mock final

The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?

The patient experiences a flight from reality.
The patient usually needs hospitalization.
The patient has insight that there is an emotional problem.
The patient has severe personality deterioration.
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The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?

The patient experiences a flight from reality.
The patient usually needs hospitalization.
The patient has insight that there is an emotional problem.
The patient has severe personality deterioration.
The patient has insight that there is an emotional problem.
When the patient with a psychosis is thought to be a danger to self or others, by what method should the patient be admitted to the hospital?

Probating
Family request
nurses request
health care providers order
family request
probating
What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?
a. Guarded
b. Poor
c. Good
d. Repeatable
good
The nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which response indicates loose association?
"no"
"yes! I had 90 visitors who came from every state in the union!"
"sunday is the sabbath. Do we have visitors on the sabbath?"
"we visited yellowstone park last summer."
"we visited yellowstone park last summer:
The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis?
Talks excitedly about going home.
Suspiciously watches the staff.
Stands on one foot for 15 minutes.
States he has a cat under his bed that talks to him.
Stands on one foot for 15 minutes.
The home health nurse assesses a patient who creates elaborate excuses for not leaving home. Further questioning reveals the patient had not left home for 6 months. How should this be documented?
a. Mania
b. Depression
c. Agoraphobia
d. Anxiety
c. Agoraphobia
The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this?
Obsessive-compulsive disorder
Phobia anxiety disorder
Somatic symptom disorder
Delusional disorder
Somatic symptom disorder
The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
3 hours
4 hours
5 hours
6 hours
6 hours
What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?
a. Nausea
b. Blackouts
c. Headaches
d. Hypertension
nausea
What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother?
Swaddle the baby closely.
Place the baby in a brightly lit area.
Hold and rock the baby frequently.
Place the baby in a busy part of the nursery for stimulation.
Swaddle the baby closely.
Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem? "Do you have any sensations of pins and needles in your feet?" "Does the pain radiate from your back into your legs?" "Can you describe the sensations you are having?" "Do you ever have any nausea or dizziness?""Can you describe the sensations you are having?"A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition? It is an ominous indicator of permanent paralysis. It is possibly a temporary condition and will clear. It degenerates into a spastic paralysis. It will progress up the cord to cause seizures.It is possibly a temporary condition and will clear.The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to: stagger and need support of a walker. shuffle with arms flexed. fall over to one wide when walking. take small steps balanced on the toes.shuffle with arms flexed.A patient is in which stage of Alzheimer's disease when she demonstrates "sundowning"? Early stage Second stage Third stage Final stageSecond stageWhy is the patient with suspected Guillain-Barre Syndrome (GBS) hospitalized immediately? The infection needs to be treated with IV antibiotics to prevent paralysis. The brain may swell quickly causing seizures. The disease can rapidly progress into respiratory failure. IV hydration is needed to prevent possible fatal hypotension.The disease can rapidly progress into respiratory failure.The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis. Which is the first autonomic event? Parasympathetic nervous system dominates Extremely stressful or frightening event Blood pressure, heart rate, and adrenaline output decrease Sympathetic nervous system dominates Heart rate and blood pressure rise, secretion of adrenalineExtremely stressful or frightening eventWhat are the three signs of Cushing response? (Select all that apply.) Increased pulse rate Increased blood pressure Widened pulse pressure Bradycardia Increased systolic blood pressure Uncontrolled thermoregulationWidened pulse pressure Bradycardia Increased systolic blood pressureWhen should family members of a stroke victim expect to see some of the neurologic involvement disappear? Within 2 to 3 weeks Within 1 to 2 months Within 3 to 6 months Within 6 to 9 monthsWithin 3 to 6 monthsWhat is the most common cause of dementia? Multi infarct Medications Alzheimer's disease Parkinson diseaseAlzheimer's diseaseWhich symptom of diabetes distorts tactile sensation? Proprioception Loss of visual acuity Progressive paresis Peripheral neuropathyPeripheral neuropathyWhat is one positive aspect of Parkinson disease? The disease does not alter ability to communicate. Anti-Parkinson drugs have few side effects. Intellectual function is not impaired. Involuntary movements can be controlled.Intellectual function is not impaired.What is the mental health nurse referring to when using the term behavior? An isolated incident The manner in which a person performs A product of a coping strategy Failure to adaptThe manner in which a person performsHow many people in the United States will develop a mental disorder during their lifetime? One in two One in five One in eight One in tenOne in twoDuring the 17th and 18th centuries, care of patients with mental illness often was cruel. What type of care was used by Dr. Philippe Pinel to bring about change? Personal care Individual care Behavior care Humane careHumane careWhich theorist believed that personality development was based on task mastery? Sigmund Freud Erik Erikson Jean Piaget Friedrich NietzscheErik EriksonWhat does any event that requires change stimulate? a. Anger b. Depression c. Stress d. AnxietystressWhat action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety? Studies for 6 hours Sleeps 6 hours because of fatigue Vomits Argues about the scheduling of the testVomitsA 40-year-old patient cries and has a tantrum when the health care provider refuses to give her a prescription for diet pills. The nurse realizes that this is the use of which defense mechanism? a. Compensation b. Denial c. Regression d. Repressionc. RegressionWhen assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use? Ask him if he has a drinking problem. Explore the option of his moving in with someone. Reminisce with the patient and review his life. Assess for hopelessness and helplessness.Reminisce with the patient and review his life.Why is it important for the nurse to be observant of patient behavior? Behavior is preformed. Behavior is important. Behavior is learned. Behavior is repeated.Behavior is learned.During the final weeks of pregnancy, urinary frequency may return due to the enlarged uterus, compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency? Decrease fluid intake. Use the knee-chest position. Sleep on her side. Avoid fluid intake in evening.Sleep on her side.When can the sex of the