Predictive exam XXII RN

Question 1 of 50

A school-aged child is diagnosed with a severe case of rubeola. The nurse would question which of the following orders?

Administer an oral dose of 200,000 IU of vitamin A.
Administer antipyretics.
Administer oral fluids as tolerated.
Administer intravenous immune globulin (IVIG) after exposure.

Question 2 of 50

Which behavior indicates that an 18-month-old infant is developing a nonadaptive reaction to hospitalization?

Cries when the mother leaves
Ignores mother when she arrives to visit
Eats using fingers rather than utensils
Is afraid of the dark

Question 3 of 50

An 8-month-old infant is sitting contentedly on the mother’s lap. The nurse is preparing to perform a well-baby checkup. Which of the following steps should the nurse do first?

Measure the head circumference.
Obtain body weight and height.
Auscultate heart and lung sounds.
Check pupil response to light.

Question 4 of 50

When obtaining a health history from an older client, the nurse must take which characteristics of the older client into consideration?

The older client responds to pain sensation with the same intensity as a young client.
Auditory acuity is the most common sensory loss in the older adult population and may hinder the interview.
The older client requires a lot of repetition because the IQ declines with the aging process.
An older client's response time to answering a question is just as quick as that of a young client.

Question 5 of 50

Which behavior indicates that an 18-month-old infant is developing a nonadaptive reaction to hospitalization?

Cries when the mother leaves
Ignores mother when she arrives to visit
Eats using fingers rather than utensils
Is afraid of the dark

Question 6 of 50

What are appropriate toys for an 18-month-old infant to have for play while in isolation?

Rattles
Stacking rings
Crayons and coloring book
Soap bubbles

Question 7 of 50

The nurse is discussing nutrition with a woman who is 50 years old, perimenopausal, and has a history of hypertension. What food choices would be best to help meet the dietary needs of this woman?

Cheese and macaroni, fresh fruit, and milkshake
Cottage cheese, glass of skim milk, and fresh spinach salad
Roast beef with whole wheat bread, potato, and lettuce salad
Cheeseburger, French fries, and milkshake

Question 8 of 50

The nurse is serving a food tray to a client who has glomerulonephritis and azotemia. Which food selection would the nurse question?

Bread and rice
Dried peaches and apricots
Bran muffin and eggs
Apples and cucumbers

Question 9 of 50

Planning anticipatory guidance is an important nursing function. Considering the teaching for the family of an 18-month-old girl, which comment by the mother indicates she understands safety concerns?

"I will keep an eye on her all of the time; I will not let her out of my sight."
"When she says ‘no-no,' then she understands right and wrong."
"I will need to be sure that the locks on the medicine cabinet are secure."
"I'll be sure to give her syrup of ipecac if she swallows any poison."

Question 10 of 50

The nurse is assisting in the discharge preparation of a new mother and her infant. The mother asks when the immunizations will begin for her infant. What is the best nursing response?

The first series of the diphtheria, tetanus, and pertussis (DTaP) vaccine will be given before her discharge.
DTaP and varicella vaccines will be administered around 3 months of age.
The series of infant immunizations will begin around 6 months of age.
Immunizations are recommended to begin at 2 months old.

Question 11 of 50

The nurse is assessing an infant on the first office visit after birth. The mother asks the nurse when the chickenpox vaccination should be given. What is the best nursing response?

The infant received this vaccination at the hospital when he was born.
The varicella vaccination will be given at the infant's 1-month checkup.
The infant should receive the immunization immediately if he is exposed to varicella.
The varicella vaccination is administered after 12 months.

Question 12 of 50

A mother brings her 5-year-old daughter to the wellness clinic complaining of a rash covering the child’s body. Which rash characteristics are consistent with chickenpox (varicella)?

Clusters of small blisters
Raised, reddened areas on the upper trunk
A maculopapular rash
Petechiae

Question 13 of 50

A client comes to the emergency department with a deep penetrating wound he received in his garden. What is an important nursing action?

Rinse the wound with antibiotic solution.
Administer gamma globulin intramuscularly.
Anticipate notifying poison control for plant toxicology.
Determine when the client received his last tetanus injection.

Question 14 of 50

A toddler is admitted after taking an unknown number of acetaminophen tablets. Which symptoms would the nurse expect to find on assessment? Select all that apply.

