45. When interviewing the parents of a child with asthma, it is most important to gather
What information about the child's environment?
A) Household pets
B) New furniture
C) Lead based paint
D) Plants such as cactus
A) Household pets
,42. The nurse admitting a 5 month-old who vomited 9 times in the past 6hours should
observe for signs of overall imbalance?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Some increase in the serum hemoglobin
D) A little decrease in the serum potassium
B) Metabolic alkalosis
97. A 3 year-old child diagnosed as having celiac disease attends a daycare center. Which
would the following be an appropriate snack?
A) Cheese crackers
B) Peanut butter sandwich
C) Potato chips
D) Vanilla cookies
C) Potato chips
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800
ml has been infused after 4 hours. What is the priority nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
, The correct answer is D: Auscultate the lungs
157. The nurse is assessing an 8 month-old child with atonic cerebral palsy. Which statement
from the mother supports the presence of this problem?
A) When I put my finger in the left hand the baby doesn't respondwith a grasp.
B) My baby doesn't seem to follow when I shake toys in front of the face. baby.
C) When it thundered loudly last night the baby didn't even jump.
D) When I put the baby in a back lying position that's how I find the baby
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D) When I put the baby in a back lying position that's how I find the baby
136. The nurse is observing a client with an obsessive-compulsive disorder in an inpatient
setting. Which behavior is consistent with this diagnosis?
A) Repeatedly checking that the door is locked
B) Verbalized suspicions about thefts
C) Preference for consistent caregivers
D) Repetitive, involuntary movements
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A) Repeatedly checking that the door is locked
39. An 18 year-old client is admitted to intensive care from the
emergency room following a diving accident. The injury is suspected to be at the level of the
2nd cervical vertebrae. The nurse's priority
assessment should be
A) Response to stimuli
B) Bladder control
, C) Respiratory function
D) Muscle weakness
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C) Respiratory function
127. Which nursing intervention will be most effective in helping a withdrawn client to
develop relationship skills?
A) Offer the client frequent opportunities to interact with 1 person
B) Provide the client with frequent opportunities to interact with other clients
C) Assist the client to analyze the meaning of the withdrawn behavior D) Discuss with the client
the focus that other clients have similar problems
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A) Offer the client frequent opportunities to interact with 1 person
81. A client diagnosed with hepatitis C discusses his health history with the admitting
nurse. The nurse should recognize which statement by the client as the most important?
A) I got back from Central America a few weeks ago.
B) I had the best raw oysters last week.
C) I have many different sex partners.
D) I had a blood transfusion 15 years ago.
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D) I had a blood transfusion 15 years ago.