fetus be confirmed? Conception 2 weeks 6 weeks 9 weeks9 weeksWhat do the arteries in the umbilical cord carry? Nutrients to the fetus from the placenta Oxygenated blood to perfuse the placenta Antibodies from the fetus to the mother Deoxygenated blood back to the placentaDeoxygenated blood back to the placentaWhat does the increase in circulating blood volume during pregnancy cause in the mother? Shortness of breath Frontal headaches Decreased white blood cell count Decreased hemoglobinDecreased hemoglobinAt what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope? a. 10 b. 12 c. 14 d. 1616What area of the uterus provides the force during a contraction? a. Lower portion b. Middle portion c. Upper portion d. Cervical portionc. Upper portionWhat is the largest diameter of the fetal skull? a. Temporal b. Biparietal c. Lateral d. Frontal-occipitalb. BiparietalWhat is the ideal attitude for the fetal body during labor? a. Extension b. Lateral c. Flexion d. Transversec. FlexionDuring the second stage of labor, how often should the nurse should monitor the fetal heart rate? Every 5 minutes Every 15 minutes Every 30 minutes Every hourEvery 5 minutesWhen observing the fetal heart monitor, the nurse recognizes the fetal heart rate (FHR) decreases to 120 beats/min at the beginning of a contraction and returns to a baseline of 155 beats/min at the end of the contraction. What should this indicate to the nurse? Early deceleration due to head compression That the fetus is in acute distress Variable decelerations due to cord compression That these are late decelerationsEarly deceleration due to head compressionA woman is admitted in active labor, and the nurse assesses the fetal heart rate (FHR) at 124 beats/min. What action should the nurse take based on the assessment? Position patient on her left side. Start oxygen per nasal cannula. Reassure the mother the rate is normal. Notify the health care provider at once.Reassure the mother the rate is normal.A patient arrives at the hospital having contractions. How should the nurse determine that the patient is in true labor? There is no dilation. The contractions are in the fundus. The cervix has softened and effaced. The contractions are irregular.The cervix has softened and effaced.The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. What immediate action should the nurse take? Monitor intensity of contractions. Place the patient in the knee-chest position. Notify the charge nurse. Ask the patient to perform a Valsalva's maneuver.Place the patient in the knee-chest position.A mother is in early labor and asks the nurse how long the labor will last. The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when? The cervix is completely effaced. The baby is in position. The cervix is fully dilated. The woman begins pushing.The cervix is fully dilated.A primigravida patient is admitted to the labor and delivery unit. During initial assessment, the baby is found to be engaged. Which statement is true? The narrowest diameter of the presenting part has reached the pelvic outlet. The descending part is being initiated through the midpelvis. The widest diameter of the presenting part crosses the pelvic inlet. The narrowest diameter of the presenting part is at the ischial spines.The widest diameter of the presenting part crosses the pelvic inlet.Why is oxytocin administered in the third stage of labor? To stimulate lactation To relieve postpartum pain To stimulate uterine contractions To sedate the mother so she can restTo stimulate uterine contractionsAn infant presents 5 minutes after delivery with a heart rate of 105, is crying, has some flexion in the arms, sneezes, and has a pink body and blue limbs. What Apgar score should be assigned to this infant? a. 5 b. 7 c. 8 d. 108When the nurse performs the Nitrazine test on vaginal secretions of a patient who thinks her membranes have ruptured, the paper turns yellow. What does this finding indicate? Acidic discharge, membranes intact Acidic discharge, membranes have ruptured Neutral, not enough discharge to measure Alkaline, membranes have rupturedAcidic discharge, membranes intactThe postpartum mother with a third degree laceration tells the nurse she is afraid to have a bowel movement because of her painful episiotomy. What should the nurse do? Offer a suppository or enema. Encourage ambulation. Offer stool softeners as prescribed. Offer pain medication before defecating.Offer stool softeners as prescribed.The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice occurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent? a. Physiologic b. Normal c. Pathologic d. Transitoryc. PathologicWhich tests are performed to detect inborn errors of metabolism in the newborn? Blood glucose Phenylketonuria (PKU) Blood urea nitrogen (BUN) Prothrombin time (PT)Phenylketonuria (PKU)What should be included when discussing the care of a circumcised infant after discharge from the hospital? Gently remove the yellow exudate from the foreskin. Apply sterile petroleum gauze after each diaper change. Wipe the circumcision with alcohol each day. Avoid the use of cloth diapers until the foreskin has healed.Apply sterile petroleum gauze after each diaper change.Which finding should the nurse suspect as abnormal in the newborn during the initial assessment? Eyes crossed at times Persistent high-pitched cry Arms and legs flexed Slight bluish tinge of the extremitiesPersistent high-pitched cryA patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions? Hyperalimentation IV fluids and electrolyte replacement Hormone replacement therapy Vitamin supplementsIV fluids and electrolyte replacementWhat complication of delivery should the nurse expect with the birth of multiple fetuses? An ectopic tendency Difficulty with breast-feeding A vaginal delivery Loss of uterine toneLoss of uterine toneWhat percent of first-trimester pregnancies spontaneously abort? 5% to 10% 10% to15% 20% to 25% 40% to 50%10% to15%A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red, painless vaginal bleeding. What condition should the nurse immediately suspect? Abruptio placentae Hemorrhage Placenta previa PlacentitisPlacenta previaA pregnant woman visits a clinic visit during her 21st week of pregnancy. The nurse identifies edema, hypertension, and proteinuria. What condition does the nurse suspect? Allergy Protein deficiency Circulatory problem Gestational hypertensionGestational hypertensionA pregnant patient who has type 2 diabetes (NIDDM) may require insulin. Why is the insulin necessary? The growing baby will require more glucose. Oral hypoglycemic agents may be teratogenic. Increased hormone levels raise blood glucose. Oral hypoglycemics do not reach the fetus.Oral hypoglycemic agents may be teratogenic.A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should recognize that the adolescent is at a greater risk for which problem? Calcium deficit Cephalopelvic disproportion Bleeding tendency Low hemoglobin levelsCephalopelvic disproportionWhat is the single most preventable cause of death and disease in the United States today? Drug use Alcohol addiction Cigarette smoking MalnutritionCigarette smokingApproximately half of all new HIV cases are among people under what age? 50 years 40 years 30 years 25 years25 yearsA