WITH CORRECT
ANSWERS AND
QUESTIONS 2024
A nurse is completing an admission assessment on an adolescent who is vegetarian. He eats
milk products but does not like beans. Which of the following items should the nurse suggest to
order for lunch to provide nutrients most likely to be lacking in his diet? - ANSWER ✓✓✓Peanut
butter and jelly sandwich
A nurse is performing a pre-college assessment on an adolescent. Which of the following
immunization should the nurse anticipate administering? - ANSWER ✓✓✓Meningococcal
polysaccharide vaccine
A nurse is a assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect? - ANSWER ✓✓✓Dependent edema
A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The
nurse should instruct the client that this medication can cause what adverse effects? - ANSWER
✓✓✓Body secretions turning a red-orange color
A nurse is caring for an infant who has pyloric stenosis. Which of the following manifestations
, should the nurse expect? - ANSWER ✓✓✓Projectile vomiting
A nurse receives a call from a parent of a child who has Von Willebrand disease and is having a
nosebleed. Which of the following instructions should the nurse give the parents? - ANSWER
✓✓✓Hace the child sit with his head tilted forward and hold pressure on nose for 10 min
A nurse is assessing a child who has sickle cell anemia. Which of the following findings should
the nurse expect? - ANSWER ✓✓✓Pain
A nurse is proceeding preop teaching by demonstrating breathing to a client who is scheduled
for surgery in the morning. Which of the following actions should the nurse include in the
demonstration - ANSWER ✓✓✓Place both hands on the side of her rib cage
A nurse is assessing a 3yr old who has aortic stenosis. Which of the following findings should
the nurse expect - ANSWER ✓✓✓Murmur
Weak pulse
Hypertension
Chest pain
A nurse is planning care for a client who has idiopathic thrombocytopenia purpur. Which of the
following manifestations is the most appropriate for the nurse to monitor? - ANSWER
✓✓✓Fever
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled
for initial surgery. Which of the following statements indicates an understanding - ANSWER
✓✓✓I'm glad my child ostomy is only temporary
A nurse identifies that a child has pediculosis capitis and educates the child's parents about the
conditions. Which of the following statements by the parents indicated an understanding of the
teaching - ANSWER ✓✓✓All recently used clothes, bedding, and towels must be washed in hot
water