Nokea
Basic principles of healthy sleep hygiene include all the following EXCEPT
- A. set routine time
- B. avoid stimulating activities as playing computer games
- C. spends meal out of your bedroom
- D. gives a heavy meal every day
Correct Answer: D
Rationale: Heavy meals before bedtime can disrupt sleep.
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A newborn begins to cough, choke, and becomes cyanotic while feeding. What is the nurse's immediate action?
- A. Inform the physician.
- B. Have the mother stop feeding and observe.
- C. Remove the infant from the mother, place the infant in the crib for assessment, obtain oxygen saturation, and administer blow-by oxygen immediately.
- D. Continue feeding while monitoring.
Correct Answer: C
Rationale: Immediate removal from the feeding situation and rapid assessment with oxygen support is critical for airway safety.
A 3-year-old boy is hospitalized after falling down the stairs. His mother cries, 'This is all my fault.' Which is the nurse's best response?
- A. Accidents happen; you shouldn't blame yourself.
- B. Falls are one of the most common injuries in this age group.
- C. It might help to install a baby gate on the stairs.
- D. Your son should be proficient at walking down stairs by now.
Correct Answer: B
Rationale: Reassuring the parent that falls are common in young children can help reduce guilt and anxiety.
A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child? (Select all that apply.)
- A. Apples
- B. Bananas
- C. Cheese
- D. Carrot sticks
Correct Answer: A
Rationale: Apples, bananas, and strawberries are all suitable choices for a child with acute glomerulonephritis and oliguria. These fruits are high in water content and are not typically restricted in the diet of a child with this condition. It is important to provide hydration through food sources for a child experiencing oliguria. However, foods high in sodium, potassium, and protein (such as cheese) may need to be limited or modified based on the child's condition and the doctor's recommendations. Carrot sticks, although generally a healthy choice, may have high potassium content which could be restricted based on the child's individual dietary requirements.
Hepatitis C virus infection is a risk factor for which of the following malignancy?
- A. hepatoblastoma
- B. splenic lymphoma
- C. Hodgkin lymphoma
- D. nasopharyngeal carcinoma
Correct Answer: B
Rationale: Hepatitis C is a known risk factor for splenic lymphoma and other B-cell lymphoproliferative disorders.
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
- A. touching his genitals in public
- B. showing his genitals to others
- C. undressing in public
- D. imitating intercourse or other adult sexual behaviors
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.