major dental problem among very young children is bottle mouth caries. What is a preventive measure the nurse should suggest? Juice at bedtime Milk at bedtime A sugar-coated pacifier Water at bedtimeWater at bedtimeWhat is the third leading cause of accidental death in children 1 to 4 years of age? a. Falls b. Asphyxiation c. Poisonsd. d. Burnsd. burnsThe nurse sets up a sample physical activities schedule to fit the FDA's Dietary Guidelines for Americans that recommends that children get at least how many minutes of physical activity per day? a. 15 b. 30 c. 45 d. 60d. 60The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femur? A. Adduction B. Flexion C. Abduction D. ExtensionC. AbductionWhen selecting patient problems for the 4-year-old child with nephrosis, what should be a priority for the nurse? A. Nutritional deficit B. Skin impairment C. Injury D. Impaired body imageB. Skin impairmentThe parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain. What is the most likely cause of the pain? A. Overhydration B. Obstructed blood flow C. Inflammation of the vessels D. Stress-related headachesB. Obstructed blood flowWhat is the most common clinical manifestation of coarctation of the aorta? A. Loud systolic ejection murmur B. Pedal edema and portal congestion C. Upper extremity hypertension D. Clubbing of the digitsC. Upper extremity hypertensionWhat is the best time to administer pancreatic enzyme replacement? Before meals and snacks Before bedtime Early in the morning After meals and snacksBefore meals and snacksWhich is a causative factor of Hirschsprung disease? Frequent evacuation of solids, liquid, and gases Excessive peristaltic movement The absence of parasympathetic ganglion cells in a portion of the colon One portion of the bowel telescoping into anotherThe absence of parasympathetic ganglion cells in a portion of the colonWhen caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child? Excessive growth Cognitive impairment Damage to the nervous system Damage to the urinary systemCognitive impairmentA child with Duchenne muscular dystrophy rises from the floor by walking up the thighs with the hands. How should the nurse record this observation? Hand assistance Leg crawling Gowers sign Bright signGowers signWhich signs/symptoms would be considered classical signs of meningeal irritation? Positive Kernig sign, diarrhea, and headache Negative Brudzinski sign, positive Kernig sign, and irritability Positive Brudzinski sign, positive Kernig sign, and photophobia Negative Kernig sign, vomiting, and feverPositive Brudzinski sign, positive Kernig sign, and photophobiaWhat are priority nursing interventions designed to do for a 4-year-old child with cerebral palsy? Assist with referral to specialized education. Support the child with independent toileting. Assist the child to develop effective communication. Encourage the child to ambulate independently.Encourage the child to ambulate independently.When speaking to young parents, the nurse states that lead poisoning is one of the most common preventable health problems affecting children. What condition occurs when the level of lead ingested exceeds the amount that can be absorbed by the bone? Malnutrition Anemia Bone pain DiarrheaAnemiaWhat are early signs of varicella disease? High fever over 101°F (38.3°C) General malaise Increased appetite Crusty soresGeneral malaiseThe nurse explains that cognitive impairment is categorized by four levels that depend on the intelligence quotient (IQ). How is a child with an IQ of 45 classified? Within the normal low range Educable Trainable SevereTrainableWhat is the most common method of attempted suicide? Hanging Drug overdose Gunshot Slashing the wristsDrug overdoseA woman who is 38 weeks' pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe? Lightening Braxton-Hicks contractions Initiation of labor EngagementLighteningWhat method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus? a. Pelvimetry b. Palpation c. Ultrasonography d. X-rayc. UltrasonographyThe first-time mother has been told by the nurse that the first stage of labor is the longest. What would be an appropriate nursing intervention for comfort during this time? Cool fluids to drink A backrub in the sacral area Assisting to lie in a supine position Decreasing illumination in the roomA backrub in the sacral areaThe health care provider has decided to induce labor with prostaglandin gel and an amniotomy. When should the nurse expect that labor will start? 1 hour 4 hours 8 hours 12 hours1 hourA mother has entered the second stage of labor. When does the second stage of labor end? a. When the mother begins to push b. When the baby's head crowns c. With delivery of the baby d. With delivery of the placentac. With delivery of the babyWhich assessment findings suggest probable fetal distress? (Select all that apply.) Fetal heart rate (FHR) of 120 Meconium-stained amniotic fluid Decreased FHR during contractions Strong contractions 10 seconds apart Slow return of FHR to baselineMeconium-stained amniotic fluid Slow return of FHR to baselineThe new mother calls the nurse to her room to show how her baby is jerking around when she changes his position. The nurse understands that the baby is exhibiting which normal reflex? Traction reflex Babinski reflex Tonic neck reflex Moro reflexMoro reflexFollowing delivery of the newborn, which nursing intervention should be carried out immediately? Weigh the infant. Warm the infant. Bathe the infant. Inoculate the infant.Warm the infant.What is the term for the cream cheese like substance that protects the infants skin from amniotic fluid? a. Lanugo b. Meconium c. Desquamation d. Vernix caseosad. Vernix caseosaWhich newborn assessment finding can suggest a chromosomal disorder? Epstein pearls Gynecomastia Babinski reflex Simian creaseSimian creaseWhy is vitamin K given by injection to the newborn? Most mothers have a vitamin K deficiency that develops during pregnancy. Bacteria that synthesize vitamin K are not present in newborns. Vitamin K prevents the synthesis of prothrombin. The newborn does not store vitamin K.Bacteria that synthesize vitamin K are not present in newborns.What is a characteristic of a normal breast-fed infants stool? Green and loose Dark green and sticky Pale yellow and frequent Light brown and pastyPale yellow and frequentThe nurse is giving a bath demonstration for a group of new mothers. What should be included in the demonstration? Apply baby powder generously to keep baby dry. Cleanse perineum from front to back. Use scented soap to make baby smell good. Partially submerge head in water when shampooing.Cleanse perineum from front to back.The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant? 20 to 37 completed weeks of pregnancy 38 to 41 completed weeks of pregnancy 14 to 36 completed weeks of pregnancy 42 or more completed weeks of pregnancy20 to 37 completed weeks of pregnancyA neonate is born with weak muscle tone, froglike extremities, and ears that fold easily. From these observations, what gestational age should the nurse give this infant? Full term Small for gestational age Preterm PosttermPretermThe nurse is assessing the newborn and discovers a yellowing of the skin. What is true for jaundice that appears at birth? Within