NUR 208 EAQ #1

New parents are asked to sign the consent form for their son to be circumcised. They ask for the nurse's opinion of the procedure. Which response from the nurse would be best? 1. "Let's talk about it, because there are advantages and disadvantages." 2. "It is usually a safe procedure, and it's best for male infants to be circumcised." 3. "Although it may be a somewhat painful experience for the baby, I would allow it if I were you." 4. "You should talk to the primary health care provider about this, if you have any questions."

1. "Let's talk about it, because there are advantages and disadvantages."

The preschool-age client is learning sociocultural mores. Which developmental milestone would the nurse suspect in this client? 1. The child is developing a conscience. 2. The child is learning about gender roles. 3. The child is developing a sense of security. 4. The child is learning about the political process.

1. The child is developing a conscience.

Which activities would the nurse encourage for a preschool-age client diagnosed with a chronic illness to enhance socialization? Select all that apply. One, some, or all responses may be correct. 1. Trips to the park 2. Day care experiences 3. Play dates with friends 4. Special Olympics participation 5. Club membership, such as the Scouts

1. Trips to the park 2. Day care experiences 3. Play dates with friends

A client who menstruates regularly every 30 days asks the nurse on what day she is most likely to ovulate. The client's menses started January 1. Which day in January would the nurse tell her that ovulation should occur? a. 7 b. 16 c. 24 d. 29

2. 16

A 7-year-old child must remain quietly in bed while undergoing peritoneal dialysis. Which activity is most appropriate for the nurse to plan for this child? 1. Learning to play chess 2. Constructing a model airplane 3. Working multiple-piece puzzles 4. Using a large sponge ball to play catch

3. Working multiple-piece puzzles

The nurse is analyzing and explaining the demographics of a population under research. Which phase of the nursing process is the nurse exercising when analyzing and explaining the demographics of a population under research? 1. Diagnosis phase 2. Evaluation phase 3. Assessment phase 4. Implementation phase

2. Evaluation phase

When speaking with the nurse, the husband of a couple who wants to start a family says, "Well, I guess we're going to have to jump into bed 3 or 4 times a day, every day, until it works." Which response would the nurse provide? 1. Telling them to continue intercourse as usual until conception occurs 2. Instructing them in the optimal frequency and timing of intercourse to promote conception 3. Discouraging this because sperm production decreases with frequent sexual intercourse 4. Agreeing that the frequency of intercourse must increase but twice daily is sufficient to promote conception

2. Instructing them in the optimal frequency and timing of intercourse to promote conception

The nurse is teaching the parent of a 24-month-old child effective ways of cleaning the toddler's teeth. Which actions facilitate access to the child's mouth and help stabilize the child's head for comfort? Select all that apply. One, some, or all responses may be correct. 1. Holding the child's mouth open widely 2. Using one hand to hold the child's chin and the other to brush the teeth 3. Sitting on a couch or bed with the child's head resting in the parent's lap 4. Sitting on the floor or a stool with the child's head resting between the parent's thighs 5. Making the child stand facing toward the parent while brushing the teeth in the bathroom

2. Using one hand to hold the child's chin and the other to brush the teeth 3. Sitting on a couch or bed with the child's head resting in the parent's lap 4. Sitting on the floor or a stool with the child's head resting between the parent's thighs

After reviewing the laboratory reports of a 3-month-old infant, the nurse confirms hyponatremia in the infant. Which statement from the infant's parent supports the nurse's confirmation? 1. "I avoid giving my child honey." 2. "I do not give my child fruit juice." 3. "I give my child purified water in the afternoon." 4. "I provide my child a daily vitamin D supplement of 400 IU.

3. "I give my child purified water in the afternoon."

The nurse on the adolescent unit is planning to discuss smoking prevention. Which is the most effective approach to use? 1. Sharing personal experiences with a smoking-cessation program 2. Showing pictures of the effects of smoking on the cardiopulmonary system 3. Presenting information on how smoking affects appearance and odor of the breath 4. Citing statistics about the relationship between smoking and cardiopulmonary diseases

3. Presenting information on how smoking affects appearance and odor of the breath

Which intervention would reduce the risk of perinatal transmission via vaginal birth in an adolescent who is diagnosed with HIV infection? 1. Using forceps during delivery 2. Using a fetal scalp electrode during delivery 3. Using antiretroviral during the intrapartum period 4. Administering zidovudine an hour before labor

3. Using antiretroviral during the intrapartum period

The nurse is instructing a group of clients in the community about food preparation. Which statement indicates that a client is at an increased risk for contracting botulism? 1. "I do not usually brush my teeth after I finish eating a meal." 2. "Sometimes I eat grapes before I have a chance to wash them." 3. "Utensils that I use to cut up chicken are put into the dishwasher." 4. "I save money when I buy the slightly damaged cans of vegetables."

4. "I save money when I buy the slightly damaged cans of vegetables."

