A nurse is assessing a 12-month-old infant who is brought to the clinic by the parents for a well-child visit. The nurse reviews the infant's health history and notes that the infant weighed 8 lb at birth. When assessing the infant's weight at this visit, the nurse would anticipate that the infant would weigh approximately how much at this time?

Answer and Explanation

The Correct Answer is C

A. 20 lbs: This is a plausible estimate. By 12 months, an infant's birth weight typically triples. Therefore, an 8 lb birth weight would approximately translate to 24 lbs at 12 months.

B. 32 lbs: This estimate is too high. If an infant's birth weight triples by 12 months, an 8 lb birth weight would not be expected to reach 32 lbs.

C. 24 lbs: An infant's weight usually triples by their first birthday. Therefore, an infant born weighing 8 lbs would be expected to weigh about 24 lbs at 12 months.

D. 16 lbs: This is an underestimate. An 8 lb infant would double their birth weight by about 4 to 6 months, and by 12 months, they would typically have tripled their birth weight to around 24 lbs.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. "Do you smoke?" This is a closed-ended question that can be answered with a simple "yes" or "no." It doesn't encourage elaboration or detailed responses.

B. "How are you feeling?" This is an open-ended question that encourages the client to provide more detailed and descriptive responses about their current state or feelings. It allows the client to share more information and gives the nurse a better understanding of their condition.

C. "Are you feeling well?" Similar to option A, this is a closed-ended question. It prompts a "yes" or "no" answer without inviting further discussion or detailed explanation.

D. "Do you use any illicit drugs?" This is another closed-ended question that requires a "yes" or "no" answer. It does not provide the opportunity for the client to discuss their drug use in detail.

A. Provide music as an environmental distraction. B. Make sure the room temperature is cool. C. Explain to the client what is about to happen. D. Inform the client that the provider will examine sensitive areas first

Correct Answer is C

Explanation

A. Provide music as an environmental distraction: This might help in some contexts but is not typically necessary for preparing for a physical exam. Clear communication is more important.

B. Make sure the room temperature is cool: Older adults often have reduced ability to regulate body temperature and may find cooler environments uncomfortable. A comfortable room temperature is preferable.

C. Explain to the client what is about to happen: Clear explanations can reduce anxiety, increase cooperation, and ensure that the client understands the process, which is crucial for effective assessment and trust.

D. Inform the client that the provider will examine sensitive areas first: Sensitive areas are usually examined last to maintain comfort and build trust.

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Naxlex Comprehensive Predictor Exams

A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?

Correct Answer is B

Explanation

A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Upon entering the client's room at the beginning of a shift and throughout the shift, the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?

A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

When assessing the abdomen, which assessment technique is used last?

The nurse is conducting an assessment of a client that has been admitted to a medical unit in the hospital for treatment of pneumonia. Which action will the nurse take when conducting the respiratory assessment of this client?

A nurse has accepted a position in a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (place them in the selected order of performance.)

A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

To what is a person referring when during an interview the person says, "I am a member of the sandwich generation?