r r r r r r
Answers 2024 r r
Inrplanningrcarerforrar6rmonth-
oldrinfant,rwhatrmustrthernurserprovidertorassistrinrtherdevelopmentrofrtrust?
A)rFood
B)rWarmth
C)rSecurity
D)rComfortr-rC)rSecurity
Arnurserhasrjustrreceivedrarmedicationrorderrwhichrisrnotrlegible.rWhichrstatementrbestrrefle
ctsrassertivercommunication?
A)r"Ircannotrgiverthisrmedicationrasritrisrwritten.rIrhavernoridearofrwhatryourmean."
B)r"WouldryourpleaserclarifyrwhatryourhaverwrittenrsorIramrsurerIramrreadingrit
correctly?"
C)r"Iramrhavingrdifficultyrreadingryourrhandwriting.rItrwouldrsavermertimerifryourwouldrbermor
ercareful."
D)r"PleaserprintrinrtherfuturersorIrdornotrhavertorspendrextrartimerattemptingrtorreadryourrwriti
ng."r-rB)r"WouldryourpleaserclarifyrwhatryourhaverwrittenrsorIramrsurerIramrreadingrit
correctly?"
Whatrisrthermostrimportantrconsiderationrwhenrteachingrparentsrhowrtorreducerrisksrinrtherh
ome?
A)rAgerandrknowledgerlevelrofrtherparents
B)rProximityrtoremergencyrservices
C)rNumberrofrchildrenrinrtherhome
D)rAgerofrchildrenrinrtherhomer-rD)rAgerofrchildrenrinrtherhome
Ar35ryear-
oldrclientrwithrsicklercellrcrisisrisrtalkingronrthertelephonerbutrstopsrasrthernurserentersrtherro
omrtorrequestrsomethingrforrpain.rThernursershould
A)rAdministerrarplacebo
B)rEncouragerincreasedrfluidrintake
C)rAdministerrtherprescribedranalgesia
D)rRecommendrrelaxationrexercisesrforrpainrcontrolr-
rC)rAdministerrtherprescribedranalgesia
Whilercaringrforrartoddlerrwithrcroup,rwhichrinitialrsignrofrcrouprrequiresrthernurse'srimmediat
erattention?
A)rRespiratoryrraterofr42
B)rLethargyrforrtherpastrhour
C)rApicalrpulserofr54
D)rCoughingruprcopiousrsecretionsr-rA)rRespiratoryrraterofr42
,ArclientrisradmittedrwithrlowrT3randrT4rlevelsrandranrelevatedrTSHrlevel.rOnrinitialrassessme
nt,rthernurserwouldranticipaterwhichrofrtherfollowingrassessmentrfindings?
A)rLethargy
B)rHeatrintolerance
C)rDiarrhea
D)rSkinreruptionsr-rA)rLethargy
Theremergencyrroomrnurseradmitsrarchildrwhorexperiencedrarseizureratrschool.rTherfatherrc
ommentsrthatrthisrisrtherfirstroccurrence,randrdeniesranyrfamilyrhistoryrofrepilepsy.rWhatrisrth
erbestrresponserbyrthernurse?
A)r"Dornotrworry.rEpilepsyrcanrbertreatedrwithrmedications."
B)r"Therseizurermayrorrmayrnotrmeanryourrchildrhasrepilepsy."
C)r"Sincerthisrwasrtherfirstrconvulsion,ritrmayrnotrhappenragain."r
D)r"Longrtermrtreatmentrwillrpreventrfuturerseizures."r-
rB)r"Therseizurermayrorrmayrnot rmean ryourrchildrhasrepilepsy."
Alcoholrandrdrugrabuserimpairsrjudgmentrandrincreasesrriskrtakingrbehavior.rWhatrnursingr
diagnosisrbestrapplies?
A)rRiskrforrinjury
B)rRiskrforrknowledgerdeficit
C)rAlteredrthoughtrprocessr
D)rDisturbancerinrself-esteemr-rA)rRiskrforrinjury
Whichrtheserfindingsrwouldrthernursermorercloselyrassociaterwithranemiarinrar10rmonth-
oldrinfant?
