Terms in this set (108)
3
A 3-year-old child is brought to the
emergency department by the mother,
who reports that her child fell down
the stairs and sustained injuries to the
right arm and leg. During the physical
assessment the nurse identifies a
number of old bruises on the child's
back, buttocks, and upper arms. What
should the nurse say to the child to
obtain additional information?
1 "Why did you fall down the stairs?"
2 "Did you really fall down those
stairs?"
3 "Show me how you fell down the
stairs."
4 "Your mommy must have told you
to say you fell down the stairs."
2
, 1
A 9-year-old child is admitted to the
pediatric unit with a tentative
diagnosis of an infratentorial brain
tumor. What presenting sign does the
nurse anticipate when assessing the
child?
1 Ataxia
2 Papilledema
3 Cranial enlargement
4 Generalized seizures
3
A 10-year-old child who was rescued
from a house fire is brought to the
emergency department with burns of
the extremities. During assessment of
the child, what finding is of most
concern to the nurse?
1 Increased temperature
2 Increasing activity level
3 Burns around the mouth
4 Edema distal to the burns
, 4
A 42-year-old client undergoes
amniocentesis during the 16th week
of gestation because of concern about
Down syndrome. Which additional
information about the fetus will
examination of the amniotic fluid
reveal at this time?
1 Lung maturity
2 Type 1 diabetes
3 Cardiac anomaly
4 Neural tube defect
3,4,5
A 50-year-old client with a 30-year
history of smoking reports a chronic
cough and shortness of breath related
to chronic obstructive pulmonary
disease (COPD). The clinical data on
admission are as follows: a heart rate
of 100, a blood pressure of 138/82, a
respiratory rate of 32, a tympanic
temperature 36.8 °C, and an oxygen
saturation of 80%. Which vital signs
obtained by the nurse during the
therapy indicates a positive outcome?
Select all that apply.
1 Radial pulse: 70
, 4
After a head injury, a client develops
a deficiency of antidiuretic hormone
(ADH). What should the nurse
consider before assessing the patient
about the response to secretion of
ADH?
1 Serum osmolarity increases
2 Urine concentration decreases
3 Glomerular filtration decreases
4 Tubular reabsorption of water
increases
1
After assessing a client's vision, the
nurse observes the client has difficulty
seeing objects that are far away.
Which condition does the nurse
suspect the client is experiencing?
1 Myopia
2 Hyperopia
3 Presbyopia
4 Astigmatism
3
A 3-year-old child is brought to the
emergency department by the mother,
who reports that her child fell down
the stairs and sustained injuries to the
right arm and leg. During the physical
assessment the nurse identifies a
number of old bruises on the child's
back, buttocks, and upper arms. What
should the nurse say to the child to
obtain additional information?
1 "Why did you fall down the stairs?"
2 "Did you really fall down those
stairs?"
3 "Show me how you fell down the
stairs."
4 "Your mommy must have told you
to say you fell down the stairs."
2
, 1
A 9-year-old child is admitted to the
pediatric unit with a tentative
diagnosis of an infratentorial brain
tumor. What presenting sign does the
nurse anticipate when assessing the
child?
1 Ataxia
2 Papilledema
3 Cranial enlargement
4 Generalized seizures
3
A 10-year-old child who was rescued
from a house fire is brought to the
emergency department with burns of
the extremities. During assessment of
the child, what finding is of most
concern to the nurse?
1 Increased temperature
2 Increasing activity level
3 Burns around the mouth
4 Edema distal to the burns
, 4
A 42-year-old client undergoes
amniocentesis during the 16th week
of gestation because of concern about
Down syndrome. Which additional
information about the fetus will
examination of the amniotic fluid
reveal at this time?
1 Lung maturity
2 Type 1 diabetes
3 Cardiac anomaly
4 Neural tube defect
3,4,5
A 50-year-old client with a 30-year
history of smoking reports a chronic
cough and shortness of breath related
to chronic obstructive pulmonary
disease (COPD). The clinical data on
admission are as follows: a heart rate
of 100, a blood pressure of 138/82, a
respiratory rate of 32, a tympanic
temperature 36.8 °C, and an oxygen
saturation of 80%. Which vital signs
obtained by the nurse during the
therapy indicates a positive outcome?
Select all that apply.
1 Radial pulse: 70
, 4
After a head injury, a client develops
a deficiency of antidiuretic hormone
(ADH). What should the nurse
consider before assessing the patient
about the response to secretion of
ADH?
1 Serum osmolarity increases
2 Urine concentration decreases
3 Glomerular filtration decreases
4 Tubular reabsorption of water
increases
1
After assessing a client's vision, the
nurse observes the client has difficulty
seeing objects that are far away.
Which condition does the nurse
suspect the client is experiencing?
1 Myopia
2 Hyperopia
3 Presbyopia
4 Astigmatism
