GCC 1701 - 1725

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

• A 6-month-old
• A 4-year-old
• A 10-year-old
• A 13-year-old
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During a well baby visit, the mother asks the nurse when the "soft spot" on the front of her baby's head will close. The nurse should tell the mother that the anterior fontanel normally closes by the time the baby is:

• 4-6 months of age
• 7-9 months of age
• 10-12 months of age
• 12-18 months of age
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Which prevention measures should the nurse include when instructing a client on how to avoid otitis externa?

• Avoidance of any activity that may increase risk for splenic rupture.
• Simple hand-washing and safe food preparation techniques.
• Ear canal drying and use of astringent drops after swimming or bathing.
• Taking preventative antibiotics prior to dental or other invasive procedures.
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A nurse cares for a client with an intracranial pressure reading of 10 mm Hg. The nurse knows that this reading:

• Is normal.
• Is elevated.
• Requires the nurse to notify the physician.
• Needs to be treated immediately.
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The nurse is caring for an elderly female patient who has osteoporosis. When teaching her, the nurse should include information about which major complication?

• Bone fracture
• Loss of estrogen
• Negative calcium balance
• Scoliosis
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The licensed practical nurse is working with a registered nurse and a patient care assistant. Which of the following clients should be cared for by the registered nurse?

• A client 2 days post-appendectomy
• A client 1 week post-thyroidectomy
• A client 3 days post-splenectomy
• A client 2 days post-thoracotomy
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The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason?

• To minimize platelet aggregation
• To reduce preload and afterload
• To reduce myocardial oxygen consumption
• To decrease myocardial oxygen demand
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Cellular damage related to oxidative stress (free radicals) is associated with degenerative diseases that affect older clients, such as atherosclerosis and cancer. Antioxidants may slow the oxidative process. The client obtains benefit from antioxidants by:

• Avoiding harmful substances such as tobacco smoke and radiation.
• Taking a multivitamin daily and eating a balanced diet.
• Engaging in regular exercise and physical activity.
• Maintaining a normal body weight.
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A client with newly diagnosed acquired immunodeficiency syndrome (AIDS) asks the nurse if it's necessary to tell co-workers about the diagnosis. The nurse's response is based on which correct understanding?

• Transmission of AIDS doesn't occur through casual contact
• Employees have a right to choose with whom they will work
• Clients with an AIDS diagnosis should not work in public places
• The law requires
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The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?

• Decreased plasma volume.
• Increased risk for urinary tract infections.
• Increased peripheral vascular resistance.
• Increased hemoglobin levels.
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