Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 32-year-old African American man
- C. 72-year-old white woman
- D. 15-year-old girl
Correct Answer: A
Rationale: Various life stages and cultural factors contribute to elimination dysfunction, such as constipation or incontinence.
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At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler’s approximate final adult height to be:
- A. 4 feet 8 inches
- B. 5 feet
- C. 5 feet 2 inches
- D. 5 feet 4 inches
Correct Answer: D
Rationale: The height at 2 years is about half of the child’s final adult height. Therefore, 2 feet 8 inches × 2 equals approximately 5 feet 4 inches.
Healthy People 2020 objectives provide a framework for:
- A. Assessment
- B. Diagnosis
- C. Prevention
- D. Treatment
Correct Answer: C
Rationale: Healthy People 2020 focuses on providing a framework for prevention.
Which of the following represents a method of tertiary prevention?
- A. Drunk driving campaign
- B. Road blocks for drunk driving
- C. Emergency surgery for head trauma after a motor vehicle accident
- D. Physical and occupational therapy after a motor vehicle accident with head trauma
Correct Answer: D
Rationale: Tertiary prevention aims to reduce the impact of a disease or disability, such as through physical therapy post-injury.
A nurse is developing an educational session for adolescents related to avoidance of risky behaviors. Which steps of the teaching-learning process need to be considered?
- A. Development
- B. Implementation
- C. Assessment
- D. Diagnosis
Correct Answer: A
Rationale: The development of a teaching plan must involve assessing the audience, developing appropriate content, and implementing the plan effectively.
A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity?
- A. Ciprofloxacin (Cipro)
- B. Metoprolol (Toprol)
- C. Atorvastatin (Lipitor)
- D. Lansoprazole (Prevacid)
Correct Answer: B
Rationale: Beta-blockers like metoprolol can alter heart rate response, limiting its usefulness as a measure of exercise intensity.