Culture/Theorist
Using Maslow’s hierarchy of needs, which order is correctly placed from highest to lowest priority?
A. Physiological, Safety, Love, Self-esteem, Self-actualization
B. Safety, Love, Self-esteem, Self-actualization, Physiological
C. Physiological, Love, Self-esteem, Safety, Self-actualization
D. Physiological, Self-actualization, Safety, Love, Self-esteem
A. Physiological, Safety, Love, Self-esteem, Self-actualization
Rationale: Knowledge; Outcome 2; PT Chapter 5 page 65; Rational: Maslow’s Hierarchy of needs
Why are toddlers prone to accidents?
A. Muscle weakness
B. Poor peripheral vision
C. Inability to recognize danger
D. They act like grown-ups
C. Inability to recognize danger
Rationale: Knowledge; Outcome 5; PT Chapter 7 page 105; Toddlers have an inability to recognize danger at this age.
Omega-3 fatty acid containing foods include: (Select all that apply.)
A. Ribeye steak
B. Strawberries
C. Salmon
D. Flaxseed
E. Pinto beans
C. Salmon
D. Flaxseed
An infant hyperextends its toes, then curls them under, in response to stroking the bottom of the foot. Which reflex is this?
A. Moro
B. Nisod
C. Babinski
D. Rooting
C. Babinski
Rationale: Knowledge; Outcome 5; PT Chapter 6 page 82; This is babinski reflex
A nurse is caring for a client with a new prescription for an iron supplement. Which of the following beverages should the client be instructed to take with the medication?
A. Skim milk
B. Tomato juice
C. Protein shake
D. Green tea
B. Tomato juice
Rationale: Understand; Outcome 5; ATI Chapter 1; Tomato juice is high in vitamin C which promotes iron absorption
Erikson viewed the psychosocial task for the age group 20-40 years of age as:
A. Stagnation
B. Egocentrism
C. Generativity
D. Intimacy
D. Intimacy
Rationale: Knowledge; Outcome 2; PT Chapter 11 page 172; Intimacy vs isolation
A mother of a 4-year-old expresses concern because her hospitalized child has begun thumb sucking. The mother states that this behavior began 2 days after hospital admission. Which response by the nurse is appropriate?
A. "The health care provider will need to be notified immediately."
B. "Your child is acting like a baby."
C. "A 4-year-old is too old for this type of behavior."
D. "It is best to ignore the behavior."
D. "It is best to ignore the behavior."
Rationale: Application; Outcome 7; PT Chapter 7; This is an example of regression. Normal behavior in this setting.
When instructing a client on how to lower cholesterol and saturated fats, the nurse would include the following: Select all that apply.
A. Trim visible fats from meats
B. Cook with butter
C. Remove skins from meats
D. Cook with olive oil
E. Increase dairy consumption
A. Trim visible fats from meats
C. Remove skins from meats
D. Cook with olive oil
In which of the following age groups is the concept of death’s finality comprehended?
A. Infants
B. School age
C. Toddlers
D. Preschool
B. School age
Rationale: Knowledge; Outcome 6; PT Chapter 9 PT Chapter 14; School age is the age where children understand death
A client is recovering from abdominal surgery and has a large abdominal wound. Why should the nurse encourage the client to eat foods high in Vitamin C?
A. Provide energy for cell function
B. Promote wound healing
C. Support the calories needed for healing
D. Prevent infection spreading
B. Promote wound healing
Rationale: Understnd; Outcome 5; ATI Chapter 1; Vitamin C and protein promote wound healing.
Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet?
A. Pork roast, rice, vegetables, mixed fruit, milk
B. Crab salad on a croissant, vegetables with dip, potato salad, milk
C. Sweet and sour chicken with rice and vegetables, mixed fruit, juice
D. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea
C. Sweet and sour chicken with rice and vegetables, mixed fruit, juice
Rationale: Application; Outcome 1; ATI Nutrition; Kosher limits pork and shell fish
Which car safety device should be used for a child who is 6 years old and 4 feet tall?
A. Seat belt
B. Booster seat
C. Rear-facing with harness
D. Front-facing with harness
B. Booster seat
Rationale: Knowledge; Outcome 5; PT Chapter 8 page 126; Children need to be in appropriate booster seats at this age still. Generally 4'9"
During a prenatal visit the nurse educates the 26-year-old client on dietary recommendations during pregnancy. Select all that apply.
A. Avoid fish high in mercury
B. Drink 1,000 mg of caffeine daily
C. Increase daily iron intake
D. Maintain fluid intake of 500 mL daily
E. Take at least 600 mcg of folic acid daily
A. Avoid fish high in mercury
C. Increase daily iron intake
E. Take at least 600 mcg of folic acid daily
Which of the following descriptions should a student nurse teach a new breast feeding mother to expect after meconium stools change to breast feeding stools?
A. Colorless, odorless fecal material
B. Stools having a light, seeded mustard color
C. Thick, green-black fecal material
D. Stools having a watery green color
B. Stools having a light, seeded mustard color
Rationale: Knowledge; Outcome 5; PT Chapter 6 page 86; Light seedy stool is normal for this age.
A nurse is educating a client about maximizing absorption when taking calcium supplements. Which of the following instructions should the nurse include in the teaching?
