100% VERIFIED 2025/26
1. What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
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, d. 1/2 tablespoon.: a
2. The nurse is providing emergency care for an unconscious 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.: a
3. he vital signs of a 4-year-old child with polyuria are: 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?
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.: b
4. The nurse is assessing a 2-year-old child. What behavior indicates that the
child's language development is within normal limits?
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, 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.: c
5. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood
pressure 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 (Procardia) sublingually.
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