normal limits Pathologic A result of iron deficiency Indicating possible hepatitisPathologicCognitive impairment, facial abnormalities, and growth retardation are characteristics of which abnormality in a fetus? Fetal dependency Fetal immaturity Malnutrition dependency Fetal alcohol syndromeFetal alcohol syndromeWhat should be specifically monitored in a patient who is hospitalized with gestational hypertension? Blood sugar Temperature Level of consciousness Deep tendon reflexesDeep tendon reflexesWhat is the usual treatment for severe postpartum depression? Improved nutrition Vitamin therapy Pharmacologic interventions Support group therapyPharmacologic interventionsWhen should the gestational age of the infant be determined? Within 5 to 10 minutes of delivery Within 1 to 2 hours of delivery Within 2 to 8 hours of delivery Within 12 to 24 hours of deliveryWithin 2 to 8 hours of deliveryWhat condition is a possible cause of gestational hypertension? Too much salt A toxin Renal disease DiabetesCompared to older infants of comparable weight, how much higher is the morbidity and mortality rate for preterm infants? One to two times Two to three times Three to four times Four to five timesThree to four timesA patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse? A large for gestational age infant Anorexia nervosa Preterm delivery Maternal or fetal deathMaternal or fetal deathHow should twins who share a placenta and come from one fertilized ovum be identified? Dizygotic Trizygotic Genetically different MonozygoticMonozygoticA patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient? Long-term bed rest Episodes of extreme hypertension Surgery to remove the embryo/fetus Treatment for dehydrationSurgery to remove the embryo/fetusWhat symptom, no matter what stage of pregnancy, should be reported immediately? Backache Urinary frequency Vaginal bleeding Uterine tighteningVaginal bleedingA pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB) complaining of severe pain and a rigid abdomen. What should the nurse immediately suspect as the cause of the pain? Appendicitis Ectopic pregnancy Abruptio placentae Placenta previaAbruptio placentaeA patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion, in what position would the nurse place the patient? Prone position Trendelenburg's position Supine position Modified side-lying positionModified side-lying positionWhat condition is a possible cause of gestational hypertension? Too much salt A toxin Renal disease DiabetesRenal diseaseWhat should the nurse hope to identify be keeping a record of a patients blood pressure during prenatal visits? Ketoacidosis Placenta previa Gestational diabetes Gestational hypertensionGestational hypertensionThe nurse is assessing a kick coun for a patient with gestational hypertension. What result should be a cause for concern? Less than three kicks per hour Less than five kicks per hour Less than seven kicks per hour Less than nine kicks per hourLess than three kicks per hourWhen discussing toxoplasmosis infection during pregnancy, what should the nurse caution the patient to avoid? Contacting with an infected person Emptying cat litter boxes bare-handed Having unprotected sex Eating excessive amounts of shellfishEmptying cat litter boxes bare-handedWhat is a major complication of gestational diabetes that affects the infant? Lack of nutrition Dehydration Hypoglycemia HyperglycemiaHypoglycemiaWhy is the fetus dependent on the mother for glucose control? The insulin requirements are higher. Insulin is destroyed by the placenta. Insulin does not cross the placenta. Insulin is absorbed by the fetus.Insulin does not cross the placenta.A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit. To prevent further stress on the heart, what should the nurse anticipate to be ordered? Oxygen administration Administering large amount of IV fluids Positioning the patient on her back Encouraging activity between contractionsOxygen administrationA primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however, the mother would become sensitized during delivery. If this were the case, the mother would produce what in subsequent pregnancies? Rh-negative blood cells Rh-positive blood cells Rh-negative antibodies Rh-positive antibodiesRh-positive antibodiesThe nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection? Iron Vitamin B12 RhoGAM Type O bloodRhoGAMWhat test is used to identify the maternal level of Rh antibodies in the mothers blood? Indirect Coombs test Hemolytic test Rh antibody test Direct Coombs testIndirect Coombs testA nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy? It is initiated when the bilirubin level reaches 5 mg/dL. It converts bilirubin to a water-soluble form to be excreted in the urine. It changes bilirubin to a bile salt to be excreted through the bowel. It requires eye patches to remain in place 24 hours a day.It converts bilirubin to a water-soluble form to be excreted in the urine.Why do alcohol and illegal drugs endanger the fetus? Both are absorbed into the bloodstream. Both affect the mother. Both cross the placental barrier. Both increase the heart rate of the fetus.Both cross the placental barrier.What is the antidote for magnesium sulfate toxicity? Vitamin K Calcium gluconate Potassium sulfate Calcium carbonateCalcium gluconateWhat is a prominent feature of postpartum depression? Failure to thrive Rejection of the infant Inability to care for the baby Problems with the baby's fatherRejection of the infantFollowing an abruptio placentae, the patient suddenly becomes dyspneic, complains of chest pain, and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of disseminated ______________ coagulation.intravascularThe nurse explains that severe _________________ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension, Elevated Liver enzymes, and Low Platelets).preeclampsiaA woman who is 14 weeks pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago, her uterus seems to have gotten smaller, but her periods have not begun. The nurse assesses the indicators for a _____________ abortion.missedA patient, age 45, is to have a myelogram to confirm the presence of a herniated intervertebral disk. Which nursing action should be planned with respect to this diagnostic test? Obtain an allergy history before the test. Ambulate the patient when returned to the room after the test. Use heated blanket to keep patient warm after procedure. Keep NPO for 6 to 8 hours after the test.Obtain an allergy history before the test.A family member of a patient who has just suffered a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called? Convalescent period Neural recovery period Sombulant period Postictal periodPostictal periodHow would a nurse record the behavior when a patient with Alzheimer's disease attempts to eat using a napkin rather than a fork? a. Apraxia b. Agnosia c. Aphasia d. Dysphagiab. AgnosiaWhich symptom is specific to migraine headaches? Tachycardia They become worse in the evening They involve the entire head They are preceded by an auraThey are preceded by an auraThe nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable. What is one example? Hypotension Alzheimer's disease Diabetes Parkinson diseaseHypotensionWhat is the nurse assessing when