ns and Answers (2026/2027) (85 Verif
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1. The nurse is giving pre-
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op instructions to a 14 yr old female scheduled for surgery to correct a spinal
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curvature. Which stmt best demonstrates that leaning has taken place ANS>>
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"I understand that I will be in a body cast and I will show you how you taught me to tu
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rn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate re
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sults ANS>> RR - HR - rectal temp
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3. During routine screening at a school clinic, an otoscope exam reveals a t
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ympanic mb that is pearly gray, slightly bulging, and not movable. What
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action should the nurse take next ANS>> Ask the child if they have had a cold, run
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nynose, or any ear pain lately
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,4. Which restraint should be used for a toddler after a cleft palate r
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epairANS>> - b
Elbow
5. What pre- b
op nsg intervention should be included in the POC for an infant w/ pyloric ste
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nosis ANS>> Observe for projectile vomiting
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(remember that projectile vomiting leads to metabolic alkalosis)
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6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg c
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are should be included when caring for any restrained childANS>>
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Remove the restraints one at a time and provide ROM exercises
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(Removing them 1 at a time is safer than all at once)
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7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular physic
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al exam. The nurse knows which problem is requently associated w/ DownsA
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NS>> Congenital heart disease
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(CHD is the most common associated defect w/ Downs. -
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also, remember Professor Moore said that heart and ear problems go hand in hand)
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8. When assessing a child w/ asthma, the nurse should expect intercostal r
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etractions during: Inspriation b b
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