1. What is the recommended serving size of vegetables a
for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon.
2. The nurse is providing emergency care for an
uncon- a scious 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.
3. he vital signs of a 4-year-old child with polyuria
are:
b BP 80/40, Pulse 118, and Respirations 24. The
child's pedal pulses are present with a volume
of +1, and
no edema is observed. What action should the nurse
implement first?
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a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
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c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses.
4. The nurse is assessing a 2-year-old child. What
behav- c ior 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.
5. At 8 a.m. the unlicensed assistive personnel
(UAP)
b informs the charge nurse that a female
adolescent client with acute glomerulonephritis
has a blood pres- sure 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 action
should the nurse take first?
a. Give the client her 9 a.m. prescription for
an oral diuretic early.
b. Administer PRN prescription of nifedipine
(Procar- dia) sublingually.
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c. Notify the healthcare provider and inform the nurs-
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