// // // // // //
The //clinic //nurse //reviews //the //record //of //a //child //just //seen //by //a //health //care //provider //and
//diagnosed //with //suspected //aortic //stenosis. //The //nurse //expects //to //note //documentation //of
//which //clinical //manifestation //specifically //found //in //this //disorder?
A. //Pallor //
B. //Hyperactivity //
C. //Exercise //intolerance //
D. //GI //disturbances //- //CORRECT //ANSWERS(S)✔✔C. //Exercise //intolerance
The //nurse //prepares //to //administer //an //intramuscular //injection //to //a //4-month //old //infant.
//The //nurse //selects //which //BEST //site //to //administer //the //injection? //
A. //Ventrogluteal //
B. //Dorsal //gluteal //
C. //Rectus //femoris //
D. //Vastus //lateralis //- //CORRECT //ANSWERS(S)✔✔D. //Vastus //lateralis
A //nurse //is //caring //for //an //18-year-old //adolescent //who //is //up //to //date //on //immunizations
//and //is //planning //on //attending //college. //The //nurse //should //inform //the //client //that //he
//should //receive //which //of //the //following //immunizations //prior //to //moving //into //a //campus
//dormitory?
A. //pneumococcal //polysaccharide
B. //meningococcal //polysaccharide
C. //herpes //zoster
D. //rotavirus //- //CORRECT //ANSWERS(S)✔✔B. //Miningococcal //polysaccharide
,A //nurse //is //caring //for //a //15-month-old //toddler //who //requires //droplet //precautions. //Which
//of //the //following //actions //should //the //nurse //take?
A. //ask //visitors //to //wear //an //N-95 //mask //when //entering //the //room
B. //wear //a //mask //when //assisting //the //toddler //with //meals
C. //wear //sterile //gloves //when //changing //the //toddler's //diaper
D. //have //the //toddler //wear //a //disposable //gown //when //in //the //unit's //playroom //- //CORRECT
ANSWERS(S)✔✔B. //wear //a //mask //when //assisting //the //toddler //with //meals
//
A //nurse //on //a //pediatric //unit //is //caring //for //a //toddler. //Which //of //the //following //behaviors //is
//an //effect //of //hospitalization? //(Select //all //that //apply)
A. //Believes //the //experience //is //a //punishment
B. //Experiences //separation //anxiety
C. //Displays //intense //emotions
D. //Exhibits //regressive //behaviors
E. //Manifest //disturbance //in //body //image //- //CORRECT //ANSWERS(S)✔✔B. //Experiences
//separation //anxiety
C. //Displays //intense //emotions
D. //Exhibits //regressive //behaviors
A //nurse //is //caring //for //a //child //who //is //suspected //to //have //Enterobius //vermicularis
//(Pinworm). //Which //of //the //following //action //should //the //nurse //take?
A. //Perform //a //tape //test
B. //Collect //stool //specimen //for //culture
C. //Test //the //stool //for //occult //blood
D. //Initiate //IV //fluids //- //CORRECT //ANSWERS(S)✔✔A. //Perform //a //tape //test
A //nurse //is //assessing //a //child //who //has //asthma. //Which //of //the //following //are //indications //of
//deterioration //in //the //child's //respiratory //status? //(Select //all //that //apply.)
, A. //Oxygen //saturation //95%
B. //Wheezing
C. //Retraction //of //sternal //muscles
D. //Warm //extremities
E. //Nasal //flaring //- //CORRECT //ANSWERS(S)✔✔B. //Wheezing
C. //Retraction //of //sternal //muscles
E. //Nasal //flaring
A //nurse //is //preparing //to //administer //immunizations //to //a //4-month-old //infant. //Which //of
//the //following //is //an //appropriate //action //for //the //nurse //to //take //in //providing //atraumatic
//care?
A. //Administer //81 //mg //of //aspirin.
B. //Use //the //Z-track //method //when //injecting.
C. //Ask //the //parents //to //leave //the //room //during //the //injection.
D. //Provide //sucrose //solution //on //the //pacifier. //- //CORRECT //ANSWERS(S)✔✔D. //Provide
//sucrose //solution //on //the //pacifier
A //nurse //in //the //emergency //department //is //assessing //a //child //following //a //motor-vehicle
//crash. //The //child //is //unresponsive, //has //spontaneous //respirations //of //22/min, //and //has //a
//laceration //on //the //forehead //that //is //bleeding. //Which //of //the //following //actions //should //the
//nurse //take //first?
A. //Stabilize //the //child's //neck
B. //Clean //the //child's //laceration //with //soap //and //water
C. //Implement //seizure //precautions //for //the //child
D. //Initiate //IV //access //for //the //child //- //CORRECT //ANSWERS(S)✔✔A. //Stabilize //the //child's
//neck