AND CORRECT ANSWERS 2025
A nurse working at a clinic speaks on the telephone with
a parent of a 2-monthold infant. The parent tells the nurse
that the infant has projectile vomiting followed by hunger
after meals. Which of the following response by the nurse
is appropriate? - CORRECT ANSWER -"Bring your infant
into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days
postoperative following the insertion of a
ventriculoperitoneal shunt. Which of the following
findings should the nurse identify as the priority . (causes
icp hydrocephalus) - CORRECT ANSWER -lethargy (high
pitched cry, respiratory changes, bradycardia, wide pulse
pressure, irritability
a nurse is caring for a child following an open reduction
and internal fixation of a fractured femur and application
of a cast. The cast has a window cut in it for viewing of
the incision. Which of the following actions should the
nurse take first? - CORRECT ANSWER -Perform
,neurovascular checks of the affected extremity (check for
infection, color, capillary refill, redness)
a nurse is planning care for a child who has severe
diarrhea. which of the following actions is the nurse
priority? - CORRECT ANSWER -Assess fluid balance
A nurse is caring for a toddler who's parent states that
the child has a mass in his abdominal area and his urine
is a pink color. Which of the following actions is the
nurse's priority? - CORRECT ANSWER -Instruct the parent
to avoid pressing on the abdominal area
A nurse is caring for a child who has acute
glomerulonephritis. Which of the following actions is the
nurse's priority? - CORRECT ANSWER -Check the Childs
weight daily
A nurse is caring for a child who has a suspected
diagnosis of bacterial meningitis. Which of the following is
the nurse's priority? - CORRECT ANSWER -Administer
antibiotics when available
, A nurse is collecting data from an adolescent. Which of
the following represents the greatest risk for suicide? -
CORRECT ANSWER -Active psychiatric disorder (Mark,
mental problems, patients mind is unstable)
A nurse is collecting data from an infant who has otitis
media (middle ear infection). The nurse should expect
which of the following findings? - CORRECT ANSWER -
Tugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1 month
old infant who is to undergo the initial surgery to treat
Hirschsprung's disease (a ganglionic megacolon, part of
the colon isn't connected to the nerves or not functioning,
so there will be an increase size of the colon and stool
gets stuck in there). Which of the following statements
should indicate to the nurse that the parent
understanding the goal of surgery? - CORRECT ANSWER -
"I'm glad that the ostomy is only temporary " (1st there
going to cut the nonfunctioning of the colon, and then
apply temporary colostomy, after a couple of months they
will suture it together)