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NURS 1023 Module 1&2 Exam Questions with Answers

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NURS 1023 Module 1&2 Exam Questions with Answers

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NURS 1023 Module 1&2 Exam
Questions with Answers
According to Piaget's theory of cognitive development, a person 11 years or older begins to:
a. Use images and symbols to represent the world.
b. Think abstractly.
c. Explore the environment by using the senses.

d. Think that everyone sees the world exactly as he or she sees it. - ✔✔b. Think abstractly.


Maria continues her assessment of the newborn girl. Which of the following is a normal reflex
found in newborns? (Select all that apply.)
-Blinking in response to bright lights
-Startling in response to sudden loud noises
-Performing sucking, rooting, and grasping movements

-Touching the nose on verbal command - ✔✔Blinking in response to bright lights

Startling in response to sudden loud noises
Performing sucking, rooting, and grasping movements


A pregnant teenager asks the clinic nurse why she should not smoke during the first trimester.
The nurse's best response should be:
a. The distribution of body hair can be altered.
b. The sex of the baby is determined in the first 3 months.
c. Development of fingers and toes can be affected.

d. The organ systems are beginning to develop. - ✔✔d. The organ systems are beginning to
develop.

,Maria is working with one of the neonatal nurses during her volunteer shift. Maria assists the
nurse with an assessment of a newborn girl. Maria palpates the newborn's head and feels the
fontanels. What should Maria do next?
-Alert the neonatal nurse that there is a problem with the newborn's head.
-Palpate harder to see if a dent can be made in the fontanels.
-Proceed with the assessment because palpable fontanels are a normal finding.

-Try to adjust the skull bones to move over the fontanel. - ✔✔Proceed with the assessment
because palpable fontanels are a normal finding.


You are caring for a 5-year-old who is hospitalized for stabilization of asthma. To render age-
specific care, an action you can take would be to:
-Allow the child to handle medical equipment.
-Respond immediately to the child's every need.
-Tell the child to be good.

-Rationalize the child's complaint as part of the developmental stage - ✔✔Allow the child to
handle medical equipment.


Which of the following might be a cause of stress for young adults?
Activity
Being single
Career

Sexuality - ✔✔Being single


Sam notices that Mr. Calder's face is gaunt and drawn in appearance.

Sam knows that thinning of the face in the elderly is due to ____________ - ✔✔Loss of
subcutaneous fat and skin elasticity


Sam performs his assessment of Mr. Calder. What findings are considered normal for a patient
of Mr. Calder's age? (Select all that apply.)

,A. Thin skin
B. Decreased saliva production
C. Decreased muscle strength
D. Whitening of the eye lens

E. Mr. Calder's blood pressure is 162 systolic/92 diastolic. - ✔✔A. Thin skin

B. Decreased saliva production
C. Decreased muscle strength


A nurse who has recently graduated has been assigned to be a primary nurse on a geriatric unit.
After completing a review of development and aging, the nurse recalls that changes for the
older adult include:
-A transition from young adulthood.
-The ability of the older adult to achieve sexual arousal.
-A time when cognitive performance begins to peak.

-Adjusting to decreasing health and physical strength. - ✔✔Adjusting to decreasing health and
physical strength.


Which of the following might be a cause of stress for the older adult?
-Financial security
-Planned retirement
-Maintaining satisfactory living environment

-Adjusting to decreasing health and physical strength - ✔✔Adjusting to decreasing health and
physical strength


Which milestones are true about development in infants? Select all that apply.
-12 months - Gets to sitting position without assistance
-4 to 6 months - Crawls on hands and knees
-Birth to 1 month - Complete head lag persists

, -2 to 4 months - Can move from sitting to kneeling position

-7 months - Sits with support and then without it - ✔✔-12 months - Gets to sitting position
without assistance
-Birth to 1 month - Complete head lag persists
-7 months - Sits with support and then without it
Infants have a gradual development of gross and fine motor skills. By 12 months, the infant gets
to the sitting position without assistance. Head lag persists from birth until 1 year. By 7 months,
the infant can sit with support and then without it. The infant crawls forward on the belly using
arms and legs to push at 12 months, not 4 to 6 months. The infant cannot move from a sitting
to kneeling position at 2 to 4 months.


A postoperative patient is receiving morphine sulfate using PCA. The nurse assesses that the
patient's respirations are depressed. The effects of the morphine sulfate can be classified as

A. Allergic.B. Idiosyncratic.C. Therapeutic.D. Toxic. - ✔✔D. Toxic


A mother comments that her toddler eats little at mealtimes, only sits briefly at the table, and
wants snacks all the time. Which strategy would the nurse recommend?
-Provide nutritious snacks.
-Offer rewards for eating at mealtimes.
-Avoid snacks so she is hungry at mealtime.

-Explain to her firmly why eating at mealtime is important - ✔✔Provide nutritious snacks.


If a nurse experiences a problem reading a physician's medication order, the most appropriate
action will be to
A. Call the physician to verify order
B. Call the pharmacist to verify order.
C. Consult with other nursing staff to verify.

D. Withhold the medication until physician makes rounds. - ✔✔A. Call the physician to verify
order

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