Nokea
What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?
- A. Rinne test
- B. Weber test
- C. Pure tone audiometry
- D. Eliciting the startle reflex
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is testing an infant's visual acuity. By which age should the infant be able to fix on and follow a target?
- A. 1 month
- B. 1 to 2 months
- C. 3 to 4 months
- D. 6 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
According to Piaget, which principle supports a nine-year-old child's understanding that an arm will look the same when the IV is removed?
- A. The principle of conservation
- B. The principle of transductive reasoning
- C. The principle of identity
- D. The principle of reflex abilities
Correct Answer: A
Rationale: The correct answer is A, the principle of conservation. Piaget's principle of conservation relates to a child's ability to understand that certain properties of objects remain unchanged despite modifications in their appearance. In this case, the child's understanding that an arm will look the same after the IV is removed demonstrates conservation of appearance. Choice B, transductive reasoning, involves making faulty generalizations based on specific instances and does not apply in this context. Choice C, the principle of identity, pertains to recognizing objects as the same even if they undergo transformations, which is not directly relevant to the scenario. Choice D, reflex abilities, refers to automatic responses to stimuli and is unrelated to the child's understanding of the arm's appearance post-IV removal.
Which is a complication that can occur after abdominal surgery if pain is not managed?
- A. Atelectasis
- B. Hypoglycemia
- C. Decrease in heart rate
- D. Increase in cardiac output
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is interviewing the mother of an infant. The mother reports, "I had a difficult delivery, and my baby was born prematurely." This information should be recorded under which heading?
- A. History
- B. Present illness
- C. Chief complaint
- D. Review of systems
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A thorough systemic physical assessment is necessary in the extremely low-birth-weight (ELBW) infant to detect what?
- A. Weight gain reflective of fluid retention
- B. Difficulties in maternal-child attachment
- C. Subtle changes that may be indicative of an underlying problem
- D. Changes in Apgar score over the first 24 hours of life
Correct Answer: C
Rationale: In extremely low-birth-weight (ELBW) infants, a thorough systemic physical assessment is crucial to detect subtle changes that may indicate an underlying problem. These infants are highly vulnerable and may show signs of stress through changes in feeding behavior, activity, color, oxygen saturation, or vital signs. Monitoring weight in ELBW infants primarily reflects genitourinary function rather than fluid retention. Difficulties in maternal-child attachment are important but are usually assessed during parental visits and are not the primary focus of a systemic physical assessment. Changes in the Apgar score are used immediately after birth to assess the transition to extrauterine life and are not as relevant in the following 24 hours to detect ongoing subtle issues.