Nokea
A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: C
Rationale: A BMI of 32 is categorized as obese in adults.
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A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Facilitated family conversation
Correct Answer: B
Rationale: The family needs to improve coping skills as they adjust to the impact of the teenager's illness.
Which action will most effectively reduce work-related injuries?
- A. "Make the work environment smoke-free."
- B. "Reduce environmental noise levels."
- C. "Conduct regular walk-through assessments at the worksite."
- D. "Increase paid personal days from one to three."
Correct Answer: A
Rationale: Smoking increases accident rates, making a smoke-free environment the most effective strategy.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
- A. Explore complementary and alternative medicine practices used by other cultures.
- B. Discuss cultural differences with coworkers.
- C. Provide care to diverse populations.
- D. Participate in continuing education programs about cultural diversity.
Correct Answer: D
Rationale: Continuing education about cultural diversity is the best strategy for increasing cultural competence as it provides the necessary knowledge to provide effective care.