QUESTIONS AND SOLUTIONS GRADED A+
◉ 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? Answer: Peanut Butter and Jelly Sandwich
◉ 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? Answer:
◉ A nurse is preforming a pre-college assessment on an adolescent.
Which of the following immunizations should the nurse anticipate
administering? Answer: Meningococcal polysaccharide vaccine
◉ A nurse is assessing a client who has left-sided heart failure. Which
of the following findings should the nurse expect? Answer: Nocturia
at night
◉ 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? Answer:
Body sections turning a red orange color
, ◉ A nurse is caring for a 6-week-old infant who as a pyloric stenosis.
Which of the following manifestations should the nurse expect?
Answer: Projectile vomiting
◉ 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? Answer:
"Have your child sit with her head tilted forward and hold pressure on
her nose for 10 minutes."
◉ A nurse is assessing a child who is in sickle cell crisis. Which of the
following findings should the nurse expect? Answer: Pain
◉ 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? Answer: Place her hands on the sides of her rib
cage
◉ 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). Answer: -Hypotension
-Weak pulses
-Murmur
◉ A nurse is planning care for a client who has idiopathic
thrombocytopenic purpur (ITP). Which of the following