1.A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be
lacking in his diet? - CORRECT ANSWER Peanut Butter and Jelly Sandwich
2.A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - CORRECT ANSWER 3.A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? - CORRECT ANSWER Meningococcal polysaccharide vaccine
4.A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? - CORRECT ANSWER Nocturia at night
5.A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the
following adverse effects? - CORRECT ANSWER Body sections turning a red orange
color
6.A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? - CORRECT ANSWER Projectile vomiting 7.A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? - CORRECT ANSWER "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes."
8.A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - CORRECT ANSWER Pain
9.A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to
a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? - CORRECT ANSWER Place her hands on the sides of her rib cage
10.A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (select all that apply). - CORRECT ANSWER -
Hypotension
11.-Weak pulses
12.-Murmur
13.A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of the following manifestations is the most appropriate for the nurse to monitor?
- CORRECT ANSWER Bleeding
14.A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements indicates an understanding of the teaching? - CORRECT ANSWER I'm glad that my child's ostomy is only temporary