Pallor
Hot, dry skin
Pain in the upper right quadrant
Severe burning pain in stomach
Nausea, vomiting
Coughing and inability to clear secretions

Question 15 of 50

An 8-month-old infant is sitting contentedly on the mother’s lap. The nurse is preparing to perform a well-baby checkup. Which of the following steps should the nurse do first?

Measure the head circumference.
Obtain body weight and height.
Auscultate heart and lung sounds.
Check pupil response to light.

Question 16 of 50

When obtaining a health history from an older client, the nurse must take which characteristics of the older client into consideration?

The older client responds to pain sensation with the same intensity as a young client.
Auditory acuity is the most common sensory loss in the older adult population and may hinder the interview.
The older client requires a lot of repetition because the IQ declines with the aging process.
An older client's response time to answering a question is just as quick as that of a young client.

Question 17 of 50

Which of the following actions would the nurse recommend to provide a 12-month-old infant with nutrients for growth?

Exclude milk from the infant's diet until he or she begins to like other foods.
Offer the infant small amounts of meat and vegetables before offering milk.
Withhold desserts until the infant has eaten his or her vegetables.
Mix strained meat and vegetables into the milk given to the infant.

Question 18 of 50

What are appropriate toys for an 18-month-old infant to have for play while in isolation?

Rattles
Stacking rings
Crayons and coloring book
Soap bubbles

Question 19 of 50

The nurse is discussing nutrition with a woman who is 50 years old, perimenopausal, and has a history of hypertension. What food choices would be best to help meet the dietary needs of this woman?

Cheese and macaroni, fresh fruit, and milkshake
Cottage cheese, glass of skim milk, and fresh spinach salad
Roast beef with whole wheat bread, potato, and lettuce salad
Cheeseburger, French fries, and milkshake

Question 20 of 50

Which behavior indicates that an 18-month-old infant is developing a nonadaptive reaction to hospitalization?

Cries when the mother leaves
Ignores mother when she arrives to visit
Eats using fingers rather than utensils
Is afraid of the dark

Question 21 of 50

An 8-month-old infant is sitting contentedly on the mother’s lap. The nurse is preparing to perform a well-baby checkup. Which of the following steps should the nurse do first?

Measure the head circumference.
Obtain body weight and height.
Auscultate heart and lung sounds.
Check pupil response to light.

Question 22 of 50

When obtaining a health history from an older client, the nurse must take which characteristics of the older client into consideration?

The older client responds to pain sensation with the same intensity as a young client.
Auditory acuity is the most common sensory loss in the older adult population and may hinder the interview.
The older client requires a lot of repetition because the IQ declines with the aging process.
An older client's response time to answering a question is just as quick as that of a young client.

Question 23 of 50

Which of the following actions would the nurse recommend to provide a 12-month-old infant with nutrients for growth?

Exclude milk from the infant's diet until he or she begins to like other foods.
Offer the infant small amounts of meat and vegetables before offering milk.
Withhold desserts until the infant has eaten his or her vegetables.
Mix strained meat and vegetables into the milk given to the infant.

Question 24 of 50

What are appropriate toys for an 18-month-old infant to have for play while in isolation?

Rattles
Stacking rings
Crayons and coloring book
Soap bubbles

Question 25 of 50

The nurse is discussing nutrition with a woman who is 50 years old, perimenopausal, and has a history of hypertension. What food choices would be best to help meet the dietary needs of this woman?

Cheese and macaroni, fresh fruit, and milkshake
Cottage cheese, glass of skim milk, and fresh spinach salad
Roast beef with whole wheat bread, potato, and lettuce salad
Cheeseburger, French fries, and milkshake

Question 26 of 50

The nurse is serving a food tray to a client who has glomerulonephritis and azotemia. Which food selection would the nurse question?

Bread and rice
Dried peaches and apricots
Bran muffin and eggs
Apples and cucumbers

Question 27 of 50

Planning anticipatory guidance is an important nursing function. Considering the teaching for the family of an 18-month-old girl, which comment by the mother indicates she understands safety concerns?

