Nokea
A 4-year-old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?
- A. A hemoglobin of 12 Gm
- B. A platelet count of 200,000
- C. A white blood cell count of 16,000
- D. A urine specific gravity of 1.010
Correct Answer: C
Rationale: A white blood cell count of 16,000 suggests infection or inflammation, which should be reported before surgery.
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The mother of a 24-month-old child tells the nurse that she is concerned that her child's language abilities are delayed. Which of the following language milestones does the nurse expect the child to exhibit?
- A. Understands 300 words and uses two- and three-word sentences.
- B. Says and understands a few words, such as 'Mama' and 'Dada,' and can imitate animal sounds, such as 'moo' and 'woof.'
- C. Says and understands four to six words but understands more and can point to items he wants.
- D. Says and understands up to 20 words and can point to his body parts.
Correct Answer: A
Rationale: A 24-month-old should understand about 300 words and use two- to three-word sentences (A). Other options (B, C, D) describe earlier developmental stages.
The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
- A. Tomatoes
- B. Legumes
- C. Dried fruits
- D. Nuts
Correct Answer: A
Rationale: Tomatoes are a poor source of iron compared to legumes, dried fruits, and nuts, which are rich in iron and recommended for iron-deficiency anemia.
Nimotop (Nimodipine) is ordered for the client with a ruptured cerebral aneurysm. The nurse recognizes that the desired effect of this drug is to:
- A. Prevent the influx of calcium into cells
- B. Restore the client's blood pressure to a normal reading
- C. Prevent the inflammatory process
- D. Dissolve the clot that has formed
Correct Answer: A
Rationale: Nimodipine is a calcium channel blocker that prevents calcium influx into vascular smooth muscle cells, reducing vasospasm in cerebral arteries, which is critical in managing ruptured cerebral aneurysms.
Which of the following are controlled substances (Schedules I through V) regulated by the Drug Enforcement Agency (DEA)? Select all that apply.
- A. Codeine
- B. Ibuprofen
- C. Diphenhydramine (Benadryl®)
- D. Hydrocodone
Correct Answer: A,D
Rationale: Codeine (A) and hydrocodone (D) are DEA-controlled substances (Schedules II-V). Ibuprofen (B) and diphenhydramine (C) are not controlled.
All of the following are common symptoms seen in clients diagnosed with tuberculosis (TB) EXCEPT
- A. nail clubbing.
- B. night sweats.
- C. weight gain.
- D. fever.
Correct Answer: C
Rationale: TB symptoms include night sweats, fever, and weight loss. Weight gain is not typical, and nail clubbing is more associated with chronic lung conditions like COPD.