A c. What docuirie rit should be in guiding the care of this client?
H Client She lf Determination Act
8) Physician’ s treatme rit orders
£) Advance Directives.
D) C lirliC,Bl Pathway protocols
Review Information: The correct answer is: C) Advance Diresctive This docume at speclies the client‘ s wishes
Question 2
Yer are the of a heBlth care team that cowsists of one licensed practical/VocatioriBl riur se, one nursing assistant , a
nursing student arid yourself To whom is it appro priate to assign co lete care for
£ Yourself
8) The riursing student
£) The lice rised vocational nurse
D) T he nursing assistant
,Review Information: The correct answer is:A) Your selt
file the nurse may delegate a bed Path for a stable client this care should be perf orme d by an RN for a new
admission Only tasks that do not re game independent judgment should be delegated.
3QuesNon3
A mother brings her the clirNc, complaining that the child seems to be The nurse expects to find which of the f ollowing
on the initial history and physicBl assessment'?
H Increase d te erature and lethargy
8) Hash and restlessne ss
£) Increased sleeping and listlessness
D) Diarrhea arid poor skin turgor
Review Information: The correct answer is:B) Rash and restlessness
,Question 4
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the parents require
follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "Her urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D+) "We notice muscle weakness and some unsteadiness."
Review Information: The correct answer is:C) "Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that
clothing is tight is significant, and should be followed by additional assessments.
Question 5
A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally
married and signed the consent form for treatment. What would be the appropriate INITIAL action by the
nurse?
A) Refuse to see the client until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the client to a community pediatric hospital emergency room
D) Assess and treat in the same manner as any adult client
Review Information: The correct answer is:D) Assess and treat in the same manner as any adult client.
, Minors may become known as an "emancipated minor" through marriage, pregnancy, high school
graduation, independent living or service in the military. Therefore, this client, who is married, has the legal
capacity of an adult.
Question 6
A newly admitted elderly client is severely dehydrated. When planning care for this client, which one of the
following is an appropriate task for an Unlicensed Assistive Personnel (UAP)?
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