S2 T3 Part 4

Which is the priority concern of a 10-year-old child who was recently diagnosed with type 2 diabetes? 1 How much school might be missed 2 Whether the diabetes can be controlled 3 How the parents will react to the diagnosis 4 Whether having diabetes means future sterility

1 School-aged children are most concerned about school—if not for the academics, for the social aspects. School-aged children generally live in the present; there is little concern about the future (e.g., whether the diabetes will be controlled or whether the child will be sterile in the future). The parents' reaction may be of some concern, but not as much as school is.

The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a childs head and chest circumferences to be almost equal? Birth 6 months 1 year 3 years

1 year Head circumference is larger than chest circumference until approximately 12 months of age

According to Erikson's theory, at which age would a child develop self-control and independence? 1 18 months to 3 years old 2 3 to 6 years old 3 6 to 12 years old 4 12 to 19 years old

1

Which topic is most important for the nurse to teach in a community health promotion class for middle-aged adults? 1 Tobacco cessation 2 Infection prevention 3 Alcohol abstinence 4 Pain management

1

Which might an individual experience in Erikson's initiative versus guilt stage? Select all that apply. One, some, or all responses may be correct. 1 Pretends and tries out new roles 2 May develop a superego or a conscience 3 Thrives on his/her accomplishments and praise 4 May develop his/her autonomy by making choices 5 Fantasizes and imagines discovering the environment

1, 2, 5 In the initiative versus guilt stage, a 3- to 6-year-old child likes to pretend and try out new roles. In this stage, a child may develop a superego or a conscience. Also, a child may fantasize and imagine discovering the environment in this stage. In the industry versus inferiority stage, a 6- to 11-year-old child may thrive on his or her accomplishments and praise. In the autonomy versus sense of shame and doubt stage, a 1- to 3-year-old child may develop his or her autonomy by making choices.

The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color. This skin coloration is associated with what? Cyanosis Erythema Vitiligo Nevi

Erythema

The registered nurse (RN) delegates the task of administering oral antibiotics for a client with diabetes. Which statements are true in this scenario? Select all that apply. One, some, or all answers may be correct. 1 The RN is accountable for the delegatee's work. 2 The licensed practical nurse (LPN) should report to the RN once the task is completed. 3 The unlicensed nursing practitioner (UNP) can also be delegated the task of administering oral antibiotics. 4 The LPN can be held responsible for any failure in administration of oral medication. 5 The LPN, in the absence of the RN, can change the medication dosage according to the client's physiological needs

1,2,4

When a client is receiving intravenous heparin, the APTT should be ____ times the normal APTT of __ seconds, or 60 to 80 seconds.

1,5-2.5, 40

anterior fontanelle closes by...posterior by..

12-18 months, 2-3 months

According to Erikson's theory, at which age would a child be able to differentiate between identity and role confusion

12-19

A 10-year-old child has been working on earning all of the scouting badges. Which of Erikson's stages of psychosocial development is this child achieving? 1 Identity 2 Industry 3 Intimacy 4 Initiative

2

According to Erikson's theory of psychosocial development, which task does the nurse recognize as the chief psychosocial task of preschoolers? 1 Control over bodily functions 2 Development of a sense of initiative 3 Toleration of separation from parents 4 Ability to interact with others in a less egocentric manner

2

Which play patterns does a 3-year-old child typically display? Select all that apply. Imaginary play Parallel play Cooperative play Structured play Associative play

all except structured

An adolescent was recently diagnosed with type 2 diabetes mellitus. Which information will the nurse include when providing education to the family? 1 "Your teen will need insulin injections for the rest of her life." 2 "The most important interventions are good nutrition and portion control." 3 "This is a condition where the body produces antibodies against its own cells." 4 "This condition causes weight loss and increased appetite, thirst, and urination."

2

After the nurse provides teaching about diet to a client who has a new prescription for warfarin, which food selected by the client indicates that further teaching may be needed? 1 Poached eggs 2 Spinach salad 3 Sweet potatoes 4 Cheese sandwich

2 high in vit K which affects warfarin

Which education would the nurse provide the parents of an infant receiving the first diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) at 2 months of age? 1 Give the baby aspirin if there is pain. 2 Call the clinic if marked drowsiness occurs. 3 Apply ice to the injection site if there is swelling. 4 Provide heat at the injection site if redness occurs.

