VERIFIED ANSWERS 2024
Invplanningvcarevforvav6vmonth-
oldvinfant,vwhatvmustvthevnursevprovidevtovassistvinvthevdevelopmentvofvtrust?
A)vFood
B)vWarmth
C)vSecurity
D)vComfortv-vans--✔✔C)vSecurity
Avnursevhasvjustvreceivedvavmedicationvordervwhichvisvnotvlegible.vWhichvstatementvbestvre
flectsvassertivevcommunication?
A)v"Ivcannotvgivevthisvmedicationvasvitvisvwritten.vIvhavevnovideavofvwhatvyouvmean."
B)v"WouldvyouvpleasevclarifyvwhatvyouvhavevwrittenvsovIvamvsurevIvamvreadingvit
correctly?"
C)v"Ivamvhavingvdifficultyvreadingvyourvhandwriting.vItvwouldvsavevmevtimevifvyouvwouldvbev
morevcareful."
D)v"PleasevprintvinvthevfuturevsovIvdovnotvhavevtovspendvextravtimevattemptingvtovreadvyourvw
riting."v-vans--
✔✔B)v"WouldvyouvpleasevclarifyvwhatvyouvhavevwrittenvsovIvamvsurevIvamvreadingvit
correctly?"
Whatvisvthevmostvimportantvconsiderationvwhenvteachingvparentsvhowvtovreducevrisksvinvth
evhome?
A)vAgevandvknowledgevlevelvofvthevparents
B)vProximityvtovemergencyvservices
C)vNumbervofvchildrenvinvthevhome
D)vAgevofvchildrenvinvthevhomev-vans--✔✔D)vAgevofvchildrenvinvthevhome
Av35vyear-
oldvclientvwithvsicklevcellvcrisisvisvtalkingvonvthevtelephonevbutvstopsvasvthevnurseventersvthev
roomvtovrequestvsomethingvforvpain.vThevnursevshould
A)vAdministervavplacebo
B)vEncouragevincreasedvfluidvintake
C)vAdministervthevprescribedvanalgesia
,D)vRecommendvrelaxationvexercisesvforvpainvcontrolv-vans--
✔✔C)vAdministervthevprescribedvanalgesia
Whilevcaringvforvavtoddlervwithvcroup,vwhichvinitialvsignvofvcroupvrequiresvthevnurse'svimmed
iatevattention?
A)vRespiratoryvratevofv42
B)vLethargyvforvthevpastvhour
C)vApicalvpulsevofv54
D)vCoughingvupvcopiousvsecretionsv-vans--✔✔A)vRespiratoryvratevofv42
AvclientvisvadmittedvwithvlowvT3vandvT4vlevelsvandvanvelevatedvTSHvlevel.vOnvinitialvassess
ment,vthevnursevwouldvanticipatevwhichvofvthevfollowingvassessmentvfindings?
A)vLethargy
B)vHeatvintolerance
C)vDiarrhea
D)vSkinveruptionsv-vans--✔✔A)vLethargy
Thevemergencyvroomvnursevadmitsvavchildvwhovexperiencedvavseizurevatvschool.vThevfathe
rvcommentsvthatvthisvisvthevfirstvoccurrence,vandvdeniesvanyvfamilyvhistoryvofvepilepsy.vWha
tvisvthevbestvresponsevbyvthevnurse?
A)v"Dovnotvworry.vEpilepsyvcanvbevtreatedvwithvmedications."
B)v"Thevseizurevmayvorvmayvnotvmeanvyourvchildvhasvepilepsy."
C)v"Sincevthisvwasvthevfirstvconvulsion,vitvmayvnotvhappenvagain."v
D)v"Longvtermvtreatmentvwillvpreventvfuturevseizures."v-vans--
✔✔B)v"Thevseizurevmayvorvmayvnotvmeanvyourvchildvhasvepilepsy."
Alcoholvandvdrugvabusevimpairsvjudgmentvandvincreasesvriskvtakingvbehavior.vWhatvnursin
gvdiagnosisvbestvapplies?
A)vRiskvforvinjury
B)vRiskvforvknowledgevdeficit
C)vAlteredvthoughtvprocessv
D)vDisturbancevinvself-esteemv-vans--✔✔A)vRiskvforvinjury
Whichvthesevfindingsvwouldvthevnursevmorevcloselyvassociatevwithvanemiavinvav10vmonth-
oldvinfant?
