2026 Complete Questions And Correct
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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
charcoal (can work with toxin, poison. Given through ng tube absorbs
toxins)
A nurse is caring for a 3 year old client who has persistent otitis media.
To help identify contributing factors, the nurse should ask the parents
which of the following questions? - ............ANSWER..........Does anyone
smoke in the same house as your daughter? (smoking can cause irritation,
cause mucus in respiratory and causes otitis media?) (otitis media is
purulent color)
A nurse is collecting data from a 2 year old toddler who has AIDS. The
nurse should inspect inside the toddler mouth for which of the following
opportunistic infections (fungus infections is usually opportunistic
infections)? - ............ANSWER..........Candidiasis (also called oral
thrush)