2 Altered level of consciousness (such as marked drowiness) and seizures are rare but serious complications of the pertussis vaccine. Aspirin should not be given to infants and children because it is associated with Reye syndrome. Infants are sensitive to the application of ice. Heat will cause an extension of the inflammatory response and should be avoided.

A client who is taking an oral hypoglycemic daily for type 2 diabetes develops an infection with anorexia. Which advice will the nurse provide to the client? Select all that apply. One, some, or all responses may be correct. 1 Avoid solid food. 2 Continue to take the oral medication. 3 Drink fluids throughout the day. 4 Monitor capillary glucose levels. 5 Do not take medication until tolerating food.

2 3 4

The nurse is teaching expectant parents about infant development. Which parental statements indicate the need for further education? Select all that apply. One, some, or all responses may be correct. 1 "My baby will enjoy sucking on a pacifier." 2 "Toilet training is an expectation during infancy." 3 "A chronic illness shouldn't affect my baby's development." 4 "My baby will begin to realize that he or she is separate from me early in infancy." 5 "If my wife experiences postpartum depression, this could affect my baby's development."

2, 3, 4

An adolescent with a body mass index (BMI) of 30 reports fatigue, frequent urination, and a tingling sensation on the feet. The adolescent is then diagnosed with type 2 diabetes mellitus. Which nursing interventions would be appropriate? Select all that apply. One, some, or all responses may be correct. 1 Bariatric surgery 2 Physical activities 3 Dietary restrictions 4 Dietary counseling 5 behavior modifications

2, 4, 5

A 6-month-old infant is to receive scheduled immunizations. The parents ask why two influenza vaccines are given: Haemophilus influenzae type B (Hib) and pneumococcal conjugate vaccine (PCV). Which response by the nurse is appropriate? 1 "PCV prevents influenza." 2 "Hib is given to prevent pneumonia." 3 "Hib and PCV prevent different bacterial diseases." 4 "They are given together to protect against viral and bacterial diseases."

3

In which stage of Erikson's theory does the child initiate self-care activities? 1 Initiative versus guilt 2 Integrity versus despair 3 Autonomy versus sense of shame and doubt 4 Generativity versus self-absorption and stagnation

3

Which psychosocial developmental skill would the nurse anticipate in a 4-year-old child? 1 Self-evaluation 2 Logical thinking 3 Increased curiosity 4 Understanding of others

3

A client is newly diagnosed with diabetes. The nurse would instruct the client to monitor for which indication of hypoglycemia? 1 Kussmaul respirations 2 Bradycardia 3 Confusion 4 Anorexia

3 The most common symptoms of hypoglycemia are nervousness, weakness, perspiration, and confusion. Kussmaul respirations are associated with hyperglycemia or ketoacidosis. Tachycardia, not bradycardia, is associated with hypoglycemia. Anorexia is associated with hyperglycemia.

Which laboratory value would the nurse use to determine whether a client is receiving a therapeutic dose of intravenous heparin? 1 International normalized ratio (INR) is between 2 and 3 2 Prothrombin time (PT) is 2.5 times the control value 3 Activated partial thromboplastin time (APTT) is 70 seconds 4 Activated clotting time (ACT) is in the range of 70 to 120 seconds

3 When a client is receiving intravenous heparin, the APTT should be 1.5 to 2 times the normal APTT of 40 seconds, or 60 to 80 seconds. INR and PT are used to evaluate therapeutic levels of warfarin. The ACT is not commonly used for monitoring of heparin, but ACT increases to a range of 150 to 200 seconds when heparin reaches therapeutic levels.

When the international normalized ratio (INR) for a client receiving warfarin for venous thrombosis is 4.6, which action will the nurse take? 1 Administer the scheduled dose of warfarin. 2 Offer the client foods that are high in vitamin K. 3 Notify the health care provider of the laboratory results. 4 Warn the client about risk for spontaneous hemorrhage.

