26- A child diagnosed with intellectual disability (ID) is under the supervision of Nurse Tasha. The nurse is aware that the signs and symptoms of mild ID include which of the following?
Anonymous Quiz
33%
A. Few communication skills
22%
B. Lateness in walking
24%
C. Mental age of a toddler
21%
D. Noticeable developmental delays
27- Nurse Kathy is assessing infantile reflexes in a 9-month-old baby; which of the following would she identify as normal?
Anonymous Quiz
25%
A. Persistent rooting
24%
B. Bilateral parachute
35%
C. Absent moro reflex
16%
D. Unilateral grasp
28- The American Association on Mental Deficiency (AAMD), now American Association on Intellectual and Developmental Disabilities (AAIDD) definition of mental retardation emphasizes which of the following?
Anonymous Quiz
26%
A. An IQ level that must be below 50
24%
B. Cognitive impairment occurring after age 22 years
37%
C. Deficits in adaptive behavior with intellectual impairment
13%
D. No responsiveness to contact
29-After explaining to the parents about their child’s unique psychological needs related to a seizure disorder and possible stressors, which of the following interests uttered by them would indicate further teaching?
Anonymous Quiz
27%
A. Feeling different from peers
30%
B. Poor self-image
25%
C. Cognitive delays
17%
D. Dependency
30- Olivia is an adolescent who has seizure disorder; which of the following would not be a focus of a teaching program?
Anonymous Quiz
30%
A. Ability to obtain a driver's license
23%
B. Drug and alcohol abuse
29%
C. Increased risk of infections
18%
D. Peer pressure
31-The 6-year-old son of Mr. and Mrs. Peters is admitted to the healthcare facility with the diagnosis of idiopathic hypopituitarism. His height is measured below the third percentile and weight at the 40th percentile. Which first action of his attending?
Anonymous Quiz
29%
A. Recommend orthodontic referral for underdeveloped jaw.
29%
B. Collaborate with a dietician to access his caloric needs.
29%
C. Provide for a tutor for his precocious intellectual ability.
14%
D. Place him in a room with a 2-year-old boy.
32- While Lawrence is being assessed at the clinic, Nurse Rachel observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child’s rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. As a knowledgeable nurse, you know that the child has a deficiency of which of the following?
A. Antidiuretic hormone (ADH)
B. Parathyroid hormone (PTH)
✔️C. Growth hormone (GH)
D. Melanocyte-stimulating hormone (MSH)
A. Antidiuretic hormone (ADH)
B. Parathyroid hormone (PTH)
✔️C. Growth hormone (GH)
D. Melanocyte-stimulating hormone (MSH)
33- In growing children, growth hormone deficiency results in short stature and very slow growth rates. Short stature may result from which of the following?
Anonymous Quiz
45%
A. Anterior pituitary gland hypofunction
24%
B. Posterior pituitary gland hyperfunction
14%
C. Parathyroid gland hyperfunction
17%
D. Thyroid gland hyperfunction
34- Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares to the nurse the desire of his son to play ball games. However, his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents, the nurse should keep in mind which of the following?
✔️A. The child should be allowed to play because doing so can foster healthy self-esteem.
B. The risk for fractures is increased because a GH deficiency results in fragile bones.
C. Activity could aggravate insulin sensitivity, causing hyperglycemia.
D. Activity would aggravate the child's joints, already over tasked by obesity.
✔️A. The child should be allowed to play because doing so can foster healthy self-esteem.
B. The risk for fractures is increased because a GH deficiency results in fragile bones.
C. Activity could aggravate insulin sensitivity, causing hyperglycemia.
D. Activity would aggravate the child's joints, already over tasked by obesity.
35- A child newly diagnosed with diabetes mellitus has been stabilized with insulin injections daily. A nurse prepares a discharge teaching plan regarding the insulin. The teaching plan should reinforce which of the following concepts?
Anonymous Quiz
33%
A. Always keep insulin vials refrigerated
18%
B. Increase the amount of insulin before exercise
22%
C. Ketones in the urine signify a need for less insulin
27%
D. Systematically rotate injection sites