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A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
- A. Radiator heating system in the home
- B. The child drinking from a cup
- C. The child experiencing a temper tantrum
- D. A decorative bowl filled with colorful marbles on the coffee table
Correct Answer: D
Rationale: A bowl of colorful marbles poses a choking hazard, as small objects are a risk for aspiration and foreign body obstruction in toddlers.
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A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
- A. Obtain vital signs from all members of the family.
- B. Ask the family members to state the goals that were previously developed.
- C. Collect data similar to that which was collected at the initial visit for comparison.
- D. Educate about the importance of using role relationships to create a healthy family.
Correct Answer: C
Rationale: During evaluation, the nurse compares data from the initial visit with the current data to assess the effectiveness of the interventions.
Which female disorder is characterized by only one X chromosome present instead of two?
- A. Gynecomastia
- B. Menstruation
- C. Turner syndrome
- D. Klinefelter syndrome
Correct Answer: C
Rationale: Turner syndrome occurs when females have only one X chromosome.
A 5-year-old is prescribed a medication that is renally excreted. Which of the following considerations should be made when the nurse examines the dosage of the medication?
- A. The dosage should be lower than the recommended dose.
- B. The dosage should be at the recommended dose.
- C. The dosage should be higher than the recommended dose.
- D. The medication should not be administered.
Correct Answer: B
Rationale: Kidneys reach full maturity by early toddler years, so the recommended dose can be given.
The country with the highest life expectancy for women in 2011 was:
- A. France
- B. Germany
- C. Sweden
- D. The United States
Correct Answer: A
Rationale: France was the country with the highest life expectancy for women (85 years of age) in 2011.
The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
- A. Developing enuresis as a toddler
- B. Having difficulty forming relationships
- C. Becoming a picky eater
- D. Taking longer to toilet train
Correct Answer: B
Rationale: Inadequate attention to an infant’s needs can hinder the development of trust, which may lead to difficulty forming relationships later in life.