2025 Questions and Verified Answers
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2nd heart block does not give - Correct Answers-digoxin
4 month old has - Correct Answers-rolls from back to side
at 6 months they grasp with a hand and stand
at 8 mohts they sit upright
4 month old wil have - Correct Answers-absent grasp reflex and will be able to roll
6month will have fear of stranger
9 month old understands the word no
4yro give immunization with a - Correct Answers-24gage needle
do not aspirate
sit in upright position
8 weeks risk factor to dev preeclampsia - Correct Answers-rheumatoid arthritis
A client diagnosed with preterm labor has been prescribed nifedipine - Correct Answers-which will be
used To relax your muscles of your uterus
A client is admitted to the hospital for suspected infective endocarditis. The client is reporting chills,
fatigue, myalgia and dyspnea upon exertion. When assessing the client the nurse notes a heart murmur
and a temperature of 102.3 F (38.2 C). Which of the following orders should the nurse implement first?
a. Administer IV Penicillin G, 2 million units
b. Administer acetaminophen 325 mg by mouth
c. Obtain the blood cultures from three sites
d. Order the EKG - Correct Answers-a. Administer IV Penicillin G, 2 million units
b. Administer acetaminophen 325 mg by mouth
c. Obtain the blood cultures from three sites CorrectObtaining blood cultures is the priority intervention.
Cultures must be drawn prior to initiation of antibiotics so sensitivity results are not influenced. Obtaining
specimens from three sites increases the reliability of the results. Clients at risk for endocarditis should be
,treated with prophylactic antibiotics prior to dental procedures; respiratory and GI diagnostic procedures;
GU and Cardiac surgeries.
d. Order the EKG
a client is from a long term facility and has bruises but the client is dev disability and asks the nurse not to
tell. what is the nurse to do?
1. respect the client wishes
2. document the findings to the MD
3. tell the family
4. tell the long term care facility - Correct Answers-documents the findings to the MD
( you do respect the clients wishes but in this case is abuse, you do not share this information with the
family bc there may be more abuse and is a HIPPA violation, you also do not tell the long term care
facility bc there will also may be more abuse)
a client with gerd should be positioned in semi fowler position? - Correct Answers-no
a CNA cannot do? - Correct Answers-reposition a tube
A nurse is administering mannitol to the client with increased intracranial pressure. What supplies are
necessary when administering this medication? - Correct Answers-Syringe, filter needle, IV filter
tubing
A nurse is caring for four laboring clients. Each of the clients is requesting an epidural. Which of the
following clients should receive her epidural first? - Correct Answers-a. Primipara with contractions
occurring every 2 minutes, lasting 90 seconds. The cervical os is dilated 10 cms.
b. Primipara with contractions occurring every 10-15 minutes, lasting 15 seconds. The cervical os is
dilated 3 cms.
c. Mulitipara with contractions occurring every 3 minutes, lasting 45 seconds. The cervical os is dilated 5
cms. CorrectAn epidural is indicated in the active phase of labor. Active labor is defined as: cervical
dilation of 4-7 cms, contractions occurring every 3-5 minutes and lasting 30-60 seconds.
d. Mulitipara with contractions occurring every 2 minutes, lasting 130 seconds. The cervical os is dilated
8 cms.
Mulitipara with contractions occurring every 3 minutes, lasting 45 seconds. The cervical os is dilated 5
cms.An epidural is indicated in the active phase of labor. Active labor is defined as: cervical dilation of 4-
7 cms, contractions occurring every 3-5 minutes and lasting 30-60 seconds.
, acetazolamide - Correct Answers-monitor electrolyte imbalance
acromegaly will have - Correct Answers-diaphoresis
coarse facial features
enlarged extremities
muscle weakness
Acute glomerulonephritis will have labs - Correct Answers-Large RB'C
admin RBC's - Correct Answers-1. initiate iv
2. infuse NS
3. obtain blood from blood bank
4. verify
5. insert the Y spike
after a client comes from a sx what is the best priority?
v/s
NPO
iv fluids
pain level - Correct Answers-it will be NPO
after cleft palate do? - Correct Answers-monitor for artery temp for infection
clean the sutures after each feeding with sterile saline or sterile water
elbow restrtaint may be necessary
alcohol you give - Correct Answers-disulfiram for abstinence
diazepam is for withdrawal
amidorane - Correct Answers-monitor liver enzymes, cuases jaundice
anorecia nervosa what are the most reliable labs - Correct Answers-CMP complete metabolic panel
they may also need albumin labs but the other are most important
anthrax risk will be one that has - Correct Answers-impetigo
antidote for cyanide posioning is - Correct Answers-Amyl Nitrate
aortic stenosis will have - Correct Answers-h
apgar scores - Correct Answers-10 is the best
divided by 5 things