hospitalized school-age child to encourage continued appropriate development? a. Watching favorite television shows for 2 hours per day b. Keeping a journal of feelings while in the hospital c. Working on a paint-by-number project that can be completed in an afternoon d. Playing a favorite video game each afternoon

c. Working on a paint-by-number project that can be completed in an afternoon

The term "ageism" refers to a. the act of getting older. b. the hallmark of older adult populations. c. prejudices and stereotypes applied to individuals based on their age. d. octogenarians.

c. prejudices and stereotypes applied to individuals based on their age

A preschooler's mother is concerned because her child behaves in a mean fashion toward her younger brother. The mother states, "She acts like she has no sympathy for him!" What is the nurse's best response? a. "She is very young to exhibit sibling rivalry." b. "What does her brother do to her to make her act this way?" c. "Do you fight at home? She is probably imitating you." d. "Preschoolers are not capable of putting themselves in another's place."

d. "Preschoolers are not capable of putting themselves in another's place."

The nurse knows that which patient is an example of the Wear-and-Tear Theory of Aging? a. A patient who is dying of cancer at age 35 b. A 55-year-old who runs half-marathons c. A patient with depression and suicidal thoughts who is 65 d. An 88-year-old with heart failure, kidney failure, and osteoarthritis

d. An 88-year-old with heart failure, kidney failure, and osteoarthritis

A parent of a preschool child is concerned because his teachers have complained about his aggressive behavior toward other children. Which of the following pieces of information is most important in helping the parent determine possible sources of this behavior? a. The types of playmates the child has b. The kinds of toys the child plays with c. Whether or not the child is allowed to roughhouse with his siblings d. The types of television programs the child watches

d. The types of television programs the child watches

8. A newborn's mother is concerned about Sudden Infant Death Syndrome (SIDS). What would the nurse advise her is the best way to prevent SIDS? a. To breastfeed b. To allow the infant to sleep in her bed c. To place the infant prone to sleep d. To place the infant supine to sleep

d. To place the infant supine to sleep

Consequences of domestic violence include all of the following except: a. Unwanted/unplanned pregnancies b. STDs c. Drug abuse d. Type 1 diabetes and hyperglycemia

d. Type 1 diabetes and hyperglycemia