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Extract:


Question 1 of 5

A 4-year-old child with Down syndrome is admitted to the hospital with pneumonia. She has a heart murmur and appears to be in respiratory distress. Her mother asks why her child has a heart murmur. What is the best nursing response?

Correct Answer: D

Rationale: Congenital heart defects, like ventricular septal defects, are common in Down syndrome, and pneumonia may amplify a murmur due to increased cardiac workload.

Extract:

Priority nursing diagnosis on the patient who was admitted with acute renal failure


Question 2 of 5

Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:

Correct Answer: C

Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.

Extract:


Question 3 of 5

The nurse is monitoring the contractions of a woman in labor. A contraction is recorded as beginning at 10:00 A.M and ending at 10:01 A.M. Another begins at 10:15 A.M. What is the frequency of the contractions?

Correct Answer: C

Rationale: 15 minutes. Frequency is measured from the start of one contraction to the start of the next.

Question 4 of 5

A nurse is teaching a patient about the use of albuterol (Proventil) for asthma. Which of the following instructions should be included?

Correct Answer: D

Rationale: Albuterol, a rescue inhaler, is used before exercise to prevent exercise-induced bronchospasm. It’s not for daily prevention, symptom-only use, or bedtime dosing.

Question 5 of 5

Which fetal heart monitor pattern can indicate cord compression?

Correct Answer: A

Rationale: Variable decelerations are associated with umbilical cord compression, which can intermittently reduce fetal blood flow. The other patterns are related to different fetal conditions. Reduction of Risk Potential

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