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? ✔✔ Peanut Butter and Jelly Sandwich

A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose

of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per

dose? ✔✔

A nurse is preforming a pre-college assessment on an adolescent. Which of the

following immunizations should the nurse anticipate administering? ✔✔ Meningococcal

polysaccharide vaccine

A nurse is assessing a client who has left-sided heart failure. Which of the following

findings should the nurse expect? ✔✔ Nocturia at night

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? ✔✔ Body sections turning a red orange color

A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the

following manifestations should the nurse expect? ✔✔ Projectile vomiting

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? ✔✔ "Have your child sit with her head tilted forward and hold pressure on her

nose for 10 minutes."

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings

should the nurse expect? ✔✔ Pain

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? ✔✔ Place her hands on the sides of her

rib cage

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). ✔✔ -Hypotension

-Weak pulses

-Murmur