EXAM WITH REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) LATEST
|GUARANTEED A+
a nurse is preparing to administer an immunization to a 4 year old
child which of the following actions should the nurse plan to take
- place the child in a prone position for the immunization
- request that the child's caregiver leave the room during the
immunization
- administer the immunization using a 24 gauge needled
- inject the immunization slowly after aspiration for 3 seconds -
CORRECT ANSWER administer the immunization using a 24 gauge
needled
a nurse is providing teaching about play activities for social
development to the parents of a preschooler which of the following
play activities should the nurse recommend for the child
- playing pat-a-cake
- using a push-pull toy
- creating a scrapbook
- playing dress-up - CORRECT ANSWER playing dress-up
a nurse is caring for a preschooler who is scheduled for hydrotherapy
treatment for wound debridement following a burn injury which of the
following actions should the nurse take prior to the procedure
- blood pressure 130/90 mm hg
- heart rate 60/min
- temperature 39.1 C (102.4 F)
- urinary output 100 ml/hr - CORRECT ANSWER temperature 39.1 C
(102.4 F)
,
a nurse is caring for a preschooler whose father is going home for a
few hours while another relative stays with the child which of the
following statements should the nurse make to explain to the child
when their father will return
- your daddy will back at 7pm
- our daddy will be back after he takes care of your brother
- your daddy will be back in the morning
- your daddy will be back after you eat - CORRECT ANSWER your
daddy will be back after you eat
a nurse is caring for a toddler who has spastic (pyramidal) cerebral
palsy which of the following findings should the nurse expect sata
- negative Babinski reflex
- ankle clonus
- exaggerated stretch reflexes
- uncontrollable movements of the face
- contractures - CORRECT ANSWER - ankle clonus
- exaggerated stretch reflexes
- contractures
a nurse is providing discharge teaching to the parent of a child who is
1 week postop following a cleft palate repair for which of the following
members of the interprofessional team should the nurse initiate a
referral
- occupational therapist
- speech therapist
- respiratory therapist
- physical therapist - CORRECT ANSWER speech therapist
a nurse in an emergency department is performing a physical
assessment on a 2 week old male newborn which of the following
findings is priority for the nurse to report to the provider
- excoriated scrotal area
- multiple capillary hemangiomas
- depressed posterior fontanel
- substernal retractions - CORRECT ANSWER substernal retractions
,
a nurse is teaching the parent of an infant who has Pavlik harness for
the treatment of developmental dysplasia of the hip the nurse should
identify that which of the following statements by the parent indicates
an understanding of the teaching
- i should remove the harness at night to allow my infant to stretch her
legs
- i will need to adjust the straps on the harness once each week
- i should apply baby powder to my infant's skin twice daily
- i will place my infant's diapers under the harness straps - CORRECT
ANSWER i will place my infant's diapers under the harness straps
a nurse is providing teaching to the parent of a school age child who
has a new prescription for oral nystatin for the treatment of oral
candidiasis which of the following instructions should the nurse
include
- shake the medication prior to administration
- provide the medication through a straw
- rinse the child's mouth with water immediately after giving the
medication
- mix the medication with applesauce if the child dislikes the taste -
CORRECT ANSWER shake the medication prior to administration
a nurse is teaching the parent of an infant about ways to prevent
sudden infant death syndrome (SIDS) which of the following
instructions should the nurse include
- place the infant in a prone position to sleep
- allow the infant to sleep on a large pillow
- use a soft mattress in the infant's crib
- give the infant a pacifier at bedtime - CORRECT ANSWER give the
infant a pacifier at bedtime
a nurse is reviewing the laboratory report of a 7-year-old child who is
receiving chemotherapy which of the following laboratory values
should the nurse report to the provider
- hgb 8.5 g/dl
- wbc count 9,500/mm3
- prealbumin 18 mg/dl
- platelets 300,000/mm3 - CORRECT ANSWER hgb 8.5 g/dl
,
a nurse is caring for a toddler who is experiencing acute diarrhea and
has moderate dehydration which of the following nutritional items
should the nurse offer to the toddler
- apple juice
- peanut butter
- chicken broth
- oral rehydration solution - CORRECT ANSWER oral rehydration
solution
a nurse is caring for a school-age child who is receiving a blood
transfusion which of the following manifestations should alert the
nurse to a possible hemolytic transfusion reaction
- laryngeal edema
- flank pain
- distended neck veins
- muscular weakness - CORRECT ANSWER flank pain
a nurse is reviewing the lumbar puncture results of a school-age child
who is suspected of having bacterial meningitis which of the following
findings should the nurse identify as an indication of bacterial
meningitis
- decreased cerebrospinal fluid pressure
- decreased WBC count
- increased protein concentration
- increased glucose level - CORRECT ANSWER increased protein
concentration
a school nurse is assessing an adolescent who has scoliosis which of
the following findings should the nurse expect
- increase in anterior convexity of the lumbar spine
- increased curvature of the thoracic spine
- lateral flexion of the neck
- a unilateral rib hump - CORRECT ANSWER a unilateral rib hump
a nurse is receiving change-of-shift report for four children which of
the following children should the nurse see first