A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
- A. A fenced-in pool in the backyard
- B. An entertainment center with the remote control on the top shelf
- C. A closed window in the child’s bedroom
- D. A toy box overflowing with toys
Correct Answer: B
Rationale: Toddlers are at high risk for injury from climbing, and reaching for items like a remote control could lead to the entertainment center falling on them.
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A nurse complies with the Patient Self-Determination Act when asking:
- A. a person upon admission to the hospital if he or she has an advanced directive
- B. the family in the recovery room if the client has an advanced directive
- C. a person before discharge from the hospital if he or she has an advance directive
- D. the family about an advanced directive after the person has been intubated
Correct Answer: A
Rationale: The Patient Self-Determination Act is designed to increase individual involvement in decisions about life-sustaining treatments. The nurse complies with the act when she asks a person upon admission if they have an advanced directive.
A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?
- A. Using corrective lenses
- B. Patching of the eye
- C. Applying artificial tears to the eye
- D. Allowing the passage of time
Correct Answer: B
Rationale: Amblyopia is treated by patching the stronger eye to encourage use of the weaker eye, or using atropine drops.
A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
A nurse is developing an educational session for adolescents related to avoidance of risky behaviors. Which steps of the teaching-learning process need to be considered?
- A. Development
- B. Implementation
- C. Assessment
- D. Diagnosis
Correct Answer: A
Rationale: The development of a teaching plan must involve assessing the audience, developing appropriate content, and implementing the plan effectively.
A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content?
- A. Have a better understanding of genetics and genomics
- B. Can meet the requirements of Healthy People 2010
- C. Can provide more effective health education
- D. Can deliver anticipatory guidance to families
Correct Answer: C
Rationale: Understanding growth and development helps nurses provide more effective health education and deliver anticipatory guidance to families.