Njengamartin399

Growth and Development 1. A nurse is assessing a 2-year-old child. Which developmental milestone should the nurse expect to observe? o A) Hops on one foot o B) Can stack six blocks o C) Can say full sentences o D) Is able to jump in place o Answer: B) Can stack six blocks Rationale: At 2 years, children can stack blocks and engage in parallel play. Hopping on one foot and jumping in place typically develop later. 2. Which of the following is a common characteristic of preschool-aged chil...

Question 1 A nurse is teaching a group of women about breast self-examination (BSE). What is the best time for a woman to perform BSE? A) After menstruation B) Before menstruation C) During menstruation D) Any time of the month Answer: A) After menstruation Rationale: Performing BSE after menstruation reduces the likelihood of breast tenderness and swelling, providing a clearer examination. ________________________________________ Question 2 A 45-year-old woman is discussing symptoms o...

1. A nurse is caring for a terminally ill patient who expresses a wish to die. What is the most appropriate nursing response? A. "You shouldn't feel that way; there is still hope." B. "It's normal to feel overwhelmed; let's talk about it." C. "You need to focus on the positive aspects of your life." D. "I can't help you with that; it's against my beliefs." Answer: B. "It's normal to feel overwhelmed; let's talk about it." Rationale: Acknow...

1. Which of the following is the first step in the nursing process? A. Diagnosis B. Assessment C. Planning D. Implementation Answer: B. Assessment Rationale: The nursing process begins with assessment, which involves collecting, analyzing, and validating data. ________________________________________ 2. When assessing a patient with chest pain, the nurse should prioritize which of the following actions? A. Obtain a history of the present illness B. Perform a physical examination C. Ad...

1. Which of the following is the primary purpose of a general patient examination? A) To confirm a diagnosis B) To establish a therapeutic relationship C) To collect data for diagnosis and treatment planning D) To provide patient education Answer: C Rationale: The primary purpose of a general patient examination is to collect data that will assist in diagnosis and treatment planning. ________________________________________ 2. When performing a physical examination, the nurse should: A)...

1. Which of the following techniques is most effective in establishing rapport with a patient during the initial history taking? • A. Closed-ended questions • B. Medical jargon • C. Open-ended questions • D. Interrupting to clarify early on Answer: C. Open-ended questions Rationale: Open-ended questions encourage the patient to express their thoughts freely, allowing the healthcare provider to gather more comprehensive information. Closed-ended questions can limit the patient's r...

1. A student nurse is working on a group project. One of the members is consistently late and does not contribute equally. What is the most ethical approach to address the situation? A) Take over the absent member’s tasks B) Report the member to the instructor C) Ignore the situation and focus on your part D) Address the issue directly with the member in a respectful manner Answer: D Rationale: It is best to communicate directly with the team member to address the issue, demonstrating pr...

1. A nurse is caring for a patient who refuses a prescribed medication. The nurse knows the patient has the legal right to refuse treatment. Which ethical principle supports the patient’s decision? A. Beneficence B. Autonomy C. Nonmaleficence D. Justice Answer: B. Autonomy Rationale: Autonomy refers to the right of individuals to make decisions about their own care, including the right to refuse treatment. 2. A nurse administers a medication to a patient without checking the patient’s...

1. A charge nurse is delegating tasks to a nursing assistant. Which task is appropriate for the nurse to delegate? A) Administering medications B) Assisting with patient ambulation C) Developing a nursing care plan D) Performing a head-to-toe assessment Correct Answer: B Rationale: Assisting with patient ambulation is a task that can be delegated to nursing assistants, as it falls within their scope of practice. Administering medications, developing care plans, and performing assessments a...

1. Which of the following tasks is most appropriate for a nursing assistant to perform? A) Administering medications B) Assessing a patient’s vital signs C) Assisting a patient with daily activities D) Developing a nursing care plan Answer: C Rationale: Nursing assistants are trained to assist patients with daily activities such as bathing, dressing, and feeding, but they do not perform tasks that require nursing judgment, like administering medications or developing care plans. _______...