3 anticipate decrease in meds

A child with type 1 diabetes is exhibiting deep, rapid respirations; flushed, dry cheeks; abdominal pain with nausea; and increased thirst. Which blood pH and glucose level would the nurse expect the laboratory tests to reveal? 1 7.20 and 60 mg/dL (3.3 mmol/L) 2 7.50 and 60 mg/dL (3.3 mmol/L) 3 7.50 and 460 mg/dL (25.5 mmol/L) 4 7.20 and 460 mg/dL (25.5 mmol/L)

4

Which type of play would the nurse expect of a 5-year-old child while interacting with other children? 1 Team 2 Parallel 3 Initiative 4 Cooperative

4

Which kind of health service would the nurse offer in a health promotion or primary care program? 1 Home care 2 Immunization 3 Sports medicine 4 Nutrition counseling

4 Health promotion or primary care focuses on improved health outcomes for the entire population. It includes nutrition counseling and health education. Home care is the provision of enabling medically related professional and paraprofessional services and equipment to clients and their families at home. Preventive care is more disease oriented. It focuses on reducing and controlling risk factors for diseases through immunizations and occupational health programs. Sports medicine is a form of restorative care. The goal of this program is to help individuals regain maximum functional status through promotion of independence and self-care.

Which nursing intervention is the highest priority for an older client with diabetes mellitus who presents with a large leg ulcer? 1 Teaching techniques for dressing changes 2 Informing the client about insurance companies 3 Discussing community resources to obtain support 4 Teaching how to transfer from a bed to chair in the least painful manner

4 The priority nursing intervention for an older diabetic client with a large leg ulcer is to teach him or her how to transfer from a bed to a chair in the least painful manner. Teaching techniques for dressing changes is the priority nursing intervention for the client's caregiver. It is not a priority nursing intervention to inform the client about insurance companies and community resources to obtain support.

age for pat a cake and peek a boo

6 mmonths

The parent of 2-week-old Sarah asks the nurse whether Sarah needs fluoride supplements, because she is exclusively breastfed. The nurses best response is She needs to begin taking them now. They are not needed if you drink fluoridated water. She may need to begin taking them at age 6 months. She can have infant cereal mixed with fluoridated water instead of supplements.

6 months

According to Erikson's theory, at which age would a child be engaged in tasks and activities

6-12

when should parents be advised to start weaning

6-12 months

Normal blood pH

7.35-7.45 low means acidosis metabolic

age for rolling a ball and hide and seek

9 months

underweight BMI

<18.5

A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age group? Select all that apply. Pulse of 80125 a minute B/P of systolic 6595 and diastolic 3060 Temperature of 36.537.3 Celsius (axillary) Temperature of 36.437 Celsius (axillary) Respirations of 3060 a minute

BCE The normal vital signs for a newborn are temperature 36.5 to 37.3 Celsius (axillary), pulse rate of 120160 a minute, respiratory rate of 3060 a minute, systolic B/P of 6595, and diastolic B/P of 3062. A temperature of 36.437 Celsius is normal for an older child. A pulse rate of 80125 is normal for a 4- year-old child.

Which interventions are appropriate for preventing childhood obesity? Select all that apply. Establish consistent times for meals and snacks. Eliminate all snacks. Eat three nutritious meals a day. Teach the family and child how to select foods and prepare foods. Encourage schools to provide snack machines with popcorn, cookies, and diet soda. Limit computer and television time.

Establish consistent times for meals and snacks. Teach the family and child how to select foods and prepare foods. Limit computer and television time.

The mother of a 14-month-old child is concerned because the childs appetite has decreased. The best response for the nurse to make to the mother is It is important for your toddler to eat three meals a day and nothing in between. It is not unusual for toddlers to eat less. Be sure to increase your childs milk consumption, which will improve nutrition. Giving your child a multivitamin supplement daily will increase your toddlers appetite.

It is not unusual for toddlers to eat less.

