What should the nurse expect when palpating the fontanels of a 19-month-old toddler?

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Question 1 of 5

What should the nurse expect when palpating the fontanels of a 19-month-old toddler?

Correct Answer: C

Rationale: By age 18 months, the anterior and posterior fontanels should be closed.

Question 2 of 5

What is the priority nursing action when caring for a client with a suspected stroke?

Correct Answer: B

Rationale: Performing a neurological assessment helps determine the severity and type of stroke, guiding immediate treatment decisions.

Question 3 of 5

What is the priority nursing action when caring for a client with a suspected myocardial infarction?

Correct Answer: B

Rationale: Obtaining an ECG helps identify myocardial ischemia or infarction, guiding immediate treatment decisions.

Question 4 of 5

In caring for a client with a seizure disorder, which intervention is most important to prevent injury?

Correct Answer: A

Rationale: Padding side rails prevents injury during a seizure, protecting the client from harm.

Question 5 of 5

The wounded victim is unable to walk, has respiratory rate of 40 , capillary refill is 6 seconds, and can't follow simple commands. The wounded victim is assigned what tag color?

Correct Answer: B

Rationale: The red tag is assigned because the victim has a respiratory rate greater than 30, capillary refill greater than 2 seconds, and is unable to follow commands, indicating a life-threatening condition requiring immediate attention per the START method.

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