A)rHemoglobinrlevelrofr12rg/dI
B)rPalermucosarofrthereyelidsrandrlips
C)rHypoactivity
D)rArheartrraterbetweenr140rtor160r-rB)rPalermucosarofrthereyelidsrandrlips
Thernurserisrcaringrforrarclientrinrhypertensivercrisisrinranrintensivercarerunit.rTherpriorityrass
essmentrinrtherfirstrhourrofrcareris
A)rHeartrrate
B)rPedalrpulses
C)rLungrsounds
D)rPupilrresponsesr-rD)rPupilrresponses
Whichrofrtheserclientsrwhorarerallrinrtherterminalrstagerofrcancerrisrleastrappropriatertorsugge
strtheruserofrpatientrcontrolledranalgesiar(PCA)rwithrarpump?
A)rAryoungradultrwithrarhistoryrofrDown'srsyndrome
B)rArteenagerrwhorreadsratrar4thrgraderlevel
C)rAnrelderlyrclientrwithrnumerousrarthriticrnodulesronrtherhands
D)rArpreschoolerrwithrintermittentrepisodesrofralertnessr-
rD)rArpreschoolerrwithrintermittentrepisodes rofralertness
, Thernurserisraboutrtorassessrar6rmonth-oldrchildrwithrnonorganicrfailure-
torthriver(NOFTT).rUponrenteringrtherroom,rthernurserwouldrexpectrtherbabyrtorbe
A)rIrritablerandr"colicky"rwithrnorattemptsrtorpullrtorstanding
B)rAlert,rlaughingrandrplayingrwithrarrattle,rsittingrwithrsupport
C)rSkinrcolorrduskyrwithrpoorrskinrturgorroverrabdomen
D)rPale,rthinrarmsrandrlegs,runinterestedrinrsurroundingsr-
rD)rPale,rthinrarmsrandrlegs,runinterested rinrsurroundings
Asrthernurserisrspeakingrwithrargrouprofrteensrwhichrofrthesersidereffectsrofrchemotherapyrfo
rrcancerrwouldrthernurserexpectrthisrgrouprtorbermorerinterestedrinrduringrtherdiscussion?r
A)rMouthrsores
B)rFatigue
C)rDiarrhea
D)rHairrlossr-rD)rHairrloss
Whilercaringrforrarclientrwhorwasradmittedrwithrmyocardialrinfarctionr(MI)r2rdaysrago,rthernur
sernotesrtoday'srtemperaturerisr101.1rdegreesrFahrenheitr(38.5rdegreesCelsius).rTherappr
opriaternursingrinterventionrisrto
A)rCallrtherhealthrcarerproviderrimmediately
B)rAdministerracetaminophenrasrorderedrasrthisrisrnormalratrthisrtime
C)rSendrblood,rurinerandrsputumrforrculturer
D)rIncreasertherclient'srfluidrintaker-
rB)rAdministerracetaminophen rasrorderedrasrthisrisrnormalratrthisrtime
Arclientrisradmittedrforrfirstrandrsecondrdegreerburnsronrtherface,rneck,ranteriorrchestrandrha
nds.rThernurse'srpriorityrshouldrbe
A)rCoverrtherareasrwithrdryrsterilerdressings
B)rAssessrforrdyspnearorrstridor
C)rInitiaterintravenousrtherapyr
D)rAdministerrpainrmedicationr-rB)rAssessrforrdyspnearorrstridor
Whichrofrtheserclientsrwhorcallrthercommunityrhealthrclinicrwouldrthernurseraskrtorcomerinrth
atrdayrtorberseenrbyrtherhealthrcarerprovider?
A)rIrstartedrmyrperiodrandrnowrmyrurinerhasrturnedrbrightrred.
B)rIramranrdiabeticrandrtodayrIrhaverbeenrgoingrtortherbathroomreveryrhour.
C)rIrwasrstartedronrmedicineryesterdayrforrarurinerinfection.rNowrmyrlowerrbellyrhurtsrwhenrIr
gortortherbathroom.
D)rIrwentrtortherbathroomrandrmyrurinerlookedrveryrredrandritrdidn'trhurtrwhenrIrwent.r-
rD)rIrwentrtortherbathroomrandrmyrurinerlookedrveryrredrand ritrdidn'trhurtrwhenrIrwent.
Whichrofrtheserparents'rcommentrforrarnewbornrwouldrmostrlikelyrrevealranrinitialrfindingrofra
rsuspected rpyloricrstenosis?
A)rIrnoticedrarlittlerlumprarlittlerabovertherbellyrbutton.
B)rTherbabyrseemsrhungryrallrthertime.
C)rMildrvomitingrthatrprogressedrtorvomitingrshootingracrossrtherroom.r