• A nurse is completing an admission assessment on an adolescent child who is a

vegetarian. Heeats 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 doseof cephazolin 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 thefollowing immunizations should the

nurse anticipate administering?

• Meningococcal polysaccharide vaccine

• A nurse is assessing a client who has left-sided heart failure. Which

of the followingfindings should the nurse expect?

• Dependent edema

• 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 adverseeffects?

• Body secretions 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 you child sit with their head tilted forward and hold pressure

on her nose for10 minutes.”

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

findings shouldthe nurse expect?

• Pain

• A nurse is providing preoperative teaching by demonstrating diaphragmatic

breathing to a client who is scheduled forsurgery in the morning. Which of

the following actions should thenurse include in the demonstration?

• Place both hands on the sides of her rib cage.