Nokea
A -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today’s visit, the nurse expects his weight to be:
- A. 13 pounds, 4 ounces
- B. 19 pounds, 14 ounces
- C. 26 pounds, 8 ounces
- D. 33 pounds, 2 ounces
Correct Answer: C
Rationale: By age 2, a toddler's weight should have quadrupled from their birth weight. 6 pounds, 10 ounces × 4 = 26 pounds, 8 ounces.
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Individualized lifestyle change: What should the nurse stress first?
- A. "Limiting unprotected exposure to sun."
- B. "Starting a smoking cessation program."
- C. "Exercising at least three times a week."
- D. "Scheduling a complete physical and dental exam."
Correct Answer: D
Rationale: A complete physical and dental exam should be conducted first to assess health status before making lifestyle changes.
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.
The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?
- A. Talking and singing without difficulty
- B. Feeling extremely fatigued
- C. Having mild musculoskeletal discomfort
- D. Being out of breath
Correct Answer: C
Rationale: A moderate exercise intensity is best described by slight fatigue and mild musculoskeletal discomfor
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
- A. Provide instructions to the child’s father.
- B. Encourage the parents to bring other siblings into the clinic for screening.
- C. Schedule multiple educational sessions for the child and family.
- D. Watch for nonverbal gestures by the adults to indicate understanding.
Correct Answer: A
Rationale: In Asian American culture, the oldest male family member often assumes the decision-making role.
The school nurse is observing the development of gross motor skills of young children at the school and watches a child who is learning how to throw a ball overhand. How old is this child?
- A. 3 years old
- B. 4 years old
- C. 5 years old
- D. 6 years old
Correct Answer: B
Rationale: At age 4, most children have developed the ability to throw a ball overhand.