Nokea
Which statement best describes the effects of immobility in children?
- A. Immobility prevents the progression of language and fine motor development
- B. Immobility in children has similar physical effects to those found in adults
- C. Children are more susceptible to the effects of immobility than are adults
- D. Children are likely to have prolonged immobility with subsequent complications
Correct Answer: B
Rationale: Children experience similar physical immobility effects as adults, like atrophy and demineralization.
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Which of the following statement is TRUE about objective data?
- A. Reported by the client
- B. Observed by the nurse
- C. Always subjective
- D. All of the above
Correct Answer: B
Rationale: Objective data is observed by the nurse (B), per assessment e.g., rash. Not reported (A), not subjective (C), not all (D) measurable. B truly defines objective's basis, making it correct.
Neonate of diabetic mother is at risk for all of the following except:
- A. Hypoglycemia
- B. Hypocalcemia
- C. Hyperglycemia
- D. Hyperbilirubinemia
Correct Answer: C
Rationale: Neonates of diabetic mothers (NDM) face metabolic challenges due to maternal hyperglycemia. Hypoglycemia (choice A) occurs because fetal hyperinsulinemia, triggered by high maternal glucose, persists after birth when glucose supply drops. Hypocalcemia (choice B) arises from delayed parathyroid hormone response, common in NDMs. Hyperglycemia (choice C) is less likely postnatally; it's a maternal issue, not a neonatal risk, as the infant's insulin levels typically normalize glucose after delivery. Hyperbilirubinemia (choice D) results from increased red blood cell breakdown, often linked to polycythemia in NDMs. Choice C is correct because hyperglycemia is not a typical risk after birth; instead, hypoglycemia dominates due to insulin excess. Nurses must monitor blood glucose closely in the first hours, provide calcium if needed, and watch for jaundice, ensuring timely management of these interconnected risks to prevent seizures, bone issues, or kernicterus.
A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain?
- A. Content for the NCLEX
- B. The members of the state board of nursing
- C. Definition of legal scope of nursing practice
- D. Definition of important terms related to nursing
Correct Answer: C
Rationale: State nurse practice acts are critical legal frameworks that govern nursing practice within each jurisdiction, ensuring safe and competent care. For a newly licensed registered nurse, understanding the definition of the legal scope of nursing practice is essential, as it outlines what nurses are authorized to do, including specific tasks, responsibilities, and limitations in an acute care setting. Equally important is the definition of key terms related to nursing, which clarifies concepts like licensure, delegation, and accountability, helping the nurse navigate their role legally and ethically. While the NCLEX content is vital for licensure, it's a national exam and not state-specific. Knowing the members of the state board of nursing might be useful for context but isn't directly relevant to daily practice guidelines. The nurse practice act provides the foundational rules for compliance, protecting both the nurse and the public by setting clear professional boundaries and expectations.
John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?
- A. Relapsing
- B. Intermittent
- C. Remittent
- D. Constant
Correct Answer: A
Rationale: Relapsing fever spikes (39.5-40°C) with normal breaks (36.5°C) e.g., borrelia, days apart. Intermittent (daily normal), remittent (fluctuating high), and constant (stable) differ. Nurses note this e.g., two-day gap for infection management, per fever types.
A client has a new diagnosis of hypothyroidism, and a nurse is providing dietary management education. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of iodine-rich foods.
- B. You should decrease your intake of iodine-rich foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: A
Rationale: In hypothyroidism, increasing intake of iodine-rich foods is beneficial as iodine is essential for the production of thyroid hormones. This helps to support thyroid function in individuals with hypothyroidism. Therefore, advising the client to increase their intake of iodine-rich foods aligns with the recommended dietary management for hypothyroidism. Choice B is incorrect because decreasing iodine-rich foods could lead to further deficiency in individuals with hypothyroidism. Choice C is not directly related to hypothyroidism and lactose intolerance is a separate issue. Choice D is incorrect as increasing dairy products is not a specific recommendation for hypothyroidism unless the client has a deficiency of calcium or vitamin D, which should be assessed separately.