During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?
a. A normal finding
b. A sign of a possible visual defect and a need for vision screening
c. An abnormal finding requiring referral to an ophthalmologist
d. A sign of small hemorrhages, which usually resolve spontaneously
ANS: A
A brilliant, uniform red reflex is an important normal finding. It rules out many serious defects of the cornea, aqueous chamber, lens, and vitreous chamber.
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The four levels of consciousness include all of the following except
a. Alert b. Comatose c. Semicomatose d. Lethargic
The nurse documents that every time the child is directed to discuss the relationship with her brother, she complains of shortness of breath and begins to have asthma-like symptoms. The nurse assesses this behavior as a(n) _________________ reaction
ANS:
A student nurse in the last semester of nursing school found that keeping a journal of clinical experiences helped the student nurse understand why certain actions were taken and to evaluate whether there was a better way of approaching the task
The student nurse has found that this has helped strengthen critical thinking skills. Which skill for developing critical thinking did the student nurse use? a. Professional standards b. Nursing process c. Concept mapping d. Purposeful reflection
Cultural competence is
A. A set of integrated attitudes, knowledge, and skills that enables nurses to care effectively for patients from diverse cultures B. Necessary for nurses to work collaboratively within a diverse workforce C. Requires experience working within a diverse workforce D. Both A and B