"I will keep an eye on her all of the time; I will not let her out of my sight."
"When she says ‘no-no,' then she understands right and wrong."
"I will need to be sure that the locks on the medicine cabinet are secure."
"I'll be sure to give her syrup of ipecac if she swallows any poison."

Question 28 of 50

The nurse is assisting in the discharge preparation of a new mother and her infant. The mother asks when the immunizations will begin for her infant. What is the best nursing response?

The first series of the diphtheria, tetanus, and pertussis (DTaP) vaccine will be given before her discharge.
DTaP and varicella vaccines will be administered around 3 months of age.
The series of infant immunizations will begin around 6 months of age.
Immunizations are recommended to begin at 2 months old.

Question 29 of 50

The nurse is assessing an infant on the first office visit after birth. The mother asks the nurse when the chickenpox vaccination should be given. What is the best nursing response?

The infant received this vaccination at the hospital when he was born.
The varicella vaccination will be given at the infant's 1-month checkup.
The infant should receive the immunization immediately if he is exposed to varicella.
The varicella vaccination is administered after 12 months.

Question 30 of 50

A mother brings her 5-year-old daughter to the wellness clinic complaining of a rash covering the child’s body. Which rash characteristics are consistent with chickenpox (varicella)?

Clusters of small blisters
Raised, reddened areas on the upper trunk
A maculopapular rash
Petechiae

Question 31 of 50

A client comes to the emergency department with a deep penetrating wound he received in his garden. What is an important nursing action?

Rinse the wound with antibiotic solution.
Administer gamma globulin intramuscularly.
Anticipate notifying poison control for plant toxicology.
Determine when the client received his last tetanus injection.

Question 32 of 50

Which behavior indicates that an 18-month-old infant is developing a nonadaptive reaction to hospitalization?

Cries when the mother leaves
Ignores mother when she arrives to visit
Eats using fingers rather than utensils
Is afraid of the dark

Question 33 of 50

An 8-month-old infant is sitting contentedly on the mother’s lap. The nurse is preparing to perform a well-baby checkup. Which of the following steps should the nurse do first?

Measure the head circumference.
Obtain body weight and height.
Auscultate heart and lung sounds.
Check pupil response to light.

Question 34 of 50

When obtaining a health history from an older client, the nurse must take which characteristics of the older client into consideration?

The older client responds to pain sensation with the same intensity as a young client.
Auditory acuity is the most common sensory loss in the older adult population and may hinder the interview.
The older client requires a lot of repetition because the IQ declines with the aging process.
An older client's response time to answering a question is just as quick as that of a young client.

Question 35 of 50

Which of the following actions would the nurse recommend to provide a 12-month-old infant with nutrients for growth?

Exclude milk from the infant's diet until he or she begins to like other foods.
Offer the infant small amounts of meat and vegetables before offering milk.
Withhold desserts until the infant has eaten his or her vegetables.
Mix strained meat and vegetables into the milk given to the infant.

Question 36 of 50

What are appropriate toys for an 18-month-old infant to have for play while in isolation?

Rattles
Stacking rings
Crayons and coloring book
Soap bubbles

Question 37 of 50

The nurse is discussing nutrition with a woman who is 50 years old, perimenopausal, and has a history of hypertension. What food choices would be best to help meet the dietary needs of this woman?

Cheese and macaroni, fresh fruit, and milkshake
Cottage cheese, glass of skim milk, and fresh spinach salad
Roast beef with whole wheat bread, potato, and lettuce salad
Cheeseburger, French fries, and milkshake

Question 38 of 50

The nurse is serving a food tray to a client who has glomerulonephritis and azotemia. Which food selection would the nurse question?

Bread and rice
Dried peaches and apricots
Bran muffin and eggs
Apples and cucumbers

Question 39 of 50

Planning anticipatory guidance is an important nursing function. Considering the teaching for the family of an 18-month-old girl, which comment by the mother indicates she understands safety concerns?

"I will keep an eye on her all of the time; I will not let her out of my sight."
"When she says ‘no-no,' then she understands right and wrong."
"I will need to be sure that the locks on the medicine cabinet are secure."
"I'll be sure to give her syrup of ipecac if she swallows any poison."

Question 40 of 50

The nurse is assisting in the discharge preparation of a new mother and her infant. The mother asks when the immunizations will begin for her infant. What is the best nursing response?

