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Question 1 of 5

A parent brings her 3 month-old into the clinic, reporting that the child seems to be spitting up all the time and has a lot of gas. The nurse expects to find which of the following on the initial history and physical assessment?

Correct Answer: B

Rationale: This infant could be experiencing gastroesophageal reflux, or could be allergic to the formula. Restlessness, irritability and increased mucus production can develop if an allergy is present.

Question 2 of 5

The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, D, E, F

Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.

Question 3 of 5

A nurse is reinforcing teaching to the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?

Correct Answer: C

Rationale: Staring and inattention (
C) are hallmark signs of absence seizures. Incontinence (
A) and confusion (
B) are more typical of other seizures, and odors (
D) suggest an aura, not typical in absence seizures.

Question 4 of 5

The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?

Correct Answer: D

Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.

Question 5 of 5

A postoperative client with obesity and diabetes mellitus has an abdominal wound and is at risk for poor wound healing. Which of the following interventions does the nurse anticipate to prevent wound dehiscence? Select all that apply.

Correct Answer: B, D, E

Rationale: Abdominal binder (
B), glucose control (
D), and pillow hugging (E) reduce wound stress and promote healing. Docusate (
A) prevents constipation but not dehiscence, and caloric restriction (
C) is inappropriate post-surgery.

Similar Questions

The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the most concern?
An adult is admitted to the emergency department following a fall. A piece of bone is protruding through the skin of the left thigh. In addition to assessing vital signs, what information is most essential to obtain from the client at this time?
The nurse is caring for a client who has bacterial meningitis. Which of the following actions should the nurse take? Select all that apply.
The nurse is passing a nasogastric tube into an adult. When passing the tube through the pharynx, the nurse has the client sip water through a straw. What is the purpose of this action?
The nurse reviews the admission history of a 70-year-old client diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following statements by the client does the nurse recognize as contributing to the development of COPD? Select all that apply.

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