VERIFIED ANSWERS 2024
Inxcplanningxccarexcforxcaxc6xcmonth-
oldxcinfant,xcwhatxcmustxcthexcnursexcprovidexctoxcassistxcinxcthexcdevelopmentxcofxctrust?
A)xcFood
B)xcWarmth
C)xcSecurity
D)xcComfortxc-xcanswer--C)xcSecurity
Axcnursexchasxcjustxcreceivedxcaxcmedicationxcorderxcwhichxcisxcnotxclegible.xcWhichxcstate
mentxcbestxcreflectsxcassertivexccommunication?
A)xc"Ixccannotxcgivexcthisxcmedicationxcasxcitxcisxcwritten.xcIxchavexcnoxcideaxcofxcwhatxcyouxc
mean."
B)xc"WouldxcyouxcpleasexcclarifyxcwhatxcyouxchavexcwrittenxcsoxcIxcamxcsurexcIxcamxcreading
xcit
correctly?"
C)xc"Ixcamxchavingxcdifficultyxcreadingxcyourxchandwriting.xcItxcwouldxcsavexcmexctimexcifxcyo
uxcwouldxcbexcmorexccareful."
D)xc"PleasexcprintxcinxcthexcfuturexcsoxcIxcdoxcnotxchavexctoxcspendxcextraxctimexcattemptingxc
toxcreadxcyourxcwriting."xc-xcanswer--
B)xc"WouldxcyouxcpleasexcclarifyxcwhatxcyouxchavexcwrittenxcsoxcIxcamxcsurexcIxcamxcreading
xcit
correctly?"
Whatxcisxcthexcmostxcimportantxcconsiderationxcwhenxcteachingxcparentsxchowxctoxcreduce
xcrisksxcinxcthexchome?
A)xcAgexcandxcknowledgexclevelxcofxcthexcparents
B)xcProximityxctoxcemergencyxcservices
C)xcNumberxcofxcchildrenxcinxcthexchome
D)xcAgexcofxcchildrenxcinxcthexchomexc-xcanswer--D)xcAgexcofxcchildrenxcinxcthexchome
Axc35xcyear-
oldxcclientxcwithxcsicklexccellxccrisisxcisxctalkingxconxcthexctelephonexcbutxcstopsxcasxcthexcnur
sexcentersxcthexcroomxctoxcrequestxcsomethingxcforxcpain.xcThexcnursexcshould
A)xcAdministerxcaxcplacebo
B)xcEncouragexcincreasedxcfluidxcintake
C)xcAdministerxcthexcprescribedxcanalgesia
D)xcRecommendxcrelaxationxcexercisesxcforxcpainxccontrolxc-xcanswer--
C)xcAdministerxcthexcprescribedxcanalgesia
Whilexccaringxcforxcaxctoddlerxcwithxccroup,xcwhichxcinitialxcsignxcofxccroupxcrequiresxcthexcn
urse'sxcimmediatexcattention?
A)xcRespiratoryxcratexcofxc42
B)xcLethargyxcforxcthexcpastxchour
,C)xcApicalxcpulsexcofxc54
D)xcCoughingxcupxccopiousxcsecretionsxc-xcanswer--A)xcRespiratoryxcratexcofxc42
AxcclientxcisxcadmittedxcwithxclowxcT3xcandxcT4xclevelsxcandxcanxcelevatedxcTSHxclevel.xcOnx
cinitialxcassessment,xcthexcnursexcwouldxcanticipatexcwhichxcofxcthexcfollowingxcassessme
ntxcfindings?
A)xcLethargy
B)xcHeatxcintolerance
C)xcDiarrhea
D)xcSkinxceruptionsxc-xcanswer--A)xcLethargy
Thexcemergencyxcroomxcnursexcadmitsxcaxcchildxcwhoxcexperiencedxcaxcseizurexcatxcschoo
l.xcThexcfatherxccommentsxcthatxcthisxcisxcthexcfirstxcoccurrence,xcandxcdeniesxcanyxcfamilyxc
historyxcofxcepilepsy.xcWhatxcisxcthexcbestxcresponsexcbyxcthexcnurse?