A. Take a supplement with a glass of water
B. Take a supplement that contains Vitamin D
C. Take the supplement with a B12 pill
D. Take the supplement with a vitamin C pill
B. Take a supplement that contains Vitamin D
Rationale: Application; Outcome 5; Vitamin D increases calcium absorption
The nurse is examining an infant at the clinic. Which describes the process of cephalocaudal development?
A. The center outward
B. Head toward the toe
C. Outward to within
D. Inside to outside
B. Head toward the toe
Rationale: Knowledge; Outcome 1; PT Chapter 5; Cephalocaudal development is head first
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?
A. Pneumococcal polysaccharide vaccine
B. Bacille Calmette-Guérin (BCG) vaccine
C. Meningococcal polysaccharide vaccine
D. Influenza vaccine
C. Meningococcal polysaccharide vaccine
Rationale: Recent studies have shown that college students, especially freshmen living in dormitories, are at an increased risk for meningococcal meningitis. The Centers for Disease Control and Prevention and the American Academy of Pediatrics now recommend that college students and parents be educated about meningococcal disease and consider vaccination
Rationale: The pneumococcal polysaccharide vaccine is recommended for clients who are infants or older adults. It is also given to clients of any age who have a chronic illness.
Rationale: The BCG vaccine is made of a live, weakened strain of the tuberculosis bacteria. It is used in many countries in which tuberculosis is endemic, but due to the fact that it only provides a small degree of very short lasting protection against tuberculosis, the BCG vaccine is not generally used in the U.S.
Rationale: Recent studies have shown that college students, especially freshmen living in dormitories, are at an increased risk for meningococcal meningitis. The Centers for Disease Control and Prevention and the American Academy of Pediatrics now recommend that college students and parents be educated about meningococcal disease and consider vaccination.
Rationale: The influenza vaccine is a seasonal vaccine that is recommended for clients who are older adults, pregnant women, infants, or health care providers likely to come into contact with influenza. It is also recommended for clients of any age who have chronic illness.
A nurse is providing teaching to a client about foods that prevent protein-energy malnutrition. Which of the following foods should the nurse include in the teaching? Select all that apply
A. Egg and ham omelet
B. Strawberries and bananas
C. Tuna fish
D. Cottage cheese
E. Celery
A. Egg and ham omelet
C. Tuna fish
D. Cottage cheese
The public health nurse is teaching the mother of a preschooler how to establish good eating habits in her child. Which strategy will the nurse include in the teaching?
A. Use food as a bribe or reward for good behavior.
B. Punish the child for not eating.
C. Allow the child to eat foods in any order.
D. Do not eat with the child.
C. Allow the child to eat foods in any order.
Rationale: Application; Outcome 7; ATI Nutrition; PT Chapter 7 page 111; Important to allow children autonomy in food choices; Should never punish for foods, importatn to eat with child, should not use foods as bribes or reward
The nurse is planning to teach a client about the necessity of following a low-fat diet. The nurse develops a list of high-fat foods to avoid. Which food items should be included on the list? Select all that apply.
A. Broccoli
B. Margarine
C. Cream cheese
D. Red meats
E. Pinto beans
B. Margarine
C. Cream cheese
D. Red meats
The nurse teaches the 18-year-old diabetic client to perform self-administration of insulin. Each time the client makes even a small mistake, the client apologizes for getting it wrong. The client also profusely apologizes when making a minimal mistake in other activities. Based on Erikson’s developmental stages, the nurse concludes that the client may have an unresolved developmental task of which age period?
A. Infancy
B. Preschooler
C. Young adult
D. Adolescence
B. Preschooler
Rationale: Application; Outcome 2; PT Chapter 5 page 65; This is an example of initiative vs guilt; inferiority complex
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?
A. Controls impulsive feelings
B. Builds a collection of cards
C. Expresses need for privacy
D. Participates in imaginary play
D. Participates in imaginary play
Rationale: By 5 years of age, a preschooler should participate in imaginary and creative play, play cooperatively with peers, and speak in complete sentences.
The nurse is planning care for a client who is receiving chemotherapy and is in a negative nitrogen balance. Which of the following interventions should the nurse include in the plan of care to increase calories and protein in their diet? Select all that apply.
A. Mix powdered skim milk into milk
B. Add greek yogurt to fruit
C. Increase green vegetable intake
D. Offer hourly fluids
E. Add supplemental nutritious drinks
A. Mix powdered skim milk into milk
B. Add greek yogurt to fruit
E. Add supplemental nutritious drinks
The nurse assesses the vital signs of a 11-month-old infant with a respiratory rate is 35 breaths per minute. On the basis of this finding, which action is most appropriate?
A. Administer oxygen.
B. Document the findings.
C. Notify the pediatrician
D. Reassess the respiratory rate in 15 minutes.
B. Document the findings.
Rationale: Knowledge; Outcome 4; PT Chapter 6 page 82; 35 is normal infant vital sign. Infants can have periods of apnea
The nurse knows which of the following patient laboratory results will require dietary education providing information on a low cholesterol, low fat diet?
A. Cholesterol level of 150
B. Low density lipoproteins level of 142 mg/dL
C. High density lipoproteins level of 62 mg/dL
D. Potassium level of 4.1 mEq/L
B. Low density lipoproteins level of 142 mg/dL
Rationale: Application; Outcome 5; PT Chapter 13; Cholesterol should be <200, HDL >45 men >55 women, LDL <130