AND VERIFIED ANSWERS 2024
QUESTIONS AND ANSWERS
In17planning17care17for17a17617month-
old17infant,17what17must17the17nurse17provide17to17assist17in17the17development17of17trus
t?
A)17Food
B)17Warmth
C)17Security
D)17Comfort17-17ans-C)17Security
A17nurse17has17just17received17a17medication17order17which17is17not17legible.17Which17st
atement17best17reflects17assertive17communication?
A)17"I17cannot17give17this17medication17as17it17is17written.17I17have17no17idea17of17what17
you17mean."
B)17"Would17you17please17clarify17what17you17have17written17so17I17am17sure17I17am17re
ading17it
correctly?"
C)17"I17am17having17difficulty17reading17your17handwriting.17It17would17save17me17time17i
f17you17would17be17more17careful."
D)17"Please17print17in17the17future17so17I17do17not17have17to17spend17extra17time17attem
pting17to17read17your17writing."17-17ans-
B)17"Would17you17please17clarify17what17you17have17written17so17I17am17sure17I17am17re
ading17it
correctly?"
What17is17the17most17important17consideration17when17teaching17parents17how17to17red
uce17risks17in17the17home?
A)17Age17and17knowledge17level17of17the17parents
B)17Proximity17to17emergency17services
C)17Number17of17children17in17the17home
D)17Age17of17children17in17the17home17-17ans-D)17Age17of17children17in17the17home
A173517year-
old17client17with17sickle17cell17crisis17is17talking17on17the17telephone17but17stops17as17the
17nurse17enters17the17room17to17request17something17for17pain.17The17nurse17should
A)17Administer17a17placebo
B)17Encourage17increased17fluid17intake
,C)17Administer17the17prescribed17analgesia
D)17Recommend17relaxation17exercises17for17pain17control17-17ans-
C)17Administer17the17prescribed17analgesia
While17caring17for17a17toddler17with17croup,17which17initial17sign17of17croup17requires17th
e17nurse's17immediate17attention?
A)17Respiratory17rate17of1742
B)17Lethargy17for17the17past17hour
C)17Apical17pulse17of1754
D)17Coughing17up17copious17secretions17-17ans-A)17Respiratory17rate17of1742
A17client17is17admitted17with17low17T317and17T417levels17and17an17elevated17TSH17level.
17On17initial17assessment,17the17nurse17would17anticipate17which17of17the17following17as
sessment17findings?
A)17Lethargy
B)17Heat17intolerance
C)17Diarrhea
D)17Skin17eruptions17-17ans-A)17Lethargy
The17emergency17room17nurse17admits17a17child17who17experienced17a17seizure17at17sc
hool.17The17father17comments17that17this17is17the17first17occurrence,17and17denies17any1
7family17history17of17epilepsy.17What17is17the17best17response17by17the17nurse?
A)17"Do17not17worry.17Epilepsy17can17be17treated17with17medications."
B)17"The17seizure17may17or17may17not17mean17your17child17has17epilepsy."
C)17"Since17this17was17the17first17convulsion,17it17may17not17happen17again."17
D)17"Long17term17treatment17will17prevent17future17seizures."17-17ans-
B)17"The17seizure17may17or17may17not17mean17your17child17has17epilepsy."
Alcohol17and17drug17abuse17impairs17judgment17and17increases17risk17taking17behavior.
17What17nursing17diagnosis17best17applies?
A)17Risk17for17injury
B)17Risk17for17knowledge17deficit
C)17Altered17thought17process17
D)17Disturbance17in17self-esteem17-17ans-A)17Risk17for17injury
Which17these17findings17would17the17nurse17more17closely17associate17with17anemia17in
17a171017month-old17infant?
A)17Hemoglobin17level17of171217g/dI
B)17Pale17mucosa17of17the17eyelids17and17lips
C)17Hypoactivity
D)17A17heart17rate17between1714017to1716017-17ans-
B)17Pale17mucosa17of17the17eyelids17and17lips
The17nurse17is17caring17for17a17client17in17hypertensive17crisis17in17an17intensive17care17
unit.17The17priority17assessment17in17the17first17hour17of17care17is
A)17Heart17rate
, B)17Pedal17pulses
C)17Lung17sounds
D)17Pupil17responses17-17ans-D)17Pupil17responses
Which17of17these17clients17who17are17all17in17the17terminal17stage17of17cancer17is17least1
7appropriate17to17suggest17the17use17of17patient17controlled17analgesia17(PCA)17with17a1
7pump?
A)17A17young17adult17with17a17history17of17Down's17syndrome
B)17A17teenager17who17reads17at17a174th17grade17level
C)17An17elderly17client17with17numerous17arthritic17nodules17on17the17hands
D)17A17preschooler17with17intermittent17episodes17of17alertness17-17ans-
D)17A17preschooler17with17intermittent17episodes17of17alertness
The17nurse17is17about17to17assess17a17617month-old17child17with17nonorganic17failure-
to17thrive17(NOFTT).17Upon17entering17the17room,17the17nurse17would17expect17the17bab
y17to17be
A)17Irritable17and17"colicky"17with17no17attempts17to17pull17to17standing
B)17Alert,17laughing17and17playing17with17a17rattle,17sitting17with17support
C)17Skin17color17dusky17with17poor17skin17turgor17over17abdomen
D)17Pale,17thin17arms17and17legs,17uninterested17in17surroundings17-17ans-
D)17Pale,17thin17arms17and17legs,17uninterested17in17surroundings
As17the17nurse17is17speaking17with17a17group17of17teens17which17of17these17side17effects
17of17chemotherapy17for17cancer17would17the17nurse17expect17this17group17to17be17more
17interested17in17during17the17discussion?17
A)17Mouth17sores
B)17Fatigue
C)17Diarrhea
D)17Hair17loss17-17ans-D)17Hair17loss
While17caring17for17a17client17who17was17admitted17with17myocardial17infarction17(MI)172
17days17ago,17the17nurse17notes17today's17temperature17is17101.117degrees17Fahrenheit
17(38.517degreesCelsius).17The17appropriate17nursing17intervention17is17to
A)17Call17the17health17care17provider17immediately
B)17Administer17acetaminophen17as17ordered17as17this17is17normal17at17this17time
C)17Send17blood,17urine17and17sputum17for17culture17
D)17Increase17the17client's17fluid17intake17-17ans-
B)17Administer17acetaminophen17as17ordered17as17this17is17normal17at17this17time
A17client17is17admitted17for17first17and17second17degree17burns17on17the17face,17neck,17a
nterior17chest17and17hands.17The17nurse's17priority17should17be
A)17Cover17the17areas17with17dry17sterile17dressings
B)17Assess17for17dyspnea17or17stridor
C)17Initiate17intravenous17therapy17
D)17Administer17pain17medication17-17ans-B)17Assess17for17dyspnea17or17stridor