In planning care for a month-old infant, what must the nurse provide to assist in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
development of trust
ii ii ii
A) Food ii
B) Warmth ii
Securityii
omfort -
ii Security ii ii ii ii ii
A nurse has just received a medication order which is not legible. Which statement best
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
reflects assertive communication
ii ii ii
A) "I cannot give this medication as it is written. I have no idea of what you mean."
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
B) "Would you please clarify what you have written so I am sure I am reading it
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
more careful."
ii ii
D) "Please print in the future so I do not have to spend extra time attempting to read your
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
writing." - B) "Would you please clarify what you have written so I am sure I am reading it
ii i ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
correctly?"
What is the most important consideration when teaching parents how to reduce risks in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
home
ii
A) Age and knowledge level of the parents
ii ii ii ii ii ii ii
B) Proximity to emergency services
ii ii ii ii
umber of children in the home
ii ii ii ii ii ii
Age of children in the home -
ii Age of children in the home
ii ii ii ii ii i ii ii ii ii ii ii ii ii ii
A year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
enters the room to request something for pain. The nurse should
ii ii ii ii ii ii ii ii ii ii ii
A) Administer a placebo
ii ii ii
B) Encourage increased fluid intake
ii ii ii ii
Administer the prescribed analgesia
ii ii ii ii
ecommend relaxation exercises for pain control -
ii Administer the prescribed ii ii ii ii ii i ii ii ii ii ii ii
analgesia
ii
While caring for a toddler with croup, which initial sign of croup requires the nurse's
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
immediate attention
ii ii
A) espiratory rate of
ii ii ii ii
B) ethargy for the past hour
ii ii ii ii ii
Apical pulse of
ii ii ii ii
oughing up copious secretions - A) espiratory rate of
ii ii ii ii i ii ii ii ii ii ii ii
,A client N isNadmittedNwith lowNT3NandNT4NlevelsNandNanNelevatedNTS level.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
On initial
assessment,
ii NtheNnurse NwouldNanticipateNwhichNof theNfollowing N assessment ii ii ii ii ii ii ii ii ii
finding
A) ethargy
ii
B) eat intolerance
ii ii
iarrhea
ii
Skin eruptions N- N N A)
ii ii i ii ii ii
ethargy
TheNemergency N room nurse N admitsNaNchild N whoNexperienced N aNseizure N atNschool.
ii ii ii ii ii ii ii ii ii ii ii ii ii
The Ncomments NthatNthisNisNtheNfirst occurrence,NandNdeniesNanyNfamilyNhistoryNof epilepsy.
father
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
WhatNisNtheNbest responseNbyNthe
ii ii ii ii ii ii ii
A)
nurse
" o notNworry. EpilepsyNcanNbeNtreated with medications."
ii ii ii ii ii ii ii ii ii
B) "The N seizure N mayNor mayNnotNmeanNyourNchild N has
ii ii ii ii ii ii ii ii ii ii
epilepsy."
"Since thisNwas theNfirst convulsion, N itNmayNnotNhappen Nagain."
ii ii ii ii ii ii ii ii ii ii ii
" ong term treatmentNwillNprevent NfutureNseizures."N-N N N B)N"TheNseizure NmayNor may
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
not NyourNchild N hasNepilepsy."
mean
ii ii ii ii ii
Alcohol N andNdrugNabuseNimpairsNjudgment N andNincreasesNriskNtakingNbehavior.