The first series of the diphtheria, tetanus, and pertussis (DTaP) vaccine will be given before her discharge.
DTaP and varicella vaccines will be administered around 3 months of age.
The series of infant immunizations will begin around 6 months of age.
Immunizations are recommended to begin at 2 months old.

Question 41 of 50

The nurse is assessing an infant on the first office visit after birth. The mother asks the nurse when the chickenpox vaccination should be given. What is the best nursing response?

The infant received this vaccination at the hospital when he was born.
The varicella vaccination will be given at the infant's 1-month checkup.
The infant should receive the immunization immediately if he is exposed to varicella.
The varicella vaccination is administered after 12 months.

Question 42 of 50

A mother brings her 5-year-old daughter to the wellness clinic complaining of a rash covering the child’s body. Which rash characteristics are consistent with chickenpox (varicella)?

Clusters of small blisters
Raised, reddened areas on the upper trunk
A maculopapular rash
Petechiae

Question 43 of 50

A client comes to the emergency department with a deep penetrating wound he received in his garden. What is an important nursing action?

Rinse the wound with antibiotic solution.
Administer gamma globulin intramuscularly.
Anticipate notifying poison control for plant toxicology.
Determine when the client received his last tetanus injection.

Question 44 of 50

A toddler is admitted after taking an unknown number of acetaminophen tablets. Which symptoms would the nurse expect to find on assessment? Select all that apply.

Pallor
Hot, dry skin
Pain in the upper right quadrant
Severe burning pain in stomach
Nausea, vomiting
Coughing and inability to clear secretions

Question 45 of 50

An infant that is positive for human immunodeficiency virus (HIV) (AIDS) has a nursing diagnosis of altered growth and development on the nursing care plan. Which nursing measure would enhance growth and development in the infant?

Provide opportunities for the family to participate in the infant's care.
Stimulate the infant with a mobile in the crib.
Weigh the infant daily and count diapers for an estimation of fluid loss.
Provide nutritional supplements throughout the day.

Question 46 of 50

In clients 65 years of age and older, how is death most commonly viewed?

As a romanticized situation
As a time of disassociation
As a part of life
As a time of denial

Question 47 of 50

A school-aged child is diagnosed with a severe case of rubeola. The nurse would question which of the following orders?

Administer an oral dose of 200,000 IU of vitamin A.
Administer antipyretics.
Administer oral fluids as tolerated.
Administer intravenous immune globulin (IVIG) after exposure.

Question 48 of 50

A client who is scheduled for a colonoscopy is instructed to take nothing except clear liquids for 6 hours before the procedure. What comment by the client would indicate to the nurse that the client does not understand the concept of clear liquids?

"I can have beef or chicken broth."
"Lemon-, orange-, or lime-flavored gelatin is okay."
"I can have a small amount of vanilla ice cream."
"I can have tea and coffee with sugar."

Question 49 of 50

Which of the following is a priority teaching topic for the parents of a school-age child?

Using a night light to allay night terrors
Encouraging the child to dress without help
Explaining the components of a healthy diet
Reviewing information about accident prevention

Question 50 of 50

A preschool-age child is admitted to the hospital for treatment of pneumonia. The mother is embarrassed because the child has voided in the bed, which the child has not done since he was toilet-trained. Which statement by the nurse would be most appropriate?

"This happens quite often with children when they are admitted to the hospital. When he feels better, his toileting skills will return to normal."
"My, how embarrassing for you to have your child do this. Don't worry. We see this all the time."
"Bedwetting is often a side effect of the antibiotic medication that your child is receiving. When the medicine is finished, his toileting skills will return to normal."
"I will be sure to report the bedwetting to the physician because it may require additional tests to determine the cause."

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question

11. Question

12. Question

13. Question

14. Question

15. Question

16. Question

17. Question

18. Question

19. Question

20. Question

21. Question

22. Question

23. Question

24. Question

25. Question

26. Question

27. Question

28. Question

29. Question

30. Question

31. Question

32. Question

33. Question

34. Question

35. Question

36. Question

37. Question

38. Question

39. Question

40. Question

41. Question

42. Question

43. Question

44. Question

45. Question

46. Question

47. Question

48. Question

49. Question

50. Question