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The child has ADHD and is taking methylphenidate.
A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?
- A. Our child has increased his daily caloric intake.
- B. Our child has a better grasp of reality.
- C. Our child has lost some weight since his last appointment.
- D. Our child is able to complete his homework on time.
Correct Answer: D
Rationale: Improved focus and task completion indicate methylphenidate's effectiveness.
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A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?
- A. Impetigo contagiosa
- B. Neisseria gonorrhoeae
- C. Human papillomavirus
- D. Sarcoptes scabiei
Correct Answer: B
Rationale: Neisseria gonorrhoeae (gonorrhea) is a reportable disease per public health regulations.
A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 90-degree angle.
- B. I should keep my baby rear-facing in the car seat until she is 2 years old.
- C. I should position the car seat's retainer clip at the level of my baby's belly button.
- D. I should enable the airbag when my baby is in the front seat of the car.
Correct Answer: B
Rationale: Rear-facing until age 2 aligns with current safety guidelines.
The client is expressing suicidal ideations.
A nurse is collecting data from a client who is expressing suicidal ideations. Which of the following questions is the nurse's priority?
- A. Do you have a plan for harming yourself?
- B. Has anyone in your family ever died by suicide?
- C. Do you have someone to discuss your feelings with?
- D. Can you tell me about the stresses in your life?
Correct Answer: A
Rationale: Assessing a plan determines immediate risk, the priority in suicide assessment.
A nurse is verifying informed consent for a client who is preoperative for a vaginal hysterectomy. Which of the following statements should the nurse identify as an indication that the client has given informed consent?
- A. I will no longer need regular gynecological examinations.
- B. I will have a large scar on my stomach after this procedure.
- C. I am thankful I am done having children.
- D. I should expect my periods to resume in 1 month.
Correct Answer: C
Rationale: Expressing relief about no more children suggests understanding of the procedure's outcome.
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
- A. Encourage the client to use the overbed trapeze.
- B. Maintain abduction of the client's residual limb with a pillow.
- C. Caution the client to avoid a prone position while in bed.
- D. Keep a loose, absorbent dressing over the client's surgical site.
Correct Answer: A
Rationale: Using the trapeze builds upper body strength for mobility.