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In planning care for a 6 C) Security
month-old infant, what
must the nurse provide to
assist in the development
of trust?
A) Food
B) Warmth
C) Security
D) Comfort
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A nurse has just received B) "Would you please clarify what you have written
a medication order which so I am sure I am reading it
is not legible. Which correctly?"
statement best reflects
assertive
communication?
A) "I cannot give this
medication as it is written.
I have no idea of what
you mean."
B) "Would you please
clarify what you have
written so I am sure I am
reading it
correctly?"
C) "I am having difficulty
reading your handwriting.
It would save me time if
you would be more
careful."
D) "Please print in the
future so I do not have to
spend extra time
attempting to read your
writing."
What is the most D) Age of children in the home
important consideration
when teaching parents
how to reduce risks in the
home?
A) Age and knowledge
level of the parents
B) Proximity to
emergency services
C) Number of children in
the home
D) Age of children in the
home
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A 35 year-old client with C) Administer the prescribed analgesia
sickle cell crisis is talking
on the telephone but
stops as the nurse enters
the room to request
something for pain. The
nurse should
A) Administer a placebo
B) Encourage increased
fluid intake
C) Administer the
prescribed analgesia
D) Recommend
relaxation exercises for
pain control
While caring for a toddler A) Respiratory rate of 42
with croup, which initial
sign of croup requires the
nurse's immediate
attention?
A) Respiratory rate of 42
B) Lethargy for the past
hour
C) Apical pulse of 54
D) Coughing up copious
secretions
A client is admitted with A) Lethargy
low T3 and T4 levels and
an elevated TSH level. On
initial assessment, the
nurse would anticipate
which of the following
assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
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The emergency room B) "The seizure may or may not mean your child has
nurse admits a child who epilepsy."
experienced a seizure at
school. The father
comments that this is the
first occurrence, and
denies any family history
of epilepsy. What is the
best response by the
nurse?
A) "Do not worry.
Epilepsy can be treated
with medications."
B) "The seizure may or
may not mean your child
has epilepsy."
C) "Since this was the first
convulsion, it may not
happen again."
D) "Long term treatment
will prevent future
seizures."
Alcohol and drug abuse A) Risk for injury
impairs judgment and
increases risk taking
behavior. What nursing
diagnosis best applies?
A) Risk for injury
B) Risk for knowledge
deficit
C) Altered thought
process
D) Disturbance in self-
esteem
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