An infant is seen in the primary health care provider's office for com

1.The postpartum unit nurse has provided discharge instructions to a client planning to breast/chest-feed a normal, healthy infant . Which statement by the client indicates an understanding of the instructions?None 选项： A:"If I experience any sweating during the night, I would call the primary health care provider ." B:"If I have uterine cramping while breast/chest-feeding, I would contact the primary health care provider ." C:"If I'm still having vaginal drainage in a week, I would contact the primary health care provider ." D:"If I notice any pain, redness, or swelling in my breasts/chest, I need to contact the primary health care provider ."

2.The nurse is reviewing the primary health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury . Carisoprodol is prescribed for the client to relieve the muscle spasms . The primary health care provider has prescribed 350 mg to be administered 4 times a day . What would the nurse conclude?None 选项： A:The prescription is the normal adult dosage . B:The prescription is lower than normal dosage . C:The prescription is higher than normal dosage . D:The dosage prescribed requires further clarification with the primary health care provider .

3.MDG 4 requires care for newborns and their mothers; infant and young child feeding; vaccines; prevention and case management of various diseases. ( )

4.The nurse is creating a plan of care for a child admitted with a diagnosis of Kawasaki disease . In developing the initial plan of care, the nurse would include monitoring the child for signs of which condition?None 选项： A:Bleeding B:Heart failure C:Failure to thrive D:Decreased tolerance to stimulation

5.MDG 4 requires care for newborns and their mothers; infant and young child feeding; vaccines; prevention and case management of various diseases. ( ) 选项： A:对 B:错

6.MDG 4 requires care for newborns and their mothers; infant and young child feeding; vaccines; prevention and case management of various diseases. ( ) 选项：A、对 B、错

7.National health policy is based on () 选项： A、Primary health care B、Secondary health care C、Tertiary
health care D、Child
care

8.The parents of a neonate with a cleft lip are shocked when they see their child for the first time. In order to help the parents accept their infant’s anomaly, which of the following should be included in the neonate’s plan of care() 选项： A、Reassuring them that surgery will correct the defect. B、Encouraging the parents to visit more frequently. C、Showing them pictures of babies before and after corrective surgery. D、Allowing them to complete their grieving process before seeing the infant again.

9.A child is seen in a health care clinic, and a diagnosis of varicella (chicken pox) is confirmed . The parent expresses concern for two other children at home and asks the nurse whether the child is infectious to the other children . Which response by the nurse is most appropriate?None 选项： A:"The infectious period occurs after the lesions begin ." B:"The infectious period begins with the onset of the rash ." C:"The infectious period is not known, and it is possible that the children may develop the chicken pox within the next 2 weeks ." D:"The infectious period begins 1 to 2 days before the onset of the rash and ends about 5 days after the onset of the lesions and crusting of the lesions ."

10.The nurse is preparing discharge instructions for a client who sustained a skeletal muscle injury and is receiving baclofen . Which instruction would be included in the teaching plan?None 选项： A:Restrict fluid intake . B:Avoid the use of alcohol . C:Stop the medication if diarrhea occurs . D:Notify the primary health care provider (PHCP) if fatigue occurs .

11.After receiving an IM injection at the deltoid site, a patient states, “My arm really hurts. It’s burning and tingling where I got my injection.“What should the nurse do next? （）选项： A:Assess the injection site B:Administer an oral medication for pain C:Notify the patient’s health care provider of assessment findings D:Document assessment findings and related interventions in the patient’s medical record.

12.The nurse is providing home care instructions to the parents of a child with a seizure disorder . Which statement indicates to the nurse that the teaching regarding seizure disorders has been effective?None 选项： A:"We're glad we only have to give our child the medication for 30 days ." B:"We will make appointments for follow-up blood work and care as directed ." C:"We're glad there are no side effects from taking the antiseizure medications ." D:"After our child has been seizure free for 1 month, we can discontinue the medication ."

13.The home care nurse has given instructions to a client who is beginning therapy with digoxin for atrial fibrillation . The nurse determines a need for further teaching if the client makes which statement?None 选项： A:"If I miss a dose, I would just take two the next day ." B:"I shouldn't change brands without asking the primary health care provider first ." C:"I need to call the primary health care provider if my daily pulse rate is under 60 or over 100 ." D:"The pills need to be kept in their original container so that they don't get mixed up with my other medicines ."

14.The principles for complementary feeding of the breastfed child, which one is CORRECT?选项： A:introduce complementary foods at 6 months of age while continuing to breastfeed; B:continue frequent , on-demand breastfeeding until 2 years of age or beyond; C:gradually increase food consistency and variety as the infant grows older, adapting to the infant’s requirements and abilities; D:increase the number of times that the child is fed complementary foods as the child gets older; E:all above

15. The mother of 2-year-old child who has been bitten by the family dog asks the nurse what to do about the bite. Which of the following would be the most appropriate recommendation to this mother? 选项： A: You need to take the child to the local urgent care center immediately. B: Wash the bite area with lots of running water and then check the injury.. C: Determine when the child's latest tetanus vaccine was administered. D: Make an appointment to see the child's physician now to start rabies shots.

16.The nurse caring for a refugee considers which health care need a priority for this client?None 选项： A:Access to housing B:Access to clean water C:Access to transportation D:Access to mental health care services

17.During a home visit, the nurse suspects that a young child of the client is bulimic . The nurse bases this suspicion on which primary characteristics of bulimia?None 选项： A:Refusing to eat and excessive exercising B:Eating only vegetables and fruits and fasting C:Hoarding of food and difficulty controlling food intake D:Eating a lot of food in a short period of time and misuse of laxatives

18.A preoperative client expresses anxiety to the nurse about upcoming surgery . Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?None 选项： A:"If it's any help, everyone is nervous before surgery ." B:"I will be happy to explain the entire surgical procedure to you ." C:"Can you share with me what you've been told about your surgery?" D:"Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate ."

19.Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor（）选项： A、Risk for infection related to invasive procedures during labor. B、Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning. C、Deficient knowledge related to lack of information about care during labor. D、Interrupted family processes related to diabetes increasing the client’s risk of complications.

20.The nurse is performing an assessment on a client with a head injury and notes that the client is assuming this posture. The nurse contacts the primary health care provider and reports that the client is exhibiting which posture? Refer to figure.None 选项： A:Opisthotonos B:Decorticate rigidity C:Decerebrate rigidity D:Flaccid quadriplegia