A nurse is assessing a child who is able to dress herself, jump rope, identify colors, and follow rules when playing games. These are expected developmental achievements of a child of what age?
a. 3 years old
b. 4 years old
c. 5 years old
d. 6 years old
ANS: C
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A client who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse's best answer?
a. "You should have felt the baby move by now." b. "The baby is moving, but you can't feel it yet." c. "Some babies are quiet and you don't feel them move." d. "Within the next month you should start to feel fluttering sensations."
The nurse manager in an acute care facility has received client evaluations in which the clients have complained about excessive noise that interfered with their rest. The nurse manager and nursing staff plan to do the following
Which activity will most assist clients in obtaining rest? A) Post signs for quiet and turn down hall lights during formal quiet times. B) Ensure clients are offered prescribed sleeping medications at bedtime. C) Provide a small carbohydrate snack or juice prior to hours of sleep. D) Adjust the temperature of the room to 74 degrees and provide a blanket.
A client has several identified learning needs. Which of the following should the nurse assess prior to planning instruction for this client?
1. Home address 2. Client's learning style 3. Living arrangements 4. Financial resources
A military vet who recently returned from active duty in a Middle Eastern country and suffers from PTSD states he will not allow the lab tech, who is Iranian, to draw his blood
The patient states "He'll probably use a contaminated needle on me". Which of these is the most appropriate response by the nurse? A. "Let me see if I can arrange for a different technician to draw your blood." B. "Let me help you overcome your cultural bias by letting him draw your blood." C. "There is no other technician, so you're just going to have to let him draw your blood." D. "I don't think the technician is really Middle Eastern."