When performing a newborn assessment, the nurse measures the circumference of the neonate’s head and chest. Which assessment finding is expected in the normal newborn? A. The head and chest circumference are the same B. The head is 2cm larger than the chest. C. The head is 3cm smaller than the chest… Read More »
The doctor has ordered Percocet (oxycodone) for a client following abdominal surgery. The primary objective of nursing care for the client receiving an opiate analgesic is to: A. Prevent addiction B. Reduce pain C. Facilitate mobility D. Prevent nausea Correct Answer: B. Reduce pain Option B: The… Read More »
A nurse has an African American patient who is bedridden for 3 months due to Guillain barre syndrome. During a routine assessment, which characteristic of pressure ulcer will the nurse first identify? A. Skin feels soft and cold B. Skin looks shiny or bluish in color C. Skin looks Reddish in color D.… Read More »
The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that: A. The client has good control of her diabetes B. The client has poor control of her diabetes C. The client can have a higher-calorie diet D. The client requires adjustment in her insulin dose… Read More »
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows B. Encourage the client to turn her head side to side, to promote drainage of oral secretions C.… Read More »
The mother of a child with hemophilia asks the nurse which over-the-counter medication is suitable for her child’s joint discomfort. The nurse should tell the mother to purchase: A. Aspirin (acetylsalicylic acid) B. Naproxen (Naprosyn) C. Tylenol (acetaminophen) D. Advil (ibuprofen) Correct Answer: C. Tylenol (acetaminophen) Option… Read More »
The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: A. Offering sterile water B. Holding the infant C. Offering a pacifier D. Providing a mobile Correct Answer: C. Offering a pacifier Option C: The nurse should avoid… Read More »
An 8-year-old is admitted with a sore throat, drooling, muffled phonation, high pitched-sound upon breathing (stridor), and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of: A. Primary Ciliary Dyskinesia B. Subglottic hemangioma C. Sinusitis D. Epiglottitis Correct… Read More »
The nurse is preparing to give a liquid oral potassium supplement. The nurse should: A. Give the medication on an empty stomach B. Give the medication with warm water C. Give the medication without diluting it D. Give the medication with 4 oz. of juice Correct Answer:… Read More »
Which of the following meal selections is appropriate for the client with celiac disease? A. Ramen noodles and dumplings B. French croissants and donuts C. Bacon and egg D. Pepperoni pizza and ginger ale Correct Answer: C. Bacon and egg Option C: Celiac disease is an autoimmune… Read More »