An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant's parents?

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Question 1 of 5

An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant's parents?

Correct Answer: A

Rationale: Normal dietary intake is most important for suspected iron deficiency anemia in an 11-month-old, per the document, as it reveals if iron-rich foods replaced depleted fetal stores after 4-5 months. Milk-heavy diets lack iron, causing anemia. Sociocultural factors are secondary. Blood in stools suggests bleeding, not typical here. Maternal anemia doesn't directly cause infant anemia. A drives diagnosis, making it key.

Question 2 of 5

Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?

Correct Answer: A

Rationale: Have the client sit on the side of the bed' is appropriate for a UAP post-colon resection. Sitting prevents orthostatic hypotension, ensuring safety within UAP scope. Deep breaths treat symptoms, not prevention. Unlimited walking risks overexertion. Pain assessment is RN-only. A ensures safe delegation, making it the best instruction.

Question 3 of 5

Two people call in sick on the medical-surgical unit and no additional help is available. The team consists of an RN, an LPN and an unlicensed assistive personnel (UAP). Which of these activities should the nurse assign to the UAP?

Correct Answer: B

Rationale: Providing basic hygiene care suits a UAP with limited staff. It's within scope, unlike discharge planning , MI assessment , or vitals (D, potentially complex). B ensures safe task allocation, making it the best assignment.

Question 4 of 5

When walking past a client's room, the nurse hears 1 unlicensed assistive personnel (UAP) talking to another UAP. Which statement requires follow-up intervention?

Correct Answer: B

Rationale: Would you do this one client's glucose test?' requires intervention. Glucose testing is beyond UAP scope; it's an RN/PN task. Teamwork , monitoring confusion , and bed-making are appropriate. B risks safety, needing RN correction, making it the statement to address.

Question 5 of 5

The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?

Correct Answer: A

Rationale: Holding a rattle is anticipated at 4 months. Per development, grasp reflex matures, allowing this skill. Banging blocks (B, 9 months), drinking (C, 6-12 months), or waving (D, 9-12 months) are later. A matches milestones, making it correct.

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