Health Promotion and Maintenance1. A practical nurse is teaching parents of a 6-week-old infant about motor vehicle safety. Which instruction should the nurse include?A. Install an approved rear-facing car seat in the back seatB. Place the infant in a forward-facing seat once the infant can hold the head uprightC. Allow the infant to ride in the front passenger seat if an adult holds the infantD. Use a booster seat if the infant is small enough to sit with a lap belt onlyCheck
Health Promotion and Maintenance2. The practical nurse is teaching safe sleep for a 2-month-old. Which instructions should be included? (Select all that apply.)Select all that apply.A. Place the infant on the back for every sleepB. Use a firm, flat mattress with a fitted sheet onlyC. Add bumper pads so the infant cannot strike the crib railsD. Share a room with the infant without sharing a sleep surfaceE. Place a stuffed animal at the foot of the crib for comfortCheck
Health Promotion and Maintenance3. A practical nurse is teaching parents of a 6-week-old infant about motor vehicle safety. Which instruction should the nurse include?A. Install an approved rear-facing car seat in the back seatB. Place the infant in a forward-facing seat once the infant can hold the head uprightC. Allow the infant to ride in the front passenger seat if an adult holds the infantD. Use a booster seat if the infant is small enough to sit with a lap belt onlyCheck
Health Promotion and Maintenance4. Parents of a 2-month-old ask how the infant should sleep at home. Which teaching is correct?A. Place the infant on the stomach to prevent choking on spit-upB. Place the infant on the back to sleepC. Prop the infant on the side with a rolled blanket for supportD. Let the infant sleep in the parents' bed for easier night feedingCheck
Health Promotion and Maintenance5. A caregiver plans to give a 7-month-old a small amount of honey on a pacifier for fussiness. What should the practical nurse teach?A. Honey is safe after 6 months if it is pasteurizedB. A taste of honey is acceptable if the infant has started solidsC. Avoid honey until the infant is 12 months oldD. Honey may be mixed into formula to increase caloriesCheck
Health Promotion and Maintenance6. The parent of a 4-month-old says cow's milk will be used instead of formula to save money. Which response is appropriate?A. Offer whole cow's milk if iron drops are given daily to prevent anemia from early cow's milkB. Dilute cow's milk half-and-half with water until the first birthdayC. Switch to 2% milk because it is easier to digest than whole milkD. Continue iron-fortified formula or breast milk until 12 months of ageCheck
Health Promotion and Maintenance7. A toddler is found holding an open bottle of household cleaner. The child is alert, crying, and has no burns around the mouth. What should the practical nurse instruct the parent to do first at home?A. Call the poison control center with the product nameB. Give syrup of ipecac to empty the stomach at onceC. Offer a large glass of milk to neutralize the chemicalD. Wait at least 30 minutes to see whether vomiting or drowsiness starts before calling for adviceCheck
Health Promotion and Maintenance8. A 16-year-old is in clinic for a routine visit with a parent present. Which action best supports developmentally appropriate care?A. Give all teaching only to the parent because teens forget detailsB. Ask the parent to step out for part of the visitC. Skip substance and sexual history to avoid embarrassing the teenD. Promise the parent a full report of everything the teen disclosesCheck
Health Promotion and Maintenance9. A 78-year-old client answers questions slowly and often asks the nurse to repeat. Which health-promotion action should the nurse take first?A. Document probable dementia after one slow interview and shorten all future teaching sessionsB. Speak much louder from the doorway without facing the clientC. Arrange screening for hearing and review how the client communicatesD. Defer all teaching until a geriatrics specialist evaluates memoryCheck
Health Promotion and Maintenance10. A pregnant client asks why the nurse recorded an estimated date of delivery from the last menstrual period. Which explanation is accurate?A. Naegele's rule dates pregnancy from the day of a positive urine testB. The due date is set by adding 40 weeks to the first day of fetal movementC. Ultrasound is never used once Naegele's date has been writtenD. Naegele's rule estimates due date by adding 7 days and subtracting 3 months from the first day of the last menstrual period (adjusting the year)Check