In providing anticipatory guidance to parents, which parental behavior is the most important in fostering moral development? Telling the child what is right and wrong Vigilantly monitoring the child and her peers Weekly family meetings to discuss behavior Living as the parents say they believe

Living as the parents say they believe

Which parameter correlates best with measurements of the bodys total muscle-mass to fat ratio? Height Weight Skin-fold thickness Mid arm circumference

Mid arm circumference

Intermediate insulin

NPH (Humulin N, Novolin N) nurses play here 2 8 16 year olds onset 2 hours peak 8 hours duration 16 hours

During examination of a toddlers extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is Abnormal, requiring further investigation Abnormal unless it occurs in conjunction with knock-knee Normal if the condition is unilateral or asymmetric Normal, because the lower back and leg muscles are not yet well developed

Normal, because the lower back and leg muscles are not yet well developed

A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct? Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. The physical examination should be done with parents in the examining room for children of any age. Measurement of head circumference is done until the child is 5 years old. The physical examination is done only when the child is cooperative.

Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise.

Which statement about performing a pediatric physical assessment is correct for a school-age child? Select all that apply. Physical examinations proceed systematically from head to toe. The physical examination should be done with parents in the waiting room. Measurement of head circumference is obtained. The physical examination is done only when the child is cooperative. Remove clothing and have the child put on an examination gown.

Physical examinations proceed systematically from head to toe. The physical examination is done only when the child is cooperative. Remove clothing and have the child put on an examination gown.

Short acting insulin

Regular (Humulin R, Novolin R) short staffed nurses went from 30 patients 2 8 patients onset 30 mins peak 2 hours duration 8 hours

A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her schoolwork satisfactorily, but lately she has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as Signs of stress Developmental delay Physical problem causing emotional stress Lack of adjustment to school environment

Signs of stress

Which behavior suggests appropriate psychosocial development in the adolescent? The adolescent seeks validation for socially acceptable behavior from older adults. The adolescent is self-absorbed and self-centered and has sudden mood swings. Adolescents move from peers and enjoy spending time with family members. Conformity with the peer group increases in late adolescence.

The adolescent is self-absorbed and self-centered and has sudden mood swings.

Which statement is the most accurate about moral development in the 9-year-old school-age child? Right and wrong are based on physical consequences of behavior. The child obeys parents because of fear of punishment. The school-age child conforms to rules to please others. Parents are the determiners of right and wrong for the school-age child.

The school-age child conforms to rules to please others.

The nurse percussing over an empty stomach expects to hear which sound? Tympany Resonance Flatness Dullness

Tympany is a high-pitched, loud-intensity sound heard over air-filled body parts such as the stomach and bowel.

Which is an appropriate disciplinary intervention for the school-age child? Using time-out periods Using a consequence that is consistent with the inappropriate behavior Using physical punishment Using lengthy dialog about inappropriate behavior

Using a consequence that is consistent with the inappropriate behavior

Which task would be considered developmentally appropriate for a 2-year-old to complete? Select all that apply. One, some, or all responses may be correct. 1 Putting socks on feet 2 Washing and drying hands 3 Using fingers to eat food 4 Building a tower of four cubes 5 Identifying facial body parts

all

A mother asks the nurse, When should I begin to clean my babys teeth? What is the best response for the nurse to make? You can begin when all her baby teeth are in. You can easily begin now. Just put some toothpaste on a gauze pad to clean the teeth. I dont think you have to worry about that until she can handle a toothbrush. You can begin as soon as your child has a tooth. The easiest way is to take cotton swabs or a face cloth and just wipe the teeth. Toothpaste is not necessary.

as soon as they have a tooth without toothpaste

To implement primary prevention of sexually transmitted infections (STIs) the nurse is counseling an adolescent. Which would be the priority nursing action?

assess the adolescents sexual risk behaviors

Which statement concerning physiologic factors is true? The infant has a slower metabolic rate than an adult. An infant has an inability to digest protein and lactase. Infants have a slower circulatory response than adults do. The kidneys of an infant are less efficient in concentrating urine than an adults kidneys.

kidneys

Rapid acting insulin

lispro, aspart, glulisine 15 minutes feels like 1 hour during 3 rapid responses onset 15 mins peak 1 hour duration 3 hours

age for push and pull toys

1 year

A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry. This response indicates that the adolescent has a developmental lag in which area? Cognitive development Moral development Psychosocial development Psychosexual development

Moral development Although a task during adolescence is the development of a sexual identity, the teenagers dependence on the parents sanctioning of right or wrong behavior is more appropriately related to moral development.

