Nursing Elites

1. Why does the nurse have a 2-year-old boy sit in a “tailor” position while palpating for the presence of the testes?

• A. It prevents the cremasteric reflex
• B. Undescended testes can be palpated
• C. The child has an inguinal hernia
• D. The child does not yet have a need for privacy

Correct answer: A

Rationale: The tailor position stretches the muscle responsible for the cremasteric reflex, preventing it from contracting and pulling the testes into the pelvic cavity. This position helps accurately palpate the testes. Choice B is incorrect because the position does not facilitate the palpation of undescended testes specifically. Choice C is incorrect as it does not relate to the rationale behind the tailor position. Choice D is incorrect as the reason for using the tailor position is not related to the child's need for privacy.

2. During which phase of the nursing process does the nurse use essential information about the child’s physical, social, and emotional health to decide which interventions to use?

• A. Implementation
• B. Planning
• C. Diagnosis
• D. Assessment

Correct answer: B

Rationale: The correct answer is B: Planning. During the planning phase of the nursing process, the nurse utilizes essential information gathered during the assessment about the child’s physical, social, and emotional health to determine the most appropriate interventions to address the identified needs. This phase focuses on developing a comprehensive care plan tailored to the individual child. A) Implementation is incorrect because this phase involves carrying out the interventions outlined in the care plan. C) Diagnosis is incorrect as it refers to identifying health issues based on the assessment data. D) Assessment is incorrect as it involves collecting and analyzing data about the child's health status, rather than deciding on interventions.

3. What statement is an advantage of peritoneal dialysis compared with hemodialysis?

• A. Protein loss is less extensive.
• B. Dietary limitations are not necessary.
• C. It is easy to learn and safe to perform.
• D. It is needed less frequently than hemodialysis.

Correct answer: C

Rationale: Peritoneal dialysis is generally easier to learn and can be safely performed at home. Although dietary limitations still apply, this method offers greater flexibility in treatment scheduling compared to hemodialysis, which often requires multiple weekly visits to a dialysis center.

4. Which is the single most important factor to consider when communicating with children?

• A. Presence of the child's parent
• B. Child’s physical condition
• C. Child’s developmental level
• D. Child’s nonverbal behaviors

Correct answer: C

Rationale: The child’s developmental level is the most important factor, as it determines how information should be communicated and what the child can understand.

5. At which age does an infant start to recognize familiar faces and objects, such as his or her own hand?

• A. 1 month
• B. 2 months
• C. 3 months
• D. 4 months

Correct answer: C

Rationale: By 3 months, infants begin to recognize familiar faces and objects, such as their own hands. This marks the early stages of visual recognition and cognitive development.

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