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A nurse is eating in the hospital cafeteria when a toddler at a
nearby table chokes on a piece of food and appears slightly
blue. The appropriate initial action should be to
A) Begin mouth to mouth resuscitation
B) Give the child water to help in swallowing
C) Perform 5 abdominal thrusts
D) Call for the emergency response team - ANSWER✔✔C:
Perform 5 abdominal thrusts
A victim of domestic violence states, "If I were better, I would
not have been beat." Which feeling best describes what the
victim may be experiencing?
A) Fear
B) Helplessness
C) Self-blame
D) Rejection - ANSWER✔ C: Self-blame
,A client has been admitted with complaints of lower
abdominal pain, difficulty swallowing, nausea, dizziness,
headache and fatigue. The client is agitated, fearful,
tachycardic and complains of being "too sick to return to
work." The client is diagnosed as having somatoform
disorder. In formulating a plan of care, the nurse must
consider that the client's behavior
A) Is controlled by their subconscious mind
B) Is manipulative to avoid work responsibilities
C) Would respond to psychoeducational strategies
D) Could be modified through reality therapy - ANSWER✔✔A:
Is controlled by their subconscious mind
Which statement by a parent would alert the nurse to assess
for iron deficiency anemia in a 14 month-old child?
A) "I know there is a problem since my baby is always
constipated."
B) "My child doesn't like many fruits and vegetables, but she
really loves her milk."
C) "I can't understand why my child is not eating as much as
she did 4 months ago."
D) "My child doesn't drink a whole glass of juice or water at 1
,time." - ANSWER✔✔B: "My child doesn't like many fruits and
vegetables, but she really loves her milk."
The nurse is planning care for a client during the acute
phase of a sickle cell vaso- occlusive crisis. Which of the
following actions would be most appropriate?
A) Fluid restriction 1000cc per day
B) Ambulate in hallway 4 times a day
C) Administer analgesic therapy as ordered
D) Encourage increased caloric intake - ANSWER✔✔C:
Administer analgesic therapy as ordered
Following surgery for placement of a ventriculoperitoneal
(VP) shunt as treatment for hydrocephalus, the parents
question why the infant has a small abdominal incision. The
best response by the nurse would be to explain that the
incision was made in order to
A) Pass the catheter into the abdominal cavity
B) Place the tubing into the urinary bladder
C) Visualize abdominal organs for catheter placement
D) Insert the catheter into the stomach - ANSWER✔✔A: Pass
the catheter into the abdominal cavity
, The nurse is teaching a client with metastatic bone disease
about measures to prevent hypercalcemia. It would be
important for the nurse to emphasize
A) The need for at least 5 servings of dairy products daily
B) Restriction of fluid intake to less than 1 liter per day
C) The importance of walking as much as possible
D) Early recognition of findings associated with tetany -
ANSWER✔✔C: The importance of walking as much as possible
A nurse and client are talking about the client's progress
toward understanding his behavior under stress. This is
typical of which phase in the therapeutic relationship?
A) Pre-interaction
B) Orientation
C) Working
D) Termination - ANSWER✔✔C: Working
A child is sent to the school nurse by a teacher who has a
written note that Fifth's disease is suspected. Which
characteristic would the nurse expect to find?