Nokea
During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?
- A. Ethical issues
- B. Race issues
- C. Gender issues
- D. Cultural issues
Correct Answer: A
Rationale: A test with low sensitivity and high specificity can lead to false negatives, which can be ethically concerning as it misses true cases.
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The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
Respecting Spirituality
- A. Changing the position of the bed in a Muslim client’s room so that it faces east
- B. Contacting the chaplain to assess spiritual needs
- C. Saying a silent prayer with a client at their request
- D. Praying out loud in a dying client's room
Correct Answer: C
Rationale: Praying quietly with respect for the client's beliefs is more appropriate than imposing religious actions.
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
- A. “Ok, just make sure you perform one hour of aerobics every day.”
- B. “Lifting weights is a necessary part of exercise.”
- C. “Weight lifting has many purposes and benefits; can we talk about them?”
- D. “Looking muscular at your age is attractive.”
Correct Answer: C
Rationale: Weight training helps develop healthy muscles and stimulates bone health. The nurse should offer the opportunity to discuss the benefits and address concerns.