COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+, Exams of Nursing

Download COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ and more Exams Nursing in PDF only on Docsity! COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 1. The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse reinforce with the caregivers before they leave the clinic? Call the office if the toddler's temperature is higher than 100 F (37.7 C) 1. Fussiness and anorexia are common for 1 week after immunizations 2. Redness at the injection sites and a mild fever are common 3. The toddler's activity level should be restricted for 24 hours 4. Correct answer 3 2. The clinic nurse is caring for several clients during well-child visits. The nurse should recognize which client as being the most at risk for anemia? 1-month-old infant born at term gestation who exclusively breastfeeds 1. 2-month-old infant born at preterm gestation who exclusively receives iron-fortified 2. formula 3-month-old infant born at preterm gestation who is exclusively bottle-fed with breastmilk 3. 6-month-old infant born at term gestation who breastfeeds and eats iron-fortified infant 4. cereal Correct answer 3 3. The nurse is reinforcing education to the parents of an adopted 5-year-old about how best to share details of the child's adoption. Which developmentally appropriate thought process does the nurse counsel the parents to anticipate? 1. Feelings of responsibility for being placed for adoption 2. Imagining what life would be like with a different family 3. Inability to conceptualize adoptive and biological parents 4. Worrying about what peers will say or think COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Correct answer 1 4. The nurse is caring for a child who has had a tonsillectomy. Which of the following are appropriate nursing interventions? Select all that apply. Anticipate ear pain and give acetaminophen as needed 1. Educate parents to expect the child to develop bad breath postoperatively 2. Encourage the child to drink cold liquids through a straw 3. Notify the health care provider about frequent, increased swallowing 4. Use an oral suction device regularly to remove secretions from the back of the throat 5. Correct 1,2,4 5. The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching? "I will allow my child to have a snack while using the HFCWO vest to encourage 1. cooperation." "I will give my child the nebulized bronchodilator treatment during therapy with the 2. HFCWO vest." "I will perform manual chest percussion on my child if the HFCWO vest is broken or 3. unavailable." "My child will use the HFCWO vest once in the morning, once in the evening, and as 4. needed." Correct answer 1 6. The parent of an 11-month-old child calls the pediatric outpatient clinic and tells the nurse that the child was exposed to measles 2 days ago during a family trip to a theme park. What is the best response by the nurse? 1. Bring the baby into the clinic for the measles, mumps, rubella (MMR) vaccine 2. Check the baby's temperature twice a day Do not allow the child to have contact with other children COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 3. "We will give our child ibuprofen to treat the joint pain." 4. Correct answer 2 13. The nurse monitors a child who has been treated for an acute asthma exacerbation. Which finding is the best indicator that treatment has been effective? Episodes of spasmodic coughing have decreased 1. No wheezes are audible on chest auscultation 2. Oxygen saturation has increased from 88% to 93% 3. Peak expiratory flow rate has dropped from 212 L/min to 127 L/min 4. Correct answer 3 14. A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m2 (>95th percentile). The licensed practical nurse (LPN) is collaborating with the registered nurse (RN) to formulate a weight loss plan. Which is most important for the nurse to determine? Child's pattern of daily physical activity 1. Family's eating habits 2. Family's financial resources for purchasing healthy foods 3. Family's readiness for change 4. Correct answer 4 15. A nurse is assisting a new mother as she is breastfeeding her infant. The infant has been diagnosed with tetralogy of Fallot. During feeding, the infant becomes cyanotic and is having difficulty breathing. What should be the nurse's first action? 1. Administer morphine to the infant 2. Administer oxygen via mask COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Assess infant's vital signs and pulse oximetry 3. Place the infant in the knee-chest position 4. Correct answer 4 16. A nurse is speaking with the parent of a toddler who believes the child has a hearing deficit. Which findings support this suspected diagnosis? Select all that apply. Behavior appears withdrawn 1. Intelligible speech began at age 12 months 2. Monotone speech 3. Seems attentive, nods, and smiles when given directions 4. Speaks with a loud voice 5. Correct answer 1,3,5 17. The nurse is reinforcing health promotion education to the parents of a toddler. Which statement by a parent requires the nurse to clarify teaching? "I will offer my child options rather than asking yes or no questions." 1. "I will wait at least 15 minutes after a play period to offer a meal to my child." 2. "If my child is having a tantrum, I will have them sit in a quiet area for a short time-out." 3. "If my child refuses a meal, I will have them stay at the table until they eat half the food." 4. Correct answer 4 18. A nurse is reinforcing appropriate interventions with the parent of an infant who had a febrile seizure. Which instruction is appropriate to review? 1. "Give acetaminophen or ibuprofen every 6-8 hours to control fever." COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ "Give the infant frequent tepid sponge baths to control the fever." 