Nokea
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
- A. The infant’s shirt is wet from drooling.
- B. The infant has gained one pound since her 2-month well-child visit.
- C. The infant holds his or her head steady when in a sitting position.
- D. The infant grasps objects with two hands.
Correct Answer: B
Rationale: A weight gain of only 1 pound in 2 months is below the expected growth, suggesting a need for further assessment.
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A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?
- A. Read in bed until he falls asleep.
- B. Avoid fluids after 7 PM.
- C. Exercise immediately before bedtime.
- D. Watch television in the recliner in the evening.
Correct Answer: B
Rationale: Avoiding fluids before bedtime helps prevent frequent urination, which may be causing the dysfunctional sleep pattern.
Sexuality in middle age: What should the nurse stress?
- A. "Contraception usage should be decreased as a woman nears menopause."
- B. "Difficulty with sexual performance among men happens near age 60."
- C. "HIV infection after age 50 is rare."
- D. "The majority of new HIV/AIDS cases occur among middle-age adults."
Correct Answer: D
Rationale: HIV/AIDS cases are prevalent in middle-age adults, making it important to emphasize safe sexual practices.
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.
The parents of a young adult female have divorced. What is she most likely to experience?
- A. Relief
- B. Depression
- C. Unemployment
- D. Inability to sustain relationships
Correct Answer: B
Rationale: Divorce in young adults often leads to emotional strain and depression, not necessarily to an inability to sustain relationships.
The question, “What is the experience of teenagers who lose a sibling to cancer?” can best be answered by using which research methodology?
- A. Evidence-based practice research
- B. Qualitative research
- C. Quantitative research
- D. Clinical judgment research
Correct Answer: B
Rationale: Qualitative research explores experiences and subjective phenomena, such as the emotional response of teenagers to losing a sibling.