55 Questions and Correct Answers 100% Verified
1. The nurse is caring for a 3year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction?: 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?: Set of cloth and hand puppets
3. An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?: 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?: Metabolic Acidoses
5. A 7 year 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?: 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?:
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?: Object Permanence
8. The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old
infant, and notes that the FOC has increased 5 inches since birth and the child's head
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, appears large in relation to body size. Which action is most important for the nurse to
take next?: Palpate the anterior fontanel for tension and bulging
9. The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which in- struction best
supports family?: Please decide who will stay when the healthcare provider begins suturing
10. The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month ago. To
increase caloric intake and decrease vomiting, what in- structions should the nurse
provide this mother?: Thicken formula with cereal for each feeding
11. While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is
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