NURSING PROCTORED
EXAM WITH 100% VERIFIED
SOLUTIONS
A 2-year-old child with gastro-esophageal reflux has developed a fear of ea9ng.
What instruc9on should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals.
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap aDer ea9ng.
D. Consistently follow a set meal9me rou9ne.
D
The nurse is providing emergency care for an unconscious child who presents
with a head injury sustained in a fall. Which is the highest nursing priority?
A. Establish an airway.
B. Assess neurological status.
C. Stabilize the spine.
D. Obtain vital signs.
,A
He vital signs of a 4-year-old child with polyuria are: bp 80/40, pulse 118, and
respira9ons 24. The child's pedal pulses are present with a volume of +1, and
no edema is observed. What ac9on should the nurse implement first?
A. Insert an indwelling urinary catheter.
B. Start an iv infusion of normal saline.
C. Send a specimen to the lab for urinalysis.
D. Document the child's vital signs and pulses.
B
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The nurse is assessing a 2-year-old child. What behavior indicates that the
child's language development is within normal limits?
A. Is able to name four colors.
B. Can count five blocks.
C. Is capable of making a three word sentence.
D. Half of child's speech is understandable.
C
,At 8 a.m. The unlicensed assis9ve personnel (uap) informs the charge nurse
that a female adolescent client with acute glomerulonephri9s has a blood
pressure of 210/110. The 4 a.m. Blood pressure reading was 170/88. The client
reports to the uap that she is upset because her boyfriend did not visit last
night. What ac9on should the nurse take first?
A. Give the client her 9 a.m. Prescrip9on for an oral diure9c early.
B. Administer prn prescrip9on of nifedipine (procardia) sublingually.
C. No9fy the healthcare provider and inform the nursing supervisor of the
client's condi9on.
D. Acempt to calm the client and retake the blood pressure in thirty minutes.
B
During administra9on of a blood transfusion, a child complains of chills,
headache, and nausea. Which ac9on should the nurse implement?
A. Start another iv of dextrose solu9on and stay with the child.
B. Con9nue the transfusion and monitor the child's vital signs.
C. Stop the infusion immediately and no9fy the healthcare provider.
D. Slow the transfusion and assess for cessa9on of symptoms.
C
, The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include informa9on about preven9on of accidental
poisonings. It is most important for the nurse to include which instruc9on?
A. Tell children they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals.
B
What preopera9ve nursing interven9on should be included in the plan of care
for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Es9mate the quan9ty of diarrhea stools.
C. Place in a supine posi9on aDer feeding.
D. Observe for projec9le vomi9ng.
D
Which measurements should be used to accurately calculate a pediatric
medica9on dosage? Select all that apply.
A. Child's height and weight.