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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.

Question 2 of 5

The nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse perform FIRST?

Correct Answer: A

Rationale: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing life-threatening errors. Starting an IV (
B) requires a larger catheter (18–20 gauge), priming (
C) follows verification, and compatibility (
D) is part of verification.

Question 3 of 5

A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. Which response by the nurse is correct?

Correct Answer: D

Rationale: Days 17-19. Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day.

Extract:

Which of the following clinical conditions exacerbates electrolyte excretion?


Question 4 of 5

Nasogastric feedings

Correct Answer: B

Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.

Extract:

On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.


Question 5 of 5

The first action taken by the nurse should be to

Correct Answer: A

Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.

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