ii ii ii ii ii ii ii ii ii ii ii
nursing
iiWhat N diagnosis Nbest ii ii
applie
A) isk for injury
ii ii ii
B) isk for knowledgeNdeficit
ii ii ii ii
Altered thought N process
ii ii ii ii
isturbance N inNself-esteem - N N A)N isk
ii ii ii i ii ii ii ii
for injury
W hich N theseNfindings N wouldNthe Nnurse NmoreNcloselyNassociateNwithNanemia N inNa
ii ii ii ii ii ii ii ii ii ii ii ii ii
oldNmonth-
infant ii
A) emoglobin N levelNofN
ii ii ii ii
g/dI
B) PaleNmucosa Nof theNeyelidsNandNlips
ii ii ii ii ii ii ii
ypoactivity
ii
A heart rate between
ii ii to - N N B) Pale Nmucosa NofNtheNeyelids N and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
lips
TheNnurse N isNcaring Nfor aNclient NinNhypertensive N crisisNinNan intensive N care unit. N The
ii ii ii ii i ii ii ii ii ii ii ii ii ii ii ii
assessment
priority
ii NinNtheNfirst hour NofNcare is ii ii ii ii ii ii ii
A) eart rate
ii ii
B) PedalNpulses
ii ii
ung ii
sounds
Pupil responsesN-NN N Pupil
ii ii ii ii ii ii ii
responses
Which Nof theseNclients N whoNare allNinNtheNterminalNstageNof cancerNisNleastNappropriate to
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
suggestNtheNuseNof patient NcontrolledNanalgesia N(P A) with a
ii ii ii ii ii ii ii ii ii ii
pump
A) A young N adult NwithNa history Nof own's
ii ii ii ii ii ii ii ii
syndrome
B) A teenager NwhoNreadsNat aN th grade
ii ii ii ii ii ii ii ii
level
An elderlyNclientNwith numerous N arthriticNnodules N onNthe
ii ii ii ii ii ii ii ii ii
hands
A preschooler withNintermittent N episodes Nof alertness N- N N A preschooler
ii ii ii ii ii ii ii i ii ii ii ii ii
iiwith
intermittent NepisodesNof alertness ii ii ii
, TheNnurse NisNaboutNto assessNaN month-old N child Nwith nonorganic N failure-to
ii ii ii ii ii ii ii ii ii ii ii ii ii
(thrive
ii OFTT . pon enteringNtheNroom, theNnurseNwouldNexpectNtheNbabyNto ii ii ii ii ii ii ii ii ii ii ii
beIrritableNand N"colicky"NwithNnoNattemptsNto pull
A) ii ii ii ii ii ii ii ii
B)toAlert,
standing
Nlaughing N and Nplaying N with aNrattle, sitting
ii ii ii ii ii ii ii ii
with support
Skin colorNduskyNwith poorNskinNturgorNover
ii ii ii ii ii ii ii ii
abdomen
Pale, thinNarmsNandNlegs, uninterested N inNsurroundings N-NN N Pale,NthinNarmsNand
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
legs,
uninterested
ii N in ii
surroundings
AsNtheNnurseNisNspeaking Nwith aNgroupNof teensNwhichNof theseNsideNeffects of chemotherapy
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
for cancerNwouldNtheNnurseNexpectNthisNgroupNtoNbeNmoreNinterestedNinNduring
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
discussion
the
ii
A) MouthNsores ii ii
B) Fatigue ii
iarrhea ii
air lossN- N N
ii air ii ii ii ii ii ii
loss
While N caring Nfor aNclient N whoNwas admitted Nwith myocardialNinfarction N(MI days
ii ii ii ii ii ii ii ii ii ii ii ii ii
ago, the
nurse
ii N notesNtoday's temperature NisN . degrees Fahrenheit N ( . degree elsius).
ii ii ii ii ii ii ii ii ii
iiThe
appropriate Nnursing N intervention N is ii ii ii
to all theNhealthNcare provider N immediately
A) ii ii ii ii ii ii
B) Administer N acetaminophen N as orderedNasNthisNisNnormalNat this
ii ii ii ii ii ii ii ii ii ii
time
Send blood,Nurine N andNsputum Nfor culture
ii ii ii ii ii ii ii ii
Increase theNclient'sNfluid NintakeN- N N B)NAdminister N acetaminophen N asNordered asNthis
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
is
normal Nat thisNtime
ii ii ii ii
A client N isNadmittedNfor first andNsecondNdegreeNburns NonNtheNface, neck, NanteriorNchest
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
and N TheNnurse's NpriorityNshould
hands.
