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A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the child’s growth?
- A. Use serial measurements over time.
- B. Use this measurement.
- C. Use this measurement and compare it with the child’s peers.
- D. Use the WHO growth chart to assess this child’s measurements.
Correct Answer: A
Rationale: Serial measurements plotted on a growth chart over time provide the best reflection of a child’s growth pattern.
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A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?
- A. Read in bed until he falls asleep
- B. Avoid fluids after 7 PM
- C. Exercise immediately before bedtime
- D. Watch television in the recliner in the evening
Correct Answer: B
Rationale: Avoiding fluids before bed is an appropriate sleep hygiene practice that addresses the potential cause of the dysfunctional sleep pattern (frequent urination).
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
- A. A height spurt since her last visit
- B. Facial acne
- C. The lack of breast buds
- D. Noticeable sweating and body odor with activity
Correct Answer: C
Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.
Which of the following people is at greatest risk for injury prevention in a work environment?
- A. Using a pre-set list of topics
- B. Relying on printed materials
- C. Asking for a list of topics
- D. Beginning each session with a 2-mile walk
Correct Answer: C
Rationale: Allowing workers to choose the topics of discussion ensures greater engagement and better safety outcomes.
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.