A nurse understands that the average apical rate for a 2-month-old is approximately:
a. 100 beats per minute.
b. 110 beats per minute.
c. 120 beats per minute.
d. 130 beats per minute.
Question 2When the nurse informs a family that the brain damage to their daughter is irreversible, the father curses at the nurse and storms out of the room. The nurse recognizes the father is in the crisis stage of:
a. high anxiety.
b. denial.
c. reconciliation.
d. adaptation.
Question 3The nurse weighs a patient at the same time of day with the same scale and same clothing as a simple and accurate method of determining:
a. an accurate weight.
b. water balance.
c. adequate nutrition.
d. urinary output.
Question 4A nurse understands that an average weight for a 12-month-old is:
a. 18.5 pounds.
b. 21.5 pounds.
c. 28.5 pounds.
d. 34.5 pounds.
Question 5The nurse is obtaining a history of a patient's present illness. The PQRST system is used for the interview. In this system, the R stands for:
a. random.
b. region.
c. result.
d. recent.
Question 6While educating a patient about transcutaneous electric nerve stimulation (TENS), the nurse should inform the patient that the TENS:
a. may inhibit endorphin production.
b. is an electrical device that must be plugged in.
c. provides an intermittent electrical current to the skin.
d. may interfere with the function of a cardiac pacemaker.
Question 7The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste, they must produce an hourly urine output of at least:
a. 10 mL.
b. 20 mL.
c. 30 mL.
d. 40 mL.
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