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Question 1 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

Question 2 of 5

The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.

Question 3 of 5

The nurse is caring for clients in outpatient surgery. The mother of a four-year-old asks the nurse how to prepare her daughter for eye surgery. Which of the following statements by the nurse is BEST?

Correct Answer: C

Rationale: use puppet or doll to show where procedure is performed; explain procedure in simple terms and what the child will see, hear, taste, smell, and feel

Question 4 of 5

A client has returned from having a bronchoscopy. Before offering the client sips of water, the nurse should assess the client's:

Correct Answer: C

Rationale: Assessing the gag reflex ensures the client can swallow safely post-bronchoscopy due to local anesthesia.

Question 5 of 5

A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

Correct Answer: B

Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.

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