When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: Leisure time is a subjective finding influencing the assessment of activity and exercise patterns.
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A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student. Which of the following purposes will these tests serve?
- A. Assess verbal development
- B. Assess intelligence development
- C. Assess social development
- D. Assess emotional development
Correct Answer: D
Rationale: The tests assess emotional and intelligence development in preschoolers.
A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
- A. Call the pediatrician on call.
- B. Give ipecac syrup.
- C. Call the Poison Control Center.
- D. Wait to see if the child will vomit.
Correct Answer: C
Rationale: The mother should contact Poison Control before administering any treatment.
A nurse is providing care to a 15-year-old female diagnosed with an STI. What should the nurse do next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: The nurse should facilitate a discussion between the adolescent and her parents, respecting the adolescent’s privacy and autonomy.
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: C
Rationale: A consultant offers expert advice on a specific area, such as designing an educational program for diabetics.
A nurse is teaching parents of a toddler about nutrition. Which of the following statements should be made by the nurse?
- A. “Raisins are a good finger food because they provide fiber.”
- B. “Grapes are a good snack choice because they help toddlers meet their daily fruit requirements.”
- C. “Hot dogs are not a safe food choice because they may cause choking.”
- D. “A small piece of chewing gum will help strengthen jaw muscle; just be sure he or she does not swallow it.”
Correct Answer: C
Rationale: Raisins, grapes, and chewing gum pose a choking hazard for toddlers.
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