A)xc"Doxcnotxcworry.xcEpilepsyxccanxcbexctreatedxcwithxcmedications."
B)xc"Thexcseizurexcmayxcorxcmayxcnotxcmeanxcyourxcchildxchasxcepilepsy."
C)xc"Sincexcthisxcwasxcthexcfirstxcconvulsion,xcitxcmayxcnotxchappenxcagain."xc
D)xc"Longxctermxctreatmentxcwillxcpreventxcfuturexcseizures."xc-xcanswer--
B)xc"Thexcseizurexcmayxcorxcmayxcnotxcmeanxcyourxcchildxchasxcepilepsy."
Alcoholxcandxcdrugxcabusexcimpairsxcjudgmentxcandxcincreasesxcriskxctakingxcbehavior.xc
Whatxcnursingxcdiagnosisxcbestxcapplies?
A)xcRiskxcforxcinjury
B)xcRiskxcforxcknowledgexcdeficit
C)xcAlteredxcthoughtxcprocessxc
D)xcDisturbancexcinxcself-esteemxc-xcanswer--A)xcRiskxcforxcinjury
Whichxcthesexcfindingsxcwouldxcthexcnursexcmorexccloselyxcassociatexcwithxcanemiaxcinxcax
c10xcmonth-oldxcinfant?
A)xcHemoglobinxclevelxcofxc12xcg/dI
B)xcPalexcmucosaxcofxcthexceyelidsxcandxclips
C)xcHypoactivity
D)xcAxcheartxcratexcbetweenxc140xctoxc160xc-xcanswer--
B)xcPalexcmucosaxcofxcthexceyelidsxcandxclips
Thexcnursexcisxccaringxcforxcaxcclientxcinxchypertensivexccrisisxcinxcanxcintensivexccarexcunit.x
cThexcpriorityxcassessmentxcinxcthexcfirstxchourxcofxccarexcis
A)xcHeartxcrate
B)xcPedalxcpulses
C)xcLungxcsounds
D)xcPupilxcresponsesxc-xcanswer--D)xcPupilxcresponses
Whichxcofxcthesexcclientsxcwhoxcarexcallxcinxcthexcterminalxcstagexcofxccancerxcisxcleastxcappr
opriatexctoxcsuggestxcthexcusexcofxcpatientxccontrolledxcanalgesiaxc(PCA)xcwithxcaxcpump?
A)xcAxcyoungxcadultxcwithxcaxchistoryxcofxcDown'sxcsyndrome
B)xcAxcteenagerxcwhoxcreadsxcatxcaxc4thxcgradexclevel
C)xcAnxcelderlyxcclientxcwithxcnumerousxcarthriticxcnodulesxconxcthexchands
D)xcAxcpreschoolerxcwithxcintermittentxcepisodesxcofxcalertnessxc-xcanswer--
D)xcAxcpreschoolerxcwithxcintermittentxcepisodesxcofxcalertness
, Thexcnursexcisxcaboutxctoxcassessxcaxc6xcmonth-oldxcchildxcwithxcnonorganicxcfailure-
toxcthrivexc(NOFTT).xcUponxcenteringxcthexcroom,xcthexcnursexcwouldxcexpectxcthexcbabyxct
oxcbe
A)xcIrritablexcandxc"colicky"xcwithxcnoxcattemptsxctoxcpullxctoxcstanding
B)xcAlert,xclaughingxcandxcplayingxcwithxcaxcrattle,xcsittingxcwithxcsupport
C)xcSkinxccolorxcduskyxcwithxcpoorxcskinxcturgorxcoverxcabdomen
D)xcPale,xcthinxcarmsxcandxclegs,xcuninterestedxcinxcsurroundingsxc-xcanswer--
D)xcPale,xcthinxcarmsxcandxclegs,xcuninterestedxcinxcsurroundings
