Quiz 6

Question 1

the nurse is talking with a high school class about the difference between growth and development would best describe growth as

Answer 1

quantitative changes in size or weight

Question 2

the nurse is developing a care plan for a patient newly admitted to a unit that cares for patients with cognitive impairment. What are important components of care for the patients on this unit SATA

Answer 2

• plan for attendance at activities with several other patients on the unit
• plan for a structured daily routine of events and caregivers

Question 3

the nurse preparing a teaching plan for a preschooler knows that, according to piaget, the expected stage of development for a preschooler is

Answer 3

preoperational

Question 4

a cognitively impaired patient newly admitted to the hospital is experiencing signs of sundown syndrome. which intervention is best for the nurse to implement

Answer 4

leave a night light on in the room at all times

Question 5

a nurse cares for a female client who has a family history of cystic fibrosis. The client asks will my children have cystic fibrosis? How should the nurse respond?

Answer 5

since you have a family history of cystic fibrosis, I would encourage you and your partner to be tested

Question 6

the earliest gastrointestinal manifestation of cystic fibrosis is

Answer 6

meconium ileus

Question 7

to help confirm a diagnosis of cystic fibrosis in a 1 year old child which substance will be monitored for in the child’s sweat

Answer 7

chloride

Question 8

a nurse is teaching a cleint who has cystic fibrosis. Which statement shoudl the nurse include in the client’s teaching SATA

Answer 8

• plan to exercise for 30 min every day

- eat a well-balanced nutritious diet

Question 9

the overall respiratory effect of cystic fibrosis is similar to

Answer 9

bronchiolitis

Question 10

which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?

Answer 10

change in LOC

Question 11

components of the GCS the nurse would use to assess a patient after a head injury include which assessment

Answer 11

verbal recognition

Question 12

a mother complains to the nurse that her 4 yr old always talks to her toys and makes up stories. The nurse should respond…

Answer 12

explain that playing make believe is normal at this age

Question 13

your patient has a TBI and positive halo sign. The patient is in the ICU, sedated and on a ventilator, and in critical but stable condition. what collaborative problem takes priority at this time?

Answer 13

risk for acquiring an infection

Question 14

a nursing student studying TBIs should recognize which facts about these disorders SATA

Answer 14

• the terms mild TBI and concussion have similar meanings

- a patient with a moderate trauma may need hospitalization

Question 15

when caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what? SATA

Answer 15

• bradycardia

- hypertension

Question 16

to plan early intervention and care for a child with a developmental delay, the nurse would consider knowledge of the concepts most significantly impacted by development including

Answer 16

functional status

Question 17

the nurse is caring for a patient with increased ICP, which actions are considered safe SATA

Answer 17

• aligning the neck with the body
• providing stool softeners of laxatives as ordered
• elevating the HOB 30 degrees

Question 18

the nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

Answer 18

violence prevention

Question 19

the nurse is assessing a patient’s functional performance, what assessment parameters will be most important in this assessment

Answer 19

continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment.