A health care provider has prescribed oxygen as needed for an infant with heart failure. In which situation should the nurse administer the oxygen?
- A. During sleep
- B. When changing the infant’s diapers
- C. When the mother is holding the infant
- D. When drawing blood for electrolyte level testing
Correct Answer: A
Rationale: Administering oxygen during sleep can help ensure the infant maintains adequate oxygenation, especially since infants with heart failure may have compromised respiratory function.
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An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure?
- A. The foster mother
- B. The social worker who placed the infant in the foster home
- C. The registered nurse caring for the infant
- D. The nurse-manager
Correct Answer: A
Rationale: The foster mother, as the primary caregiver, is typically authorized to provide consent for medical procedures.
An emergency department nurse triages clients who present with chest discomfort. Which client should the nurse plan to assess first?
- A. A 42-year-old female who describes her pain as a dull ache with numbness in her fingers
- B. A 49-year-old male reports moderate pain that is worse on inspiration
- C. A 53-year-old female reports substernal pain that radiates to her abdomen
- D. A 58-year-old male describes his pain as an intense stabbing that spreads across his chest
Correct Answer: D
Rationale: Intense stabbing chest pain that spreads across the chest is highly suggestive of an acute cardiac event, such as a myocardial infarction, and requires immediate assessment.
Examples of encapsulated organisms are all except:
- A. Pseudomonas
- B. Proteus
- C. Pneumococci
- D. Salmonella
Correct Answer: A
Rationale: The correct answer is A because Pseudomonas is not an encapsulated organism. The other options (b-e) are encapsulated.
In a child with scabies, which of the following is the most appropriate treatment?
- A. Permethrin
- B. Benzoyl peroxide
- C. Hydrocortisone
- D. Calamine lotion
Correct Answer: A
Rationale: Permethrin cream is the most effective treatment for scabies, as it targets the mites causing the infestation.
In embryology:
- A. Most defects occur with teratogens in the first 2 weeks post-conception
- B. The urachus becomes the median umbilical ligament
- C. The mesonephric duct becomes the male organs
- D. The thyroid develops from the floor of the primitive larynx
Correct Answer: B
Rationale: The urachus becomes the median umbilical ligament. Most defects occur after the first 2 weeks, and the thyroid develops from the floor of the pharynx.
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