Which of the following behaviors should the nurse include

1) A nurse is providing a teaching to the guardian of a 2year old about typical toddler behavior. Which of the following behaviors should the nurse include?
a. Frequency negative responses
b. Less emotionally labile
c. Increased dependency
d. Resistant to routines
2) A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
a. Tighten the screws on the halo device one quarter turn every 48 hr
b. Encourage flexion and extension of the neck
c. Reposition the client using a turning sheet
d. Asses the pin sites for an infection once every other day
3) A nurse is caring for a 1 year old infant who has GERD. Which of the following actions should the nurse take to promote sleep for the infant?
a. Place the infant in surprise position to sleep
b. Place the infant in a left lateral position’
c. Offer feedings just before bedtime
d. Provide the infant with a bottle of milk at bedtime
4) A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?
a. Obtain a stool specimen for lead levels
b. Initiate a low iron diet for lead absorption
c. Perform development testing for delays
d. Inspect the skin for discoloration
5) A nurse is collecting data from a toddler who weighs 25 kg (44ib) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider?
a. Respiratory rate 25/min
b. Bowl sounds 20/min
c. Increased restlessness
d. Urinary output 35mL//hr
6) A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching?
a. I will sprinkle baby powder into the cast if my arm itches
b. I should limit the use of fingers of my broken arm
c. I will elevate my broken arm on pillows a tonight
d. I should expect my fingers to be swollen for several days
7) A nurse is teaching a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching?
a. Wake your child up from the night terrors
b. Avoid allowing your child to sleep in your bed
c. Allow your child to watch an animated movie right before bedtime
d. Wait until your child indicates that he is tired before putting him to bed
8) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect?
a. Hypertension
b. Hyperreflexia
c. Hyperactive bowel sounds
d. Oliguria
9) A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
a. Tachypnea
b. Increased appetite
c. Tremors
d. Bradycardia
10) A nurse is planning to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4kg. Available is ondansetron 4 mg/2 solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
——— mL

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