PROCTORED EXAM CMS
PROCTORED
VERSION EXAMEXAM
1/ACTUAL VERSION 1/ACTUAL
WITH CORRECTEXAM
DETAILED
WITH CORRECT
ANSWERS DETAILED ANSWERS
WITH RATIONALES/A+ WITH
GRADE
RATIONALES/A+ GRADE
A nurse is caring for an adolescent following a lumbar puncture. which of th
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e followingactions should the nurse take?
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Y YG YG YG YG
- initiate NPO status for the adolescent
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- place the adolescent in a supine position
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- place a moist, warm pack on the adolescents lower back
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- apply a eutectic mixture of local anesthetics to the adolescent's p
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uncture site -ANSWER>>Place the adolescent in supine position
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Y YG YG YG YG YG
RATIONALE:(The nurse should place the adolescent in a supine position fo YG YG YG YG YG YG YG YG YG YG
r 30 minutes to an 1 hourfollowing a lumbar puncture to decrease the risk o
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f a post Dural puncture headache)
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A nurse is assessing a child who is receiving IV chemotherapy. assessm
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,ent findingsinclude extravasation of the tissues surrounding the IV inse
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rtion site. In which order should the nurse take the following actions?
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-Remove IV line YG YG
-Elevate the extremity YG YG
-Stop the infusion YG YG
-Notify the provider - YG YG YG
YG ANSWER>>Stop the infusionElevate the e YG YG G
Y YG YG
xtremity
Notify the provi YG YG
der Remove the YG YG Y
IV line
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A nurse is discussing the causes of chronic diarrhea with a client. which of t
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he followingconditions is caused by malabsorption
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Y YG YG YG YG
-Celiac disease YG
-Ulcerative colitis YG
-Hirschsprung's disease YG
-Crohn's disease - ANSWER>>Celiac DiseaseYG YG YG YG
RATIONALE:( (the nurse should recognize that celiac disease causes chroni
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, c diarrhea due to malabsorption. other malabsorption conditions include s
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hort bowel syndrome, lactoseintolerance, and congenital enzyme deficienc
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Y YG YG YG YG
y)
A nurse is caring for an 8 year old child who has sickle cell anemia. whic
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h of thefollowing actions should the nurse take?
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Y YG YG YG YG YG
-Apply cool compresses to the painful area
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-Initiate contact isolation precautions
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-Give the child flavored popsicles
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-Administer phytonadione - ANSWER>>Give the child flavored popsicles
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RATIONALE:( (Maintaining hydration with a child who has sickle cell anemi
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a is important to preventsickling. children often accept flavored popsicles a
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Y YG YG YG YG YG YG
s a source of fluid
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A nurse is caring for a toddler who has a fever, a high pitched cry, irrita
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bility, andvomiting. which of the following actions should the nurse tak
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Y YG YG YG YG YG YG YG YG YG
e?
-Administer 81 mg of aspirin to the toddler YG YG YG YG YG YG YG