A nurse is completing a newborn gestational age assessment. Which of the following findings should be recorded as part of this assessment on the newborn? A.Plantar creases cover 2/3 of sole B.Acrocyanosis of hands and feet C.Anterior fontanel soft and level D.Vernix caseosa in inguinal creases The correct answer and Explanation is : The correct […]

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client’s express consent for this procedure. Which of the following actions should the nurse take? A.Check the medical record for the client’s signature on a previous consent form. B.Have another nurse co-sign the client’s consent. C.Obtain verbal consent from the end.

A nurse in a pediatric unit is caring for a group of clients. For which of the following diseases should the nurse implement droplet precautions?A.Varicella-zoster B.Vancomycin-resistant enterococcus (VRE) C.Pertussis D.Rotavirus The correct answer and Explanation is : The correct answer is C. Pertussis. Explanation: Droplet precautions are essential for preventing the spread of diseases that

A nurse is caring for a patient with sickle cell disease (SCD)The patient asks, “Why do my red blood cells become sickle-shaped?” Which response by the nurse is most accurate?A “Your red blood cells become sickle-shaped due to a genetic mutation that produces abnormal hemoglobin S (HbS)”B “Sickle-shaped red blood cells occur because of an

A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated? A An adolescent client who throws objects at other clientsB An older adult client who is manic and crying due to overstimulationC A school-age client who attempts to repeatedly bite staffD

A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect? A.Constipation B.Pain C.High fever D.Bradycardia The correct answer and Explanation is : The correct answer is B. Pain. In a sickle cell crisis, pain is a primary symptom that typically results from the

Which of the following is a mass within the ovary that secretes hormones to maintain the uterine lining during pregnancy? A.Corpus luteum B.Umbilical cord C.Oocyte D.Oviduct The Correct Answer and Explanation is: The correct answer is A. Corpus luteum. Explanation: The corpus luteum is a structure that forms within the ovary after ovulation. Ovulation is

A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the Inservice? A.“A nurse can disclose information to a family member with the client’s permission” B.“A nurse is responsible for informing clients about treatment options” C.“A nurse can apply restraints on

An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature? A.The solution should approximate the client’s body temperature (98°F or 36°C). B.The temperature of the enema is unrelated to the enema’s effectiveness. C.The solution temperature should be determined by the client’s comfort level.

A nurse is assessing a client who has schizophrenia. The client tells the nurse. “My heart exploded and my blood is draining out.” The nurse should interpret this statement as which of the following manifestations? A.Paranoia B.A somatic delusion C.Concrete thinking D.A visual hallucination The correct answer and Explanation is : The correct answer is