CORRECT ANSWERS VERIFIED LATEST
2023-2024 GRADE A +
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates
that learning has taken place? - CORRECT ANSWER >>I
understand I will be in a body cast and I will show you hoy you
taught me to turn
To take the vital signs of a 4 month old child which order will give
the most accurate results? - CORRECT ANSWER >>Respiratory
rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane
that is pearly gray, slightly bulging and not movable. What action
should the nurse take next? - CORRECT ANSWER >>Ask the
child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - CORRECT ANSWER >>elbow
,What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis? - CORRECT
ANSWER >>Observe for projectile vomiting
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when caring
for any restrained child? - CORRECT ANSWER >>remove
restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is
frequently associated with Down Syndrome? - CORRECT
ANSWER >>Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during - CORRECT ANSWER >>inspiration
When planning the care for a child who has had a cleft lip repair,
the nurse knows that crying should be minimized because it -
CORRECT ANSWER >>stresses the suture line
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What action is the best initial nursing
,action? - CORRECT ANSWER >>Administer the first dose of
prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the
client is cyanotic, cold, and diaphoretic. Which assessment is
most important to obtain? - CORRECT ANSWER >>deep tendon
reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? - CORRECT
ANSWER >>Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain? - CORRECT
ANSWER >>Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with
progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention
, should the nurse implement? - CORRECT ANSWER >>Apply a
high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic
with SOB, productive cough with thickened tenacious mucous and
the inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct
the client about self care? - CORRECT ANSWER >>Increase the
daily intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that
mean for me" - CORRECT ANSWER >>3 main arteries have
major blockages with only 1 to 5% of blood flow getting through to
the heart muscle
The nurse is caring for a client with a lower left pulmonary
abscess which position should the nurse instruct the client to
maintain - CORRECT ANSWER >>left lateral
A client with cholelithiasis has a gallstone lodged in the common
bile duct and is unable to eat or drink without nausea and