Lifespan Final Exam
A nurse is preparing to administer 0.45% sodium chloride 1000 mL IV to infuse over 8 hours. The nurse should set the IV pump to deliver how many mL/hr? Round the answer to the nearest whole number
125ml/hr
A nurse is reviewing a client's prescription for 1,000 mL of 5% dextrose in water IV to infuse over 8 hours. At 1400, the nurse observes that there is 500mL of solution still remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?
1800
At what age is a child able to run easily, climb on furniture unaided and pick up small objects?
2-3 years old
A nurse would recommend which food as a source of folate to a client of child baring age?
3.5 ounces of chicken liver
The nurse prepares to teach a client a out calories in the different types of food groups. How many calories are in one gram of protein?
4
A client is prescribed 1 g potassium phosphate IV to be infused continuously over 6 hours. Available is 1 g potassium phosphate in 250 mL dextrose 5% water. The nurse should set the IV pump to run at how many mL/hr? Round the answer to the nearest whole number
42ml/hr
A nurse assesses a female client for menopause, at what age does menopause usually begin?
45-55
A nurse observes an infant sitting up without support. The nurse estimates the infant is which age?
7 months
The nurse is reviewing good eating habits with the mother of a 5-year-old. Which instructions should the nurse include? Select all that apply
A: Provide positive reinforcement B: eat with the child D: set good eating habit examples
The nurse observes a student nurse communicating with an older adult client, who is hearing impaired. Which situations require the nurse to intervene? Select all that apply
A: Speaks to the client from his doorway B: speaks to the client in a loud, angry tone D: speaks with the client in a semi-dark room
A nurse reflects on the use of nonverbal communication when caring for clients. Which items describe nonverbal communication? Select all that apply
A: posture B: facial expressions C: eye contact E: personal space
A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to have communication? Select all that apply
A: show respect for a client who is making decisions about treatment B: convey empathy for a client who voices painful emotions C: exhibit receptive body language when discussing difficult topics E: speak to a client using clear and simple words and phrases
The nurse plans care for a client who is having surgery and is a Jehovah's Witness. The nurse considers the client's religious preferences in developing the plan of care. What should the nurse communicate to the healthcare team?
Administration of blood and blood products is not allowed
A nurse finds an interpreter to help a family member communicate their concerns. Which concept is the nurse demonstrating?
Advocacy
A nurse is educating a new graduate nurse about late adulthood. Which of the following is true of late adulthood?
Aging is inevitable
The public-health nurse is teaching the mother of a preschooler how to establish good eating habits in her child. Which strategy will the nurse include in the teaching?
Allow the child to eat foods in any order
A nurse assesses an older adult for risks of impaired safety, why is there a high risk for impaired safety in older adults?
An older adult experiences changes in sensory perception
A client who asks the nurse "why me? this is not fair!" is in which stage of death and dying according to Kubler-Ross?
Anger
The inherited characteristics of a child are determined:
At the time of conception
A nurse assesses a toddler client's psychosocial development. The nurse should assess for which stage of Erikson's psychosocial development?
Autonomy vs shame and doubt
Dietary recommendations for client at prenatal visit?
Avoid fish high in mercury Increase recommended intake of iron by 50% Folic acid of 600mcg daily
The new graduate nurse is reviewing the topic of therapeutic communication. Which examples are open-ended questions? Select all that apply
B: how can I help you? C: Can you tell me more about your pain?
An infant hyperextends its toes, then curls them under, in response to stroking the bottom of the foot. Which reflex is this?
Babinski
When a dying client is praying for extra months to live, which stage of Kubler-Ross stages of grief is this?
Bargaining
A 23-year-old client is unable to bond with others and develop any meaningful relationships. The client would be unable to meet which of Maslow's needs?
Belonging
The nurse is evaluating the developmental level of a 3-year-old. Which does the nurse expect to observe in this child?
Builds tower of blocks
Food items recommended for a low-fat diet?
Butter Cream cheese Red meats
Which foods should a client prescribed a low sodium diet avoid?
