A nurse is palpating a newborn's fontanels. The nurse documents the anterior fontanel is which shape?
a. Circle
b. Triangle
c. Square
d. Diamond
ANS: D
The anterior fontanel is diamond-shaped and measures from barely palpable to 4 to 5 cm. Neither of the fontanels is a circle or a square. The triangle is the shape of the posterior fontanel.
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The nurse explains to new parents that as healthy children are exposed to more infections, they:
1. Naturally develop antibodies. 2. Are found to be healthier. 3. Will acquire terminal illnesses. 4. Will weaken their immune systems.
During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events. Which test is appropriate for assessing the patient's mental status?
a. Geriatric Depression Scale, short form b. Rapid Disability Rating Scale-2 c. Mini-Cog d. Get Up and Go Test
The nurse screening for AD recognizes the diagnostic criteria to include all but which of the following?
a. impaired short or long-term memory b. aphasia c. apraxia d. dysphagia
The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin. The most helpful teaching tools would be:
1. a booklet from the American Diabetes Association explaining the effects of too much or too little insulin. 2. a nutrition MyPyramid explanation, discussing amounts of each food group needed each day. 3. an alarm clock, magazine pictures showing sunrise and sunset, several clean insu-lin syringes, and insulin bottles filled with colored water. 4. a large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse's home phone number.