EXAM WITH COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
a nurse is planning care for a child who has severe diarrhea. which of
the following actions is the nurse priority? - {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? - {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? - {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? - {answer}-
Administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following
represents the greatest risk for suicide? - {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?
- {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? -
{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)
A nurse is caring for an infant who is 1 day postoperative following
surgical repair of a cleft lip. Which of the following actions should the
nurse take? - {answer}-Apply an antibiotic ointment to the suture site
, A nurse is reinforcing discharge instructions with a parent of a child
who has cystic fibrosis. Which of the following statements by the
parent indicates an understanding of the teaching? - {answer}-"I will
make sure my child washes her hands before eating"
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? - {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) - {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? - {answer}-Perform neurovascular
checks of the affected extremity (check for infection, color, capillary
refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler
who ingested 30 tablets of aspirin. Which of the following substances
should the nurse administer to the toddler? - {answer}-Activated