asking the patient, "Who is the president of the United States?" during a level of consciousness assessment? Orientation Memory Calculation Fund of knowledgeFund of knowledgeWhat Glasgow Coma Scale rating would a patient receive who opens the eyes spontaneously, but has incomprehensible speech and obeys commands for movement? a. 8 b. 10 c. 11 d. 12d. 12What is the nurse aware of when assessing a person with a craniocerebral injury? Most injuries of this type are irreversible. Open injuries are always more serious than closed injuries. Signs and symptoms may not occur until several days after the trauma. Trauma to the frontal lobe is more significant than to any other area.Signs and symptoms may not occur until several days after the trauma.The nurse is caring for a home health patient who had a spinal cord injury at C5 3 years ago. The nurse bases the plan of care on the knowledge that the patient will be able to: feed self with setup and adaptive equipment. transfer self to wheelchair. stand erect with full leg braces. sit with good balance.feed self with setup and adaptive equipment.A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and "goose flesh." What should be the primary nursing intervention based on these assessments? Place patient in flat position and check temperature. Administer oxygen and check oxygen saturation. Place on side and check for leg swelling. Sit upright and check blood pressure.Sit upright and check blood pressure.A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition? It is an ominous indicator of permanent paralysis. It is possibly a temporary condition and will clear. It degenerates into a spastic paralysis. It will progress up the cord to cause seizures.It is possibly a temporary condition and will clear.What does the nurse know about the stroke patient who has expressive aphasia? Has difficulty comprehending spoken and written communication. Cannot make any vocal sounds. Has total loss and comprehension of language. Can understand the spoken word, but cannot speak.Can understand the spoken word, but cannot speak.The nurse is aware that the drug t-PA (Activase), a tissue plasminogen activator, must be given in hours of the onset of symptoms to have maximum benefit. 3 hours 4 hours 6 hours 8 hours3 hoursAn 83-year-old patient has had a stroke. He is right handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him: from the right side. from the left side. from the center. from either side.from the left side.The newly admitted patient to the emergency room after a motorcycle accident has serosanguineous drainage coming from the nose. What is the most appropriate nursing response to this assessment? Cleanse nose with a soft cotton-tipped swab. Gently suction the nasal cavity. Gently wipe nose with absorbent gauze. Ask patient to blow his nose.Gently wipe nose with absorbent gauze.How would the nurse instruct a patieInt with Parkinson disease to improve activity level? To use a soft mattress to relax the spine. To walk with a shuffling gait to avoid tripping. To walk with hands clasped behind back to help balance. To sit in hard chair with arms for posture control.To walk with hands clasped behind back to help balance.What is the basic problem that prompts most of the early signs of Alzheimer's disease? Changes in mood Misplacing things Memory loss that disrupts daily life Problems with words in speakingMemory loss that disrupts daily lifeWhy are the drugs neostigmine (Prostigmin) and pyridostigmine (Mestinon) helpful to the person with myasthenia gravis? Improves speech. Improves visual disturbances. Reduces pain. Promotes nerve impulse transmission.Promotes nerve impulse transmission.What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis? Arrange for humidified oxygen per mask. Place the child in respiratory isolation. Inquire about drug allergy. Hold NPO until orders arrive.Place the child in respiratory isolation.What is the purpose of a "drug holiday" in the treatment of Parkinson disease? Change all drugs. Allow the natural dopamine levels to rise. Restart drugs at a lower dosage with favorable results. Reduce the extrapyramidal symptoms.Restart drugs at a lower dosage with favorable results.What is the first sign of Bell's palsy? Inability to wrinkle forehead and pucker lips on affected side Sudden pain in nostril on affected side Excessive salivation on the affected side Excessive mucus running from nostril on affected sideInability to wrinkle forehead and pucker lips on affected sideFollowing a myelogram the nurse should include in the postprocedure care assessment for: elevation of blood pressure. urine retention. sensation in lower extremities. slurred speech.sensation in lower extremities.Why is the patient with suspected Guillain-Barre Syndrome (GBS) hospitalized immediately? The infection needs to be treated with IV antibiotics to prevent paralysis. The brain may swell quickly causing seizures. The disease can rapidly progress into respiratory failure. IV hydration is needed to prevent possible fatal hypotension.The disease can rapidly progress into respiratory failure.Which foods should the person who suffers from migraine headaches avoid? (Select all that apply.) Yogurt Caffeine Beef Pears Marinated foods MilkYogurt Caffeine Marinated foodsWhich of the following techniques are necessary for safely feeding a hemiplegic patient? (Select all that apply.) Mixing liquids and solid foods together Taking the patient's dentures out to prevent choking Checking the affected side of mouth for food accumulation Offering small bites of food Elevating the patient to no more than 30 degrees Adding a thickening agent to liquidsChecking the affected side of mouth for food accumulation Offering small bites of food Adding a thickening agent to liquidsWhat is the reticular activating system (RAS) essential to? (Select all that apply.) a. Concentration b. Wakefulness c. Speech d. Attention e. Memory f. Introspectiona. Concentration b. Wakefulness d. Attention f. IntrospectionWhat are the effects of normal aging on the nervous system? (Select all that apply.) Small vessel occlusion Loss of neurons Calcification of cerebrum Reduction of cerebral blood flow Lipofuscin Decrease in oxygen useLoss of neurons Reduction of cerebral blood flow Lipofuscin Decrease in oxygen useThe nurse explains that the triad of signs of Parkinson disease is: _______, rigidity, and bradykinesia.tremorWhat is the result of a slowing of the impulse transmission in the nervous system? Hypertension Hearing deficit Decrease in tactile sensations Longer reaction timeLonger reaction timeWhen communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved? Acceptance Withdrawal Ego integrity InteractionEgo integrityWhich areas are affected only minimally by age? Physical activity Productivity Cognition SexualityCognitionThe patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called? Patient role Illness role Sick role Dependent roleSick roleWhat is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs? Developing a care plan Implementing nurse orders Patient education Meeting patient goalsPatient educationA family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage? High anxiety Denial Reconciliation AdaptationDenialWhen developing a care plan for a mentally