1. A nurse is completing an admission assessment on an
adolescent child who is a vegetarian. He eats milk products
but does not like beans. Which of the following items should
the nurse suggest the client order for lunch to provide
nutrients most likely to be lacking in his diet?: Peanut Butter
and Jelly Sandwich
2. A nurse is caring for a 1-month old infant who weighs 3540
g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID.
How many mg should the nurse administer per dose?:
3. A nurse is preforming a pre-college assessment on an
adolescent. Which of the following immunizations should the
nurse anticipate administering?-
: Meningococcal polysaccharide vaccine
4. A nurse is assessing a client who has left-sided heart failure.
Which of the following findings should the nurse expect?:
Nocturia at night
5. A nurse is caring for a client who has active TB and is to be
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, started on
IV rifampin therapy. The nurse should instruct the client that
this medication can cause which of the following adverse
effects?: Body sections turning a red orange color
6. A nurse is caring for a 6-week-old infant who as a pyloric
stenosis. Which of the following manifestations should the
nurse expect?: Projectile vomiting
7. A nurse receives a call from a parent of a child who has von
Willebrand disease and has having a nosebleed. Which of the
following instructions should the nurse give to the parents?:
"Have your child sit with her head tilted forward and hold pressure on
her nose for 10 minutes."
8. A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?:
Pain
9. A nurse is providing preoperative teaching by
demonstrating diaphrag- matic breathing to a client who is
scheduled for surgery in the morning. Which of the following
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, actions should the nurse include in the demonstra- tion?:
Place her hands on the sides of her rib cage
10.A nurse is assessing a 3-year-old child who has aortic
stenosis. Which of the following findings should the nurse
expect? (select all that apply).: -Hy- potension
-Weak pulses
-Murmur
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