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1. A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He
eats milk products but does not like beans. Which of the following items should the nurse
suggest the client order for lunch to provide nutrients most likely to be lacking in his diet?
a. Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of
cephazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose?
3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following
immunizations should the nurse anticipate administering?
a. Meningococcal polysaccharide vaccine
4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
a. Dependent edema
5. 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 which of the following adverse
effects?
a. Body secretions turning a red-orange color
6. A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following
manifestations should the nurse expect?
a. Projectile vomiting
7. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a
nosebleed. Which of the following instructions should the nurse give to the parents?
a. “have you child sit with their head tilted forward and hold pressure on her nose for 10
minutes.â€
8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the
nurse expect?
a. Pain
9. A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client
who is scheduled for surgery in the morning. Which of the following actions should the nurse
include in the demonstration?
a. Place both hands on the sides of her rib cage.
10. A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings
should the nurse expect? (select all that apply).
a. Most common: Murmur
b. weak pulses, HTN, dizziness, chest pain
11. A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of
the following manifestations is the most appropriate for the nurse to monitor?
a. Fever?
12. 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 of the teaching?
a. “I’m glad that my child’s ostomy is only temporary.â€
13. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents
about the condition. Which of the following statements by the parents indicated an
understanding of the teaching?
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