Nokea
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.
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A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?
- A. Eat it herself.
- B. Ask her brother if he wants it.
- C. Feed it to her dog.
- D. Give it to her imaginary friend.
Correct Answer: D
Rationale: Preschoolers often have imaginary friends, and this extra yogurt might be for them.
Which dietary items should Hispanic women aged 18-35 increase in their diet?
- A. Calcium
- B. Folic acid
- C. Iron
- D. Sodium
Correct Answer: B
Rationale: Folic acid and iron are important for reproductive health and prevention of birth defects in young women.
A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
- A. Tell the client that there is a high probability that her baby will have a birth defect.
- B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.
- C. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.
- D. Tell the client that there is a high probability of a stillbirth.
Correct Answer: B
Rationale: Tylenol in recommended doses is generally safe during pregnancy. The nurse should reassure the client.
In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: B
Rationale: Care managers focus on reducing costs, preventing service duplication, and ensuring appropriate care according to guidelines.