When assessing a child admitted with intussusception, the nurse discovers the hallmark sign of intussusception, which is:
a. mucus-like stools.
b. currant jellylike stools.
c. tarry, black stools.
d. green, soft stools.
Question 2The nurse assessing an infant who has been diagnosed with hypertrophic pyloric stenosis anticipates:
a. a history of diarrhea following each feeding.
b. gastric pain evidenced by vigorous crying.
c. poor appetite due to a poor sucking reflex.
d. an olive-shaped mass at the midline.
Question 3The nurse should cleanse the meatal-catheter junction of a patient with an indwelling catheter at least:
a. once a day.
b. twice a day.
c. at bedtime.
d. each shift.
Question 4A nurse who failed to irrigate a feeding tube as ordered resulting in harm to the patient could be found guilty of:
a. malpractice.
b. harm to the patient.
c. negligence.
d. failure to follow the Nurse Practice Act.
Question 5The nurse instructs the patient that the most important preventive technique for breaking the chain of infection is:
a. sterilization.
b. standard precautions.
c. hand hygiene.
d. medical asepsis.
Question 6Which is an example of a nursing diagnosis?
a. Pneumonia
b. Diabetes mellitus
c. Impaired skin integrity
d. Congestive heart failure
Question 7The nurse explains that gastroesophageal reflux (GER) usually begins within the first week of life in infants and is usually treated by:
a. making the infant NPO.
b. thickening the food with cereal.
c. placing the infant in an upright position.
d. feeding the infant in a car seat.
Question 8When providing hand and foot care, the person best prepared to provide nail care for patients with extremely hard nails is the:
a. physician.
b. RN.
c. CNA.
d. podiatrist.
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