ii ii ii ii ii
be over N the Nareas withNdry sterile
A) ii ii ii ii ii ii
dressings
B) AssessNfor dyspnea Nor stridor
ii ii ii ii ii
Initiate intravenous N therapy
ii ii ii
Administer N painNmedication N- N N B) AssessNfor dyspneaNor
ii ii ii i ii ii ii ii ii ii ii
stridor
Which N of theseNclients N whoNcallNtheNcommunity N health Nclinic N would NtheNnurse NaskNto come
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
in NdayNto beNseenNbyNtheNhealthNcareNprovider
that
ii ii ii ii ii ii ii ii ii ii
A) INstarted myNperiodNand NnowNmyNurine N has Nturned Nbright
ii ii ii ii ii ii ii ii ii ii ii
red.
B) INam anNdiabeticNand NtodayNI have N beenNgoing N to theNbathroomNevery
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hour.
I was started on medicine N yesterday for aNurine N infection. N ow myNlower bellyNhurts
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Iwhen
ii goNto theNbathroom.
ii ii ii ii
I went toNtheNbathroomNandNmyNurine N lookedNveryNredNandNitNdidn'tNhurt NwhenNI went. -N N
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
went
ii I Nto theNbathroomNand NmyNurine N lookedNvery Nred andNitNdidn't N hurt Nwhen
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
I went.
Which Nof theseNparents'Ncomment Nfor aNnewbornNwouldNmostNlikelyNrevealNanNinitial
ii ii ii ii ii i ii ii ii ii ii ii ii ii
offinding
ii aNsuspected NpyloricNstenosi
ii ii ii ii
A) INnoticedNa littleNlumpNaNlittleNaboveNtheNbelly
ii ii ii ii ii ii ii ii ii ii
button.
B) TheNbabyNseemsNhungry N all the
ii ii ii ii ii ii
time.
Mild vomiting N thatNprogressed toNvomiting N shooting Nacross theNroom.
ii ii ii ii ii ii ii ii ii ii
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
development of trust
ii ii ii
A) Food ii
B) Warmth ii
Securityii
omfort -
ii Security ii ii ii ii ii
A nurse has just received a medication order which is not legible. Which statement best
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
reflects assertive communication
ii ii ii
A) "I cannot give this medication as it is written. I have no idea of what you mean."
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
B) "Would you please clarify what you have written so I am sure I am reading it
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
more careful."
ii ii
D) "Please print in the future so I do not have to spend extra time attempting to read your
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
writing." - B) "Would you please clarify what you have written so I am sure I am reading it
ii i ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
correctly?"
What is the most important consideration when teaching parents how to reduce risks in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
home
ii
A) Age and knowledge level of the parents
ii ii ii ii ii ii ii
B) Proximity to emergency services
ii ii ii ii
umber of children in the home
ii ii ii ii ii ii
Age of children in the home -
ii Age of children in the home
ii ii ii ii ii i ii ii ii ii ii ii ii ii ii
A year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
enters the room to request something for pain. The nurse should
ii ii ii ii ii ii ii ii ii ii ii
A) Administer a placebo
ii ii ii
B) Encourage increased fluid intake
ii ii ii ii
Administer the prescribed analgesia
ii ii ii ii
ecommend relaxation exercises for pain control -
ii Administer the prescribed ii ii ii ii ii i ii ii ii ii ii ii
analgesia
ii
While caring for a toddler with croup, which initial sign of croup requires the nurse's
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
immediate attention
ii ii
A) espiratory rate of
ii ii ii ii
B) ethargy for the past hour
ii ii ii ii ii
Apical pulse of
ii ii ii ii
oughing up copious secretions - A) espiratory rate of
ii ii ii ii i ii ii ii ii ii ii ii
,A client N isNadmittedNwith lowNT3NandNT4NlevelsNandNanNelevatedNTS level.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
On initial
assessment,
ii NtheNnurse NwouldNanticipateNwhichNof theNfollowing N assessment ii ii ii ii ii ii ii ii ii
finding
A) ethargy
ii
B) eat intolerance
ii ii
iarrhea
ii
Skin eruptions N- N N A)
ii ii i ii ii ii
ethargy
TheNemergency N room nurse N admitsNaNchild N whoNexperienced N aNseizure N atNschool.
