Nokea
Which withdrawal symptom is the nurse most likely to note while observing the newborn of a mother who used heroin during pregnancy?
- A. Tremors
- B. Lethargy
- C. Poor feeding
- D. High-pitched cry
Correct Answer: A,C,D
Rationale: Tremors, poor feeding, and high-pitched cry are common symptoms of neonatal opioid withdrawal.
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To ensure optimum mental health of an infant born with a congenital defect such as myelomeningocele, the nurse explains that it is essential for the parents to meet which of the following needs?
- A. Autonomy
- B. Love
- C. Respect
- D. Identity
Correct Answer: B
Rationale: Love and attachment are critical for the infant's emotional and mental health development.
If the following facts are present in the social history of a person suspected of child abuse, which one is most similar to the profile of other child abusers?
- A. The person grew up in a divorced household.
- B. The person's income is at or below poverty level.
- C. The person was the victim of child abuse.
- D. The person became a parent after age 25.
Correct Answer: C
Rationale: A history of being abused increases the risk of becoming an abuser.
Which statement is the best explanation for the adolescent's behavior?
- A. Aggression is a common behavior manifested by cognitively disabled people.
- B. Aggression is a response that occurs when a person feels frustrated or frightened.
- C. Aggression is an indication that the client has a poor opinion of the care provided.
- D. Aggression is a common way for adolescents to communicate they are experiencing pain.
Correct Answer: B
Rationale: Frustration or fear often triggers aggression in cognitively disabled individuals.
Which nursing action is most appropriate in this situation?
- A. Asking the client why he or she is so suspicious
- B. Putting the chart away
- C. Handing the client the form to read
- D. Telling the client that it is illegal to read the client record
Correct Answer: B
Rationale: Putting the chart away maintains privacy without escalating suspicion.
The nurse is aware that whenever preparing a school-age child for a procedure, test, or medical treatment, which is the most important information to convey?
- A. When the procedure will take place
- B. Who will perform the procedure
- C. Where the procedure will be performed
- D. What will happen during the procedure
Correct Answer: D
Rationale: Describing what will happen reduces fear of the unknown.