Nokea
Older adult sleep disturbances: What should the nurse ask?
- A. "Older adults need as much sleep as younger adults."
- B. "I’ll ask the nurse practitioner to prescribe a sleeping pill."
- C. "Taking naps during the day can help relieve fatigue."
- D. "Let’s talk about your sleep schedule and potential barriers."
Correct Answer: D
Rationale: Sleep patterns should be assessed to understand underlying issues, and medication should not be the first solution.
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A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
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.
Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Sports and antibiotic use, especially in crowded living conditions, contribute to a higher risk for CA-MRSA
For which of the following is Type 2 diabetes mellitus screening recommended?
- A. Overweight woman
- B. Teenager
- C. Man with hypertension
- D. Woman with a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Screening for Type 2 diabetes is recommended for individuals with hypertension.
During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: D
Rationale: Health education is part of primary prevention, aiming to educate individuals on avoiding harmful behaviors.