MARKED A+
✔✔The nurse is assessing a newborn who had undergone vaginal delivery. Which of
the following findings is least likely to be observed in a normal newborn?
A. uneven head shape
B. respirations are irregular, abdominal, 30-60 bpm
C. (+) Moro reflex
D. heart rate is 80 bpm - ✔✔D. heart rate is 80 bpm
✔✔Which of the following situations increase the risk of lead poisoning in children?
A. playing in the park with heavy traffic and with many vehicles passing by
B. playing sand in the park
C. playing plastic balls with other children
D. playing with stuffed toys at home - ✔✔A. playing in the park with heavy traffic and
with many vehicles passing by
✔✔An inborn error of metabolism that causes a premature destruction of RBC?
A. G6PD
B. Homocystinuria
C. Phenylketonuria
D. Celiac Disease - ✔✔A. G6PD
✔✔Which of the following blood study results would the nurse expect as most likely
when caring for the child with iron deficiency anemia?
A. Increased hemoglobin
B. Normal hematocrit
C. Decreased mean corpuscular volume (MCV)
D. Normal total iron-binding capacity (TIBC) - ✔✔C. Decreased mean corpuscular
volume (MCV)
✔✔The nurse answers a call bell and finds a frightened mother whose child, the patient,
is having a seizure. Which of these actions should the nurse take?
A. The nurse should insert a padded tongue blade in the patient's mouth to prevent the
child from swallowing or choking on his tongue.
B. The nurse should help the mother restrain the child to prevent him from injuring
himself. C. The nurse should call the operator to page for seizure assistance.
D. The nurse should clear the area and position the client safely. - ✔✔D. The nurse
should clear the area and position the client safely.
✔✔At the community center, the nurse leads an adolescent health information group,
which often expands into other areas of discussion. She knows that these youths are
trying to find out "who they are," and discussion often focuses on which directions they
want to take in school and life, as well as peer relationships. According to Erikson, this
stage is known as:
, A. identity vs. role confusion.
B. adolescent rebellion.
C. career experimentation.
D. relationship testing - ✔✔A. identity vs. role confusion.
✔✔At the community center, the nurse leads an adolescent health information group,
which often expands into other areas of discussion. She knows that these youths are
trying to find out "who they are," and discussion often focuses on which directions they
want to take in school and life, as well as peer relationships. According to Erikson, this
stage is known as:
A. identity vs. role confusion.
B. adolescent rebellion.
C. career experimentation.
D. relationship testing - ✔✔A. identity vs. role confusion.
✔✔Which of the The nurse is assessing a 9-month-old boy for a well-baby check up
following observations would be of most concern?
A .The baby cannot say "mama" when he wants his mother.
B. The mother has not given him finger foods. C. The child does not sit unsupported.
D. The baby cries whenever the mother goes out. - ✔✔C. The child does not sit
unsupported.
✔✔Cherry, the mother of an 11-month-old girl, Elizabeth, is in the clinic for her
daughter's immunizations. She expresses concern to the nurse that Elizabeth cannot
yet walk. The nurse correctly replies that, according to the Denver Developmental
Screen, the median age for walking is:
A. 12 months.
B. 15 months.
C. 10 months.
D. 14 months. - ✔✔A. 12 months.
✔✔Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if
bacterial infection exists. The best position to keep her in after the procedure is:
A. Prone for two hours to prevent aspiration, should she vomit.
B. Semi-Fowler's so she can watch TV for five hours and be entertained.
C. Supine for several hours, to prevent a headache.
D. On her right sides to encourage return of CSF - ✔✔C. Supine for several hours, to
prevent a headache.
✔✔Buck's traction with a 10 Ib. weight is securing a patient's leg while she is waiting for
surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
A. every shift.
B. every day
C. every 4 hours.
D. every 15 minutes. - ✔✔C. every 4 hours.