Nokea
Which data should be included in a health history?
- A. Review of systems
- B. Physical assessment
- C. Growth measurements
- D. Record of vital signs
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?
- A. Initiate a game of peek-a-boo.
- B. Ask the infant's father to place the infant on the examination table
- C. Talk softly to the infant while taking him from his father
- D. Undress the infant while he is still sitting on his father's lap
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which muscle is contraindicated for the administration of immunizations in infants and young children?
- A. Deltoid
- B. Dorsogluteal
- C. Ventrogluteal
- D. Anterolateral thigh
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is aware that skin turgor best estimates what?
- A. Perfusion
- B. Adequate hydration
- C. Amount of body fat
- D. Amount of anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
All of the following statements are true regarding the value of play except:
- A. Play helps preschoolers develop moral values
- B. Play helps develop muscle coordination, uses energy, and develops self-confidence
- C. Play is the work of children
- D. Play is not an effective way for the nurse to establish rapport with the child
Correct Answer: D
Rationale: Play is an effective way to establish rapport with children as it helps build trust, communication, and a positive relationship. Choices A, B, and C are true statements about the value of play: A) Play helps preschoolers develop moral values by promoting social skills, cooperation, and empathy. B) Play aids in developing muscle coordination, utilizing energy, and fostering self-confidence through physical activities. C) 'Play is the work of children' emphasizes the importance of play in a child's development, learning, and creativity. Therefore, D is the correct answer as it incorrectly suggests that play is not an effective way for the nurse to establish rapport with the child.
The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?
- A. Ask the parent when the neck was injured
- B. Refer for immediate medical evaluation
- C. Continue assessment to determine the cause of the neck pain
- D. Record head lag on the assessment record and continue the assessment of the child
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.