VERSION 1/ACTUAL EXAM WITH CORRECT
DETAILED ANSWERS WITH RATIONALES/A+
GRADE
A nurse is caring for an adolescent following a lumbar puncture.
which of the following actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the
adolescent's puncture site - ANSWER>>Place the
adolescent in supine position
RATIONALE:(The nurse should place the adolescent in a supine
position for 30 minutes to an 1 hour following a lumbar puncture
to decrease the risk of a post Dural puncture headache)
A nurse is assessing a child who is receiving IV chemotherapy.
assessment findings include extravasation of the tissues
surrounding the IV insertion site. In which order should the
nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - ANSWER>>Stop
the infusion Elevate the extremity
Notify the
, provider
Remove the
IV line
A nurse is discussing the causes of chronic diarrhea with a client.
which of the following conditions is caused by malabsorption
-Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - ANSWER>>Celiac Disease
RATIONALE:( (the nurse should recognize that celiac disease
causes chronic diarrhea due to malabsorption. other
malabsorption conditions include short bowel syndrome, lactose
intolerance, and congenital enzyme deficiency)
A nurse is caring for an 8 year old child who has sickle cell
anemia. which of the following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - ANSWER>>Give the child flavored
popsicles
RATIONALE:( (Maintaining hydration with a child who has sickle
cell anemia is important to prevent sickling. children often accept
flavored popsicles as a source of fluid