The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging? Predictable stages of puberty that are based on chronologic age Staging of puberty based on the initiation of menarche and nocturnal emissions Predictable stages of puberty that are based on primary and secondary sexual characteristics Staging of puberty based on the initiation of primary sexual characteristics

Predictable stages of puberty that are based on primary and secondary sexual characteristics

A parent asks the nurse about negativism in toddlers. The most appropriate recommendation is to Punish the child Provide more attention Ask the child to not always say no Reduce the opportunities for a no answer

Reduce the opportunities for a no answer

Which client is at risk for developing type 2 diabetes mellitus (DM)? Select all that apply. One, some, or all responses may be correct. 1 15-year-old male who plays video games 6 hours per day 2 36-year-old female with a history of gestational diabetes 3 47-year-old male who weighs 250 pounds and is 5' 9" tall 4 28-year-old female with polycystic ovarian syndrome (POS) 5 60-year-old male of Native American descent who abuses alcohol

all

The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate? Apical Radial Carotid Femoral

apical - under 2 radial 2 and older

A client is admitted with a suspected malignant melanoma on the arm. When performing the physical assessment, which would the nurse expect to find?

black or brown mole with red, white, or blue areas Melanomas have an irregular shape and lack uniformity in color. They may appear brown or black with red, white, or blue areas. Petechiae are pinpoint red dots that indicate areas of bleeding under the skin. A red birthmark is a vascular birthmark and often fades with time. A patchy loss of skin pigmentation indicates vitiligo.

The public health nurse is developing a program geared toward primary prevention of domestic violence. Which information would the nurse include in the program for those at high risk?

coping skills, social support, stress reduction secondary is including care for victims and screening

A client with a body mass index (BMI) of 35 verbalizes the need to lose weight. The nurse encourages the client to lose weight safely by making which dietary change?

decrease portion size and fat intake

Which toy is the most developmentally appropriate for an 18- to 24-month-old child? A push-and-pull toy Nesting blocks A bicycle with training wheels A computer

push and pull toy

Insulin mnemonic

rapId Novolog Short humUlin Long levimIr laNtus

sitting is a sign that a child is ready for

solid foods

Which actions would the nurse expect to take for a client who has compartment syndrome? Select all that apply. One, some, or all responses may be correct. 1 Assisting with splitting the cast 2 Monitoring urine output 3 Evaluating pain using a pain scale 4 Applying splints to the injured part 5 Placing cold compresses to the affected area

1, 2, 3

Which would the nurse anticipate when assessing a preschool-age child, according to Erikson's developmental stages? 1 Being engaged in tasks 2 Questioning sexual identity 3 Having highly imaginative thoughts 4 Wanting to participate in organized activities

3

The primary health care provider prescribes daily fasting blood glucose levels for a client with diabetes mellitus. Which is the goal of fasting glucose levels for a client with diabetes mellitus? 1 40 to 65 mg/dL (2.2-3.6 mmol/L) of blood 2 70 to 105 mg/dL (3.9-5.8 mmol/L) of blood 3 110 to 145 mg/dL (6.1-8.0 mmol/L) of blood 4 150 to 175 mg/dL (8.3-9.7 mmol/L) of blood

2

A client with diabetes mellitus complains of difficulty seeing. Which factor would the nurse suspect as being the cause? 1 Lack of glucose in the retina 2 The growth of new retina blood vessels or "neovascularization" 3 Inadequate glucose supply to rods and cones 4 Destructive effect of ketones on retinal metabolism

2 vessels are damaged in the eye so new ones are made but incorrectly causing vision problems

Which ages are the most critical for speech development during the preschool years? Select all that apply. One, some, or all responses may be correct. 1 2 years 2 3 years 3 4 years 4 5 years 5 6 years

2 3

A client has type 2 diabetes controlled with oral antidiabetic medications. When admitted for elective surgery, the health care provider prescribes regular insulin. Which information would the nurse include when teaching the client about the addition of insulin? 1 "You will need a higher serum glucose level while on bed rest." 2 "The stress of surgery may cause hypoglycemia." 3 "With insulin, dosage can be adjusted to your changing needs during recovery from surgery." 4 "The possibility of surgical complications is greater when a client takes oral hypoglycemics."

