1. A nurse is speaking with the mother of a 6-year-old child. Which of the

following statements bythemother should concern the nurse?

a. “My teacher says my child has to squint to see the board.”

2. A nurse is conducting a primary survey of a client who has sustained lifethreatening injuries doto amotor-vehicle crash. Identify the sequence of

actions the nurse should take.

1. Open airway using a jaw-thrust maneuver

2. Determine effectiveness of ventilator efforts

3. Establish IV access

4. Glasgow Coma Scale assessment

5. Remove clothing for a thorough assessment.

3. A nurse is reinforcing teaching about food choices with the mother of

an 8-month-old infant.Which of the following statements by the

mother indicates a need for further teaching?

a. “I will give my child strained carrots and mashed egg yolks.”

4. A nurse in an emergency room is caring for a client who sustained

partial-thickness burns to bothlower legs, chest, face, and both forearms.

Which of the following is the priority action thenurse should take?

a. Inspect the mouth for signs of inhalation injuries

5. A charge nurse is making a room assignment for a client who has