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Question 1 of 5

The nurse is collecting data from a client during the first routine prenatal examination. According to the last menstrual period, the estimated gestational age is 12 weeks. The nurse would expect to palpate the uterine fundus

Correct Answer: D

Rationale: At 12 weeks, the uterine fundus is just above the symphysis pubis (
D). It reaches the umbilicus at 20 weeks and higher levels later in pregnancy.

Question 2 of 5

The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign. The parents are refusing antibiotics and any treatment. The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing. What action does the nurse anticipate?

Correct Answer: C

Rationale: A 4-year-old with suspected meningitis requires urgent treatment. Notifying administration (
C) ensures legal and ethical intervention to protect the child. AMA (
A), power of attorney (
B), or respecting autonomy (
D) are inappropriate for a minor.

Question 3 of 5

Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?

Correct Answer: B

Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk. Excessive milk intake can displace iron-rich foods, leading to iron deficiency anemia.

Question 4 of 5

The nurse is reinforcing medication instructions for the parents of a child prescribed amoxicillin/clavulanate (liquid) twice a day for acute sinusitis. Which instructions are most important for the parents to remember? Select all that apply.

Correct Answer: A, B, D

Rationale: Taking with food (
A) reduces GI upset, completing the course (
B) prevents resistance, and shaking well (
D) ensures proper dosing. Rash (
C) is not normal and requires evaluation, and household spoons (E) are inaccurate.

Question 5 of 5

A client with obesity reports several failed attempts at weight loss. Which client statement best indicates that the client is ready and motivated for successful weight loss?

Correct Answer: A

Rationale: Signing up as a dog walker (
A) shows a concrete behavioral change, indicating readiness. Understanding benefits (
B), short-term goals (
C), or external encouragement (
D) are less indicative of sustained motivation.

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