3

The nurse is preparing to administer a diphtheria, tetanus, and pertussis vaccine to a child. After completing an assessment, the nurse concludes that the child cannot receive the vaccine safely. Which assessment finding supports the nurse's conclusion? 1 Fever has developed within 48 hours of previous vaccinations. 2 The child exhibited a shock-like state after a previous vaccination. 3 The child has a history of anaphylactic reactions after vaccinations. 4 The child has an upper respiratory tract infection and mild febrile illness.

3

Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the finger-to-nose test. The nurse is testing for Deep tendon reflexes Cerebellar function Sensory discrimination Ability to follow directions

Cerebellar function - balance and coordination

Which behavior would the nurse expect in an 11-year-old girl who is experiencing normal growth and development? Select all that apply. One, some, or all responses may be correct. 1 Has sleepovers with friends 2 Becomes involved in family events 3 Texts and talks to friends on phone 4 Demonstrates respect to both parents 5 Begins to have crushes on boys in class

all active social life

A school nurse is teaching a health class for 5th grade children. The nurse plans to include which statement to best describe growth in the early school-age period? Boys grow faster than girls. Puberty occurs earlier in boys than in girls. Puberty occurs at the same age for all races and ethnicities. It is a period of rapid physical growth.

boys grow faster

Which statement by a mother of a toddler indicates a correct understanding of the use of discipline? I always include explanations and morals when I am disciplining my toddler. I always try to be consistent when disciplining the children, and I correct my children at the time they are misbehaving. I believe that discipline should be done by only one family member. My rule of thumb is no more than one spanking a day.

consistent

What term should be used in the nurses documentation to describe auscultation of breath sounds that are short, popping, and discontinuous on inspiration? Pleural friction rub Bronchovesicular sounds Crackles Wheeze

crackles

The most fatal type of burn in the toddler age-group is Flame burn from playing with matches Scald burn from high-temperature tap water Hot object burn from cigarettes or irons Electric burn from electrical outlets

flame

Long acting insulin

glargine (Lantus) detemir (Levemir) the 2 long nursing shifts never peaked but lasted 24 hours onset 2 hours no peak duration 24 hours

Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child? Toilet training guidelines Guidelines for weaning children from bottles Instructions on preschool readiness Instructions on a home safety assessment

home safety

A client is being considered for bariatric surgery. Which client health problem does the nurse identify as consistent with morbid obesity?

hypoventilation syndrome

What is helpful to tell a mother who is concerned about preventing sleep problems in her 2-year-old child? Have the child always sleep in a quiet, darkened room. Provide high-carbohydrate snacks before bedtime. Communicate with the childs daytime caretaker about eliminating the afternoon nap. Use a nightlight in the childs room.

nightlight

The mother of a 10-month-old infant asks the nurse about beginning to wean her child from his bottle. Which statement by the mother suggests that the child is not ready to be weaned? My son is frequently throwing his bottle down. The baby takes a few ounces of formula from the bottle. He is constantly chewing on the nipple. It concerns me. he is always sucking

sucking

preventing disabilities is a ___ intervention

tertiary

Which activities reflect secondary prevention interventions in relation to health promotion? Select all that apply. One, some, or all responses may be correct. 1 Encouraging regular dental checkups 2 Facilitating smoking cessation programs 3 Administering influenza vaccines to older adults 4 Teaching the procedure for breast self-examination 5 Referring clients with a chronic illness to a support group

1, 4

The nurse provides education related to manifestations of hyperglycemia to a client with type 1 diabetes. Which signs and symptoms, identified by the client, indicate that the teaching was effective? Select all that apply. One, some, or all responses may be correct. 1 Thirst 2 Headache 3 Nervousness 4 Fruity breath odor 5 Excessive urination

1, 4, 5

In addition to hepatitis B, pneumococcal, Haemophilus influenzae type b, and varicella vaccines, which would the nurse expect a 20-month-old child who has been receiving immunizations on schedule to have had? 1 Two diphtheria, tetanus, acellular pertussis (DTaP), two inactivated polio vaccinations (IPVs), and one measles, mumps, rubella (MMR) 2 Four DTaPs, three IPVs, and one MMR 3 Three DTaPs, two IPVs, and two MMRs 4 Three DTaPs, three IPVs, and three MMRs

2

Which assessment should the nurse perform last when examining a 5-year-old child? Heart Lungs Abdomen Throat

throat

parallel play is typical of

toddlers

The nurse advises the mother of a 3-month-old exclusively breastfed infant to Start giving the infant a vitamin D supplement. Start using an infant feeder and add rice cereal to the formula. Start feeding the infant rice cereal with a spoon at the evening feeding. Continue breastfeeding without any supplements.

vitamin d to prevent rickets

INR and PT are used to evaluate therapeutic levels of

warfarin.