ill patient, what should the nurse assess first? Coping strategies Emotional status Medications taken Nutritional statusEmotional statusWhen the patient is told that his insurance will no longer pay for his physical therapy, the nurse is aware that this obstruction to his goal may result in which concept? a. Conflict b. Adaptation c. Frustration d. Anxietyc. FrustrationWhat is the most likely result when an attempt at adaptation fails? a. Depression b. Anger c. Frustration d. Anxietyd. AnxietyThe nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety? a. Mild b. Moderate c. Severe d. Panicc. SevereA patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized? Isolation Suicidal ideation Fear AngerSuicidal ideationWhich event in the mental health care movement occurred first? Establishment of Pennsylvania Hospital Deinstitutionalization movement Formation of Committee for Mental Health Passage of Omnibus Budget Reconciliation Act (OBRA) Dorothea Dix awakens public awareness of plight of mentally illEstablishment of Pennsylvania HospitalThe Diagnostic and Statistical Manual of Psychiatric Disorders, V (DSM-V), is used by most hospitals and is the current tool used to examine mental health and illness. What approach does the DSM-V use to classify mental disorders? Holistic system Hierarchical system Multiaxial system Evaluation systemMultiaxial systemWhen all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care? a. Personalized b. Individualized c. Holistic d. Organicc. HolisticA young man with malaria spikes a temperature of 105°F (40.5°C) and begins to hallucinate. How should the nurse assess this? Delirium Psychotic break Possible stroke Anxiety disorderDeliriumA patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium? Disordered thinking Schizophrenia Dementia Sundowning syndromeSundowning syndromeDementia is an organic mental disease secondary to what problem? Chemical imbalance Emotional problems Circulatory impairment Cerebral diseaseCerebral diseaseA profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness? Manic depressive Schizophrenia Paranoia BipolarSchizophreniaThe patient talks with his dead brother and arranges furniture so that his brother will have a place to sit. How should the nurse document this behavior? Disordered thinking Anhedonia Hallucination AlogiaHallucinationFor the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of whiNch pRsycIhiatGric dBi.soCrderM? Unipolar depression Dysthymic disorder Hypomanic episode Bipolar disorderBipolar disorderThe nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders? 10% to 15% 20% to 30% 35% to 50% 60% to 80%60% to 80%A home health nurse has a patient who is taking lithium. What should be included in the teaching plan? Examine her skin closely for eruptions. Take her blood pressure twice a day to check for hypertension. Have her drug blood level checked every month. Avoid aged cheese and red wine.Have her drug blood level checked every month.The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped. What type of anxiety should the nurse conclude that the patient is exhibiting? Signal anxiety General anxiety Anxiety traits Panic disorderAnxiety traitsWhen a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense, and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition? a. Terror b. Fright c. Fear d. Panicd. PanicWhen a patient is experiencing a panic attack, how should the nurse best assist the patient? Assist with reality orientation. Aid in decision making. Assist with rational thought. Coach in deep breathing.Coach in deep breathing.A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent? Senseless behavior Controlled repetition Obsessive-compulsive Anxiety tensionObsessive-compulsiveA 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent? Phobia Posttraumatic stress disorder Obsessive-compulsive disorder Disordered thinkingPosttraumatic stress disorderWhat should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?a. Drink plenty of fluids before ECT to ensure adequate hydration. b. Bring a change of clothes in case of incontinence. c. Be prepared for visual disturbances after the treatment. d. Arrange for transportation to and from the appointment.d. Arrange for transportation to and from the appointment.The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex? a. Homosexuality b. Transsexualism c. Heterosexuality d. Bisexualityb. TranssexualismWhat disorder is a severe form of self-starvation that can lead to death? Bulimia nervosa Anorexia nervosa Teenage nervosa Obesity nervosaAnorexia nervosaWhat is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud allows a patient's unconscious thoughts to be brought to the surface? a. Adjunctive b. Behavior c. Psychoanalysis d. Cognitivec. PsychoanalysisWhat is the typical schedule for electroconvulsive therapy (ECT)? 3 treatments over 2 weeks 6 treatments over 2 months 8 treatments over several weeks 10 treatments over several weeks10 treatments over several weeksAdjunctive therapies are used for which reasons? (Select all that apply.) To increase self-esteem To promote positive interaction To enhance reality orientation To stimulate communication To increase energyTo increase self-esteem To promote positive interaction To enhance reality orientationA 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete? Cardiac problems Respiratory problems Withdrawal problems Circulatory problemsWithdrawal problemsWhat age of onset of alcohol consumption is most predictive of alcohol addiction? 8 or younger 10 or younger 12 or younger 14 or younger14 or youngerAlcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption? a. 58,000 b. 78,000 c. 88,000 d. 108,000c. 88,000What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel "normal" without it? a. Early b. Prodromal c. Middle d. Latec. MiddleWhat must a patient in the late stages of dependence do in order to recover? Gain insight into the addiction. Receive treatment for substance abuse. Pledge to lead a completely different lifestyle. Seek a nondrug-oriented support system.Receive treatment for substance abuse.What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system? Alcohol is digested quickly. Alcohol is converted to glycogen immediately. Alcohol is metabolized into ethanol rapidly. Alcohol is excreted in urine slowly.Alcohol is metabolized into ethanol rapidly.The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states? a. 0.08% b. 0.20% c. 0.40% d. 0.50%a. 0.08%A pregnant adolescent tells the nurse that she "only drinks a little." How many drinks per day can cause an adverse effect in an infant? One drink a day Two drinks a day Three drinks a day Four drinks a dayTwo drinks a dayThe nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers? Not asking personal questions Having a nonjudgmental attitude Including the family Promising the patient not to tell anyoneHaving a nonjudgmental attitudeDuring the detoxification period, what does the nurse aim to achieve when designing interventions? Enroll the patient in Alcoholics Anonymous (AA). Keep the patient safe from aspiration and seizure. Help the patient interact in nonaddictive activities. Help the patient gain insight into the addiction.Keep the patient safe from aspiration and seizure.What should the