Nokea
You are precepting a new graduate nurse who will be administering an intramuscular injection to an adult client. The new graduate nurse identifies the gluteus maximum muscle by palpating it. What would you do?
- A. Allow the nurse to administer the injection.
- B. Ask the nurse to use the vastus lateralis muscle instead.
- C. Ask the nurse to verify the doctor's order again.
- D. Stop the nurse from administering the injection.
Correct Answer: B
Rationale: Vastus lateralis (B) is preferred for adults over gluteus maximus.
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Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse? The child who has:
- A. complaints of abdominal pain.
- B. repeated middle ear infections.
- C. bruises on extremities.
- D. diarrhea.
Correct Answer: C
Rationale: Injuries such as immersion or cigarette burns, facial fractures, whiplash, bite marks, traumatic injuries, bruises, and fractures in various stages of healing suggest the possibility of abuse. In older children, vague complaints such as back pain may also be suspicious. Ear infections, diarrhea, and abdominal pain are problems that were unlikely to have resulted from violence.
----percent of people with SPD or ADHD will actually have both conditions:
- A. 20
- B. 30
- C. 40
- D. 50
Correct Answer: C
Rationale: About 40% of individuals with SPD or ADHD have both, due to overlapping sensory and attention issues.
According to the behaviorist school, -plays no role in learning:
- A. Experience
- B. Nurture
- C. Nature
- D. Punishment
Correct Answer: C
Rationale: Behaviorism (Skinner, Watson) rejects nature (innate factors), emphasizing environmental learning.
Which of the following was NOT one of Bieztek's original seven principles in the Helping Relationship?
- A. Cultural competence
- B. Self-determination
- C. Purposeful expression of feelings
- D. Controlled emotional involvement
Correct Answer: A
Rationale: Biestek's original principles focused on core relational dynamics like self-determination, not cultural competence, which emerged later.
When a nurse assesses a family, which family task has the highest priority for healthy family functioning?
- A. Allocation of family resources
- B. Physical maintenance and safety
- C. Maintenance of order and authority
- D. Reproduction of new family members
Correct Answer: B
Rationale: Physical and safety needs have greater importance in Maslows hierarchy than other needs.