Nokea
What is the appropriate placement of a tongue blade for assessment of the mouth and throat?
- A. On the lower jaw
- B. Side of the tongue
- C. Against the soft palate
- D. Center back area of the tongue
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is taking a health history of an adolescent. Which best describes how the chief complaint should be determined?
- A. Request a detailed listing of symptoms.
- B. Ask the adolescent, "Why did you come here today?"
- C. Interview the parent away from the adolescent to determine the chief complaint
- D. Use what the adolescent says to determine, in correct medical terminology, what the problem is
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)
- A. Lightly brush the palate with a cotton swab
- B. Perform the examination in front of a mirror
- C. Let the child examine someone else's mouth first
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?
- A. Pose several questions at a time
- B. Use medical jargon when possible
- C. Communicate directly with family members when asking questions
- D. Carry on some communication in English with the interpreter about the family's needs
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is discussing growth and development with a group of parents. What should the nurse say about developmental milestones?
- A. Increase in body size.
- B. Age-specific tasks that most children can do at a certain time.
- C. The direction of growth.
- D. Refers to the age group of children.
Correct Answer: B
Rationale: The correct answer is B: "Age-specific tasks that most children can do at a certain time." Developmental milestones are specific tasks or abilities that most children can achieve at a certain age range. Choices A, C, and D are incorrect because developmental milestones are not just about increase in body size, the direction of growth, or the age group of children. They are more focused on the expected tasks and skills children can accomplish at particular ages.
A school-age client is in the playroom when the respiratory therapist arrives to give a scheduled breathing treatment. What is the most appropriate nursing action?
- A. Escort the child to their room and ask the child-life specialist to bring toys to the bedside
- B. Reschedule the treatment for a later time
- C. Assist the child back to their room for the treatment but reassure them that they may return when the procedure is completed
- D. Show the respiratory therapist to the playroom
Correct Answer: C
Rationale: The most appropriate action is to assist the child back to their room for the treatment but reassure them that they may return when the procedure is completed. This approach ensures that the child receives the necessary treatment while also acknowledging their desire to continue playing in the playroom. Choice A is incorrect because it suggests moving the child to the room and asking the child-life specialist to bring toys, which may not be necessary. Choice B is incorrect as rescheduling the treatment may not be in the best interest of the child's health. Choice D is incorrect as the nurse should guide the child back to their room for the treatment.