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,In planning care for a 6 month-old infant, what must the C) Security
nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
A nurse has just received a medication order which is not B) "Would you please clarify what you have written so I am sure I am reading it
legible. Which statement best reflects assertive correctly?"
communication?
A) "I cannot give this medication as it is written. I have no
idea of what you mean."
B) "Would you please clarify what you have written so I am
sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would
save me time if you would be more careful."
D) "Please print in the future so I do not have to spend
extra time attempting to read your writing."
What is the most important consideration when teaching D) Age of children in the home
parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
A 35 year-old client with sickle cell crisis is talking on the C) Administer the prescribed analgesia
telephone but stops as the nurse enters the room to
request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
While caring for a toddler with croup, which initial sign of A) Respiratory rate of 42
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A client is admitted with low T3 and T4 levels and an A) Lethargy
elevated TSH level. On initial assessment, the nurse would
anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
The emergency room nurse admits a child who B) "The seizure may or may not mean your child has epilepsy."
experienced a seizure at school. The father comments that
this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with
medications."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not happen
again."
D) "Long term treatment will prevent future seizures."
Alcohol and drug abuse impairs judgment and increases A) Risk for injury
risk taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
, Which these findings would the nurse more closely B) Pale mucosa of the eyelids and lips
associate with anemia in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The nurse is caring for a client in hypertensive crisis in an D) Pupil responses
intensive care unit. The priority assessment in the first hour
of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
Which of these clients who are all in the terminal stage of D) A preschooler with intermittent episodes of alertness
cancer is least appropriate to suggest the use of patient
controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the
hands
D) A preschooler with intermittent episodes of alertness
The nurse is about to assess a 6 month-old child with D) Pale, thin arms and legs, uninterested in surroundings
nonorganic failure-to thrive (NOFTT). Upon entering the
room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to
standing
B) Alert, laughing and playing with a rattle, sitting with
support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of D) Hair loss
these side effects of chemotherapy for cancer would the
nurse expect this group to be more interested in during the
discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
While caring for a client who was admitted with myocardial B) Administer acetaminophen as ordered as this is normal at this time
infarction (MI) 2 days ago, the nurse notes today's
temperature is 101.1 degrees Fahrenheit (38.5
degreesCelsius). The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal
at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
A client is admitted for first and second degree burns on B) Assess for dyspnea or stridor
the face, neck, anterior chest and hands. The nurse's
priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication