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?

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Question 1 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 2 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 3 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.

Question 4 of 5

A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?

Correct Answer: C

Rationale: Wearing a gown to change soiled linens is significant for hepatitis A. Fecal-oral transmission requires barrier protection, per infection control. Signs , masks , and gloves support but gown use targets the primary route. C enhances safety.

Question 5 of 5

A nurse is reinforcing teaching with a client about compromised host precautions. The client is receiving filgrastim (Neupogen) for neutropenia. Which lunch selection suggests the client has learned about necessary dietary changes?

Correct Answer: A

Rationale: Grilled chicken sandwich and skim milk suggests learning for neutropenia. Cooked foods reduce infection risk, per oncology nursing, while raw or processed items (B, C, D) pose hazards. A aligns with compromised host precautions.

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