Nokea
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
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The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Sports and antibiotic use, especially in crowded living conditions, contribute to a higher risk for CA-MRSA
A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
- A. Type 1 diabetes
- B. Fetal alcohol syndrome
- C. Communicable diseases
- D. SIDS
Correct Answer: D
Rationale: Families of newborns need education on Sudden Infant Death Syndrome (SIDS) prevention to ensure the safety of their infants.
Healthy People 2020 objectives provide a framework for:
- A. assessment
- B. diagnosis
- C. prevention
- D. treatment
Correct Answer: C
Rationale: Healthy People 2020 provides a framework focused on prevention to improve the health of the population.