SUCCESS
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of
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ix trust?
A) Food
B) Warmth
C) Security
D) Comfort
..ANS>> C) Security ix ix
2. A nurse has just received a medication order which is not legible.Which statement best reflects
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ix assertive communication? ix
A) "I cannot give this medication as it is written. I have no idea of what you mean."
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B) "Would you please clarify what you have written so I am sure I am reading it
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correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you would be more
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ix careful."
D) "Please print in the future so I do not have to spend extra time attempting to read your writing."
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..ANS>> B) "Would you please clarify what you have written so I am sure I am reading it
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correctly?"
3. What is the most important consideration when teaching parents how to reduce risks in the home?
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A) Age and knowledge level of the parents
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B) Proximity to emergency services ix ix ix
C) Number of children in the home ix ix ix ix ix
D) Age of children in the home
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, ..ANS>> D) Age of children in the home
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4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the
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room to request something for pain.The nurse should
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A) Administer a placebo ix ix
B) Encourage increased fluid intake ix ix ix
C) Administer the prescribed analgesia ix ix ix
D) Recommend relaxation exercises for pain control ix ix ix ix ix
..ANS>> C) Administer the pre- scribed analgesia
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5. Whilecaring for atoddlerwithcroup,whichinitialsignof crouprequiresthe nurse's immediate attention?
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A) Respiratory rate of 42 ix ix ix
B) Lethargy for the past hour ix ix ix ix
C) Apical pulse of 54 ix ix ix
D) Coughing up copious secretions ix ix ix
..ANS>> A) Respiratory rate of 42
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, 6. A client is admitted with lowT3 andT4 levels and an elevatedTSH level. On initial assessment, the
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ix nurse would anticipate which of the following assessment findings?
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A) Lethargy
B) Heat intolerance ix
C) Diarrhea
D) Skin eruptions ix
..ANS>> A) Lethargy ix ix
7. The emergency room nurse admits a child who experienced a seizure at school.The father comments
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that this is the first occurrence, and denies any family history of epilepsy.What is the best response by the
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ix nurse?
A) "Do not worry. Epilepsy can be treated with medications."
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B) "The seizure may or may not mean your child has epilepsy."
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C) "Since this was the first convulsion, it may not happen again."
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D) "Long term treatment will prevent future seizures."
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..ANS>> B) "The seizure may or may not mean your child has epilepsy."
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8. Alcohol and drug abuse impairs judgment and increases risk taking behav- ior.What nursing diagnosis
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ix best applies?
ix
A) Risk for injury ix ix
B) Risk for knowledge deficit ix ix ix
C) Altered thought process ix ix
D) Disturbance in self-esteem ix ix
..ANS>> A) Risk for injury ix ix ix ix
9. Which these findings would the nurse more closely associate with anemia in a 10 month-old infant?
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A) Hemoglobin level of 12 g/dI ix ix ix ix
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, B) Pale mucosa of the eyelids and lips
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C) Hypoactivity
D) A heart rate between 140 to 160
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..ANS>>B) Pale mucosa of the eyelids and lips ix ix ix ix ix ix ix
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit.The priority assessment
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ix in the first hour of care is
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A) Heart rate ix
B) Pedal pulses ix
C) Lung sounds ix
D) Pupil responses ix
..ANS>> D) Pupil responses ix ix ix
11. Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the
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ix use of patient controlled analgesia (PCA) with a pump?
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A) A young adult with a history of Down's syndrome
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B) A teenager who reads at a 4th grade level
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C) An elderly client with numerous arthritic nodules on the hands
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