VERIFIED ANSWERS 2024
In mmplanning mmcare mmfor mma mm6 mmmonth-old mminfant, mmwhat mmmust mmthe
mmnurse mmprovide mmto mmassist mmin mmthe mmdevelopment mmof mmtrust?
A) mmFood
B) mmWarmth
C) mmSecurity
D) mmComfort mm- mmAnswer mmC) mmSecurity
A mmnurse mmhas mmjust mmreceived mma mmmedication mmorder mmwhich mmis mmnot
mmlegible. mmWhich mmstatement mmbest mmreflects mmassertive mmcommunication?
A) mm"I mmcannot mmgive mmthis mmmedication mmas mmit mmis mmwritten. mmI mmhave
mmno mmidea mmof mmwhat mmyou mmmean."
B) mm"Would mmyou mmplease mmclarify mmwhat mmyou mmhave mmwritten mmso mmI
mmam mmsure mmI mmam mmreading mmit
correctly?"
C) mm"I mmam mmhaving mmdifficulty mmreading mmyour mmhandwriting. mmIt mmwould
mmsave mmme mmtime mmif mmyou mmwould mmbe mmmore mmcareful."
D) mm"Please mmprint mmin mmthe mmfuture mmso mmI mmdo mmnot mmhave mmto mmspend
mmextra mmtime mmattempting mmto mmread mmyour mmwriting." mm- mmAnswer mmB)
mm"Would mmyou mmplease mmclarify mmwhat mmyou mmhave mmwritten mmso mmI mmam
mmsure mmI mmam mmreading mmit
correctly?"
What mmis mmthe mmmost mmimportant mmconsideration mmwhen mmteaching mmparents
mmhow mmto mmreduce mmrisks mmin mmthe mmhome?
A) mmAge mmand mmknowledge mmlevel mmof mmthe mmparents
B) mmProximity mmto mmemergency mmservices
C) mmNumber mmof mmchildren mmin mmthe mmhome
D) mmAge mmof mmchildren mmin mmthe mmhome mm- mmAnswer mmD) mmAge mmof
mmchildren mmin mmthe mmhome
A mm35 mmyear-old mmclient mmwith mmsickle mmcell mmcrisis mmis mmtalking mmon mmthe
mmtelephone mmbut mmstops mmas mmthe mmnurse mmenters mmthe mmroom mmto
mmrequest mmsomething mmfor mmpain. mmThe mmnurse mmshould
A) mmAdminister mma mmplacebo
B) mmEncourage mmincreased mmfluid mmintake
C) mmAdminister mmthe mmprescribed mmanalgesia
,D) mmRecommend mmrelaxation mmexercises mmfor mmpain mmcontrol mm- mmAnswer
mmC) mmAdminister mmthe mmprescribed mmanalgesia
While mmcaring mmfor mma mmtoddler mmwith mmcroup, mmwhich mminitial mmsign mmof
mmcroup mmrequires mmthe mmnurse's mmimmediate mmattention?
A) mmRespiratory mmrate mmof mm42
B) mmLethargy mmfor mmthe mmpast mmhour
C) mmApical mmpulse mmof mm54
D) mmCoughing mmup mmcopious mmsecretions mm- mmAnswer mmA) mmRespiratory
mmrate mmof mm42
A mmclient mmis mmadmitted mmwith mmlow mmT3 mmand mmT4 mmlevels mmand mman
mmelevated mmTSH mmlevel. mmOn mminitial mmassessment, mmthe mmnurse mmwould
mmanticipate mmwhich mmof mmthe mmfollowing mmassessment mmfindings?
A) mmLethargy
B) mmHeat mmintolerance
C) mmDiarrhea
D) mmSkin mmeruptions mm- mmAnswer mmA) mmLethargy
The mmemergency mmroom mmnurse mmadmits mma mmchild mmwho mmexperienced mma
mmseizure mmat mmschool. mmThe mmfather mmcomments mmthat mmthis mmis mmthe
mmfirst mmoccurrence, mmand mmdenies mmany mmfamily mmhistory mmof mmepilepsy.
mmWhat mmis mmthe mmbest mmresponse mmby mmthe mmnurse?
