QUESTIONS WITH DETAILED VERIFIED ANSWERS NEW! /A+ GRADE
ASSURED(UNIVERSITY OF NEVADA)
• A nurse is caring for a child during a tonic-clonic seizure. Which of the following
actions should the nurse take? ( select all that apply)
• Clear the area of hard objects.
• Firmly hold the child’s arms to one side.
• Place a pillow under the child’s head.
• Insert a tongue blade into the child’s mouth.
• Loosen tight clothing around the child’s neck
• A nurse is preparing to perform a venipuncture to collect a blood sample from an
infant. Which of the following restraints should the nurse plan to use for this procedure?
• Elbow
• Mitten
• Jacket
• Mummy
• A nurse is teaching a parent of a preschool-age child about management of sleep
terrors. Which of the following instructions should the nurse include?
• Take the child to the parent’s bed to resume sleep.
• Allow the child to fall asleep with the television on.
• Remain uninvolved until the child awakens
• Schedule professional counseling for the child
• A nurse is assessing a toddler who is 8 hr postoperative following a cardiac
catheterization procedure. Which of the following findings should the nurse report to the
provider?
• Weak pedal pulse distal to the site.
• Bilateral cool extremities
• Serum glucose 90 mg/DL
• Blood pressure 102/58 mm Hg
• A nurse is assessing a preschool-age child who is in the immediate postoperative
period following a tonsillectomy. Which of the following assessment findings in the
priority?
• The child swallows frequently
• The child refuses clear liquids
• The child’s throat pain increases
• The child cries often
• A nurse is planning care for an 8 month-old infant who has bronchitis. Which of the
following actions the nurse include in the plan of care?
• Use a bulb syringe to suction the nares.
• Place the infant in a room with negative-pressure airflow.
• Administer a meningococcal vaccine upon admission
• Initiate IV antibiotic therapy.
, • **A nurse is preparing a parent's’ education class about nutrition for toddlers. The
nurse should identify which of the following findings as an indication of protein
deficiency?
• Dry, thinning hair
• Muscle twitching
• Dental caries
• Poor skin turgor
• A nurse is caring for a 10 month-old child who was brought to the ED by his parents
following a head injury. Which of the following actions should the nurse take first?
• Examine the scalp for lacerations.
• Inspect for fluid leaking from the ears.
• Assess respiratory status
• Check pupil reactions
• A nurse is collecting data from a toddler who weighs 20 kg (44lb) and has a full-thickness
burn to 10% of his body.Which of the following findings should the nurse report to the
provider?
• Bowel sounds 20/min
• Increased restlessness
• Resp. rate 25/min
• Urinary output 35 mL/hr
• A nurse is an ED is caring for a preschool-age child who has acute acetylsalicylic
acid poisoning. Which of the following should the nurse expect.
• Jaundice
• Hyperpyrexia
• Polyuria
• Neck vein distention
• A nurse is assessing a preschool-age child who has celiac disease. Which of the
following finds should the nurse expect?
• Obesity
• Polyphagia
• Steatorrhea
• Chronic constipation
• A school nurse is assessing a 7 y/o student. The nurse should identify which of the
following findings as a potential indicator of physical abuse?
• Bruising around the wrists
• Front deciduous teeth missing
• Abrasions on the knees
• Weight in 45th percentile
• ** A nurse is planning care for a child who has osteomyelitis. Which of the
following interventions should the nurse include in the plan of care?
• Provide a high-calorie, low-protein diet
• Encourage frequent physical activity to increase bone mass.
• Initiate contact precautions for the child