ii ii ii ii ii ii ii ii ii ii ii ii ii
The Ncomments NthatNthisNisNtheNfirst occurrence,NandNdeniesNanyNfamilyNhistoryNof epilepsy.
father
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
WhatNisNtheNbest responseNbyNthe
ii ii ii ii ii ii ii
A)
nurse
" o notNworry. EpilepsyNcanNbeNtreated with medications."
ii ii ii ii ii ii ii ii ii
B) "The N seizure N mayNor mayNnotNmeanNyourNchild N has
ii ii ii ii ii ii ii ii ii ii
epilepsy."
"Since thisNwas theNfirst convulsion, N itNmayNnotNhappen Nagain."
ii ii ii ii ii ii ii ii ii ii ii
" ong term treatmentNwillNprevent NfutureNseizures."N-N N N B)N"TheNseizure NmayNor may
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
not NyourNchild N hasNepilepsy."
mean
ii ii ii ii ii
Alcohol N andNdrugNabuseNimpairsNjudgment N andNincreasesNriskNtakingNbehavior.
ii ii ii ii ii ii ii ii ii ii ii
nursing
iiWhat N diagnosis Nbest ii ii
applie
A) isk for injury
ii ii ii
B) isk for knowledgeNdeficit
ii ii ii ii
Altered thought N process
ii ii ii ii
isturbance N inNself-esteem - N N A)N isk
ii ii ii i ii ii ii ii
for injury
W hich N theseNfindings N wouldNthe Nnurse NmoreNcloselyNassociateNwithNanemia N inNa
ii ii ii ii ii ii ii ii ii ii ii ii ii
oldNmonth-
infant ii
A) emoglobin N levelNofN
ii ii ii ii
g/dI
B) PaleNmucosa Nof theNeyelidsNandNlips
ii ii ii ii ii ii ii
ypoactivity
ii
A heart rate between
ii ii to - N N B) Pale Nmucosa NofNtheNeyelids N and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
lips
TheNnurse N isNcaring Nfor aNclient NinNhypertensive N crisisNinNan intensive N care unit. N The
ii ii ii ii i ii ii ii ii ii ii ii ii ii ii ii
assessment
priority
ii NinNtheNfirst hour NofNcare is ii ii ii ii ii ii ii
A) eart rate
ii ii
B) PedalNpulses
ii ii
ung ii
sounds
Pupil responsesN-NN N Pupil
ii ii ii ii ii ii ii
responses
Which Nof theseNclients N whoNare allNinNtheNterminalNstageNof cancerNisNleastNappropriate to
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
suggestNtheNuseNof patient NcontrolledNanalgesia N(P A) with a
ii ii ii ii ii ii ii ii ii ii
pump
A) A young N adult NwithNa history Nof own's
ii ii ii ii ii ii ii ii
syndrome
B) A teenager NwhoNreadsNat aN th grade
ii ii ii ii ii ii ii ii
level
An elderlyNclientNwith numerous N arthriticNnodules N onNthe
ii ii ii ii ii ii ii ii ii
hands
A preschooler withNintermittent N episodes Nof alertness N- N N A preschooler
ii ii ii ii ii ii ii i ii ii ii ii ii
iiwith
intermittent NepisodesNof alertness ii ii ii
, TheNnurse NisNaboutNto assessNaN month-old N child Nwith nonorganic N failure-to
ii ii ii ii ii ii ii ii ii ii ii ii ii
(thrive
ii OFTT . pon enteringNtheNroom, theNnurseNwouldNexpectNtheNbabyNto ii ii ii ii ii ii ii ii ii ii ii
beIrritableNand N"colicky"NwithNnoNattemptsNto pull
A) ii ii ii ii ii ii ii ii
B)toAlert,
standing
Nlaughing N and Nplaying N with aNrattle, sitting
ii ii ii ii ii ii ii ii
with support
Skin colorNduskyNwith poorNskinNturgorNover
ii ii ii ii ii ii ii ii
abdomen
Pale, thinNarmsNandNlegs, uninterested N inNsurroundings N-NN N Pale,NthinNarmsNand
