Nokea
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.
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Which middle-aged adult has successfully navigated Erikson’s generativity vs. stagnation stage?
- A. "A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week."
- B. "A 63-year-old man who regrets his career choice and feels he cannot change careers."
- C. "A 45-year-old woman who resents having to care for her aging mother-in-law."
- D. "A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself."
Correct Answer: A
Rationale: Generativity involves a sense of productivity and helping others, demonstrated by volunteering.
A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
- A. Call the pediatrician on call.
- B. Give ipecac syrup.
- C. Call the Poison Control Center.
- D. Wait to see if the child will vomit.
Correct Answer: C
Rationale: The mother should contact Poison Control before administering any treatment.
The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
- A. Avoid hanging a wreath with holly and berries on the front door.
- B. Avoid hanging decorative pictures of a bearded Santa Claus on the window.
- C. Avoid placing poinsettia plants around the home.
- D. Avoid hanging stockings on the fireplace mantle.
Correct Answer: C
Rationale: Poinsettia plants can be toxic if ingested, so they should be kept out of reach of toddlers.
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
- A. The infant should be in a rear-facing car seat in the front seat.
- B. The infant should be in a rear-facing car seat in the back seat.
- C. The infant should be in a front-facing car seat in the front seat.
- D. The infant should be in a front-facing car seat in the back seat.
Correct Answer: B
Rationale: Rear-facing car seats in the back seat are recommended by the AAP for infants up to 2 years of age.
Which of the following best describes a primary prevention method for colon cancer?
- A. Hemoccult testing
- B. High fiber diet
- C. Colonoscopy
- D. Laparoscopy
Correct Answer: B
Rationale: Primary prevention includes health promotion and protection, such as a high-fiber diet to prevent disease.