The nurse is assessing a 9 year old bow who A
has been admitted to the hospital with
possible acute poststreptoccocal
glomerulonephritis (APSGN). In obtaining his
history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days
The nurse is measuring the frontal occipital D
circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased
5 inches (12.7cm) since birth and the child's
head appears large in relation to body size.
Which action is MOST important for the nurse
to take next?
A - plot the measurement on the infant's
growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension
and bulging
,A female infant recently admitted with B
vomiting and diarrhea now weighs 10 kg. Her
weigh at a previous well-baby visit was 11 kg.
What is the percentage of body weight loss
for this infant?
A - 4%
B - 9%
C - 10%
D - 5%
A male high school student with Type 1 A
diabetes tests his blood glucose level before
playing a game of soccer and he obtains a
reading of 180 mg/dL (10 mmol/L). Based on
the reading, which action should the nurse
take?
A - tell him to eat a sandwich and fruit before
beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play
soccer
D- call the healthcare provider
, A 7-year-old child is admitted to the hospital A
with a diagnosis of acute rheumatic fever. In
obtaining a health hx from the child's mother,
the recent occurrence of which illness is
MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza
A mother brings her 2-month-old son to the C
clinic for a well baby exam. During the
assessment, the nurse finds that the right
testicle is not descended into the scrotum,
but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine
specimen for culture
B - address possible concerns about the
child's future fertility
C - ask if the right teste has been seen in the
scrotum before
D - schedule an IV pyelogram to validate
presence of testeicle
has been admitted to the hospital with
possible acute poststreptoccocal
glomerulonephritis (APSGN). In obtaining his
history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days
The nurse is measuring the frontal occipital D
circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased
5 inches (12.7cm) since birth and the child's
head appears large in relation to body size.
Which action is MOST important for the nurse
to take next?
A - plot the measurement on the infant's
growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension
and bulging
,A female infant recently admitted with B
vomiting and diarrhea now weighs 10 kg. Her
weigh at a previous well-baby visit was 11 kg.
What is the percentage of body weight loss
for this infant?
A - 4%
B - 9%
C - 10%
D - 5%
A male high school student with Type 1 A
diabetes tests his blood glucose level before
playing a game of soccer and he obtains a
reading of 180 mg/dL (10 mmol/L). Based on
the reading, which action should the nurse
take?
A - tell him to eat a sandwich and fruit before
beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play
soccer
D- call the healthcare provider
, A 7-year-old child is admitted to the hospital A
with a diagnosis of acute rheumatic fever. In
obtaining a health hx from the child's mother,
the recent occurrence of which illness is
MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza
A mother brings her 2-month-old son to the C
clinic for a well baby exam. During the
assessment, the nurse finds that the right
testicle is not descended into the scrotum,
but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine
specimen for culture
B - address possible concerns about the
child's future fertility
C - ask if the right teste has been seen in the
scrotum before
D - schedule an IV pyelogram to validate
presence of testeicle
