A nurse is assessing a child for dehydration. Which of the following signs and symptoms should the nurse report? Select one that does not apply.

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Question 1 of 5

A nurse is assessing a child for dehydration. Which of the following signs and symptoms should the nurse report? Select one that does not apply.

Correct Answer: C

Rationale: Dehydration in children is indicated by dry mucous membranes , sunken eye sockets , dry skin , and lethargy due to fluid loss affecting tissue hydration and energy levels. Hypertension is not a typical sign; hypotension is more common in severe dehydration due to reduced blood volume.

Question 2 of 5

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?

Correct Answer: D

Rationale: Allowing the mother to administer leverages trust, reducing resistance. Mixing with drink risks rejection, IV is invasive, and force increases trauma.

Question 3 of 5

The nurse witnesses a child collapsing in the cafeteria. Which is the priority action by the nurse?

Correct Answer: B

Rationale: Per BLS, determining unresponsiveness is the first step to assess the need for further action, ensuring a systematic response.

Question 4 of 5

An appropriate intervention for a 3-month-old with gastroesophageal reflux is which of the following?

Correct Answer: B

Rationale: Upright or left-side positioning (B) reduces reflux by gravity assistance. Rice cereal (A) is for older infants, pyloric meds (C) are unrelated, and infant seats (D) increase pressure. Document: 'The infant is placed in a prone position to avoid increased intraabdominal pressure,' but upright/left-side aligns with standard care.

Question 5 of 5

A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?

Correct Answer: A

Rationale: Hirschsprung’s disease (A) causes delayed meconium passage due to absent intestinal motility. Celiac (B) affects absorption later, abdominal defects (C) are structural, and intussusception (D) occurs postnatally. Document: 'Failure to pass meconium… may be an indication of Hirschsprung disease.'

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