Nokea
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
- A. Ask her why she wants to know.
- B. Determine why she is so anxious.
- C. Explain in simple terms how it works.
- D. Tell her she will see how it works as it is used.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The Asian parent of a child being seen in the clinic avoids eye contact with the nurse. What is the best explanation for this considering cultural differences?
- A. The parent feels inferior to the nurse
- B. The parent is showing respect for the nurse
- C. The parent is embarrassed to seek health care
- D. The parent feels responsible for her child's illness
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is discussing toddler development with a parent. Which intervention will foster the achievement of autonomy?
- A. Help the toddler complete tasks
- B. Encourage the toddler to do things for themselves when capable
- C. Provide opportunities for the toddler to play with other children
- D. Help the toddler learn the difference between right and wrong
Correct Answer: B
Rationale: Encouraging the toddler to do things for themselves when capable is the correct intervention to foster autonomy. This approach helps the toddler develop independence, self-confidence, and a sense of achievement. Choice A is incorrect as it focuses on assisting rather than encouraging independence. Choice C is incorrect as playing with other children primarily fosters social skills, not necessarily autonomy. Choice D is incorrect as learning the difference between right and wrong is related to moral development, not autonomy.
The nurse is performing an otoscopic examination on a child. Which are normal findings the nurse should expect? (Select all that apply.)
- A. All below
- B. A well-defined light reflex
- C. A small, round, concave spot near the center of the drum
- D. The tympanic membrane is a nontransparent grayish color
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When auscultating an infant's lungs, the nurse detects diminished breath sounds. What should the nurse interpret this as?
- A. Suggestive of chronic pulmonary disease
- B. Suggestive of impending respiratory failure
- C. An abnormal finding warranting investigation
- D. A normal finding in infants younger than 1 year of age
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which action should the nurse implement when taking an axillary temperature?
- A. Take the temperature through one layer of clothing
- B. Add a degree to the result when recording
- C. Place the tip of the thermometer under the arm in the center of the axilla
- D. Hold the child's arm away from the body while taking the temperature
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.