Answers
A 1-year-old infant is pale, but the physical examination is normal. Blood studies
reveal the infant's hematocrit is 24%. Which question by the nurse to the parents
would be most useful in helping to establish a diagnosis of anemia? correct
answer " What's the infant's usual daily diet?"
A 2-day-old boy is scheduled for circumcision without anesthesia. When reviewing
the neonate's plan of care, which measure would the nurse likely find as most
important after the procedure? correct answer charting the time of the neonate's
voiding
A 30-year-old client whose mother died of breast cancer at age 44 and whose
sister has ovarian cancer is concerned about developing cancer. A nurse who is a
member of the oncology multidisciplinary team should suggest that the client ask
the physician about which of the following actions? correct answer obtaining
genetic counseling
A child, age 2, with a history of recurrent ear infections is brought to the clinic
with a fever and irritability. To elicit the most pertinent information about the
child's ear problems, the nurse should ask the parent: correct answer " Does your
child tug at either ear?"
A client begins clozapine therapy after several other antipsychotic agents fail to
relieve her psychotic symptoms. The nurse instructs her to return for weekly
white blood cell (WBC) counts to assess for which adverse reaction? correct
answer Granulocytopenia
, A client has been admitted to the emergency department with severe right upper
quadrant pain. Based on the signs and symptoms and laboratory data
documented in the chart shown, the nurse would expect the client to have which
diagnosis? correct answer pancreatitis
A client has come to the clinic for her first prenatal visit. The nurse should include
which statement about using drugs safely during pregnancy in her teaching?
correct answer "Consult with your health care provider before taking any
medications."
A client has just expelled a hydatidiform mole. She's visibly upset over the loss
and wants to know when she can try to become pregnant again. Which of the
following would be the nurse's best response? correct answer "I can see that
you're upset; however, you must wait at least 1 year before becoming pregnant
again."
A client in labor is attached to an electronic fetal monitor (EFM). Which of the
following data provided by an EFM most reliably indicates adequate
uteroplacental and fetal perfusion? correct answer Fetal heart rate variability
within an acceptable range
A client in labor is prescribed an IV of 5% dextrose in lactated Ringer's solution to
run at 125 mL/hour. The IV tubing delivers 10 drops per mL. At which infusion
rate should the nurse set the IV? Record your answer using a whole number.
correct answer 21
A client in the early stages of labor asks the nurse whether it's really necessary for
her to purchase a car seat, noting that they're very expensive. Which response by
the nurse is best? correct answer "The only way to safely transport your baby in a
car is to have him restrained securely in a car seat."