Nokea
A newborn baby weighs 7 lb at birth. What does the nurse anticipate the baby's weight will be at 1 year of age?
- A. 14 lb
- B. 17 lb
- C. 21 lb
- D. 25 lb
Correct Answer: C
Rationale: By 1 year, birth weight is expected to triple. Thus, the weight at 1 year would be 7 lb times three, which would equal 21 lb.
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The home health nurse assesses an older adult's respiratory function carefully because age-related changes in the respiratory system could result in which of the following?
- A. Vital capacity
- B. Susceptibility to respiratory infections
- C. Expiratory capacity due to increased chest size
- D. Oxygen and carbon dioxide exchange
Correct Answer: B
Rationale: Older adults are more susceptible to respiratory infections.
A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as which of the following?
- A. Presbycusis
- B. Otitis externa
- C. Presbyopia
- D. Otitis media
Correct Answer: A
Rationale: Presbycusis is a normal age-related loss of hearing. Otitis externa and otitis media are infections of the ear. Presbyopia is a condition in which it becomes difficult to focus on objects nearby.
A nurse assessing a 2-month-old infant would expect the infant to do which of the following?
- A. Crawl on the floor.
- B. Creep on the floor.
- C. Sit up steadily without support.
- D. Hold its head up while in the prone position.
Correct Answer: D
Rationale: At 2 months the infant is able to hold the head up while in the prone position. Infants may crawl at 7 months and creep at about 9 months. By the end of the seventh month, infants can sit up steadily without support.
What is the stage of family development that begins at the birth or adoption of the first child?
- A. Expectant stage
- B. Parenthood stage
- C. Establishment stage
- D. Engagement/commitment stage
Correct Answer: B
Rationale: The parenthood stage begins at the birth or adoption of the first child.
A 14-year-old male patient has undergone a leg amputation. What should be the primary focus of the patient's care plan?
- A. Nutritional status
- B. Academic progress
- C. Body image
- D. Socialization needs
Correct Answer: C
Rationale: Body image is a major developmental task of the adolescent. Nutritional status, academic progress, and socialization should be addressed, but they would not be the primary focus.