An assessment of the skull of a normal 10-month-old baby should identify which of the following?
- A. closure of the posterior fontanel.
- B. closure of the anterior fontanel.
- C. overlap of cranial bones.
- D. ossification of the sutures.
Correct Answer: A
Rationale: The posterior fontanel should close by the age of 2 months.
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Rehabilitation services begin:
- A. when the client enters the health care system.
- B. after the client requests rehabilitation services.
- C. after the client's physical condition stabilizes.
- D. when the client is discharged from the hospital.
Correct Answer: A
Rationale: Rehabilitation services should begin when the client enters the health care system.
Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?
- A. Make it a stat delivery.'
- B. Please do it as soon as you can after break.'
- C. This client is delirious, and we're worried about a urinary sepsis.'
- D. Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately.'
Correct Answer: D
Rationale: Effective delegation depends on clear, concise direction that leaves no room for question or interpretation. The specific instruction to collect and deliver immediately ensures the task is prioritized.
The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?
- A. political
- B. personal
- C. positional
- D. professional
Correct Answer: A
Rationale: Political power results from one's ability to work within systems, agencies, or through policy to affect change. Personal power is based on one's charisma and self-confidence and is often found in informal leadership situations. Positional power is based on designated authority in a legitimized position within which the power is exercised. Professional power is based on one's professional skills and abilities resulting from one's recognized expertise in an area of practice.
The nurse in the emergency room is admitting a client who has sustained a gunshot wound and will require immediate surgery. The client is unconscious and by themselves. Which of the following actions is most appropriate?
- A. Call the charge nurse and request that the facility's legal counsel provide a waiver for informed consent.
- B. Attempt to stabilize the client in the emergency room until they are conscious enough to provide informed consent.
- C. Try to locate the client's family to obtain informed consent before transporting the client to the operating room.
- D. Proceed with transporting the client to the operating room without obtaining informed consent.
Correct Answer: D
Rationale: In an emergency situation, the client can receive treatment without informed consent if delaying care would potentially cause injury or death. In this scenario, the nurse can proceed with transporting to the operating room without informed consent.
What is the best definition for ethics in nursing?
- A. advocating for the client
- B. knowing your scope of practice
- C. being able to differentiate right from wrong
- D. being willing to report violations
Correct Answer: C
Rationale: Ethics in nursing is being able to differentiate right from wrong.