2024 COMPLETE 300 QUESTIONS
WITH 100% DETAILED
VERIFIED AND CORRECT
ANSWERS ACTUAL BRAND-NEW
EXAM ALREADYGRADED A+
The nurse is caring for a child with an acyanotic
heart defect. Which of the following
would be an expected finding. Select all that apply.
(a) poor suck reflex
(b)tachycardia
(c) increased respiratory rate
(d) bradycardia
(e) fainting spells
(f) delayed growth and development - ....ANSWER...B,
C, and F. Children experiencing acyanotic defects may
experience tachycardia, tachypnea and delay in growth
and development; poor suck reflex, bradycardia, and
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,fainting spells are indicative of cyanotic defects.
Physiological Integrity; Physiological Adaptation
The nurse is teaching a new mother about
immunizations. Which of the following
should the nurse include in the teaching?
(a) "Your baby should wait six months to receive any
immunizations since the baby was born preterm."
(b) "Your baby will receive the first hepatitis B
vaccine after one year of age."
(c) "Acellular Pertussis vaccine has less side effects than
whole-cell pertussis vaccine."
(d) The Haemophilus Influenza Type b (HIB) is given
annually to protect against the flu." - ....ANSWER...C.
Safety data from several studies show that acellular
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,pertussis vaccine cause fewer adverse reactions than
whole-cell vaccines. Pre term infants generally do not
wait 6 months before beginning vaccinations; the first
Hepatitis B vaccine is given at birth; the Haemophilus
influenzae type b (HIB) is given at 2 months, 4 months,
and 6 months and between 12 - 15 months. Health
Promotion and Maintenance
The nurse is caring for a 7-year-old who has
thrombocytopenia and is on protective
precautions. Which of the following would be an
appropriate toy for the nurse to
provide to the client?
(a) finger paints and paper
(b) a rubber ball and bat
(c) a board game
(d) a stuffed toy - ....ANSWER...C. The child with
thrombocytopenia needs to be protected from injury
secondary to the risk of bleeding. Use of a board
game, a quiet activity provides diversion and challenges
that is developmentally appropriate while eliminating the
risk of injury; finger paints is applicable to a preschool
client; the ball and bat is avoided to prevent injury; the
stuffed toy may be offered to the toddler. Health
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, Promotion and Maintenance
The nurse on a pediatric unit has been informed that the
following clients are being
admitted. The nurse should first plan to assess the client
who is
(a) 2 years old, has a temperature of 100.8 F and a
blood pressure of 68/44
(b) 4 years old with a history of asthma and has a
peak expiratory flow rate (PERF) of 81%
(c) 5 years old, has a fracture of the tibia and is
reporting pain rated 7 on a pain scale of 0 (no pain) to
10 (severe pain)
(d) 7 years old with ulcerative colitis and has had 15
bloody tinged stools today - ....ANSWER...A. The child
experiencing fever and hypotension should be seen first,
they are at the highest risk in this situation for
decompensation; the average blood pressure for a
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