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Questions 227

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Extract:


Question 1 of 5

The parents of a 7 year-old tell the nurse their child has started to 'tattle' on siblings. In interpreting this new behavior, how should the nurse explain the child's actions to the parents?

Correct Answer: A

Rationale: The ethical sense and feelings of justice are developing. At age 7, children develop a sense of justice and fairness.

Extract:

Michael has congenital Hirschprung disease. Chronic constipation has been a major problem with the patient.


Question 2 of 5

Important finding would include

Correct Answer: C

Rationale: Ribbon-like stools are characteristic of Hirschprung disease due to narrowed colon segments.

Extract:

The patient delivered vaginally in small community.


Question 3 of 5

The nurse is assessing a term neonate about neonate rooting reflex by.

Correct Answer: A

Rationale: Stroking the cheek elicits the rooting reflex, guiding the neonate to feed.

Extract:


Question 4 of 5

A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?

Correct Answer: B

Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.

Question 5 of 5

All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?

Correct Answer: C

Rationale: Severe right lower quadrant pain with elevated WBC suggests appendicitis, requiring immediate surgery to prevent rupture. Scapular pain (gallbladder), vaginal bleeding, or hernia are less urgent unless complicated.

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