Answers A+ Graded
1. The .nurse .knows .that .which .statement .by .the .mother .indicates .that
.themother .understands .safety .precautions .with .her .four .month-old .infant .and
.her .4year-old .child?
A) "I .strap .the .infant .car .seat .on .the .front .seat .to .face .backwards."
B) "I .place .my .infant .in .the .middle .of .the .living .room .floor .on .ablanket
.to .play .with .my .4 .year .old .while .I .make .supper .in .the .kitchen."
C) "My .sleeping .baby .lies .so .cute .in .the .crib .with .the .little .buttocksstuck .up .in
the .air
while .the .four .year .old .naps .on .the .sofa."
D) "I .have .the .4 .year-old .hold .and .help .feed .the .four .month-old .abottle .in
the .kitchen
while .I .make .supper."
The .correct .answer .is .D: ."I .have .the .four .year-old .hold .andhelp
.feed .the .four .month-old .a .bottle .in .the .kitchen
2. Upon .completing .the .admission .documents, .the .nurse .learns .that .the87 .year-
old .client
does .not .have .an .advance .directive. .What .action .should .the .nurse .take?
A) Record .the .information .on .the .chart
B) Give .information .about .advance .directives
C) Assume .that .this .client .wishes .a .full .code
D) Refer .this .issue .to .the .unit .secretary
The .correct .answer .is .B: .Give .information .about .advance
.directives
3. A .nurse .administers .the .influenza .vaccine .to .a .client .in .a .clinic. .Within15
.minutes .after
the .immunization .was .given, .the .client .complains .of .itchy .and .wateryeyes,
.increased .anxiety, .and .difficulty .breathing. .The .nurse .expects .that .the .first .action
,.inthe .sequence .of
care . for . this .client . will . be . to
,A) Maintain .the .airway
B) Administer . epinephrine . 1:1000 . as . ordered
C) Monitor .for . hypotension .with .shock
D) Administer . diphenhydramine . as . ordered
The .correct .answer .is .B: .Administer .epinephrine .1:1000 .asordered ..
, 4. Which .of .these .children .at .the .site .of .a .disaster .at .a .child .day .carecenter
.would .the
triage .nurse .put .in .the ."treat .last" .category?
A) An .infant .with .intermittent .bulging .anterior .fontanel
.betweencrying .episodes
B) A .toddler .with .severe .deep .abrasions .over .98% .of .the .body
C) A .preschooler .with .1 .lower .leg .fracture .and .the .other .leg .with .anupper
.leg .fracture
D) A .school-age .child .with .singed .eyebrows .and .hair .on .the
.armsThe .correct .answer .is .B: .A .toddler .with .severe .deep
. abrasions .over . 98% .of .the .body ..
5. When .admitting .a .client .to .an .acute .care .facility, .an .identificationbracelet
.is .sent .up
with .the .admission .form. . In .the .event . these .do .not .match, . the .nurse’sbest .action .is .to
A) Change .whichever .item .is .incorrect .to .the .correct .information
B) Use .the .bracelet .and .admission .form .until .a .replacement . issupplied
C) Notify .the .admissions .office .and .wait .to .apply .the .bracelet
D) Make .a .corrected .identification .bracelet .for .the .client
The .correct .answer .is .C: .notify .the .admissions .office .andwait .to
.apply .the .bracelet
6. The .nurse .is .having .difficulty .reading .the .health .care .provider's .writtenorder
.that .was
written .right .before .the .shift .change. .What .action .should .be .taken?
A) Leave .the .order .for .the .oncoming .staff .to .follow-up
B) Contact .the .charge .nurse .for .an .interpretation
C) Ask .the .pharmacy .for .assistance .in .the . interpretation
D) Call .the .provider .for .clarification
The .correct .answer .is .D: .Call .the .provider .for .clarification
7. An .adult .client .is .found .to .be .unresponsive .on .morning .rounds.
.Afterchecking .for