(ANSWERS ARE AFTER EVERY QUESTION)

In planning care for a 6-month-old infant, what must the nurse provide to assist in 

the development of trust?

A) Food

B) Warmth

C) Security

D) Comfort

C) Security

A nurse has just received a medication order which is not legible. Which statement 

best reflects assertive communication?

A) "I cannot give this medication as it is written. I have no idea of what you mean."

B) "Would you please clarify what you have written so I am sure I am reading it

correctly?"

C) "I am having difficulty reading your handwriting. It would save me time if you 

would be more careful."

D) "Please print in the future so I do not have to spend extra time attempting to 

read your writing."

B) "Would you please clarify what you have written so I am sure I am reading it

correctly?"

What is the most important consideration when teaching parents how to reduce 

risks in the home?

A) Age and knowledge level of the parents

B) Proximity to emergency services

C) Number of children in the home

D) Age of children in the home

D) Age of children in the home

A 35 year-old client with sickle cell crisis is talking on the telephone but stops as 

the nurse enters the room to request something for pain. The nurse should

A) Administer a placebo

B) Encourage increased fluid intake

C) Administer the prescribed analgesia

D) Recommend relaxation exercises for pain control

C) Administer the prescribed analgesia

While caring for a toddler with croup, which initial sign of croup requires the 

nurse's immediate attention?

A) Respiratory rate of 42

B) Lethargy for the past hour

C) Apical pulse of 54

D) Coughing up copious secretions

A) Respiratory rate of 42

A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial 

assessment, the nurse would anticipate which of the following assessment 

findings?

A) Lethargy

B) Heat intolerance

C) Diarrhea

D) Skin eruptions

A) Lethargy

The emergency room nurse admits a child who experienced a seizure at school. The 

father comments that this is the first occurrence, and denies any family history of 

epilepsy. What is the best response by the nurse?

A) "Do not worry. Epilepsy can be treated with medications."

B) "The seizure may or may not mean your child has epilepsy."

C) "Since this was the first convulsion, it may not happen again."

D) "Long term treatment will prevent future seizures."

B) "The seizure may or may not mean your child has epilepsy."

Alcohol and drug abuse impairs judgment and increases risk taking behavior. What 

nursing diagnosis best applies?

A) Risk for injury

B) Risk for knowledge deficit

C) Altered thought process

D) Disturbance in self-esteem

A) Risk for injury

Which these findings would the nurse more closely associate with anemia in a 10 

month-old infant?

A) Hemoglobin level of 12 g/dI

B) Pale mucosa of the eyelids and lips

C) Hypoactivity

D) A heart rate between 140 to 160

B) Pale mucosa of the eyelids and lips

The nurse is caring for a client in hypertensive crisis in an intensive care unit. The 

priority assessment in the first hour of care is

A) Heart rate

B) Pedal pulses

C) Lung sounds

D) Pupil responses

D) Pupil responses

Which of these clients who are all in the terminal stage of cancer is least 

appropriate to suggest the use of patient controlled analgesia (PCA) with a pump?

A) A young adult with a history of Down's syndrome

B) A teenager who reads at a 4th grade level

C) An elderly client with numerous arthritic nodules on the hands

D) A preschooler with intermittent episodes of alertness

D) A preschooler with intermittent episodes of alertness

The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive 

(NOFTT). Upon entering the room, the nurse would expect the baby to be

A) Irritable and "colicky" with no attempts to pull to standing

B) Alert, laughing and playing with a rattle, sitting with support

C) Skin color dusky with poor skin turgor over abdomen

D) Pale, thin arms and legs, uninterested in surroundings

D) Pale, thin arms and legs, uninterested in surroundings

As the nurse is speaking with a group of teens which of these side effects of 

chemotherapy for cancer would the nurse expect this group to be more interested 

in during the discussion?

A) Mouth sores

B) Fatigue

C) Diarrhea

D) Hair loss

D) Hair loss