Nokea
A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?
- A. ATNR reflex
- B. Startle reflex
- C. Grasping reflex
- D. Moro reflex
Correct Answer: D
Rationale: The moro reflex has all of the listed characteristics.
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The ethical principle of keeping professional promises or obligations is:
- A. veracity.
- B. autonomy.
- C. fidelity.
- D. beneficence.
Correct Answer: C
Rationale: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care.
Which condition is associated with inadequate intake of vitamin C?
- A. rickets
- B. marasmus
- C. kwashiorkor
- D. scurvy
Correct Answer: D
Rationale: Scurvy is associated with inadequate intake of vitamin C. The remaining choices refer to other nutritional deficiencies.
To manage time most effectively, the nurse responds to which of the following stimuli first:
- A. the physician's loud verbal direction.
- B. the nursing supervisor who is going to a meeting.
- C. unit staff leaving on a break.
- D. the care needs of the returning postoperative client just exiting the elevator.
Correct Answer: D
Rationale: While many environmental stimuli might compete for attention and time, the client care needs of complex or unstable clients and those requiring assessment and care must take priority.
A nurse witnesses a client sign the consent form for surgery with the surgeon. As the surgeon leaves, the client starts to speak and then stops. The nurse asks if the client has further questions and he says, 'I don't want to bother the surgeon.' The nurse should
- A. acknowledge the client's wish not to bother the surgeon and tell the client to let you know if they change their mind
- B. acknowledge the client's wish not to bother the surgeon and answer all of their questions, as appropriate
- C. go get the surgeon to answer all of the client's questions
- D. answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed
Correct Answer: D
Rationale: Nurses should always advocate for their clients, making sure they understand everything involving their health as well as ensuring all questions are answered appropriately and thoroughly.
In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?
- A. gynecologist
- B. physiatrist
- C. urologist
- D. proctologist
Correct Answer: C
Rationale: A urologist is the physician who specializes in urinary tract and prostatic disease. A gynecologist specializes in disease of the female reproductive tract. A physiatrist specializes in rehabilitation care. A proctologist specializes in lower colonic digestive diseases.