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1. The nurse is caring for a 3-year old child who is 2 hours
postop from a cardiac catheterization via the right femoral
artery. Which assessment finding is an indication of arterial
obstruction?
a.Blood pressure trend is downward and pulse is rapid and
irregular.
b.Right foot is cool to the touch and appears pale and
blanched.
c.Pulse distal to the femoral artery is weaker on the left foot
than right foot.
d.The pressure dressing at right femoral area is moist and
oozing blood. - Correct Answers ✅b.Right foot is cool to
the touch and appears pale and blanched.
2. Following a motor vehicle collision, a 3-year old girl has a
spica cast applied. Which toy is best for the nurse for this 3-
year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game. - Correct Answers ✅C. Set of
cloth and hand puppets.
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3. An infant with tetralogy of Fallot becomes acutely cyanotic
and hyperpneic. Which action should the nurse implement
first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask. - Correct Answers
✅C. Place the infant in a knee-chest position.
4. A child admitted with diabetic ketoacidosis is
demonstrating Kussmaul respirations. The nurse determines
that the increased respiratory rate is a compensatory
mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis. - Correct Answers ✅D. Metabolic
acidosis.
5. 7 years old is admitted to the hospital with persistent
vomiting, and a nasogastric tube attached to low intermittent
suction is applied. Which finding is most important for the
nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
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C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45. - Correct Answers ✅C. Serum
potassium of 3.0 mg/dL.
6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food
indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - Correct Answers ✅A. Creamed corn.
7. During a well-baby check, the nurse hides a block under
the baby's blanket, and the baby looks for the block. Which
normal growth and development milestone is the baby
developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence. - Correct Answers ✅D. Object
permanence.
8. The nurse is measuring the frontal occipital circumference
(FOC) of a 3-months old infant, and notes that the FOC has