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N421 In-Class Review
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N421 In-Class Review
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N421 In-Class Review QAThe parent of a 4 y/o child tells a nurse that the child believes there are monsters hiding
in the closet at bedtime. Which one of the following statements should the nurse make?
- (correct answer)"keep a night light on in your child's room"
A nurse is assessing a female child in an area struck by an earthquake. The child, who
is crying, walks well, can state her first name, and repeatedly says "all done" and "go
bye-bye now" during the assessment. The child has 24 deciduous teeth and her anterior
fontanel is closed. Based on these observations, the nurse should estimate that the
child is how many months old? - (correct answer)30
A nurse in an ED is assessing a 3-year-old child who has a high fever, severe dyspnea,
and is drooling. Which of the following actions is the nurse's priority? - (correct
answer)prepare for nasotracheal intubation
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the
following assessments is the nurse's priority immediately after admission? - (correct
answer)auscultating the rate and characteristics of the child's heart sounds
A nurse is administering vaccines at a county health immunization clinic. Which of the
following clients should the nurse plan to administer the meningococcal conjugate
vaccine? - (correct answer)11-year-old school age child
A nurse is assessing a toddler who has heart failure. Which of the following findings
should the nurse expect? - (correct answer)orthopnea
A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid.
Which of the following actions should the nurse take? - (correct answer)perform gastric
lavage with activated charcoal
A nurse is caring for a child who has rheumatic fever. When obtaining the child's history
medical history from the parent, the nurse should recognize the significance of which of
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