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In planning care for a 6 month-old infant,
what must the nurse provide to assist in
the development of trust?
A) Food C) Security
B) Warmth
C) Security
D) Comfort
A nurse has just received a medication
order which is not legible. Which state-
ment best reflects assertive communica-
tion?
A) "I cannot give this medication as it
is written. I have no idea of what you
mean."
B) "Would you please clarify what you
B) "Would you please clarify what you
have written so I am sure I am reading
have written so I am sure I am reading
it
it
correctly?"
correctly?"
C) "I am having difficulty reading your
handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not
have to spend extra time attempting to
read your writing."
What is the most important consideration
when teaching parents how to reduce
risks in the home?
A) Age and knowledge level of the par-
D) Age of children in the home
ents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
A 35 year-old client with sickle cell cri-
sis is talking on the telephone but stops
as the nurse enters the room to request
C) Administer the prescribed analgesia
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
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C) Administer the prescribed analgesia
D) Recommend relaxation exercises for
pain control
While caring for a toddler with croup,
which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42 A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A client is admitted with low T3 and T4
levels and an elevated TSH level. On ini-
tial assessment, the nurse would antici-
pate which of the following assessment
findings? A) Lethargy
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
The emergency room nurse admits a
child who experienced a seizure at
school. The father comments that this is
the first occurrence, and denies any fam-
ily history of epilepsy. What is the best
response by the nurse?
A) "Do not worry. Epilepsy can be treated B) "The seizure may or may not mean
with medications." your child has epilepsy."
B) "The seizure may or may not mean
your child has epilepsy."
C) "Since this was the first convulsion, it
may not happen again."
D) "Long term treatment will prevent fu-
ture seizures."
Alcohol and drug abuse impairs judg-
ment and increases risk taking behavior.
What nursing diagnosis best applies? A) Risk for injury
A) Risk for injury
B) Risk for knowledge deficit
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C) Altered thought process
D) Disturbance in self-esteem
Which these findings would the nurse
more closely associate with anemia in a
10 month-old infant?
A) Hemoglobin level of 12 g/dI B) Pale mucosa of the eyelids and lips
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
The nurse is caring for a client in hyper-
tensive crisis in an intensive care unit.
The priority assessment in the first hour
of care is
D) Pupil responses
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
Which of these clients who are all in the
terminal stage of cancer is least appro-
priate to suggest the use of patient con-
trolled analgesia (PCA) with a pump?
A) A young adult with a history of Down's
syndrome D) A preschooler with intermittent
B) A teenager who reads at a 4th grade episodes of alertness
level
C) An elderly client with numerous
arthritic nodules on the hands
D) A preschooler with intermittent
episodes of alertness
The nurse is about to assess a 6
month-old child with nonorganic fail-
ure-to thrive (NOFTT). Upon entering the
room, the nurse would expect the baby
D) Pale, thin arms and legs, uninterested
to be
in surroundings
A) Irritable and "colicky" with no attempts
to pull to standing
B) Alert, laughing and playing with a rat-
tle, sitting with support
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C) Skin color dusky with poor skin turgor
over abdomen
D) Pale, thin arms and legs, uninterested
in surroundings
As the nurse is speaking with a group
of teens which of these side effects
of chemotherapy for cancer would the
nurse expect this group to be more inter-
ested in during the discussion? D) Hair loss
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
While caring for a client who was admit-
ted with myocardial infarction (MI) 2 days
ago, the nurse notes today's temperature
is 101.1 degrees Fahrenheit (38.5 de-
greesCelsius). The appropriate nursing
intervention is to
B) Administer acetaminophen as or-
A) Call the health care provider immedi-
dered as this is normal at this time
ately
B) Administer acetaminophen as or-
dered as this is normal at this time
C) Send blood, urine and sputum for cul-
ture
D) Increase the client's fluid intake
A client is admitted for first and second
degree burns on the face, neck, anteri-
or chest and hands. The nurse's priority
should be
A) Cover the areas with dry sterile dress- B) Assess for dyspnea or stridor
ings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
Which of these clients who call the com-
munity health clinic would the nurse ask
to come in that day to be seen by the