Nokea
The mother of a child with cystic fibrosis asks the nurse for information about the disease. The nurse's teaching is based on the knowledge that cystic fibrosis:
- A. Produces multiple cysts in the lungs
- B. Affects the exocrine glands
- C. Is an autosomal dominant disorder
- D. Affects the endocrine glands
Correct Answer: B
Rationale: Cystic fibrosis affects exocrine glands, causing thick mucus secretions, so B is correct. It does not produce lung cysts , is autosomal recessive, not dominant , and does not affect endocrine glands .
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A 21-year-old woman at 16 -weeks gestation undergoes an amniocentesis. The client asks the nurse what the physician will learn from this procedure. The nurse's response should be based on an understanding that which of the following conditions can be detected by this Test ?
- A. Tetralogy of Fallot.
- B. Talipes equinovarus.
- C. Hemolytic disease of the newborn.
- D. Cleft lip and palate.
Correct Answer: C
Rationale: maternal antibodies destroy fetal RBCs; bilirubin secreted because of hemolysis
A three-year-old boy was shown to have delays on the Denver Development Screening Test (DDST).
Which of the following responses by the nurse is BEST?
- A. Maybe he is just having a bad day. I'm sure he will do much better next time.
- B. The Test indicated a delay and we will have to investigate to learn more.
- C. What are your thoughts about how your child performed on the Test ?
- D. The results may not be accurate. Let's set up a time to reTest your child.
Correct Answer: C
Rationale: Strategy: 'BEST' indicates that fine discrimination is required. The topic of the questions is unstated. Determine topic by reading the answer choices. (1) nontherapeutic, false reassurance (2) factual but closed communication (3) correct-open-ended, encourages discussion (4) doesn't encourage discussion of concerns
The nurse is teaching a community group about how to prevent Lyme disease. What should be included in the teaching? Select all that apply.
- A. Wear dark-colored clothing when outdoors.
- B. Tuck long pants inside socks.
- C. Wear long sleeves and long pants when outside.
- D. Remove standing water.
- E. Use insect repellant containing DEET.
- F. Do not eat venison.
Correct Answer: B,C,E
Rationale: Tucking pants into socks, wearing long clothing, and using DEET repel ticks, preventing Lyme disease. Light clothing aids tick visibility, standing water is irrelevant, and venison is safe.
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with nephrotic syndrome. The nurse should administer the medication:
- A. In a single dose at bedtime
- B. With a snack or glass of milk
- C. With water to promote absorption
- D. Prior to arising in the morning
Correct Answer: B
Rationale: Prednisone, a steroid, should be given with a snack or meal to prevent gastric irritation. Answer C would cause pain and gastric upset, making it incorrect. Answers A and D do not include providing food with the medication, so they are incorrect.
Which of the following statements best describes the gross motor development of a 2-year old?
- A. She skips without falling.
- B. She walks up and down stairs.
- C. She rides a tricycle.
- D. She is able to broad jump.
Correct Answer: B
Rationale: A 2-year-old can typically walk up and down stairs with support, a key gross motor milestone. Skipping , riding a tricycle , and broad jumping are skills developed later, around 3-5 years.