A parent asks a nurse, "How do you know when my child needs these screening tests the doctor just mentioned?" How should the nurse respond to the parent?

1. "Screening tests are done at each office visit."
2. "Screening tests are done in the newborn nursery, and from these results, additional screening tests are ordered throughout the first two years of life."
3. "Screening tests are administered at the ages when a child is most likely to develop a condition."
4. "Screening tests are most often done when the doctor suspects something is wrong with the child."


3
Rationale 1: Screening tests are not done at each office visit.
Rationale 2: Abnormal newborn screening tests require immediate follow-up.
Rationale 3: This response provides a definition for screening tests.
Rationale 4: Screening tests are done to detect the possibility of problems, not when a problem is suspected.
Global Rationale:

Nursing

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The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature?

a. Fingertips; they are more sensitive to small changes in temperature. b. Dorsal surface of the hand; the skin is thinner on this surface than on the palms. c. Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity. d. Palmar surface of the hand; this surface is the most sensitive to temperature variations because of its increased nerve supply in this area.

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Components for organizing a review for the NCLEX-RN exam are listed below. Which of the following is not usually an area to concentrate on for this exam review?

a. NCLEX knowledge review c. test anxiety control b. NCLEX test question practice d. reread of all of your nursing textbooks

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The treatment team has decided that the emotional distress of an elderly client who experiences

threatening auditory hallucinations warrants the use of haloperidol (Haldol). As a result, the nursing staff must take action to reduce the risk of a. falls. b. seizures. c. dehydration. d. fecal impaction.

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A client's blood pressure suddenly falls from 120/80 to 90/60. Which of the following is a major role of the kidney in this situation?

1. Increasing hydrostatic pressure 2. Release of renin 3. Increasing glomerular filtration rate 4. Dilation of renal vessels

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