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

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Question 1 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 2 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.'

Question 3 of 5

Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information when he states:

Correct Answer: A

Rationale: Undescended testicles (A) can impair fertility due to heat exposure; orchiopexy helps but doesn’t guarantee fertility. Descent (B) occurs prenatally, tumor risk (C) reduction is partial, and correction (D) is optimal by 1-2 years, not 5. Document: 'Although orchiopexy improves the condition, the fertility rate… may be reduced.'

Question 4 of 5

A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:

Correct Answer: D

Rationale: Daydreaming (D) helps adolescents mentally rehearse situations, aiding coping. Boredom (A), fatigue (B), or stress (C) are less specific. Document: 'Daydreaming allows adolescents to act out… [to] prepare for… interactions.'

Question 5 of 5

Which of the following statements made by the parent of a 3 week old infant that would alert the nurse about the presence of a congenital heart condition?

Correct Answer: B

Rationale: Fatigue during feeding (B) suggests congenital heart defects due to poor oxygenation. Sleeping (A), hunger (C), and fussiness (D) are normal or nonspecific. Document: 'Fatigue during feeding… is common to most infants with congenital cardiac problems.'

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