Nokea
A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- A. DTaP-1
- B. MMR
- C. Varicella
- D. Influenza
Correct Answer: A
Rationale: The recommended immunizations for 2-month-olds include DTaP-1, Hib-1, PCV, Polio, and RV.
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Which action will most effectively reduce work-related injuries?
- A. "Make the work environment smoke-free."
- B. "Reduce environmental noise levels."
- C. "Conduct regular walk-through assessments at the worksite."
- D. "Increase paid personal days from one to three."
Correct Answer: A
Rationale: Smoking increases accident rates, making a smoke-free environment the most effective strategy.
A nurse is providing care to a 15-year-old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the appropriate authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: Federal and state laws protect adolescents' privacy and autonomy. The nurse should help the adolescent understand her options and facilitate communication with her guardians.
Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.
Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
- A. American Indian/Alaska Native Americans
- B. Asian Americans
- C. Latino/Hispanic Americans
- D. Black/African Americans
Correct Answer: A
Rationale: American Indian/Alaska Native Americans have high death rates from unintentional injuries and suicide, often due to life stresses and substance abuse.