D) The Nursing Social Policy Statement within the United States

The correct answer is A: The state nurse practice act in which the assignment is made
The state nurse practice act is the governing document of the scope of practice in the given state.
Haynes, L., Boese, T., and Butcher, H. (2004). Nursing in contemporary Society. Upper Saddle River, N.J.: Pearson Prentice
Hall.
Zerwekh, J. and Claborn, J. (2003). Nursing Today. Transitions and Trends. St. Louis: Elsevier.

Question Number 37 of 40
A 7 year-old child is hospitalized following a major burn to the lower extremities. A diet high in protein and carbohydrates
is recommended. The nurse informs the child and family that the most important reason for this diet is to

A) Promote healing and strengthen the immune system

B) Provide a well balanced nutritional intake
C) Stimulate increased peristalsis absorption
D) Spare protein catabolism to meet metabolic needs

The correct answer is D: Spare protein catabolism to meet metabolic needs

Because of the burn injury, the child has increased metabolism and catabolism. By providing a high carbohydrate diet, the
breakdown of protein for energy is avoided. Proteins are then used to restore tissue.
Wong, D.L., Perry, S.E., & Hockenberry, M.J. (2002). Maternal Child Nursing. (2nd edition). Mosby: St. Louis, Missouri.
Potts, N.L. and Mandleco, B.L. (2002). Pediatric nursing, caring for children and their families. USA: Thompson, Delmar,
Learning.

Question Number 38 of 40
The parents of a 7 year-old tell the nurse their child has started to "tattle" on siblings. In interpreting this new behavior,
how should the nurse explain the child's actions to the parents?

A) The ethical sense and feelings of justice are developing

B) Attempts to control the family use new coping styles
C) Insecurity and attention getting are common motives
D) Complex thought processes help to resolve conflicts

The correct answer is A: The ethical sense and feelings of justice are developing
The child is developing a sense of justice and a desire to do what is right. At seven, the child is increasingly aware of family
roles and responsibilities. They also do what is right because of parental direction or to avoid punishment.
Wong, D.L., Perry, S.E., & Hockenberry, M.J. (2002). Maternal Child Nursing. (2nd edition). Mosby: St. Louis, Missouri.
Potts, N.L. and Mandleco, B.L. (2002). Pediatric nursing, caring for children and their families. USA: Thompson, Delmar,
Learning.

Question Number 39 of 40
Which of the following statements describes what the nurse must know in order to provide anticipatory guidance to parents
of a toddler about readiness for toilet training?

A) The child learns voluntary sphincter control through repetition

B) Myelination of the spinal cord is completed by this age
C) Neuronal impulses are interrupted at the base of the ganglia
D) The toddler can understand cause and effect

The correct answer is B: Myelination of the spinal cord is completed by this age
Voluntary control of the sphincter muscles can be gradually achieved due to the complete myelination of the spinal cord,
sometime between the ages of 18 to 24 months of age.
Wong, D.L., Perry, S.E., & Hockenberry, M.J. (2002). Maternal Child Nursing. (2nd edition). Mosby: St. Louis, Missouri.
Potts, N.L. and Mandleco, B.L. (2002). Pediatric nursing, caring for children and their families. USA: Thompson, Delmar,
Learning.

Question Number 40 of 40
The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown
only. What is the rationale for this nursing intervention?

To reduce the risk of the client feeling cold due to decreased fat and subcutaneous
A)
tissue
B) To cover the bony prominence and areas where there is skin breakdown
C) The client knows what type of clothing to wear when weighed
D) To reduce the tendency of the client to hide objects under his or her clothing

The correct answer is D: To reduce the tendency of the client to hide objects under his or her clothing
 The client may conceal weights on their body to create the illusion of increased weight gain.
Fontaine, K.L. (2003). Mental Health Nursing, (5th ed.). Upper Saddle River, NJ: Prentice-Hall.
Varcarolis, E. (2002). Foundations of Psychiatry Mental Health Nursing A Clinical Approach (4th