Nokea
A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?
- A. Nutrition Service Incentive Program (NSIP)
- B. Supplemental Nutrition for Women Infants and Children (WIC)
- C. National School Lunch Program (NSLP)
- D. Supplemental Nutrition Assistance Program (SNAP)
Correct Answer: D
Rationale: SNAP helps low-income families purchase nutritionally adequate foods.
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A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?
- A. Read in bed until he falls asleep
- B. Avoid fluids after 7 PM
- C. Exercise immediately before bedtime
- D. Watch television in the recliner in the evening
Correct Answer: B
Rationale: Avoiding fluids before bed is an appropriate sleep hygiene practice that addresses the potential cause of the dysfunctional sleep pattern (frequent urination).
Suspicion of Bioterrorism
- A. Two people from a restaurant with nausea and vomiting
- B. Lab worker with a headache
- C. 13 people with ascending muscle paralysis
- D. Five people with upper respiratory infections
Correct Answer: C
Rationale: Ascending paralysis is a hallmark sign of botulism, a potential bioterrorism event.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The nurse has the right to refuse participation, but must ensure arrangements are made for the client's care.
The proportion of people with a condition who correctly test positive when screened is known as:
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: A
Rationale: Sensitivity is the proportion of true positives correctly identified by a screening test.
A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. Which of the following represents the daily caloric needs for this child?
- A. 1360 calories
- B. 1540 calories
- C. 1620 calories
- D. 1800 calories
Correct Answer: C
Rationale: A preschooler requires approximately 90 kcal/kg of body weight per day, which amounts to 1620 calories for an 18 kg child.