1 The parents of a 5-month-old infant state that their infant seems to eat very little. Most of the

food comes out of the infant's mouth and onto his clothes. Which of the following explanations

should the nurse give to the parents?

Trying to introduce food after the intake of a bottle formula is usually not recommended because

the infant is satiated and has no inclination to try something new. Solid foods should be offered

at 4 to 6 months. The gastrointestinal tract has matured enough to handle more nutrients and is

less sensitive to potentially allergenic foods. This deprives the infant of the pleasure of learning

new tastes and developing a discriminating palate. It may cause problems with poor chewing

because of lack of experience. Due to the extrusion (protrusion) reflex, the infant’s tongue pushes

the food out of the mouth. It is most helpful to suggest using a long-handled spoon and placing

the food in the back of the infant's mouth to avoid the reflex.

"Give the baby a bottle of formula before solid food to assure adequate caloric intake."

"Stop the solid foods and try again when the baby is 12 months old."

"Put the cereal in a bottle and feed the baby through a nipple with a large hole."

"Place the food in the back of the baby's mouth using a long-handled spoon."

2 A nurse smells an odor identified as marijuana coming from a room. Which of the following

client findings would confirm inhalation of the substance?

All are findings of a client who has smoked/inhaled cannabis/marijuana. These clients are

typically euphoric or somewhat mildly intoxicated. They have poor coordination with bloodshot

(red) eyes and may laugh inappropriately. These findings are more commonly due to of the

effects of depressants. These findings are more commonly due to the effects of opiates. These

findings are more commonly due to the effects of cocaine.

Poor coordination, red eyes, and euphoria

Slurred speech, confusion, and combativeness

Loss of consciousness, respiratory depression, and coma

Hypertension, tachycardia, and hyperflexia

3 A nurse is checking children at an orthopedic outpatient setting. Which of the following should

the nurse expect to see as manifestations of scoliosis?

Lumbar curvature is a manifestation of lordosis. These are manifestations of scoliosis. Often

parents observe that a child's skirt doesn't hang straight or the pant legs are uneven. Tenderness is