Nokea
A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.
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A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
- A. Apple juice
- B. Oatmeal raisin cookies
- C. Jelly sandwich
- D. Banana
Correct Answer: B
Rationale: Oatmeal raisin cookies often contain nuts, which are common allergens for young children.
A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?
- A. 126
- B. 142
- C. 178
- D. 184
Correct Answer: C
Rationale: Maximum heart rate is calculated by subtracting the person's age from 220.
Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: A sexually active teenager who does not use condoms has a dysfunctional sexual-reproductive pattern, leading to risks.
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: The pattern focus looks at behavior sequences over time, such as glucose levels in this case, to assess health.
The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans. Which of the following best describes the nurse’s actions?
- A. The nurse is sharing inappropriate personal information with her client.
- B. The nurse is exhibiting a communication technique called self-disclosure.
- C. The nurse is attempting to show empathy with her client.
- D. The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).
Correct Answer: B
Rationale: Self-disclosure involves sharing aspects of oneself in communication.