When teaching the staff about how the health care provider strives to work effectively within the
cultural context of a client, which cultural principle is the nurse leader explaining?
A. Cultural diversity
B. Cultural sensitivity
C. Cultural imposition
D. Cultural competence - Answers D. Cultural competence
Which nurses are taking actions that contribute to the nursing goal of achieving cultural competence?
A. Nurse A examines own beliefs about mental health
B. Nurse B reads and article about interpreting nonverbal behavior
C. Nurse C volunteers at a clinic that serves an immigrant population
D. Nurse D teaches children of immigrants about eating healthy food
E. Nurse E uses a cultural assessment tool to gather client data - Answers A, B, C, E
Which complication would the nurse expect in relation to lead toxicity?
A. Anemia
B. Proteinuria
C. Heart failure
D. Encephalopathy
E. GI bleeding - Answers A, B, D
exposures to a high level of lead predisposes the child to anemia. the lead interferes with synthesis of
heme.
Which parental statement would the nurse recognize as indicating a need for further education about
protecting a preschooler from lead exposure?
A. "I will only use hot water for cooking food."
B. "I will ensure that my child eats regular meals."
C. "I will regularly vacuum hard-surfaced floors or windowsills or wells."
D. "I will ensure that my child's diet contains sufficient iron and calcium."
E. "I will wash and dry my child's hands and face frequently, especially before eating." - Answers A, C
hot water dissolves lead more quickly than cold
hard-surfaced floors or windowsills or wells should not be vacuumed, because it spreads dust
lead is absorbed more on an empty stomach
diet should contain sufficient iron and calcium
Which health conditions are associated with lead poisoning in a preschooler?
A. Amblyopia
B. Strabismus
C. Brain damage
D. Hepatic steatosis
E. Growth retardation - Answers C, E
Which source of lead would the nurse assess for when providing care to a child with lead poisoning?
A. Water
B. Pottery
C. Stained glass
D. Collectible toys
E. Vinyl miniblinds - Answers A, B, D, E
the making of stained glass, not stained glass itself, is a source of lead poisoning
The parent of a newborn asks the nurse why, except for hepatitis B vaccine, the immunization
schedule does not start until the infant is 2 months old. Which response would the nurse provide?
, A. "A newborn's spleen can't produce efficient antibodies."
B. "Infants younger than 2 months are rarely exposed to infectious disease."
C. "The immunization will attack the infant's immature immune system and cause the disease."
D. "Maternal antibodies interfere with the development of active antibodies by the infant when
immunized." - Answers D
Passive antibodies received from the mother will be diminished by age 8 weeks and will no longer
interfere with the development of active immunity to most communicable diseases.
Two siblings who live in a camp for migrant workers have contracted measles. The nurse, trying to
determine which individuals had contact with the children, identifies those with immunity and
assesses the probability of containing the measles to the camp. Which technique has the nurse used
in managing this situation?
A. Nursing process
B. Incidence process
C. Probability process
D. Epidemiological process - Answers D
Epidemiological process is a term given to the set pattern of procedures followed in the community
when the health of the public is threatened by a communicable disease.
Which is the primary reason that the nurse pursues more information about the roommate when an
older client with a history of congestive HF expresses concern about potential exposure to TB from a
roommate at the extended care facility who coughs a great deal and sometimes spits up blood?
A. Death from TB is on the increase in older populations
B. The roommate is causing increased anxiety and stress in the client
C. TB adversely affects older adults with chronic illness
D. Most likely, the roommate prevents the client from getting proper sleep - Answers C
Which play activities are the most appropriate for a 6-year-old child?
A. Coloring book
B. Small metal cars
C. Simple card game
D. Large jigsaw puzzle
E. Children's magazines - Answers A, B, C
Which school-age children require close supervision when using a skateboard?
A. 5 year old
B. 6 year old
C. 7 year old
D. 8 year old
E. 9 year old - Answers B, C, D, E
the 5 year old child should not be a allowed to. ride a skateboard due to the high risk for injury
Which health care provider would be the best choice to help a homeless client receive needed
medication for a communicable disease?
A. Navigator
B. Case manager
C. Primary nurse
D. Unlicensed assistive personnel (UAP) - Answers A
The navigator role was conceived to reduce barriers to care for vulnerable clients who may cope with
delays in access, diagnosis treatment, and/or fragmented and uncoordinated care.