The nurse should suspect tetanus if a child has

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A. Fever B. Muscle stiffness C. Rash D. Vomiting

Correct Answer: B

Rationale: Muscle stiffness B is a hallmark of tetanus, per document p30, 4.

The priority nursing action for a child with a seizure is

A. Administer anticonvulsants B. Ensure safety C. Monitor breathing D. Restrain limbs

Correct Answer: B

Rationale: Ensuring safety B by lowering to the floor is the priority, per document p44, .

The most important nursing action for a child with a cast is

A. Monitor circulation B. Relieve pain C. Reduce swelling D. All of the above

Correct Answer: A

Rationale: Monitoring circulation A prevents complications, per document p51, 9.

A 2-year-old with gastroenteritis requires

A. Antibiotics B. IV fluids C. Oral rehydration D. All of the above

Correct Answer: C

Rationale: Oral rehydration C is first-line, per document p54, 5.

The most important observation post-circumcision is

A. Fever B. Infection C. Swelling D. Bleeding

Correct Answer: D

Rationale: Bleeding D is the immediate concern, per document p58, 4.

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