entire health team focus on during the rehabilitation phase? Establishing a support system Seeking and maintaining employment Abstaining from drug use Addressing the problems related to addictionAbstaining from drug useWhat should the nurse do to decrease the patient's disorientation at night during the detoxification period? Place the patient in a room with another recovering patient. Instruct the patient to orient himself to his surroundings at bedtime. Wake the patient up every 4 hours to eat a small snack. Use nightlights and remove extra furniture from the room.Use nightlights and remove extra furniture from the room.The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA? Psychotherapy A 12-step program Treatment center Individual counselingA 12-step programIf the patient tells the nurse, "I'm not an alcoholic. I can stop whenever I want to," what should be the nurse's most therapeutic response? "Well, why don't you?" "Hasn't alcohol use interfered with your employment?" "A positive attitude like that is a good start." "What would you call alcoholism?""Hasn't alcohol use interfered with your employment?"When a patient denies any problems related to addiction, what is the nurse's most therapeutic response? "What do you call this hospitalization?" "How can anybody help you if you don't see a problem?" "Would your family agree that you have no problems?" "Can you think of any time your behavior created an unpleasant situation in your life?""Can you think of any time your behavior created an unpleasant situation in your life?"Which drug is often used in date rape? a. Dalmane b. Xanax c. Narcan d. Rohypnold. RohypnolA patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse? "What other sort of activities might you enjoy?" "You will need to get new friends." "Returning to those activities will get you back here and in trouble." "You need to get a hobby.""What other sort of activities might you enjoy?"When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic? a. Clonidine b. Narcan c. Orlaam d. Methadoneb. NarcanThe nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement? "I drink because I'm lonely." "All my difficulties are related to my drinking." "I wouldn't need to drink if I had my family back." "My drinking helps me cope with the stress of my job.""All my difficulties are related to my drinking."While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time? Daily for the rest of his life. Daily until stabilized, then gradually reduce the dose to zero. Weekly for at least 6 months, then decrease the dose to once a month. Monthly for 6 to 10 months, then decrease the dose to zero.Daily until stabilized, then gradually reduce the dose to zero.A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug? a. Marijuana b. Cocaine c. Amphetamines d. Valiumc. AmphetaminesA college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last? 30 to 60 minutes 1 to 4 hours 4 to 6 hours 6 to 12 hours6 to 12 hoursThe mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse? "Usually in 8 to 10 hours." "She will snap out of it in a day or two." "Usually in about 2 hours, but the effects will return in 2 to 3 days." "The manifestations may be permanent.""The manifestations may be permanent."What is the greatest problem with lysergic acid diethylamide (LSD) use? The drug is addictive. The drug stimulates drug-seeking behavior. The drug causes flashbacks. The drug sets off hypertensive episodes.The drug causes flashbacks.What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy? Turn the patient to his right side. Elevate the head of the bed 30 degrees. Provide the patient with a pacifier. Administer a muscle relaxant.Provide the patient with a pacifier.What should the nurse do when suspecting a coworker of abusing drugs while at work? Confront the abuser. Report observations to a supervisor. Call the state board of nursing. Discuss the problem with another coworker.Report observations to a supervisor.Which statement describes the impaired nurse who is in a peer assistance program? The nurse has a revoked nursing license. The nurse does not have to notify her employer. The nurse will be allowed to work as a nurse under supervision. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.The nurse will be allowed to work as a nurse under supervision.During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data? (Select all that apply.) Usual pattern of use Specific drug Previous arrests Amount of drug used Time of last useUsual pattern of use Specific drug Amount of drug used Time of last useThe nurse should assess a patient for which criteria of addiction? (Select all that apply.) Excessive use of the substance Increase in social function Uncontrollable consumption Increase in economic function Psychological disturbancesExcessive use of the substance Uncontrollable consumption Psychological disturbancesA nurse suspects here a coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions? (Select all that apply.) Spending more time with coworkers Frequently absent from the unit Rapid changes in mood and performance Increased somatic complaints Patients report they did not receive their medicationsFrequently absent from the unit Rapid changes in mood and performance Increased somatic complaints Patients report they did not receive their medicationsWhen assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as __________ syndrome.KorsakoffThe nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for _____ items on the questionnaire.2The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damaged is the ________ system. limbic renal endocrine central nervouslimbicThe nurse stresses that regular physical activity has been identified as a leading health indicator. Regular physical activity has which positive effect on children? Improves social skills. Reduces fluid retention. Increases bone and muscle strength. Increases attention span.Increases bone and muscle strength.Smoking contributes to an increased risk of heart and lung disease in children by which methods? Air pollution Allergens in the environment Environmental smoke Lack of oxygen in the airEnvironmental smokeWhich factor is mostly associated with problems such as domestic violence, sexually transmitted infections (STIs), school failure, and motor vehicle accidents (MVAs)? Lack of supervision Psychological problems Substance abuse Physiological problemsSubstance abuseWhich children must be secured in the back seat in a rear-facing safety seat? Children weighing up to 20 lb Children weighing between 20 and 30 lb Children weighing between 30 and 40 lb Children weighing more than 40 lbChildren weighing up to 20 lbThe pediatric nurse reminds the parents of a 2-year-old that by this age the child should be protected against how many vaccine-preventable childhood diseases?