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How should the nurse measure urinary output for an infant with dehydration?
- A. Attaching a urine collecting bag
- B. Wringing out the diaper
- C. Weighing the diaper
- D. Inserting a catheter
Correct Answer: C
Rationale: Wet diapers are weighed to assess the amount of output.
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When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents with:
- A. encouraging the parents to have another baby.
- B. encouraging the parents to remain stoic.
- C. allaying feelings of guilt and blame.
- D. learning how the event could have been prevented.
Correct Answer: C
Rationale: As parents try to cope, they have feelings of guilt and blame.
What is the most common method of attempted suicide?
- A. Hanging
- B. Drug overdose
- C. Gunshot
- D. Slashing the wrists
Correct Answer: B
Rationale: Drug overdose is the most common method of attempted suicide.
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs?
- A. Abduction
- B. Adduction
- C. Flexion
- D. Extension
Correct Answer: A
Rationale: The use of the Pavlik harness maintains the hips in abduction for 4 to 6 months.
Parents of a 5-year-old child diagnosed as cognitively impaired have come to the nurse to discuss different approaches to the ongoing care of their child. The nurse should suggest focusing on what activity?
- A. Acquiring job skills
- B. Making decisions
- C. Performing self-care activities
- D. Reading and doing simple math
Correct Answer: C
Rationale: For a cognitively impaired child, focusing on self-care activities supports their development and independence, which is appropriate for a 5-year-old.
Which signs/symptoms would be considered classical signs of meningeal irritation?
- A. Positive Kernig sign, diarrhea, and headache
- B. Negative Brudzinski sign, positive Kernig sign, and irritability
- C. Positive Brudzinski sign, positive Kernig sign, and photophobia
- D. Negative Kernig sign, vomiting, and fever
Correct Answer: C
Rationale: Classical manifestations of meningitis include positive Kernig and Brudzinski signs.