Nursing Elites

1. Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the “finger-to-nose test.” What is the purpose of this test?

• A. Deep tendon reflexes
• B. Cerebellar function
• C. Sensory discrimination
• D. Ability to follow directions

Correct answer: B

Rationale: The finger-to-nose test assesses cerebellar function, which is responsible for balance and coordination. The test evaluates how well the cerebellum controls motor functions and coordination. Choice A, deep tendon reflexes, is incorrect because this test does not assess reflexes but rather cerebellar function. Choice C, sensory discrimination, is incorrect as this test focuses on motor function rather than sensory abilities. Choice D, ability to follow directions, is incorrect since the test primarily assesses motor coordination and not cognitive skills related to following instructions.

2. A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?

• A. Encourage the mother to express her feelings
• B. Explain in simple language that the baby has a cleft lip
• C. Provide emotional support until the practitioner can talk to the mother
• D. Tell the mother a pediatrician will talk to her as soon as the baby is examined

Correct answer: A

Rationale: Encouraging the mother to express her feelings allows her to process the situation and prepares her for receiving further information in a supportive environment.

3. What is known as providing families with information on normal growth and development and nurturing child-rearing practices before the child enters that stage of development?

• A. Holistic nursing
• B. Evidence-based practice
• C. Morbidity
• D. Anticipatory guidance

Correct answer: D

Rationale: Anticipatory guidance is the process of providing parents with information about expected developmental milestones and how to address common issues that may arise during different stages of their child's growth. This proactive approach helps parents prepare for and support their child's development. Holistic nursing (choice A) refers to a comprehensive and integrated approach to healthcare that considers the whole person. Evidence-based practice (choice B) involves making clinical decisions based on the best available evidence. Morbidity (choice C) refers to the prevalence of a disease in a population.

4. In terms of gross motor development, what should the nurse expect an infant age 5 months to do?

• A. Sit erect without support
• B. Roll from the back to the abdomen
• C. Turn from the abdomen to the back
• D. Move from a prone to a sitting position

Correct answer: C

Rationale: At 5 months, infants typically can turn from their abdomen to their back. Rolling from back to abdomen and sitting erect without support occur later.

5. Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

• A. Face
• B. Buttocks
• C. Oral mucosa
• D. Palms and soles

Correct answer: C

Rationale: The oral mucosa and conjunctivae are the best places to observe petechiae in dark-skinned individuals because these areas have less pigmentation.

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