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The nurse is assessing a 2 month old. The nurse should anticipate the infant
should - CORRECT ANSWER ✔✔ - smile socially
The nurse is teaching a class on infant nutrition. The nurse should instruct the
parents to introduce - CORRECT ANSWER ✔✔ - Pureed chicken at 7 months
The nurse is caring for a 7 year old with thrombocytopenia and is on protective
precaution. Which would b a appropriate toy for the nurse to provide - CORRECT
ANSWER ✔✔ - A board game
The following pediatric unit has been informed the following clients are being
admitted. The nurse should first plan to assess the client who is - CORRECT
ANSWER ✔✔ - 2 year old, 100.8 temp, BP 68/44
The nurse is providing DC instructions to the parents of a patient with a cleft lip.
The nurse should instruct the clients too - CORRECT ANSWER ✔✔ - Encourage the
parents to provide the infant rest periods during feedings
The nurse is assessing a 3 year old during a well baby visit. During the visit the boy
states to his mother, "Mommy, I love you. I am going to marry you." The nurse
should - CORRECT ANSWER ✔✔ - Tell the mother that the statement is
appropriate for his stage of development.
Pg. 1
, What are some expected findings when caring for a client with a cyanotic heart
defect - CORRECT ANSWER ✔✔ - Tachycardia, increased respiration rate, delayed
growth and development
The nurse is teaching a group of parents about the expected growth and
development of 3 year old children. The nurse should include that a 3 year old
should - CORRECT ANSWER ✔✔ - play in a group of 2-3 with one being the leader
The Nurse and the nurse assistant are caring for a group of clients. Which of the
following client care activity should the nurse assign to the nursing assistant -
CORRECT ANSWER ✔✔ - Placing a AKA patient 24 hours post op in prone position
Assisting a client who had a colon resection 36 hours ago to ambulate
The nurse is caring for a client with AIDS who started Zidovidine ATZ. It would be
important to assess - CORRECT ANSWER ✔✔ - CBC
The nurse is preforming a ABD assessment. Put in order the correct sequence of
assessment - CORRECT ANSWER ✔✔ - Inspection, auscultation, palpation,
percussion
The nurse has become aware of the following client situations. The nurse should
first assess the client who - CORRECT ANSWER ✔✔ - Had an ABD hysterectomy
yesterday and is reporting calf pain
Nursing considerations when admin heparin - CORRECT ANSWER ✔✔ - ADMIN in
ABD, do not massage, protamine sulfate is antidote
Pg. 2