When the nurse is teaching a client with hypertension about a sodium-restricted diet, which information would be included? 1. Using salt-free natural seasonings can taste the same as salt. 2. Substituting table salt with potassium chloride can be done freely. 3. Desiring the taste for salt is inherent but can be overcome with help. 4. Liking the taste of table salt is learned, but it can be modified with practice.

4. Liking the taste of table salt is learned, but it can be modified with practice.

Which explanation of herpes genitalis would the school nurse provide to the high school health education class? 1. Painless in women 2. Curable with antibiotics 3. Transmitted by way of fomites such as toilet seats 4. Responsible for local as well as systemic reactions

4. Responsible for local as well as systemic reactions

Which is the characteristic of the preoperational stage of Piaget's theory of cognitive development? 1. An infant may learn to think with the use of symbols and mental images. 2. An infant may learn about the environment through motor and reflex actions. 3. An infant may develop schema or action patterns to deal with the environment. 4. An infant may develop ability to mentally classify objects according to their quantitative dimensions.

1. An infant may learn to think with the use of symbols and mental images.

The nurse understands incorporating which interventions would prevent medication errors? Select all that apply. One, some, or all responses may be correct. 1. Avoid using abbreviations and acronyms. 2. Minimize the use of verbal and telephone orders. 3. Try to guess what the client is saying if the language is not understood. 4. Document each dose of the medication using trailing zeros when recording the dose. 5. Check three times before giving a medication by comparing the medication prescription and medication profile

1. Avoid using abbreviations and acronyms. 2. Minimize the use of verbal and telephone orders. 5. Check three times before giving a medication by comparing the medication prescription and medication profile

Which statements are accurate regarding chronic aspirin poisoning? Select all that apply. One, some, or all responses may be correct. 1. Chronic aspirin poisoning is often mistaken for viral illness. 2. Acute ingestion of aspirin is always more serious than chronic ingestion. 3. Peritoneal dialysis is used in the treatment of severe cases of aspirin poisoning. 4. Acute ingestion of aspirin causes severe toxicity when the dosage is 200 to 250 mg/kg. 5. Chronic ingestion of aspirin occurs when an amount greater than 100 mg/kg per day is ingested for more than 2 days.

1. Chronic aspirin poisoning is often mistaken for viral illness. 5. Chronic ingestion of aspirin occurs when an amount greater than 100 mg/kg per day is ingested for more than 2 days.

In a noisy room a sleeping newborn initially startles and exhibits rapid movements; however, the baby soon goes back to sleep. Which is the most appropriate nursing action in response to this behavior? 1. Documenting an intact reflex 2. Assessing the infant's vital signs 3. Testing the infant's ability to hear 4. Stimulating the infant's respirations

1. Documenting an intact reflex

When would the nurse observe the client to assess his or her level of functioning? Select all that apply. One, some, or all responses may be correct. 1. During mealtime 2. When talking about pain 3. When preparing medication 4. During the assessment interview 5. When administering insulin injections

1. During mealtime 3. When preparing medication 5. When administering insulin injections

Which intervention would the nurse provide the parents of an infant with myelomeningocele to facilitate the parent-child relationship during the preoperative period? 1. Encouraging the parents to stroke their infant 2. Allowing the parents to hold their infant in their arms 3. Referring the parents to the Spina Bifida Association of America (Canada: Spina Bifida and Hydrocephalus Association of Canada) 4. Teaching the parents to use special techniques when feeding the infant

1. Encouraging the parents to stroke their infant

A nursing instructor asks a student about the health risks faced by adolescents. Which statements by the student indicate inadequate learning? Select all that apply. One, some, or all responses may be correct. 1. "Suicide is the third leading cause of death in adolescents." 2. "Eating disorders are more common in teen boys than girls." 3. "The incidence of substance abuse among adolescents in high school is low." 4. "Anorexia nervosa and bulimia are two eating disorders that appear in adolescence." 5. "Drowning and use of firearms are among the frequent causes of death among adolescents."

2. "Eating disorders are more common in teen boys than girls." 3. "The incidence of substance abuse among adolescents in high school is low."

Which response would the nurse give to the pregnant client who is worried about gaining too much weight in pregnancy? 1. "Too much weight gain results in complications during pregnancy." 2. "You'll have to follow a low-calorie diet if you gain more than 15 lb." 3. "We're more concerned that you won't gain enough weight to ensure adequate growth of your baby." 4. "Let's look at your weight before the pregnancy and discuss how much weight gain is healthy for you."

4. "Let's look at your weight before the pregnancy and discuss how much weight gain is healthy for you."

Which education would the nurse provide the parents of a 6-week-old immunocompromised infant about why their baby is still so healthy? 1. Exposure to pathogens during this time can be limited. 2. Some antibodies are produced by the infant's colonic bacteria. 3. Bottle feeding with soy formula has boosted the immune system. 4. Antibodies are passively received from the mother through the placenta and breast milk.

4. Antibodies are passively received from the mother through the placenta and breast milk.