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A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: A
Rationale: A BMI at the 80th percentile is within the normal weight range for children.
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During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
- A. The person is not receiving enough sleep.
- B. The person is receiving adequate sleep.
- C. The nurse must determine where the person sleeps.
- D. The nurse must ask additional questions.
Correct Answer: D
Rationale: The nurse needs further subjective data to assess whether 5 hours of sleep is adequate for this individual.
A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:
- A. Medicare Part A
- B. Medicare Part B
- C. Medicaid
- D. State Children’s Health Insurance Program (SCHIP)
Correct Answer: C
Rationale: Medicaid covers pregnant women and children with a family income less than 135% of the federal poverty level.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective?
- A. The individual will understand how to correctly use an inhaler.
- B. The individual will realize the importance of using an inhaler correctly.
- C. The individual will feel better when using the inhaler correctly.
- D. The individual will demonstrate proper use of the inhaler.
Correct Answer: D
Rationale: Psychomotor learning involves physical skill development, and demonstrating proper use indicates skill development.
A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps gather important information and uncover key issues to address moral concerns in health care.