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
legs,
uninterested
ii N in ii
surroundings
AsNtheNnurseNisNspeaking Nwith aNgroupNof teensNwhichNof theseNsideNeffects of chemotherapy
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
for cancerNwouldNtheNnurseNexpectNthisNgroupNtoNbeNmoreNinterestedNinNduring
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
discussion
the
ii
A) MouthNsores ii ii
B) Fatigue ii
iarrhea ii
air lossN- N N
ii air ii ii ii ii ii ii
loss
While N caring Nfor aNclient N whoNwas admitted Nwith myocardialNinfarction N(MI days
ii ii ii ii ii ii ii ii ii ii ii ii ii
ago, the
nurse
ii N notesNtoday's temperature NisN . degrees Fahrenheit N ( . degree elsius).
ii ii ii ii ii ii ii ii ii
iiThe
appropriate Nnursing N intervention N is ii ii ii
to all theNhealthNcare provider N immediately
A) ii ii ii ii ii ii
B) Administer N acetaminophen N as orderedNasNthisNisNnormalNat this
ii ii ii ii ii ii ii ii ii ii
time
Send blood,Nurine N andNsputum Nfor culture
ii ii ii ii ii ii ii ii
Increase theNclient'sNfluid NintakeN- N N B)NAdminister N acetaminophen N asNordered asNthis
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
is
normal Nat thisNtime
ii ii ii ii
A client N isNadmittedNfor first andNsecondNdegreeNburns NonNtheNface, neck, NanteriorNchest
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
and N TheNnurse's NpriorityNshould
hands.
ii ii ii ii ii
be over N the Nareas withNdry sterile
A) ii ii ii ii ii ii
dressings
B) AssessNfor dyspnea Nor stridor
ii ii ii ii ii
Initiate intravenous N therapy
ii ii ii
Administer N painNmedication N- N N B) AssessNfor dyspneaNor
ii ii ii i ii ii ii ii ii ii ii
stridor
Which N of theseNclients N whoNcallNtheNcommunity N health Nclinic N would NtheNnurse NaskNto come
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
in NdayNto beNseenNbyNtheNhealthNcareNprovider
that
ii ii ii ii ii ii ii ii ii ii
A) INstarted myNperiodNand NnowNmyNurine N has Nturned Nbright
ii ii ii ii ii ii ii ii ii ii ii
red.
B) INam anNdiabeticNand NtodayNI have N beenNgoing N to theNbathroomNevery
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hour.
I was started on medicine N yesterday for aNurine N infection. N ow myNlower bellyNhurts
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Iwhen
ii goNto theNbathroom.
ii ii ii ii
I went toNtheNbathroomNandNmyNurine N lookedNveryNredNandNitNdidn'tNhurt NwhenNI went. -N N
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
went
ii I Nto theNbathroomNand NmyNurine N lookedNvery Nred andNitNdidn't N hurt Nwhen
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
I went.
Which Nof theseNparents'Ncomment Nfor aNnewbornNwouldNmostNlikelyNrevealNanNinitial
ii ii ii ii ii i ii ii ii ii ii ii ii ii
offinding
ii aNsuspected NpyloricNstenosi
ii ii ii ii
A) INnoticedNa littleNlumpNaNlittleNaboveNtheNbelly
ii ii ii ii ii ii ii ii ii ii
button.
B) TheNbabyNseemsNhungry N all the
ii ii ii ii ii ii
time.
Mild vomiting N thatNprogressed toNvomiting N shooting Nacross theNroom.
ii ii ii ii ii ii ii ii ii ii