A)vHemoglobinvlevelvofv12vg/dI
B)vPalevmucosavofvtheveyelidsvandvlips
C)vHypoactivity
D)vAvheartvratevbetweenv140vtov160v-vans--✔✔B)vPalevmucosavofvtheveyelidsvandvlips
Thevnursevisvcaringvforvavclientvinvhypertensivevcrisisvinvanvintensivevcarevunit.vThevpriorityva
ssessmentvinvthevfirstvhourvofvcarevis
A)vHeartvrate
B)vPedalvpulses
C)vLungvsounds
D)vPupilvresponsesv-vans--✔✔D)vPupilvresponses
, Whichvofvthesevclientsvwhovarevallvinvthevterminalvstagevofvcancervisvleastvappropriatevtovsu
ggestvthevusevofvpatientvcontrolledvanalgesiav(PCA)vwithvavpump?
A)vAvyoungvadultvwithvavhistoryvofvDown'svsyndrome
B)vAvteenagervwhovreadsvatvav4thvgradevlevel
C)vAnvelderlyvclientvwithvnumerousvarthriticvnodulesvonvthevhands
D)vAvpreschoolervwithvintermittentvepisodesvofvalertnessv-vans--
✔✔D)vAvpreschoolervwithvintermittentvepisodesvofvalertness
Thevnursevisvaboutvtovassessvav6vmonth-oldvchildvwithvnonorganicvfailure-
tovthrivev(NOFTT).vUponventeringvthevroom,vthevnursevwouldvexpectvthevbabyvtovbe
A)vIrritablevandv"colicky"vwithvnovattemptsvtovpullvtovstanding
B)vAlert,vlaughingvandvplayingvwithvavrattle,vsittingvwithvsupport
C)vSkinvcolorvduskyvwithvpoorvskinvturgorvovervabdomen
D)vPale,vthinvarmsvandvlegs,vuninterestedvinvsurroundingsv-vans--
✔✔D)vPale,vthinvarmsvandvlegs,vuninterestedvinvsurroundings
Asvthevnursevisvspeakingvwithvavgroupvofvteensvwhichvofvthesevsideveffectsvofvchemotherap
yvforvcancervwouldvthevnursevexpectvthisvgroupvtovbevmorevinterestedvinvduringvthevdiscussi
on?v
A)vMouthvsores
B)vFatigue
C)vDiarrhea
D)vHairvlossv-vans--✔✔D)vHairvloss
Whilevcaringvforvavclientvwhovwasvadmittedvwithvmyocardialvinfarctionv(MI)v2vdaysvago,vthev
nursevnotesvtoday'svtemperaturevisv101.1vdegreesvFahrenheitv(38.5vdegreesCelsius).vThev
appropriatevnursingvinterventionvisvto
A)vCallvthevhealthvcarevprovidervimmediately
B)vAdministervacetaminophenvasvorderedvasvthisvisvnormalvatvthisvtime
C)vSendvblood,vurinevandvsputumvforvculturev
D)vIncreasevthevclient'svfluidvintakev-vans--
✔✔B)vAdministervacetaminophenvasvorderedvasvthisvisvnormalvatvthisvtime
Avclientvisvadmittedvforvfirstvandvsecondvdegreevburnsvonvthevface,vneck,vanteriorvchestvandv
hands.vThevnurse'svpriorityvshouldvbe
A)vCovervthevareasvwithvdryvsterilevdressings
B)vAssessvforvdyspneavorvstridor
C)vInitiatevintravenousvtherapyv
D)vAdministervpainvmedicationv-vans--✔✔B)vAssessvforvdyspneavorvstridor
Whichvofvthesevclientsvwhovcallvthevcommunityvhealthvclinicvwouldvthevnursevaskvtovcomevin
vthatvdayvtovbevseenvbyvthevhealthvcarevprovider?
A)vIvstartedvmyvperiodvandvnowvmyvurinevhasvturnedvbrightvred.
B)vIvamvanvdiabeticvandvtodayvIvhavevbeenvgoingvtovthevbathroomveveryvhour.