A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
- A. A fenced-in pool in the backyard
- B. An entertainment center with the remote control on the top shelf
- C. A closed window in the child’s bedroom
- D. A toy box overflowing with toys
Correct Answer: B
Rationale: Toddlers are at high risk for injury from climbing, and reaching for items like a remote control could lead to the entertainment center falling on them.
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A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content?
- A. Have a better understanding of genetics and genomics
- B. Can meet the requirements of Healthy People 2010
- C. Can provide more effective health education
- D. Can deliver anticipatory guidance to families
Correct Answer: C
Rationale: Understanding growth and development helps nurses provide more effective health education and deliver anticipatory guidance to families.
A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?
- A. Ciprofloxacin (Cipro)
- B. Metoprolol (Toprol)
- C. Atorvastatin (Lipitor)
- D. Lansoprazole (Prevacid)
Correct Answer: B
Rationale: Beta-blockers like metoprolol can alter heart rate response, limiting its usefulness as a measure of exercise intensity.
A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
- A. “It is recommended that solid foods are introduced no earlier than 3 months of age.”
- B. “It is recommended that solid foods are introduced no earlier than 6 months of age.”
- C. “You should wait until your child is 9 months old to start solid foods.”
- D. “You should wait until your child is 1 year old to start solid foods.”
Correct Answer: B
Rationale: The AAP recommends introducing solid foods at 6 months to reduce the risk of food allergies and obesity.
The goal for the educational session is to have the individual explain when he should check his blood sugar level. Which of the following teaching strategies would be most effective for the nurse to implement?
- A. Provide the individual with one-on-one education about blood sugar monitoring
- B. Provide the individual with a scenario about blood sugar monitoring
- C. Provide the individual with the opportunity to practice blood sugar monitoring
- D. Provide the individual with a blood sugar monitor
Correct Answer: A
Rationale: One-on-one education effectively supports cognitive learning, especially for understanding when to check blood sugar levels.
Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.