A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- A. Colorful mobile with music
- B. Rattle
- C. Stuffed teddy bear
- D. Play telephone
Correct Answer: A
Rationale: A colorful mobile with music is appropriate for a 2-month-old, as it provides visual and auditory stimulation to promote growth.
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Which research methodology should be used to address the question, “What is the difference in the infection rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing changes?”
- A. Evidence-based practice research
- B. Qualitative research
- C. Quantitative research
- D. Clinical judgment research
Correct Answer: C
Rationale: Quantitative research measures variables and tests causal relationships, making it the appropriate method for comparing infection rates.
A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps clarify issues, uncover hidden interests, and focus on the most relevant data for decision-making.
A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
- A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
- B. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
- C. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
- D. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
Correct Answer: A
Rationale: Interobserver reliability measures the consistency of test results when performed by different observers under similar conditions.
Risk of injury in older adults: Who is most at risk?
- A. "80-year-old with no fan or air conditioning."
- B. "70-year-old with new dentures."
- C. "68-year-old who can't taste salt in food."
- D. "84-year-old who needs hearing aids."
Correct Answer: A
Rationale: Lack of cooling mechanisms in hot weather increases the risk of heat stroke in older adults.
A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?
- A. Tell the child about the blood work on the day that the appointment is scheduled
- B. Tell the child about the blood work right before leaving the house for the appointment
- C. Tell the child when they are in the office right before the phlebotomist enters the room
- D. Do not tell the child about the blood work
Correct Answer: B
Rationale: Telling the toddler about the procedure right before leaving allows them to prepare without overwhelming them with too much time to think about it.