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A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately:
- A. 10 pounds, 14 ounces
- B. 11 pounds, 7 ounces
- C. 12 pounds, 14 ounces
- D. 13 pounds, 7 ounces
Correct Answer: C
Rationale: The child’s weight should be approximately double the birth weight at 5 months of age, which equals 12 pounds, 14 ounces.
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A 66-year-old woman with osteoarthritis of the knees and hands tells the nurse she is interested in movement therapy. Which of the following would be the most appropriate for the nurse to suggest to this person?
- A. Tai Chi
- B. Hatha yoga
- C. Qi gong
- D. Dance therapy
Correct Answer: A
Rationale: Tai Chi and Qi gong are movement therapies combining relaxation and controlled movements, making them suitable for individuals with osteoarthritis.
A nurse is counseling a 40-year-old person who is going to start an exercise program. Which of the following heart rate ranges would the nurse encourage the person to maintain while exercising?
- A. 70 to 140 beats/min
- B. 80 to 143 beats/min
- C. 90 to 153 beats/min
- D. 100 to 180 beats/min
Correct Answer: C
Rationale: Exercise intensity should be 50% to 85% of maximum heart rate, which for a 40-year-old is 90 to 153 beats per minute.
A nurse is working with a community to raise awareness about lead poisoning. Why is the nurse performing this action?
- A. It is a moral responsibility.
- B. It is the role of the nurse.
- C. It is an ethical responsibility.
- D. It is the right thing to do.
Correct Answer: C
Rationale: Raising awareness about public health risks, such as lead poisoning, is an ethical responsibility of nurses.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The ANA Code of Ethics allows nurses to refuse procedures that conflict with their personal values, but they must ensure client care is arranged.
When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?
- A. Duty-based ethics
- B. Normative ethics
- C. Metaethics
- D. Preventive ethics
Correct Answer: D
Rationale: Preventive ethics ensures that the client understands the surgery beforehand, reducing ethical issues before the procedure.