Nokea
A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. Which of the following represents the daily caloric needs for this child?
- A. 1360 calories
- B. 1540 calories
- C. 1620 calories
- D. 1800 calories
Correct Answer: C
Rationale: A preschooler requires approximately 90 kcal/kg of body weight per day, which amounts to 1620 calories for an 18 kg child.
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Which of the following is a major factor limiting health care services in the United States?
- A. Lack of nurses
- B. Lack of health care facilities
- C. Lack of funding
- D. Lack of client interest in health promotion
Correct Answer: C
Rationale: The lack of funding, particularly for those without health insurance, is a major limitation in accessing healthcare services in the U.S.
A nurse who is conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Which of the following responses should be made by the nurse?
- A. “Day care centers that schedule age-appropriate educational videos increase verbal ability.”
- B. “Human interaction increases a toddler’s verbal skills, so select a day care center that values adult-to-toddler interaction.”
- C. “Learning to understand the meaning of words is increased when toddlers are exposed to educational DVDs, so select a day care center that has an extensive library of age-appropriate, educational DVDs.”
- D. “There really is no difference in the quality of day care centers based on whether or not videos or DVDs are used for educational purposes.”
Correct Answer: B
Rationale: Research has shown that human interaction promotes verbal skills in toddlers better than passive exposure to videos.
Conditions to Screen for in an 80-year-old
- A. Polypharmacy
- B. Kidney failure
- C. Illegal drug use
- D. Alcoholism
Correct Answer: A
Rationale: Older adults on multiple medications are at higher risk for drug interactions, making polypharmacy a key concern.
A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern?
- A. Respiratory disorders
- B. Hearing loss
- C. Coronary artery disease
- D. Stress
Correct Answer: C
Rationale: Disturbances in values-beliefs patterns often lead to lifestyle changes that can increase the risk of coronary artery disease.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic culture, both the parents and elders may have influence in decision-making, so the nurse should educate all relevant family members.