Nokea
At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler’s approximate final adult height to be:
- A. 4 feet 8 inches
- B. 5 feet
- C. 5 feet 2 inches
- D. 5 feet 4 inches
Correct Answer: D
Rationale: The height at 2 years is about half of the child’s final adult height. Therefore, 2 feet 8 inches × 2 equals approximately 5 feet 4 inches.
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Which of the following best describes the primary goal of community nurses?
- A. Create charts/graphs of data collected.
- B. Create plans for community health promotion programs.
- C. Create evaluation tools for health promotion programs.
- D. Create a culture of health promotion/health protection with the community.
Correct Answer: D
Rationale: The primary goal of community nurses is to create a culture of health promotion and protection within the community to improve health behaviors.
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
- A. “Your infant is in distress. We should call an ambulance.”
- B. “You need to be more active; take a dance class once a week.”
- C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
- D. “You probably counted incorrectly.”
Correct Answer: C
Rationale: By the second trimester, fetal movement can decrease due to limited space in the uterus.
A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group?
- A. African
- B. Alaska Native
- C. Asian
- D. Hispanic
Correct Answer: D
Rationale: In Hispanic cultures, health is often viewed as a gift from God, reflecting their spiritual perspective on health.
Which person exceeds the recommended activity guidelines?
- A. "A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity."
- B. "A 45-year-old woman who swims and has a pulse rate of 145 during activity."
- C. "A 50-year-old man who jogs and has a pulse rate of 120 during activity."
- D. "A 60-year-old woman who walks briskly and has a pulse rate of 125 during activity."
Correct Answer: D
Rationale: The optimal pulse rate for a 60-year-old woman during activity should not exceed 120.
A 26-year-old client has a total cholesterol of 206 mg/dL and an LDL of 110. What conclusion can be drawn?
- A. The client has achieved the target levels for cholesterol in young adults.
- B. The client has a very low risk of developing heart disease.
- C. The client requires counseling about cardiac disease risk factors.
- D. The client has early-onset cardiac disease.
Correct Answer: C
Rationale: Elevated cholesterol levels indicate the need for education about heart disease risk factors.