Questions & Answers Latest Update
A nurse has just received change of shift report for four children and a pediatric unit which of the following
children should the nurse collect data from first? - ✔✔✔ - A child who has a fever in nuchal rigidity isn't
stable. This finding indicates bacterial meningitis, which requires urgent data collection and intervention
to reduce complications for the child and prevent further spread of the infection. Therefore, the nurse
should collect data from this child first.
A nurse is collecting data from a 12 month old infant during a well child visit which of the following findings
should the nurse report to the provider? - ✔✔✔ - The nurse should identify that the blood pressure of
115/70 as above the expected reference range for a 12 month old infant
A nurse is reviewing the laboratory part of a preschooler which of the following laboratory results. Should
the nurse report to the provider? - ✔✔✔ - Lead 14 mcg/dl this lead level is above the expected reference
range for a preschooler. Therefore the nurse report this result to the provider.
A nurse is collecting data from a 12 month old infant during a well child visit the nurse should identify
which of the following findings as a deviation from expected growth and development? - ✔✔✔ - The nurse
should identify birthweight doubled the infants birthweight should triple by 12 months of age
A nurse is contributing to the plan of care for an adolescent client who has HIV based on the adolescence
diagnosis, which of the following action should be included in the plan of care? - ✔✔✔ - Inform the client
about routes of transmission
A nurse collecting data about the dietary habits of an adolescent female client. The nurse said, if I that
which of the following findings puts the client at risk for nutritional deficits? - ✔✔✔ - The client fasting
twice a week to maintain dietary intake. The nurse should identify the adolescence at risk for developing
poor, eating habits. Regular fasting put this client at risk for nutritional deficit.
A nurse is preparing to administer ophthalmic drops to a child, which of the following action should the
nurse take - ✔✔✔ - Apply pressure to the lacrimal punctum for one minute following administration to
prevent medication from entering the nasal pharynx