The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
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Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.
Which of the following demonstrates a nurse taking action to promote health and prevent disease?
- A. Making a home visit to a person who is recovering from a heart attack
- B. Administering medications to a cardiac client in the hospital
- C. Providing cardiopulmonary resuscitation during a heart attack
- D. Educating a person about the advantages of a heart-healthy diet during a home visit
Correct Answer: D
Rationale: Educating about a heart-healthy diet influences lifestyle choices and is primary prevention, which is the key to health promotion and disease prevention.
Which stage of female breast development is characterized by enlargement of the areolar diameter and a small area of elevation around the papillae?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: B
Rationale: Stage 2 of female breast development involves the enlargement of the areola and a slight elevation around the papillae.
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.