–Nursing Students Verified Clinical Questions
and Correct Answers for U.S.
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Terms in this set (99)
a nurse is planning care for a child Assess fluid balance
who has severe diarrhea. which of
the following actions is the nurse
priority?
A nurse is caring for a toddler who's Instruct the parent to avoid pressing on the
parent states that the child has a abdominal area
mass in his abdominal area and his
urine is a pink color. Which of the
following actions is the nurse's
priority?
A nurse is caring for a child who has Check the Childs weight daily
acute glomerulonephritis. Which of
the following actions is the nurse's
priority?
A nurse is caring for a child who has Administer antibiotics when available
a suspected diagnosis of bacterial
meningitis. Which of the following is
the nurse's priority?
,A nurse is collecting data from an Active psychiatric disorder (Mark, mental
adolescent. Which of the following problems, patients mind is unstable)
represents the greatest risk for
suicide?
A nurse is collecting data from an Tugging on the affected ear lobe
infant who has otitis media (middle
ear infection). The nurse should
expect which of the following
findings?
A nurse is reinforcing reaching with "I'm glad that the ostomy is only temporary " (1st
a parent of a 1 month old infant who there going to cut the nonfunctioning of the
is to undergo the initial surgery to colon, and then apply temporary colostomy, after
treat Hirschsprung's disease (a a couple of months they will suture it together)
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?
A nurse is caring for an infant who is Apply an antibiotic ointment to the suture site
1 day postoperative following
surgical repair of a cleft lip. Which
of the following actions should the
nurse take?
A nurse is reinforcing discharge "I will make sure my child washes her hands
instructions with a parent of a child before eating"
who has cystic fibrosis. Which of the
following statements by the parent
indicates an understanding of the
teaching?
, A nurse working at a clinic speaks "Bring your infant into the clinic today to be seen"
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?
A nurse is caring for a 4 year old lethargy (high pitched cry, respiratory changes,
child who is 2 days postoperative bradycardia, wide pulse pressure, irritability
following the insertion of a
ventriculoperitoneal shunt. Which
of the following findings should the
nurse identify as the priority .
(causes icp hydrocephalus)
a nurse is caring for a child Perform neurovascular checks of the affected
following an open reduction and extremity (check for infection, color, capillary
internal fixation of a fractured femur refill, redness)
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?
A nurse is an urgent care clinic is Activated charcoal (can work with toxin, poison.
assisting with the care of a toddler Given through ng tube absorbs toxins)
who ingested 30 tablets of aspirin.
Which of the following substances
should the nurse administer to the
toddler?