Nokea
The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
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When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective factor that impacts nutritional care and can be assessed physically.
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is impartial and nondiscriminatory, ensuring care is provided to everyone equally.
A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
- A. Encouraging an active lifestyle during childhood years
- B. Prescribing orlistat (Alli)
- C. Recommending the Jenny Craig program
- D. Recommending gastric banding surgery
Correct Answer: A
Rationale: Primary prevention strategies focus on preventing conditions before they occur, such as encouraging an active lifestyle in childhood to prevent obesity.
A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor. Which ethical concept is the client unable to benefit from?
- A. Autonomy
- B. Justice
- C. Beneficence
- D. Advocacy
Correct Answer: A
Rationale: Due to cognitive impairment, the client cannot make autonomous decisions regarding his care.
A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
- A. Do not read to the child while sitting on the sofa in front of the fireplace.
- B. Do not cook on a gas grill until the child is a teenager.
- C. Do not leave cigarettes and matches on the kitchen counter.
- D. Do not cook with the child in the kitchen.
Correct Answer: C
Rationale: The most important recommendation is to avoid leaving cigarettes and matches accessible to children, as they like to imitate adults.