\ a. 4 b. 6 c. 8 d. 1010What practice should be used by a pediatric nurse to remind parents of their responsibility in reducing the number of accidents involving children? Child awareness Good manners Anticipatory guidance Strict disciplineAnticipatory guidanceTo prevent accidental poisoning of a child, where should medications be placed in the home? In a dresser drawer In the medicine cabinet In a locked cupboard On a high shelfIn a locked cupboardWhat is the leading cause of fatal injury in children younger than 1 year old? Burns Poisons Asphyxiation Motor vehicle accidentsAsphyxiationThe school nurse recognizes that lack of physical activity and increased consumption of fast food by children are causative factors contributing to which of the following problems? Nutritional disorders Weight gain Type I diabetes Dental cariesWeight gainWhat age group is experiencing the largest increase in drug use? 7- to 9-year-olds 10- to 12-year-olds 12- to 13-year-olds 15- to 17-year-olds12- to 13-year-oldsBecause the water in the infant's residential area is not fluoridated, when should the nurse suggest that the infant receive supplemental fluoride? 2 months old 4 months old 5 months old 6 months old6 months oldWhat are reasons that a pediatric nurse should stress that health promotion activities must be ongoing? (Select all that apply.) To identify health risks To encourage healthy behavior To strengthen family bonds To improve nutrition To prevent accidentsTo identify health risks To encourage healthy behavior To improve nutrition To prevent accidentsThe school nurse collaborates with the physical education instructor to increase the amount of physical activity during the school day. What are major benefits of physical activity? (Select all that apply.) Reduced death rates as adults Reduced risk of cardiovascular disease Reduced risk of hypertension Reduced risk of diabetes Reduced self-esteemReduced death rates as adults Reduced risk of cardiovascular disease Reduced risk of hypertension Reduced risk of diabetesWhich are physical risks associated with excess weight? (Select all that apply.) Poor eyesight Heart disease Arthritis Stroke AppendicitisHeart disease Arthritis StrokeWhich of the following interventions should be included when teaching a healthy behaviors class for parents of adolescents? (Select all that apply.) Always monitor the child's telephone conversations. Insist on seatbelt use at all times. Encourage tanning bed use versus exposure to the sun. Maintain recommended immunization schedule. Encourage good dental care.Insist on seatbelt use at all times. Maintain recommended immunization schedule. Encourage good dental care.What was one of the major strides in pediatric care made by Dr. Abraham Jacobi? Pediatric wards in hospitals Free inoculations against smallpox Milk stations in the city of New York Serving nutritious foods in orphanagesMilk stations in the city of New YorkWhat was founded by Lillian Wald? National Commission on Children Henry Street Settlement White House Conference US Childrens BureauHenry Street SettlementWhen the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do? Convey respect. Talk with the child. Be honest. Talk with family.Be honest.What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies? Very dependent children Children requiring special education Children with special needs Children requiring long-term careChildren with special needsWhen measuring the head circumference of an infant, where should the nurse place the tape measure? Across the eyebrows and around the occipital lobe Over the zygomatic arches and around the parietal areas Around forehead and around the crown of the head Above the eyebrows and pinnas, and around the occipital lobeAbove the eyebrows and pinnas, and around the occipital lobeWhat is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements? Respiration, temperature, pulse Pulse, respiration, temperature Temperature, pulse, respiration Respiration, pulse, temperatureRespiration, pulse, temperatureWhy does obtaining the respirations of an infant require a modified approach from that of an adult? Infants breathe through their noses. Infants have very rapid respirations. Infants respirations are thoracic in nature Infants respiratory movements are abndominalInfants respiratory movements are abndominalWhat is the correct way to assess for the presence of jaundice in an African-American child? Examine the sclera. Press the edge of the pinna. Apply pressure to the gum. Compare the color on the soles of the feet.Apply pressure to the gum.The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission? A week prior 2 weeks prior The day of admission Only 2 or 3 days beforeOnly 2 or 3 days beforeWhat is the best time to bathe an infant? At bedtime Early in the morning After a feeding Before a feedingBefore a feedingHow should an infant be positioned after a feeding? On the stomach On the right side On the left side On the backOn the right sideWhen a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse? Apply it loosely. Remove it every 2 hours. Place it over clothing. Apply only one type.Remove it every 2 hours.What should be done before initiating a gavage feeding? Hold the feeding tube under water to check for bubbling. Check for gastric distention. Aspirate stomach contents. Ensure the sterility of feeding equipment.Aspirate stomach contents.What is the purpose of a mist tent? To provide a constant oxygen supply To liquefy respiratory secretions To aid in lowering temperature to improve the infants hydrationTo liquefy respiratory secretionsWhat is the maximum amount of time that a nurse should suction an artificial airway? 1 second 5 seconds 30 seconds 1 minute5 secondsWhat is a disadvantage of using a mist tent with a toddler? The nurse must remove the restless child. The wet bedding and clothing must be changed frequently. The mist tent must be opened at least once every hour. All objects must be kept outside of the tent.The wet bedding and clothing must be changed frequently.Why must the pediatric nurse be cautious about medicating infants and young children? They are less susceptible to medication effects than adults. They are more susceptible to medication effects than adults. They are equally susceptible to medication effects as adults. They are more susceptible to drug interactions than adults.They are more susceptible to medication effects than adults.What is the preferred IM injection site for a 2-year-old? Deltoid muscle Upper thigh Vastus lateralis GluteusVastus lateralisWhere is the typical IV insertion site in an infant younger than 9 months of age? Radial vein Scalp vein Femoral vein Brachial veinScalp veinFollowing a lumbar puncture of a 2-year-old, what should the nurse do? Keep the child flat for several hours. Allow the child to play quietly at will. Hold the child in a flexed position for 5 minutes. Stand the child upright immediately.Allow the child to play quietly at will.When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use? Mummy Clove hitch Jacket device Elbow deviceMummyAfter observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse? If the parent confesses to child abuse If the child admits to being abused Whenever maltreatment of a child is suspected When the type of abuse can be determinedWhenever maltreatment of a child is suspectedThe nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.) Rigid visiting hours Freedom to choose which medications to take Exclusion of family during procedures Discouraging family to stay overnight Restricting parents from reading the chartExclusion of family during procedures Discouraging family to stay overnight Restricting parents from reading the chart Rigid visiting hours