Nokea
A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?
- A. Have him learn it at school.
- B. Model the behavior at home.
- C. Lecture him about hygiene.
- D. Punish him when he forgets to brush his teeth.
Correct Answer: B
Rationale: Modeling behavior at home is the most effective way to teach a child good hygiene.
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A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
Anthrax
- A. Anthrax is a viral infection
- B. Anthrax causes skin lesions or pneumonia
- C. Anthrax is spread by person-to-person contact
- D. Anthrax is treated by IV penicillin for 30 days
Correct Answer: B
Rationale: Anthrax is caused by bacteria, not a virus, and can cause skin lesions or pneumonia.
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
What is the main focus of the National Institutes of Health (NIH)?
- A. Addressing and reducing health disparities
- B. Outlining nationwide health promotion and disease prevention
- C. Protecting minority populations through the development of health policies
- D. Supporting communities in addressing health disparities
Correct Answer: A
Rationale: The NIH primarily works on reducing health disparities by focusing on diseases that disproportionately affect minority populations.
An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
- A. The infant is testing his limits.
- B. The infant is exploring his environment.
- C. The infant is expressing his emotions.
- D. The infant is developing fine motor skills.
Correct Answer: B
Rationale: The infant is exploring his environment by interacting with objects, a key developmental task at this stage.