Asxcthexcnursexcisxcspeakingxcwithxcaxcgroupxcofxcteensxcwhichxcofxcthesexcsidexceffectsxcofxc
chemotherapyxcforxccancerxcwouldxcthexcnursexcexpectxcthisxcgroupxctoxcbexcmorexcinterest
edxcinxcduringxcthexcdiscussion?xc
A)xcMouthxcsores
B)xcFatigue
C)xcDiarrhea
D)xcHairxclossxc-xcanswer--D)xcHairxcloss
Whilexccaringxcforxcaxcclientxcwhoxcwasxcadmittedxcwithxcmyocardialxcinfarctionxc(MI)xc2xcda
ysxcago,xcthexcnursexcnotesxctoday'sxctemperaturexcisxc101.1xcdegreesxcFahrenheitxc(38.5x
cdegreesCelsius).xcThexcappropriatexcnursingxcinterventionxcisxcto
A)xcCallxcthexchealthxccarexcproviderxcimmediately
B)xcAdministerxcacetaminophenxcasxcorderedxcasxcthisxcisxcnormalxcatxcthisxctime
C)xcSendxcblood,xcurinexcandxcsputumxcforxcculturexc
D)xcIncreasexcthexcclient'sxcfluidxcintakexc-xcanswer--
B)xcAdministerxcacetaminophenxcasxcorderedxcasxcthisxcisxcnormalxcatxcthisxctime
Axcclientxcisxcadmittedxcforxcfirstxcandxcsecondxcdegreexcburnsxconxcthexcface,xcneck,xcanteri
orxcchestxcandxchands.xcThexcnurse'sxcpriorityxcshouldxcbe
A)xcCoverxcthexcareasxcwithxcdryxcsterilexcdressings
B)xcAssessxcforxcdyspneaxcorxcstridor
C)xcInitiatexcintravenousxctherapyxc
D)xcAdministerxcpainxcmedicationxc-xcanswer--B)xcAssessxcforxcdyspneaxcorxcstridor
Whichxcofxcthesexcclientsxcwhoxccallxcthexccommunityxchealthxcclinicxcwouldxcthexcnursexcas
kxctoxccomexcinxcthatxcdayxctoxcbexcseenxcbyxcthexchealthxccarexcprovider?
A)xcIxcstartedxcmyxcperiodxcandxcnowxcmyxcurinexchasxcturnedxcbrightxcred.
B)xcIxcamxcanxcdiabeticxcandxctodayxcIxchavexcbeenxcgoingxctoxcthexcbathroomxceveryxchour.
C)xcIxcwasxcstartedxconxcmedicinexcyesterdayxcforxcaxcurinexcinfection.xcNowxcmyxclowerxcbe
llyxchurtsxcwhenxcIxcgoxctoxcthexcbathroom.
D)xcIxcwentxctoxcthexcbathroomxcandxcmyxcurinexclookedxcveryxcredxcandxcitxcdidn'txchurtxcwhe
nxcIxcwent.xc-xcanswer--
D)xcIxcwentxctoxcthexcbathroomxcandxcmyxcurinexclookedxcveryxcredxcandxcitxcdidn'txchurtxcwhe
nxcIxcwent.
Whichxcofxcthesexcparents'xccommentxcforxcaxcnewbornxcwouldxcmostxclikelyxcrevealxcanxcini
tialxcfindingxcofxcaxcsuspectedxcpyloricxcstenosis?
A)xcIxcnoticedxcaxclittlexclumpxcaxclittlexcabovexcthexcbellyxcbutton.
B)xcThexcbabyxcseemsxchungryxcallxcthexctime.
C)xcMildxcvomitingxcthatxcprogressedxctoxcvomitingxcshootingxcacrossxcthexcroom.xc