Try Naxlex NCLEX-RN (Free-Trial)

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hr and ate 90% of their meals

A 15-year-old adolescent who had a laparoscopic appendectomy 30 hr ago, rates their pain a 3 on a scale of 1 to 10, and is preparing for discharge this morning

A 3-year-old toddler who aspirated several sunflower seeds and continues to cough with an O. saturation of 91%

A 6-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hr ago

Child's statements with parent input

Answer and Explanation

The Correct Answer is C

A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.

B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.

C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.

D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. Academic achievements provide insight into cognitive and social development.

B. Understanding how the child responds to stress is essential for evaluating emotional and psychological well-being.

C. Information from multiple sources may be helpful, but it's not a standard requirement for routine health history.

D. Physical assessment, including heart and lung sounds, is a crucial part of a health history.

E. The child’s statements, along with parental input, offer a comprehensive view of the child’s health and developmental status.

A. Request a prescription for a whisper test. B. Refer the preschooler for an audiology evaluation. C. Visually inspect the ear for cerumen impaction. D. Ask the parents to keep a log of the hearing difficulty.

Correct Answer is B

Explanation

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a health history form with a child who is 10 years of age. Which of the following information should the nurse include in the assessment? (Select All that Apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Correct Answer is B

Explanation

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?

A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?

A nurse is planning care for a child who has been in a car accident and appears to have spinal trauma. Which of the following diagnostic tests should the nurse expect to be ordered to determine the extent of the injury? (Select All that Apply.)

A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?

A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

A nurse assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?