A) mm"Do mmnot mmworry. mmEpilepsy mmcan mmbe mmtreated mmwith mmmedications."
B) mm"The mmseizure mmmay mmor mmmay mmnot mmmean mmyour mmchild mmhas
mmepilepsy."
C) mm"Since mmthis mmwas mmthe mmfirst mmconvulsion, mmit mmmay mmnot mmhappen
mmagain." mm
D) mm"Long mmterm mmtreatment mmwill mmprevent mmfuture mmseizures." mm- mmAnswer
mmB) mm"The mmseizure mmmay mmor mmmay mmnot mmmean mmyour mmchild mmhas
mmepilepsy."
Alcohol mmand mmdrug mmabuse mmimpairs mmjudgment mmand mmincreases mmrisk
mmtaking mmbehavior. mmWhat mmnursing mmdiagnosis mmbest mmapplies?
A) mmRisk mmfor mminjury
B) mmRisk mmfor mmknowledge mmdeficit
C) mmAltered mmthought mmprocess mm
D) mmDisturbance mmin mmself-esteem mm- mmAnswer mmA) mmRisk mmfor mminjury
Which mmthese mmfindings mmwould mmthe mmnurse mmmore mmclosely mmassociate
mmwith mmanemia mmin mma mm10 mmmonth-old mminfant?
A) mmHemoglobin mmlevel mmof mm12 mmg/dI
B) mmPale mmmucosa mmof mmthe mmeyelids mmand mmlips
C) mmHypoactivity
D) mmA mmheart mmrate mmbetween mm140 mmto mm160 mm- mmAnswer mmB) mmPale
mmmucosa mmof mmthe mmeyelids mmand mmlips
,The mmnurse mmis mmcaring mmfor mma mmclient mmin mmhypertensive mmcrisis mmin mman
mmintensive mmcare mmunit. mmThe mmpriority mmassessment mmin mmthe mmfirst mmhour
mmof mmcare mmis
A) mmHeart mmrate
B) mmPedal mmpulses
C) mmLung mmsounds
D) mmPupil mmresponses mm- mmAnswer mmD) mmPupil mmresponses
Which mmof mmthese mmclients mmwho mmare mmall mmin mmthe mmterminal mmstage mmof
mmcancer mmis mmleast mmappropriate mmto mmsuggest mmthe mmuse mmof mmpatient
mmcontrolled mmanalgesia mm(PCA) mmwith mma mmpump?
A) mmA mmyoung mmadult mmwith mma mmhistory mmof mmDown's mmsyndrome
B) mmA mmteenager mmwho mmreads mmat mma mm4th mmgrade mmlevel
C) mmAn mmelderly mmclient mmwith mmnumerous mmarthritic mmnodules mmon mmthe
mmhands
D) mmA mmpreschooler mmwith mmintermittent mmepisodes mmof mmalertness mm-
mmAnswer mmD) mmA mmpreschooler mmwith mmintermittent mmepisodes mmof mmalertness
The mmnurse mmis mmabout mmto mmassess mma mm6 mmmonth-old mmchild mmwith
mmnonorganic mmfailure-to mmthrive mm(NOFTT). mmUpon mmentering mmthe mmroom,
mmthe mmnurse mmwould mmexpect mmthe mmbaby mmto mmbe
A) mmIrritable mmand mm"colicky" mmwith mmno mmattempts mmto mmpull mmto mmstanding
B) mmAlert, mmlaughing mmand mmplaying mmwith mma mmrattle, mmsitting mmwith
mmsupport
C) mmSkin mmcolor mmdusky mmwith mmpoor mmskin mmturgor mmover mmabdomen
D) mmPale, mmthin mmarms mmand mmlegs, mmuninterested mmin mmsurroundings mm-
mmAnswer mmD) mmPale, mmthin mmarms mmand mmlegs, mmuninterested mmin
mmsurroundings
As mmthe mmnurse mmis mmspeaking mmwith mma mmgroup mmof mmteens mmwhich mmof
mmthese mmside mmeffects mmof mmchemotherapy mmfor mmcancer mmwould mmthe
mmnurse mmexpect mmthis mmgroup mmto mmbe mmmore mminterested mmin mmduring
mmthe mmdiscussion? mm
A) mmMouth mmsores
B) mmFatigue
C) mmDiarrhea
D) mmHair mmloss mm- mmAnswer mmD) mmHair mmloss
While mmcaring mmfor mma mmclient mmwho mmwas mmadmitted mmwith mmmyocardial
mminfarction mm(MI) mm2 mmdays mmago, mmthe mmnurse mmnotes mmtoday's
mmtemperature mmis mm101.1 mmdegrees mmFahrenheit mm(38.5 mmdegreesCelsius).
