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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A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
- A. This ethnic culture tends to be future oriented.
- B. Religion plays an important role in this culture.
- C. Traditional cultural practices are infrequently used during a health crisis.
- D. Members of this culture tend to have smaller families.
Correct Answer: B
Rationale: Religion plays a significant role in Arab American culture, influencing dietary rules, prayers, and health practices.
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.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: Cultural factors influence decision-making, so education should be directed to all adults involved.
A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- A. Elimination of the school requirement for the MMR vaccine
- B. Regulation of the use of electronic devices used by preschoolers
- C. Regulation of the paint allowed for use with toys
- D. Elimination of WIC programs
Correct Answer: C
Rationale: Regulating the paint used in toys addresses the risk of lead poisoning, a Healthy People 2020 objective.
A nurse reflects on previous experiences with minority populations and considers how these interactions have influenced her present care to these populations. Which part of values clarification and reflection has the nurse used?
- A. Formulate a possible course of action.
- B. Examine the influence of beliefs.
- C. Reflect on practice.
- D. Determine the prevalent values.
Correct Answer: B
Rationale: Examining the influence of beliefs helps identify how personal values may affect nursing practice and ethical decision-making.