REX-PN Practice Test Questions & Answer, 100% Correct | Grade A+
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first? A. Collect the clothing and underwear of the child B. Provide privacy and disregard the behavior of the child C. Inform the law enforcement for a possible child abuse D. Record all the findings : Option C: Calling law enforcement is a priority action and a legal responsibility of the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years of age include unexplained genital injury, avoidance to remove clothing, insist on wearing multiple garments, difficulty walking or sitting due to genital or anal pain, and signs of sexually transmitted infections. A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: A. Pear B. Apple C. Orange D. Avocado : Option D: The fruit which packs the most potassium among the choices is the avocado which contains 487 mg per half serving of the fruit. The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C. Maintain the client in a supine position with sandbags placed on either side of the head and neck D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position : Option A: Following a thyroidectomy, the client should be placed in semi-Fowler's position to decrease swelling that would place pressure on the airway. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
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