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24. To help a comatose client's family make a moral decisionregarding the termination of life support, the nurse must first:1. Refrain from expressing his/her personal beliefs concerningthe life support issue2. Provide the family with information regarding the process of

terminating life support3. Determine whether the client had expressed any written ororal wishes regarding the issue4. Facilitate the family's decision-making process by providingthem with a quiet, private space for discussionRefrain from expressing his/her personal beliefs concerning thelife support issue

25. Which of the following best describes a nurse thinking atstage 5 of Kohlberg's Moral Developmental Theory?1. "The client has a right to decide whether or not to proceed

with the treatment plan."2. "The hospital's policies and procedures are excellent toolsfor making client oriented decisions."3. "It won't be fair to expect to get every weekend and holidayoff, so I'll certainly work my share."4. "If you don't keep client information confidential you could be terminated immediately.""The client has a right to decide whether or not to proceed withthe treatment plan."

26. Which of the following client statements made by an older

adult best reflects an understanding of the decrease in physicalstrength and stamina in this developmental stage?1. "I know I'm not as young as I use to be."2. "I just hire help with jobs I can't do myself."3. "You get older you can't do as much, that's life."4. "I have to ask my son for help with the yard work.""I just hire help with jobs I can't do myself."

1. Which of the following data is the most important for thenurse to assess when caring for a woman in her secondtrimester of pregnancy?1. Detection of fetal movement2. Observation that the uterus is below the pubis3. Confirmation of the desire to breast- or bottle-feed4. Determination of the presence of morning sicknessDetection of fetal movement

2. Which one of the following newborn reflexes should thenurse be able to elicit at a 6-month well-baby visit?

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1. Moro2. Startle3. Babinski4. ExtrusionBabinski

3. In evaluating an infant's physical status and growth, thenurse expects to find:1. Birth weight triples by 6 months2. Anterior fontanel closes 4 to 8 weeks after birth3. Chest circumference is larger than head circumference at 12months4. Birth height increases 1 inch each month for the first 6monthsBirth height increases 1 inch each month for the first 6 months

4. Upon evaluation of a 6-month-old infant's developmentalstatus, the nurse expects that the child at this age will be ableto:1. Completely roll over2. Pull self to a standing position3. Creep on all four extremities4. Assume a sitting position independentlyCompletely roll over

5. For a 2-year-old child, cognitive development ischaracterized by:1. Recognizing right and wrong2. Initiating play with other children3. Having a vocabulary of at least 1000 words4. Using short sentences to express independenceUsing short sentences to express independence

6. In planning nursing care for an 18-month-old child, thenurse should know that the predominant developmentalcharacteristic of children this age is:1. Parallel play2. Peer pressure3. Mutilation anxiety4. Imaginary playmatesParallel play

7. The nurse, in working with children of this age, plans toallow a 5-year-old boy who was admitted to the surgical centerto have his tonsils removed to:

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1. Perform his own preoperative hygienic care2. Have alone time to relax before the procedure3. Handle the equipment when taking his blood pressure4. Have access to age-appropriate magazines and puzzles fordiversion

Handle the equipment when taking his blood pressure

8. A parent of a 3-year-old boy states that she is concerned because he was potty trained long before hospitalization butnow refuses to use the toilet. What is the correct response bythe nurse?1. "Your son is probably feeling neglected, and you shouldmake an effort to spend more time with him."2. "This is common behavior that is expressed when thehospitalized child is stressed or anxious."3. "You may need to include discipline because children easily

lose the ability to be toilet trained during hospitalization."4. "Your son was probably not ready to be potty trained, and you may want to continue the training for the next 6 months.""This is common behavior that is expressed when thehospitalized child is stressed or anxious."

9. A 4-year-old child is crying from pain related to herfractured leg. Which of the following is the most appropriatenursing response to her alteration in comfort?1. "Please try to not move your leg and that will make it feel better."

2. "I'll give you a shot of medicine that will help take the painaway."3. "It's okay if you need to cry. Would you like to hold yourfavorite doll?"4. "Would you like to tell me now where you want me to give you your shot?""It's okay if you need to cry. Would you like to hold your favoritedoll?"