Exam 4: Adult Critical Care Registered Nurse

A patient comes to the Cardiovascular Care Unit with a blood pressure of 94/68, a heart rate of 124 and chest pain rated as 8/10. The patient has already taken one 0.04 mg tablet of Nitroglycerin five minutes ago. What should the nurse do next?

A mother of a 12-month-old girl asks the nurse what toys she should buy her child at this stage. Based on her understanding about the normal growth and development of a child, the nurse would suggest which of the following toys?

On assessment, the nurse notes that a 10-month-old child searches for and retrieves toys that disappear from view. Based on Piaget's stages of cognitive development, the nurse would recommend which of the following toys or games?

A nurse is teaching a mother with a new baby about car seats. Which of the following, if stated by the client, indicates that further teaching is needed?

The nurse is caring for a 12 year-old on admission to the isolation unit. One assessment parameter that will indicate that the child has adequate fluid replacement would be:

A nurse is assessing an 18-month-old child. The nurse would expect the child to do which of the following actions?

A mother brings her 26 month-old to the well-child clinic. She expresses frustration due to her baby's constantly saying "NO" and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need:

Nurse Beyonce is caring for a 20 lbs, 6 month-old with a 3 day history of loose watery stool, vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 40 ml/hr. Which finding should be reported to the health care provider immediately?

A 16 month-old child was admitted to the pediatric unit. The nurse assigned to this child enters the child's room for the first time; the toddler suddenly runs to the mother and begins to cry. The nurse would initially:

A mother asks the nurse how she can prevent her child from developing recurrent otitis media. The nurse's best response is which of the following?

The nurse is developing a teaching plan for a patient who just received an inserted permanent pacemaker. Which of the following concepts should the nurse teach the patient?

Nurse Tammy is caring for a 3 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. Tammy recognizes this problem is probably due to: