Nokea
During your physical examination, which of the following physical findings could be consistent with excess carbohydrate nutrition?
- A. Caries
- B. Skin elasticity and firmness
- C. Hair stringy, friable, dull, and dry
- D. Enlarged thyroid
Correct Answer: A
Rationale: Excess carbohydrates can lead to dental caries due to sugar fermentation by oral bacteria; other findings relate to different nutritional issues.
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The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the nurses best response when the patient asks how DRGs reduce medical care costs?
- A. By determining payment based on diagnosis
- B. By requiring two medical opinions to confirm a diagnosis
- C. By organizing HMOs
- D. By defining a person who will require hospitalization
Correct Answer: A
Rationale: DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
What was the result of research done in the 1930s by the Childrens Bureau?
- A. Children with heart problems are now cared for by pediatric cardiologists.
- B. The Child Abuse and Prevention Act was passed.
- C. Hot lunch programs were established in many schools.
- D. Childrens asylums were founded.
Correct Answer: C
Rationale: School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of economic depression on children.
The nurse is teaching a group of new parents about sudden infant death syndrome (SIDS). Which recommendation should the nurse emphasize?
- A. Place the infant on a soft mattress for sleep
- B. Ensure the infant sleeps in a prone position
- C. Keep soft objects and loose bedding out of the crib
- D. Dress the infant warmly to prevent hypothermia during sleep
Correct Answer: C
Rationale: Keeping soft objects and loose bedding out of the crib reduces SIDS risk by preventing suffocation, per AAP safe sleep guidelines. Prone position and soft mattresses increase risk.
A mother of a 2 year old has just left the hospital to check on her other children. Which of the following would best help the 2 year old who is now crying inconsolably?
- A. Taking a nap
- B. Peer play group
- C. Large cuddly dog
- D. Favorite blanket
Correct Answer: D
Rationale: A favorite blanket provides comfort and security, reducing separation anxiety.
Immediately on the arrival of a premature baby to the neonatal intensive care unit, the nurse should do which of the following:
- A. Take temperature rectally
- B. Examine for anomalies
- C. Check airway for patency
- D. Cleanse skin of vernix
Correct Answer: C
Rationale: Ensuring airway patency is the immediate priority in a premature infant to support respiration, critical due to their immature respiratory system.