Canned soups Cold-cut sandwiches Chinese take-out
A nurse is teaching about a low protein diet and which food to limit
Chicken (3 ounces)
What is the most important factor in providing nursing care to clients in a specific ethnic group?
Communication
In planning a low-sodium diet, the nurse should offer the client which food items? Select all that apply
D: chicken breast E: steamed broccoli
The nurse is teaching a lactose intolerant client which type of foods to eliminate from the diet. Which food group should the nurse include?
Dairy products
A client is withdrawn and avoidant. The client states they are feeling "sad and lonely." Which Kubler-Ross stage is the client experiencing?
Depression
The nurse assesses the vital signs of a 12-month-old infant with respiratory infection and notes that the respiratory rate is 35 breaths per minute. Which action by the nurse is the most appropriate?
Document the findings
A social worker and dying client completed a document to appoint someone to carry out his/her end of life wishes, what is this document?
Durable Power of Attorney
The nurse teaches an 18-year-old diabetic to perform self-administration of insulin. Each time the client makes a small mistake, the client apologizes for getting it wrong. The client profusely apologizes when making a minimal mistake in other activities. Based on Erikson's developmental stages the nurse concludes that the client may have an unresolved developmental task of which age period?
Early childhood
Foods that promote protein-energy?
Egg and ham omelet Tuna Cottage cheese
A couple in their 40's only ha one child and that child is going off to college. What are the parents likely to experience?
Empty nest syndrome
Holding a pencil to write or draw requires which skill?
Fine motor skills
The nurse plans to trach a vegetarian client about food sources rich in Omega-3 fatty acids. Which food source should the nurse include?
Flaxseed oil
Using Abraham Maslow's hierarchy of human needs, a nurse assigns highest priority to which client need?
Fluid intake
A nurse is providing teaching to parents of a toddler-age child about reducing choking, what food should be advised as safe?
Graham crackers
A nurse is assessing an infant in the clinic, what approach describes the process of cephalocaudal development?
Head toward the toes
A nurse is caring for a terminally ill pt and their family, which approach of caring for terminally ill focuses on individual and family control?
Hospice care
The nurse is preparing a plan of care for a client and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made?
I cannot receive a blood transfusion
A nurse is caring for a client who is experiencing grief following the unexpected death of his spouse. Which statement by the client indicates he is experiencing maladaptive grieving?
I have started smoking again
A nurse assesses an adolescent client's psychosocial development. The nurse should assess for which stage of Erikson's psychosocial development?
Identity vs role confusion
Teaching for a constipated pregnant client?
Increase fiber and fluids
Exploration and trying out new roles by 3 to 4 year-olds is described by Erikson as:
Initiative
A nurse is caring for a client who is experiencing a normal grief reaction following the loss of her spouse. Which finding should the nurse expect?
Insomnia
What Erikson psychosocial task is age 20-40?
Intimacy
According to Erikson, what is the central crisis of early adulthood?
Intimacy vs isolation
The nurse cares for older adults in the community. Which agency provides healthcare for patients over 65?
Medicare
A nurse is instructing and older female about reducing the risk of osteoporosis, which food should be increased?
Milk
A nurse is providing teaching for a client at risk for heart disease, which is a modifiable risk factor?
Obesity
A nurse is teaching a client w/ iron deficiency anemia about what foods should be included
Oranges Dark green leafy vegetables
Maslow's hierarchy of needs proper order?
Physiological Safety Love Self-esteem Self-actualization
Nursing interventions to increase protein and calories for pt in negative nitrogen balance, receiving chemo?
Powdered skim milk Greek yogurt w/ fruit Supplemental nutritious drinks
A 40 year old has complained about seeing close up objects difficult, which condition does the nurse suspect?
Presbyopia
A mother brings her 6 month old into the clinic for immunization, what level of prevention is this?
Primary
A 4-year-old reacts to the birth of a baby brother by starting to wet his bed art night and sucking his thumb. What does the nurse think is occurring?
Regression
A nurse is instructing a group of clients about foods high in carbohydrates. The nurse should include which foods that contain the highest level of carbohydrates?
