Nokea
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
- A. The bedroom is located on the second floor.
- B. She has a pet cat.
- C. There is an area rug in the living room.
- D. She has a 1-year-old child.
Correct Answer: B
Rationale: Handling cat litter can expose pregnant women to toxoplasmosis, which can affect the fetus.
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Community Concern About Natural Disasters
- A. Fires and suicides
- B. Wildfires and hurricanes
- C. Traffic accidents and floods
- D. Tornadoes and food poisoning
Correct Answer: B
Rationale: Wildfires and hurricanes are significant natural disasters that have large-scale impacts.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: Someone with alterations in both health-perception and values-beliefs patterns may only seek care when they are ill, reflecting a reactive approach to health.
A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.
A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
- A. Eating finger foods at 10 months old
- B. Absent crawling at 10 months old
- C. Separation anxiety at 10 months old
- D. Saying “ma-ma” at 10 months old
Correct Answer: B
Rationale: Children with Asperger’s syndrome may show early signs of developmental delays such as absent or brief crawling phases.