San Jacinto College

Present Problem: You are the nurse taking care of Stanley Harris, a 90-year-old was admitted yesterday evening for syncope after falling at home where he lives alone. His head CT was negative for intracranial hemorrhage and no other injuries were sustained. He is admitted for dehydration and electrolyte imbalances of potassium 3.3 and magnesium of 1.4 on admission. The day shift nurse reports that Mr. Harris received a liter of Lactated Ringer’s over her eight-hour shift and is alert and ...

1. The school nurse is discussing testicular self-examination with adolescent boys. Why is this important? a. Epididymitis is common during adolescence. b. Asymptomatic sexually transmitted diseases may be present. c. Testicular tumors during adolescence are generally malignant. d. Testicular tumors, although usually benign, are common during adolescence. ANS: C Tumors of the testes are not common, but when manifested in adolescence, they are generally malignant and demand immediate eval...

1. Parents of a toddler with hypopituitarism ask the nurse, “What can we expect with this condition?” The nurse should respond with which statement? a. Growth is normal during the first 3 years of life. b. Weight is usually more retarded than height. c. Skeletal proportions are normal for age. d. Most of these children have subnormal intelligence. ANS: C In children with hypopituitarism, the skeletal proportions are normal. Growth is within normal limits for the first year of life. H...

1. Which statement is true about smoking in adolescence? a. Smoking is related to other high-risk behaviors. b. Smoking will not continue unless peer pressure continues. c. Smoking is less common when the adolescent’s parent(s) smokes. d. Smoking among adolescents is becoming more prevalent. ANS: A Cigarettes are considered a gateway drug. Teenagers who smoke are 11.4 times more likely to use an illicit drug. Teenagers begin smoking for a variety of reasons, such as imitation of adult ...

1. What is the initial indication of puberty in girls? a. Menarche b. Growth spurt c. Growth of pubic hair d. Breast development ANS: D In most girls, the initial indication of puberty is the appearance of breast buds, an event known as thelarche. The usual sequence of secondary sex characteristic development in girls is breast changes, rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation, and abrupt deceleration of linear growth. DIF: Co...

1. A nurse is caring for four patients; three are toddlers and one is a preschooler. Which represents the major stressor of hospitalization for these four patients? a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain ANS: A The major stressor for children from infancy through the preschool years is separation anxiety, also called anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and fear of pain are a...

1. The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Who should the nurse invite to the conference? a. Family and nursing staff b. Social worker, nursing staff, and primary care physician c. Family and key health professionals involved in the child’s care d. Primary care physician and key health professionals involved in the child’s care ANS: C A multidisciplinary conference is necessary for co...

1. Which should the nurse consider when having consent forms signed for surgery and procedures on children? a. Only a parent or legal guardian can give consent. b. The person giving consent must be at least 18 years old. c. The risks and benefits of a procedure are part of the consent process. d. A mental age of 7 years or older is required for a consent to be considered “informed.” ANS: C The informed consent must include the nature of the procedure, benefits and risks, and alterna...

1. A young child has an intelligence quotient (IQ) of 45. The nurse should document this finding as: a. within the lower limits of the range of normal intelligence. b. mild cognitive impairment but educable. c. moderate cognitive impairment but trainable. d. severe cognitive impairment and completely dependent on others for care. ANS: C Moderate cognitive impairment IQs range between 35 and 55. The lower limit of normal intelligence is approximately 70. Individuals with IQs of 50 to 70 a...

RELE 1211 – Law of Contracts Final Exam A 2023. Which of the following are NOT included in the description of land? a. A sewer system b. The earth’s surface extending downward to the center of the earth c. Trees and water on the earth’s surface d. Formations such as hills and plateaus 2. Which of the following is TRUE regarding manufactured housing in Texas? a. It can be considered real property if the owner chooses to treat it as such and files the proper paperwork. b. It is alway...