Custom Assessment Builder 2 (Fall 2023)

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

CLOSED POSTERIOR FONTANEL: the infant's posterior fontanel should close by about 8 weeks of age.

A nurse is caring for an older adult client who has major depressive disorder. The client states, "I don't think I am financially prepared for retirement, yet I am eligible to retire this year." The nurse should identify that the client is in which of the following stages of Erikson's stages of development?

Ego integrity vs despair: The client is currently in this stage of development. Life experiences provide a sense of dignity. Life goals have been completed and death is not feared. Failure to meet these stages results in disappointment in how the person's life has gone.

A nurse is teaching a class about minerals. Which of the following minerals is needed for transport of oxygen?

IRON: Iron is a component of hemoglobin and is needed for oxygen transport throughout the body.

A nurse is caring for a client who is at risk for sensory overload. Which of the following actions should the nurse take?

Provide a client with a blindfold: A blindfold and ear plugs can reduce sensory overload by blocking light and noise.

A nurse is instructing a group of clients regarding nutrition. The teaching should state that which of the following groups of foods contain the highest level of carbohydrates?

RICE, POTATOES, AND ORANGES: the group of foods contains the highest level of carbohydrates.

A nurse is caring for a 2-year old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

TOY HAMMER: a toy hammer and pounding board helps the child to express the anger and frustration he feels about the parent leaving but lacks the verbal ability to express.