Nokea
Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
- A. Cereal
- B. Eggs
- C. Meat
- D. Juice
Correct Answer: A
Rationale: Cereal. Strained cereal is recommended as the first solid food for breastfed infants, per pediatric guidelines.
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A client with Addison's disease will most likely exhibit which symptom?
- A. Hypertension
- B. Bronze pigmentation
- C. Hirsutism
- D. Purple striae
Correct Answer: B
Rationale: A bronze pigmentation is a sign of Addison's disease. Answers A, C, and D are symptoms of Cushing's syndrome, making them incorrect.
Which of the following infractions can result in the revocation of the nurse's license?
- A. Failure to render care during a natural disaster
- B. Suspected negligence
- C. A felony conviction
- D. Failure to pay license renewal fees
Correct Answer: C
Rationale: A felony conviction can lead to license revocation due to its impact on professional integrity. Natural disaster response, negligence, or unpaid fees may have other consequences but are less likely to cause revocation.
A client with obesity reports several failed attempts at weight loss. Which client statement best indicates that the client is ready and motivated for successful weight loss?
- A. I have signed up to be a dog walker when I normally would watch television.'
- B. I understand that losing weight would improve my health and well-being.'
- C. I want to lose 8 pounds (3.6 kg) so that my formal gown will fit in 4 weeks.'
- D. My spouse and children are always encouraging me to eat healthier.'
Correct Answer: A
Rationale: Signing up as a dog walker (A) shows a concrete behavioral change, indicating readiness. Understanding benefits (B), short-term goals (C), or external encouragement (D) are less indicative of sustained motivation.
The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?
- A. Client falls asleep while talking to the nurse
- B. Client has had no bowel movement for 2 days
- C. Client has one episode of nonbilious emesis
- D. Client reports experiencing pruritus
Correct Answer: A
Rationale: Falling asleep mid-conversation (A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (B), emesis (C), and pruritus (D) are less urgent side effects.
Diagnosis-related groups (DRGs) provide data to
- A. Identify clients who have specific medical diagnoses
- B. Identify findings related to a medical diagnosis
- C. Determine reimbursement for a medical diagnosis
- D. Implement nursing care based on case management protocol
Correct Answer: C
Rationale: Determine reimbursement for a medical diagnosis. DRGs are the basis of prospective payment plans for reimbursement for Medicare clients.