When a client has a prescription for warfarin, which foods would the nurse teach the client to limit? Select all that apply. One, some, or all responses may be correct. 1 Spinach 2 Oranges 3 Broccoli 4 Chicken breast 5 Sweet potatoes

1, 3

Which would be included in the assessment of a school health promotional program for adolescents? Select all that apply. One, some, or all responses may be correct. 1 Perform a school violence assessment. 2 Assess the sleep pattern of the students. 3 Identify individuals at risk for drug abuse. 4 Explain the need for fluoride supplements to prevent dental caries. 5 Instruct the students about principles of gun safety

1, 3, 5

Which interventions will be contraindicated for a client who has a fracture and compartment syndrome? Select all that apply. One, some, or all responses may be correct. 1 Splitting the cast in half 2 Applying cold compresses 3 Reducing the traction weight 4 Loosening the client's bandage 5 Elevating the extremity above heart level

2, 5

The nurse is teaching a young adolescent with type 2 diabetes about nutritional needs. Which statement demonstrates that the adolescent understands what was taught? 1 "I can have low-fat, low-cal candy bars." 2 "Regular soft drinks are better than diet ones." 3 "It's okay for me to eat one slice of pizza at a party." 4 "My fasting blood sugar should be no higher than 150 mg/dL (8.3 mmol/L)."

3

In which scenario is the nurse providing tertiary prevention? 1 Educating a community about the proper use of environmental sanitation. 2 Educating a family about how to protect themselves from carcinogens. 3 Providing education to a family regarding the need to pay attention to personality development. 4 Providing education to a community about the need to integrate individuals' limb amputations into the professional sphere.

4

age for bright rattles and tactile toys

4 months

Which information regarding developmental safety risks for toddlers would the nurse include in a parent education session? Select all that apply. One, some, or all responses may be correct. 1 Store matches and lighters out of reach. 2 Install childproof safety locks on cabinets. 3 Ensure the use of safety equipment when riding bicycles. 4 Provide constant supervision around pools and during bath time. 5 Identify and address any potential sources of lead in the child's environment.

all

A married older adult couple lives independently and has three adult children. The husband, who is alert but forgetful, has an enlarged prostate with infrequent urinary incontinence. The wife has diabetes mellitus, rheumatoid arthritis, and walks with difficulty. The nurse identified the couple's need for assistance with bathing, dressing, and meal preparation. Which option would the nurse suggest, which best meets the needs of this couple? 1 Admit them together to an extended care facility (nursing home). 2 Place them in an apartment together, within an assisted-living facility. 3 Keep the couple in their home and schedule assistance with a home health aide. 4 Encourage the couple to move in with one of their children for safety reasons.

3

When assessing the psychosocial stage of development of a preschool-aged client, which is the most important interaction for the nurse to observe? 1 With an imaginary friend 2 With siblings during a meal 3 With other children during play 4 With parents during a home visit

3

When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes which clinical presentation about type 1? 1 Onset of the disease is slow. 2 Excessive weight is a contributing factor. 3 Complications are not present at the time of diagnosis. 4 Treatment involves diet, exercise, and oral medications.

3

Which behavior would the nurse recognize as developmentally atypical in preschoolers? 1 Thumb sucking during stress 2 Feeling guilty for behaving inappropriately 3 Feeling happy if there is a newborn in the family 4 Curiosity about their surroundings

3

Which principle of teaching would the nurse consider when providing instructions to an older client recently diagnosed with diabetes mellitus? 1 Knowledge reduces general anxiety. 2 Capacity to learn decreases with age. 3 Continued reinforcement is advantageous. 4 Readiness of the learner precedes instruction

3

Which instruction would the nurse include in a teaching plan for a client who is taking an oral hypoglycemic daily for type 2 diabetes and is concerned about the need for special care at home if they develop the flu? 1 Skip the oral hypoglycemic pill, drink plenty of fluids, and stay in bed. 2 Avoid food, drink clear liquids, take a daily temperature, and stay in bed. 3 Eat as much as possible, increase fluid intake, and call the office again the next day. 4 Take the oral hypoglycemic pill, drink warm fluids, and check blood sugar before meals and at bedtime.

