TESTED QUESTIONS AND SOLUTIONS FULL
REVIEW GRADED A+
◉ Which of the following actions should the nurse take to prepare
the preschool aged child for a physical examination?
A. seperate the child from the caregiver during the exam?
B. allow the child to role play
C. Use the medical terminology to describe what will happen
D. Keep medical equipment visible to the child. Answer: B. allow the
child to role play
◉ A newborn who was delivered 2 hrs ago is being assessed in the
nursery. Upon exam, nurse notes a flattened nasal brduge, wide set
eyes, low set ears and overall decrease in tone. Given these exam
findings, what diagnostic rst would the nurse anticipate that the
physician will order
A. Hemoglobin electrophoresis
B. CT of the brain
C. Meconium toxicology testing
,D. Chromosomal blood testing. Answer: D. Chromosomal blood
testing
◉ During a home visit, a new motheris concerned that after 3
meconium stools her newborn now has yellow seedy stools. What
should the nurse explain to the mother?
A. Baby may be developing an allergy to breast milk
B. this is a normal finding
C. Child will need to be isolated until the stool can be cultured
D. This is most likely a symptom of diarrhea. Answer: B. this is a
normal finding
◉ Nurse observes a mother telling a toddlers that pasta and
potatoes will make the child fat. What should the nurse instruct the
mother about these food items?
A. The child should be instructed to restict carbs after the age of 5
B. No more than 30% of all food should be from carbs
C. It is more important to restrict protein than carbs
D. Toddlers needs carbs for brain function. Answer: D. Toddlers
needs carbs for brain function
◉ A preterm infant is placed in a radiant heat warmer immediately
after birth. Which of the following nursing diagnosis is the
intervention addressing?
, A. ineffective thermoregulation
B. Impaired gas exchange related to immature pulmonary
functioning
C. Risk for deficient fluid volume related to insensible water loss
D. Risk for imbalanced nutrition, less than body requirements.
Answer: A. ineffective thermoregulation
◉ Nurse is called to the room of a client who had a term delivery of a
9lb 8oz newborn 24 hours ago. Client is noted to have lost
consciousness on her to the bathroom. What is the priority nursing
assessment for the client?
A. call the provider
B. assess the fundus
C. assess blood pressure and HR
D. Assess ability to void. Answer: C. assess blood pressure and HR
◉ A new born infant has loose yellow stool. The infant appears
healthy, but his mother is concerned that this means he is allergic to
breast milk. Which of the following is the nurses best response?
A. Breast-fed infants stools are normally loose
B. Consider changing to a soybean formula
C. Try burping the infant more frequently
D. You may need to have the infant investigated for bile duct disease.
Answer: A. Breast-fed infants stools are normally loose