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Exam (elaborations)
1Nclex-Pn
1. While assessing a one-month-old infant, which of the findings warrants 
further investigation by the nurse? Select all that apply. 
A. Abdominal respirations 
B.Irregular breathing rate 
C.Inspiratory grunt 
D.Increased heart rate with crying 
E.Nasal flaring 
F. Cyanosis 
G.Asymmetric chest movement 
 
2. A triage nurse has these four (4) clients arrive in the emergency 
department within 15 minutes. Which client should the triage nurse send 
back to be seen first? 
B.A teenager who got a si...