HEALTH PROMOTION QUESTIONS AND ANSWERS

Health Promotion The outpatient clinic nurse administers a tuberculin skin test (TST) to four adult clients. The nurse anticipates which client will likely demonstrate a false-positive response to the TST? 1 . A client who received a herpes zoster (shingles) vaccine last week. 2 . A client who received a bacille Calmette-Guerin (BCG) vaccine 1 month ago. 3 . A client who regularly takes corticosteroid medication. 4 . A client who was recently diagnosed with AIDS. The nurse assesses a newborn immediately after birth. Which APGAR assessments cause the nurse to assign a score of less than 2 for an area? (Select all that apply.) 1. Weak cry. 2. Actively moving the arms and legs. 3. Body is pink, but extremities are blue. 4. Heart rate is 86. 5. Grimaces when a probe is placed into the nasal cavity. A 6-month-old infant is brought to the wellness clinic by parents for a routine visit. Which observation requires follow up by the nurse for evaluation of a possible developmental delay? 1 . The infant cries and clings to the parent when the nurse is present. 2 . The infant's weight has increased from 8 lb (3.6 kg) to 16 lb (7.3 kg) since birth. 3 . The infant requires support from the parent in order to sit upright. 4 . The infant abducts the extremities and fans the fingers when there is a noise. The nurse provides care for toddlers in the pediatric clinic. In which order does the nurse present the information to the toddler’s parents? (Arrange the developmental milestones in the proper order. All options must be used.) Walks without help, builds a tower of three to four blocks, uses two to three word phrases, jumps with both feet. The older adult client has a medical history that includes hypertension. A public health nurse visits this client regularly. Which finding does the nurse expect for this client?