Nokea
Ron is 4-year-old child being discharge to home after an uneventful tonsillectomy.
The nurse would suggest that the appropriate car seat for the child is
- A. the rear-facing seat.
- B. the front facing seat.
- C. the booster seat with car seat belt.
- D. the back seat.
Correct Answer: C
Rationale: A booster car seat is appropriate for a bigger child like a 4-year-old, ensuring proper restraint and safety.
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The nurse on the floor will perform peripheral IV site insertion.
Her performance is based on:
- A. Hospital policies and procedures.
- B. Nursing Standards of Practice.
- C. Doctor's orders.
- D. IV regulation developed by the Board of Nursing
Correct Answer: B
Rationale: Nursing Standards of Practice guide safe and competent IV insertion.
Additional assessment on Antoinette include
dehydration and menorrhagia.
- A. buffalo hump and hypertension.
- B. pitting edema and frequent colds.
- C. migraine headache and dymennorhea.
Correct Answer: B
Rationale: Cushing's syndrome results from excess adrenocortical activity. Signs include slow wound healing, buffalo hump, hirsutism, weight gain, hypertension, acne, moon face, thin arms and legs, and behavioral changes.
A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?
- A. Encourage the patient to make complex decisions
- B. Provide a structured routine
- C. Limit social interactions
- D. Avoid physical activity
Correct Answer: B
Rationale: A structured routine reduces confusion and promotes safety in dementia. Complex decisions overwhelm, social interactions benefit, and activity supports health.
The nurse doing a newborn assessment counts the infant's cord vessel.
In a normal infant there are:
- A. Two vessels: one vein and one artery.
- B. Three vessels: two veins and one artery.
- C. Three vessels: one vein and two arteries.
- D. Four vessels: two veins and two arteries.
Correct Answer: C
Rationale: There are three vessels: one vein (carries oxygenated blood to the fetus) and two arteries (return deoxygenated blood to the placenta) in a normal umbilical cord.
The intent of the Patient Self Determination Act (PSDA) of 1990 is to:
- A. enhance personal control over legal care decisions.
- B. encourage medical treatment decision making prior to need.
- C. give one federal standard for living wills and durable powers of attorney.
- D. emphasize client education.
Correct Answer: B
Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care