mmThe mmappropriate mmnursing mmintervention mmis mmto
A) mmCall mmthe mmhealth mmcare mmprovider mmimmediately
B) mmAdminister mmacetaminophen mmas mmordered mmas mmthis mmis mmnormal mmat
mmthis mmtime
, C) mmSend mmblood, mmurine mmand mmsputum mmfor mmculture mm
D) mmIncrease mmthe mmclient's mmfluid mmintake mm- mmAnswer mmB) mmAdminister
mmacetaminophen mmas mmordered mmas mmthis mmis mmnormal mmat mmthis mmtime
A mmclient mmis mmadmitted mmfor mmfirst mmand mmsecond mmdegree mmburns mmon
mmthe mmface, mmneck, mmanterior mmchest mmand mmhands. mmThe mmnurse's mmpriority
mmshould mmbe
A) mmCover mmthe mmareas mmwith mmdry mmsterile mmdressings
B) mmAssess mmfor mmdyspnea mmor mmstridor
C) mmInitiate mmintravenous mmtherapy mm
D) mmAdminister mmpain mmmedication mm- mmAnswer mmB) mmAssess mmfor mmdyspnea
mmor mmstridor
Which mmof mmthese mmclients mmwho mmcall mmthe mmcommunity mmhealth mmclinic
mmwould mmthe mmnurse mmask mmto mmcome mmin mmthat mmday mmto mmbe mmseen
mmby mmthe mmhealth mmcare mmprovider?
A) mmI mmstarted mmmy mmperiod mmand mmnow mmmy mmurine mmhas mmturned mmbright
mmred.
B) mmI mmam mman mmdiabetic mmand mmtoday mmI mmhave mmbeen mmgoing mmto mmthe
mmbathroom mmevery mmhour.
C) mmI mmwas mmstarted mmon mmmedicine mmyesterday mmfor mma mmurine mminfection.
mmNow mmmy mmlower mmbelly mmhurts mmwhen mmI mmgo mmto mmthe mmbathroom.
D) mmI mmwent mmto mmthe mmbathroom mmand mmmy mmurine mmlooked mmvery mmred
mmand mmit mmdidn't mmhurt mmwhen mmI mmwent. mm- mmAnswer mmD) mmI mmwent mmto
mmthe mmbathroom mmand mmmy mmurine mmlooked mmvery mmred mmand mmit mmdidn't
mmhurt mmwhen mmI mmwent.
Which mmof mmthese mmparents' mmcomment mmfor mma mmnewborn mmwould mmmost
mmlikely mmreveal mman mminitial mmfinding mmof mma mmsuspected mmpyloric mmstenosis?
A) mmI mmnoticed mma mmlittle mmlump mma mmlittle mmabove mmthe mmbelly mmbutton.
B) mmThe mmbaby mmseems mmhungry mmall mmthe mmtime.
C) mmMild mmvomiting mmthat mmprogressed mmto mmvomiting mmshooting mmacross
mmthe mmroom. mm
D) mmIrritation mmand mmspitting mmup mmimmediately mmafter mmfeedings. mm-
mmAnswer mmC) mmMild mmvomiting mmthat mmprogressed mmto mmvomiting mmshooting
mmacross mmthe mmroom.
The mmnurse mmis mmassessing mma mmchild mmfor mmclinical mmmanifestations mmof
mmiron mmdeficiency mmanemia.
Which mmfactor mmwould mmthe mmnurse mmrecognize mmas mmcause mmfor mmthe
mmfindings? mm
A) mmDecreased mmcardiac mmoutput
B) mmTissue mmhypoxia
C) mmCerebral mmedema
D) mmReduced mmoxygen mmsaturation mm- mmAnswer mmB) mmTissue mmhypoxia