The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?

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Question 1 of 5

The emergency room nurse admits a child who experienced a seizure at school. The parent comments that this is the first occurrence and denies any family history of epilepsy. What is the best response by the nurse?

Correct Answer: B

Rationale: The seizure may or may not mean your child has epilepsy' is best. A single seizure doesn't confirm epilepsy, requiring further evaluation, per neurology standards. A assumes diagnosis, C oversimplifies, and D overpromises. B educates accurately, reducing anxiety.

Question 2 of 5

The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?

Correct Answer: A

Rationale: Height and weight percentiles varying widely should be reported immediately. Significant discrepancies at 2 years suggest growth issues, per pediatric standards, needing evaluation. Slowed growth , height differences , and weight fluctuations are less urgent. A flags potential pathology.

Question 3 of 5

A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first

Correct Answer: B

Rationale: Exploring how the committee evaluated barriers is the first step. It identifies resistance causes, per change management principles, enabling adjustments. Posting ignores staff, redesigning is premature, and retaining avoids progress. B fosters acceptance.

Question 4 of 5

A diabetic client asks the nurse why the provider ordered a glycosylated hemoglobin (HbA) measurement, since a blood glucose reading was just performed. You will explain to the client that the HbA test:

Correct Answer: D

Rationale: Reflects an average blood sugar for several months' explains HbA1c. It measures glycated hemoglobin, indicating 2-3 month glucose control, per diabetes management. Precision , complications , and insulin are incorrect. D clarifies its purpose.

Question 5 of 5

The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform?

Correct Answer: B

Rationale: Performing a quick assessment is the first action when a high pressure alarm sounds. It identifies causes like obstruction or resistance, per ventilator management. Disconnecting or calling follows, resetting masks issues. B ensures targeted response.

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