Rice, potatotes, and oranges
Teaching about foods containing omega-3 fatty acids
Salmon Flax seeds
Hospice nurse cares for a parent of small children, in which stage is the concept of deaths finality comprehended?
School age
The community-health nurse is preparing to teach safety precautions to school ae children. Which teaching point should the nurse include?
School-age children should ear helmets when bike riding
Teaching a client with hypertension about a low sodium diet and which foods to limit
Smoked sausage
Teaching a client about maximizing absorption when taking calcium supplements
Take a supplement containing vitamin D
A dying client say to the nurse "I am afraid to die. I did a lot of wrong things in life." How should the nurse respond?
Tell me more about that
A nurse is teaching parents about the characteristics of meconium, how should it be described?
Thick, green/black fecal material
Why should a nurse encourage a pt with a large and wound post procedure to eat foods high in vitamin C?
To promote wound healing
Which beverage should a nurse instruct the client w/ a new prescription for iron supplement take it with?
Tomato juice
Teaching how to lower cholesterol and saturated fats
Trim visible fats from meats Remove skins from meats Use canola or olive oils
A 7-year-old child lived in foster homes as an infant. The 7-year-old child was adopted at the age of 1 year by an intact family that provided the child with love and security. The nurse suspects the child was most likely unable to complete which developmental tasks as an infant?
Trust
A 66-year-old man informs the nurse that he has difficulty voiding, a diminished urine stream, and the frequent need to urinate. Which statement by the nurse is appropriate?
a rectal exam can help provide prompt treatment for benign prostatic
The nurse communicates with a client. Which action should the nurse take during periods of silence?
actively observe the client
The nurse prepares to teach the mother of a 6-month-old infant about introducing the first solid food. Which food should the nurse recommend?`
an iron-fortified single-grain cereal, such as rice cereal
The nurse has been teaching a client about a high-protein diet. The teaching is successful if the client identifies which meal as high in protein?
baked beans, hamburger, and milk
Which characteristic describes Kohlberg's reciprocity in children?
begin to be concerned for others
A nurse educates a client on how to perform a breast self-examination. Which statement indicates teaching has been successful?
breast self-examination should be performed about 12 weeks after the end of my menstrual period
A new mother asks the nurse about the topic of breastfeeding. Which statement by the nurse is best?
breastmilk gives immune factors from the mother
The nurse at a well-baby clinic is providing nutrition instructions to the parents of a 1-month-old infant. Which instruction should the nurse give to the parent?
breastmilk or formula is the main food
A nurse reviews laboratory values for a client with a low-density lipoprotein cholesterol of 162 mg/dL. Which instruction should the nurse give?
decrease consumption of saturated fats to less than 10% of your daily calories
The nurse teaches a client about dementia. Which statement indicates client understanding?
dementia is a symptom of an underlying disorder
Which statement does not describe a function of culture?
determines what we can achieve
A 48-year-old client asks what dietary recommendations are best suited for a middle aged adult Which response by the nurse is best?
eat a high-fiber, low-fat, low-sodium diet
A nurse admits a young adult client who presents with insomnia to the health care provider's office. The client asks the nurse how to sleep better. Which recommendation should be included in the client's teaching plan?
follow a bedtime routine every night
The home health nurse is caring for a middle-aged client who is disabled due to a recent accident. The client has few interests spends most day watching tv, and has become estranged from the family Which of Erikson's developmental stages should the nurse conclude that the client is not meeting?
generativity vs stagnation
A nurse teaches about holistic health at a community health fair. Which statement by the nurse best describes holistic health?
holistic health considers one's mental well-being
A client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing, even though the client has received skin care and has been turned every 2 hours. Which nutritional deficit is most likely responsible for the failure to heal?
inadequate protein intake
The nurse is providing safety education to the parents of an 18-month-old child. Which instruction should the nurse give?
infants need to be in a rear-facing car seat until at least 2 years old
A nurse is caring for several clients who are at various developmental stages. The nurse should explain that, according to Erikson, acceptance of death is a primary task of which stage of psychosocial development?
