Nokea
An occlusive dressing is applied to a large abrasion. This is advantageous because the dressing will accomplish what?
- A. Deliver vitamin C to the wound.
- B. Provide an antiseptic for the wound.
- C. Maintain a moist environment for healing.
- D. Promote mechanical friction for healing.
Correct Answer: C
Rationale: Occlusive dressings, such as Acuderm, maintain a moist environment that promotes healing by preventing dehydration of the wound bed and supporting cell migration. They do not deliver vitamin C, provide antiseptic properties, or promote friction, which could harm the wound.
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Descriptions of young people with anorexia nervosa (AN) often include which criteria?
- A. Impulsive
- B. Extroverted
- C. Perfectionist
- D. Low achieving
Correct Answer: C
Rationale: Individuals with AN are often perfectionists, striving for control and high academic achievement. Impulsivity and extroversion are more characteristic of bulimia nervosa, not AN.
During a well-child visit, the nurse plots the childs BMI on the health record. What is the purpose of the BMI?
- A. To determine medication dosages
- B. To predict adult height and weight
- C. To identify coping strategies used by the child
- D. To provide a consistent measure of obesity
Correct Answer: D
Rationale: BMI provides a standardized measure to assess obesity by comparing body weight to height, guiding interventions. It?s not used for medication dosages, height prediction, or coping strategies.
A 6-year-old boy with very fair skin will be joining his family during a beach vacation. What should the nurse recommend?
- A. Keep him off the beach during the daytime hours.
- B. Use sunscreen with an SPF of at least 15 and reapply it every 2 to 3 hours.
- C. Apply a topical sunscreen product with an SPF of 30 in the morning.
- D. Dress him in long pants and long-sleeved shirt and keep him under a beach umbrella.
Correct Answer: B
Rationale: Sunscreen with SPF 15 or higher, reapplied every 2-3 hours and after water exposure, protects fair skin from UV damage. Avoiding the beach is impractical, a single SPF 30 application is insufficient, and long clothing with an umbrella is less practical than sunscreen.
An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?
- A. A sign that a rape has not actually occurred
- B. One of a variety of behaviors normally seen in rape victims
- C. Indicative of a higher than usual level of maturity in the adolescent
- D. Suggestive that the adolescent had severe emotional problems before the rape occurred
Correct Answer: B
Rationale: Rape victims exhibit varied responses, including calm behavior, which may mask inner turmoil. This is a normal coping mechanism, not indicative of the event?s validity, maturity, or pre-existing emotional issues.
During a well-child visit, the nurse practitioner provides guidance about promoting healthy eating in a child who is overweight. What does the nurse advise?
- A. Slow down eating meals.
- B. Avoid between-meal snacks.
- C. Include low-fat foods in meals.
- D. Use foods that child likes as special treats.
Correct Answer: A
Rationale: Slowing down eating helps recognize fullness, preventing overeating. Snacks maintain stable hunger, low-fat foods may be high-calorie, and using food as treats promotes unhealthy eating habits.