Extract:

Question 1 of 5

A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg. Which of the following actions should the nurse take first?

A. Reinforce teaching about phantom limb pain to the child.B. Inspect the skin at the incision site for manifestations of infection.C. Perform range-of-motion exercises to the affected extremity.D. Assist in placing the child in the prone position three times a day.

Correct Answer: B

Rationale: Inspecting for infection is the priority to prevent complications. Teaching, exercises, and positioning are secondary.

Question 2 of 5

A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

A. The child should carry an epinephrine auto-injector.B. The child should refrain from eating any type of nut.C. The child's allergy will become more severe with prolonged exposure.D. The child will likely outgrow the allergy in adolescence.

Correct Answer: A,B

Rationale: An epinephrine auto-injector is essential for anaphylaxis. Avoiding all nuts prevents cross-reactivity. Peanut allergies don't worsen with exposure and are rarely outgrown.

Question 3 of 5

A nurse is evaluating teaching about infection control with the caregiver of a school-age child who has rubella. Which of the following statements by the caregiver indicates an understanding of the teaching?

A. I will take my child for a walk in the hallway today.'B. I will contact my pregnant friend who visited my child a day before the rash appeared.'C. I won't send my child to school for seven days after the rash disappears.'D. I will keep my child's door closed when I visit.'

Correct Answer: C

Rationale: Keeping the child home for 7 days after the rash disappears follows rubella isolation guidelines, preventing spread. Other options risk transmission.

Question 4 of 5

A nurse is collecting data from an infant who has respiratory syncytial virus (RS). Which of the following findings should the nurse expect?

A. Rhinorrhea.B. Vesicles on the trunk.C. Barrel chest.D. Clubbing of the fingers.

Correct Answer: A

Rationale: Rhinorrhea is common in RSV due to upper respiratory inflammation. Vesicles relate to varicella, barrel chest to chronic conditions, and clubbing to prolonged hypoxia, none of which are typical in acute RSV.

Question 5 of 5

A nurse is collecting data from a 15-month-old toddler. Which of the following findings should the nurse expect?

A. Turns two pages in a book at a time.B. Throws a ball overhead without falling.C. Drinks independently from a cup.D. Refers to themselves by their first name.

Correct Answer: C

Rationale: Drinking independently from a cup is typical at 15 months, reflecting motor and cognitive skills. Other options exceed or fall short of this age's milestones.