Questions and Correct Verified Answers, Graded A+
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust? - CORRECT ANSWER C) Security
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust? - CORRECT ANSWER C) Security
2. A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication? - CORRECT ANSWER B) "Would you please clarify what
you have written so I am sure I am reading it correctly?"
2. A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication? - CORRECT ANSWER B) "Would you please clarify what
you have written so I am sure I am reading it correctly?"
3. What is the most important consideration when teaching parents how to reduce risks in the
home? - CORRECT ANSWER D) Age of children in the home
3. What is the most important consideration when teaching parents how to reduce risks in the
home? - CORRECT ANSWER D) Age of children in the home
4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should - CORRECT ANSWER C)
Administer the prescribed analgesia
,4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should - CORRECT ANSWER C)
Administer the prescribed analgesia
5. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention? - CORRECT ANSWER A) Respiratory rate of 42
5. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention? - CORRECT ANSWER A) Respiratory rate of 42
6. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings? -
CORRECT ANSWER A) Lethargy
6. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
assessment, the nurse would anticipate which of the following assessment findings? -
CORRECT ANSWER A) Lethargy
7. The emergency room nurse admits a child who experienced a seizure at school. The father
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse? - CORRECT ANSWER B) "The seizure may or may not mean
your child has epilepsy."
7. The emergency room nurse admits a child who experienced a seizure at school. The father
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse? - CORRECT ANSWER B) "The seizure may or may not mean
your child has epilepsy."
,8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies? - CORRECT ANSWER A) Risk for injury
8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies? - CORRECT ANSWER A) Risk for injury
9. Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant? - CORRECT ANSWER B) Pale mucosa of the eyelids and lips
9. Which these findings would the nurse more closely associate with anemia in a 10 month-old
infant? - CORRECT ANSWER B) Pale mucosa of the eyelids and lips
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is - CORRECT ANSWER D) Pupil responses
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is - CORRECT ANSWER D) Pupil responses
11. Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump? - CORRECT ANSWER D)
A preschooler with intermittent episodes of alertness
11. Which of these clients who are all in the terminal stage of cancer is least appropriate to
suggest the use of patient controlled analgesia (PCA) with a pump? - CORRECT ANSWER D)
A preschooler with intermittent episodes of alertness
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be - CORRECT
ANSWER D) Pale, thin arms and legs, uninterested in surroundings
, 12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be - CORRECT
ANSWER D) Pale, thin arms and legs, uninterested in surroundings
13. As the nurse is speaking with a group of teens which of these side effects of chemotherapy
for cancer would the nurse expect this group to be more interested in during the discussion? -
CORRECT ANSWER D) Hair loss
13. As the nurse is speaking with a group of teens which of these side effects of chemotherapy
for cancer would the nurse expect this group to be more interested in during the discussion? -
CORRECT ANSWER D) Hair loss
14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the
nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to - CORRECT ANSWER B) Administer
acetaminophen as ordered as this is normal at this time
14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the
nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to - CORRECT ANSWER B) Administer
acetaminophen as ordered as this is normal at this time
15. A client is admitted for first and second degree burns on the face, neck, anterior chest and
hands. The nurse's priority should be - CORRECT ANSWER B) Assess for dyspnea or stridor
15. A client is admitted for first and second degree burns on the face, neck, anterior chest and
hands. The nurse's priority should be - CORRECT ANSWER B) Assess for dyspnea or stridor