integrity vs despair
The hospice nurse is educating family on what to expect with a dying client. Which statement best describes Cheyne-Stokes respirations?
irregular respirations with periods of apnea
A mother of a 4-year-old expresses concern because her hospitalized child has begun thumb-sucking. The mother states that this behavior began 2 days after hospital admission. Which response by the nurse is appropriate?
it is best to ignore the behavior
The nurse reviews the client's laboratory values. Which laboratory result will require dietary education about a low-cholesterol, low-fat diet?
low-density lipoproteins level of 142 mg/dL
The nurse is providing care to a Puerto-Rican American client who is terminally ill. Numerous family members are present most of the time, and many family members are very emotional. What is the most appropriate nursing action for this client?
make the necessary arrangements so that family members can visit
The nurse assesses a client from a different culture. Which statement should the nurse respect about culture?
male and female roles are often influenced by culture
The experienced nurse teaches a new graduate nurse about the nursing responsibilities required when child abuse is suspected. Which statement by the new graduate indicates an understanding?
nurses are required to report any suspicion of child abuse
A nurse is assessing a client who has a stage 2 pressure injury. Which of the following findings should the nurse expect?
partial-thickness skin loss with red tissue in wound bed
The nurse working on a pediatric unit observes children playing in the playroom. Which type of play fosters fine motor development?
picking up building blocks
The nurse is teaching a new mother about preventing sudden infant death syndrome. Which precaution will the nurse teach the new mother?
position the infant on his back to sleep
A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?
provide the client with a high-calorie diet
The mother of a preschool child is worried about her child's language development. The nurse teaches the mother strategies to develop language development. Which strategy is not helpful in developing language development?
punish the child harshly for mispronunciations
A nurse instructs a pregnant client who has iron-deficiency anemia about foods high in iron. Which statement indicates understanding?
red meat and organ meat are good sources of iron
The nurse notes that a 6-year-old child does not recognize that objects exist even when the objects are outside of the visual field. Which action should the nurse take?
report the observation to the healthcare provider
The client expresses to the nurse that culture, prayer, and faith increase health better than any medicine. Which action by the nurse is best?
respect the patient's beliefs
A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?
skin edges of the wound are sutured closed
A nurse teaches a parent about safety for preschool children. The nurse should not include which topic?
teaching about illness and death
A mother brings her 18-month-old toddler to the pediatric clinic. Which assessment finding would represent normal growth?
the anterior fontanel is closed
A pediatric nurse assesses the family pattern of a 9-year-old child. Which finding would the nurse anticipate in a laissez-faire-type family pattern?
the child has complete freedom in making all decisions
The nurse assesses a 51-year-old female client who presents with hot flashes and night sweats. What does the nurse think is occurring?
the client is experiencing menopause
A nurse is caring for a client who is grieving following the death of her husband seven months ago. The client reports that she has lost 30 lbs and has difficulty sleeping. Which factor indicates the client is experiencing maladaptive grieving?
the client's husband died 7 months ago
A nurse plans care for a client who has been diagnosed with end-stage liver cancer. Which response is an indication the client is in the denial phase of the grief process?
the doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.
A new graduate nurse is working with an experienced nurse caring for newborns. The experienced nurse asks the new graduate nurse about the expected characteristics of bowel movements for a breastfed infant. How should the new graduate nurse respond?
the newborn's stools will have a light, seeded-mustard color
A middle-aged couple was admitted to the hospital after a motor vehicle accident. Two days later, the spouse expired. How should the nurse respond?
the nurse should stay with the client and not talk a lot
A pediatric nurse is assessing a toddler's fine motor skills. Which assessment finding indicates normal toddler fine motor development?
the toddler can turn a doorknob
A nurse teaches a client newly admitted to the medical-surgical floor about a living will. Which client statement best demonstrates that the client understands the concepts of a living will?
this document expresses my wishes in the event that I become incapacitated
The nursing instructor is assessing the student nurse's knowledge on toilet training in toddlers. Which statement by the student nurse indicates the need for further study?
toddlers will learn bladder control before bowel control
