2020HESIEXITV2

1. Thenurseknowsthatwhichstatementbythemotherindicatesthatthemotherunderst andssafetyprecautionswithherfourmonth-oldinfantandher4year-oldchild? A) "Istraptheinfantcarseatonthefrontseattofacebackwards." B) "Iplacemyinfantinthemiddleofthelivingroomflooronablankettoplaywithmy4yearol dwhileImakesupperinthekitchen." C) "Mysleepingbabyliessocuteinthecribwiththelittlebuttocksstuckupintheairwhilet hefouryearoldnapsonthesofa." D) "Ihavethe4year-oldholdandhelpfeedthefourmontholdabottleinthekitchenwhileImakesupper." ThecorrectanswerisD:"Ihavethefouryear-oldholdandhelpfeedthefourmontholdabottleinthekitchen 2. Uponcompletingtheadmissiondocuments,thenurselearnsthatthe87yearoldclientdoesnothaveanadvancedirective.Whatactionshouldthenursetake? A) Recordtheinformationonthechart B) Giveinformationaboutadvancedirectives C) Assumethatthisclientwishesafullcode D) Referthisissuetotheunitsecretary ThecorrectanswerisB:Giveinformationaboutadvancedirectives 3. Anurseadministerstheinfluenzavaccinetoaclientinaclinic.Within15minutesaftertheimmu nizationwasgiven,theclientcomplainsofitchyandwateryeyes,increasedanxiety,anddifficult ybreathing.Thenurseexpectsthatthefirstactioninthesequenceofcareforthisclientwillbeto A) Maintaintheairway B) Administerepinephrine1:1000asordered C) Monitorforhypotensionwithshock D) Administerdiphenhydramineasordered ThecorrectanswerisB:Administerepinephrine1:1000asordered. 4. Whichofthesechildrenatthesiteofadisasteratachilddaycarecenterwouldthetriagen urseputinthe"treatlast"category? A)AninfantwithintermittentbulginganteriorfontanelbetweencryingepisodesB)Ato ddlerwithseveredeepabrasionsover98%ofthebody C) Apreschoolerwith1lowerlegfractureandtheotherl