4

Which information related to school-age stage of development as it pertains to play would the nurse include in a teaching session for parents? Select all that apply. One, some, or all responses may be correct. 1 Team play 2 Card games 3 Parallel play 4 Board games 5 Club membership

1 2 4 5

The nurse suspects that a client has diabetes mellitus. Which statements made by the client helped the nurse reach this conclusion? Select all that apply. One, some, or all responses may be correct. 1 "I am 65 years old." 2 "I quite often feel thirsty." 3 "I eat food every 2 hours." 4 "I have excessive sweating." 5 "I sometimes experience shortness of breath."

1, 2, 3

Which client activities warrant the highest priority for education about health promotion to prevent head and neck cancer? Select all that apply. One, some, or all responses may be correct. 1 Chews tobacco 2 Multiple sex partners 3 Uses condoms when having sex 4 History of alcohol abuse for 5 years 5 Brushes with a soft-bristle toothbrush

1, 2, 4

Which sign of compartment syndrome would the nurse assess for in the client who has sustained blunt trauma to the forearm? 1 Warm skin at the site of injury 2 Escalating pain in the fingers 3 Rapid capillary refill in affected hand 4 Bounding radial pulse in the injured arm

2 - early sign

Which timeframe would the nurse administer the final dose of Haemophilus influenzae type b (Hib) vaccine to a 2-month-old infant? 1 6 to 8 months of age 2 9 to 11 months of age 3 12 to 15 months of age 4 16 to 18 months of age

3

According to Erikson's theory, at which age would a child be highly imaginative

3-6

A client with type 2 diabetes takes one glyburide tablet daily. The client asks whether an extra tablet should be taken before exercise. Which response will the nurse provide? 1 "You will need to decrease how much you are exercising." 2 "An extra pill will help your body use glucose when exercising." 3 "The amount of medication you need to take is not related to exercising." 4 "Do not take an extra pill because you may become hypoglycemic when exercising."

4

The parents of a toddler ask the nurse about the importance of play for a child. Which is the best answer for the nurse to provide? 1 The child will develop creative skills later in life. 2 The children will learn and adopt their friends' cultures. 3 There is little evidence that play influences intelligence. 4 Play activities will help release the child's energy surplus

4

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for being bad. She shares her concern that if she dies, she will go to hell. The nurse should interpret this as being A belief common at this age A belief that forms the basis for most religions Suggestive of excessive family pressure Suggestive of a failure to develop a conscience

A belief common at this age

The mother of a 10-month-old infant tells the nurse that her infant really likes cows milk. What is the nurses best response to this mother? a. Milk is good for him. b. It is best to wait until he is a year old before giving him cows milk. c. Limit cows milk to his bedtime bottle. d. Mix his cereal with cows milk and give him formula in a bottle.

B

In providing anticipatory guidance to parents whose child will soon be entering kindergarten, which is a critical factor in preparing a child for kindergarten entry? The childs ability to sit still The childs sense of learned helplessness The parents interactions and responsiveness to the child Attending a preschool program

parents interactions

Which statement is correct about toilet training? Bladder training is usually accomplished before bowel training. Wanting to please the parent helps motivate the child to use the toilet. Watching older siblings use the toilet confuses the child. Children must be forced to sit on the toilet when first learning.

please parents

What do parents of preschool children need to understand about discipline? Both parents and the child should agree on the method of discipline. Discipline should involve some physical restriction. The method of discipline should be consistent with the discipline methods of the childs peers. Discipline should include positive reinforcement of desired behaviors.

positive reinforcement

team play is typical of

school aged kids

A client is taking warfarin. If an antidote is needed, which agent will be used? 1 Vitamin K 2 Fibrinogen 3 Prothrombin 4 Protamine sulfate

1