2. "If the infant develops another seizure, wait 15 minutes to see if it subsides." 3. "Place ice bags under the arms and around the neck to control fever." 4. Correct answer 1 19. A nurse is assessing a 1-month-old infant with an atrial septal defect (ASD). Which assessment finding does the nurse expect? Muffled heart tones 1. Murmur 2. Cyanosis 3. Weak femoral pulses 4. Correct answer 2 20. A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction? "I should leave the harness on during diaper changes." 1. "I will adjust the harness straps every 3-5 days." 2. "I will inspect the skin under the straps 2-3 times daily." 3. "The harness should keep my baby's legs bent and spread apart." 4. Correct answer 2 21. The nurse is reviewing teaching with the parents of a child who has tinea capitis (ringworm of the scalp) and is newly prescribed griseofulvin oral suspension and 1% selenium sulfide shampoo. Which statement by the child's parent requires the nurse to intervene? "I will discontinue the griseofulvin once the ringworm stops itching and the scales go 1. away." COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Administer prescribed belladonna-opium suppositories prn 1. Administer prescribed morphine intravenous push prn 2. Check amount and characteristics of urine output 3. Check when the client had the last flatus or bowel movement 4. Correct answer 3 28. A home health nurse is visiting a client with chronic heart failure. The nurse observes that the client is having trouble answering questions due to breathlessness and cough. Which action should the nurse take first? Auscultate breath sounds 1. Check for peripheral edema 2. Measure the client's vital signs 3. Review the client's weight log over the past several days 4. Correct answer 1 29. The practical nurse is collaborating with the registered nurse to form a care plan for a client with a possible diagnosis of Guillain-Barré syndrome. The nurse should give priority to which client assessment? 1. Orthostatic blood pressure changes 2. Presence or absence of knee reflexes 3. Pupil size and reaction to light 4. Rate and depth of respirations Correct answer 4 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 30. The nurse reinforces teaching about the use of the peak flow meter to evaluate airflow to a client newly diagnosed with asthma. Which statement by the client indicates an understanding of the correct technique? "I will exhale as quickly and forcibly as possible through the mouthpiece of the device to 1. obtain a peak flow reading." "I will move the indicator to the desired reading on the numbered scale before using the 2. device." "I will record my personal best reading, which is the average of 3 consecutive peak flow 3. readings." "I will remember to use the device after taking my fluticasone metered-dose inhaler." 4. Correct answer 1 31. The nurse administers 15 units of aspart insulin subcutaneously at 7:00 AM to a hospitalized client with type 1 diabetes mellitus for a fasting blood glucose of 180 mg/dL (10.0 mmol/L). Which nursing action is a priority? Ensure that the client continues to fast for at least 30 more minutes 1. Give the client breakfast within 15 minutes 2. Recheck the client's blood glucose in 1 hour 3. Reinforce teaching about signs and symptoms of hyperglycemia 4. Correct answer 2 32. The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which finding requires priority action? 1. Blood-tinged stain on the inner aspect of the cast 2. Capillary refill of 2 seconds on the affected extremity 3. Mild swelling of toes on the right foot 4. Pain of 9/10 an hour after a dose of morphine Correct answer 4 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 33. A healthy 50-year-old client asks the nurse, "What must I do in preparation for my screening colonoscopy?" Which instructions should the nurse reinforce to correctly answer the client's question? Select all that apply. "No food or drink is allowed 8 hours prior to the test." 1. "Prophylactic antibiotics are taken as prescribed." 2. "Smoking must be avoided after midnight." 3. "The day prior to the procedure your diet will be clear liquids." 4. "You will drink polyethylene glycol as directed the day before." 5. Correct answer 1,4,5 34. The nurse is caring for a 40-year-old client with acromegaly in an outpatient health clinic. Which new finding is most important for the nurse to report? Fasting blood glucose of 126 mg/dL 1. Knee pain when walking 2. Presence of S3 and S4 heart sounds 3. Thick, leathery skin 4. Correct answer 3 35. The nurse is caring for a client diagnosed with ulcerative colitis and prescribed sulfasalazine. Which instructions should be reinforced at discharge? Select all that apply. 1. Avoid small, frequent meals 2. Consume a cup of coffee with each meal if desired 3. Continue medication even after resolution of symptoms 4. Eat a low-residue, high-protein, high-calorie diet COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Correct answer 2,3,4,5 41. A client with a C3 spinal cord injury has a headache and nausea. The client's blood pressure is 170/100 mm Hg. How should the nurse respond initially? Administer PRN analgesic medication 1. Administer PRN antihypertensive medication 2. Lower the head of the bed 3. Palpate the client's bladder 4. Correct answer 4 42. The practical nurse is collecting data on a client with acute diverticulitis. Which finding will the nurse report immediately to the registered nurse? Abdominal pain has progressed to the left upper quadrant 1. Hemoglobin is 11.2 g/dL (112 g/L) 2. Lying on side with knees drawn up to abdomen and trunk flexed 3. White blood cell count is 12,000/mm3 (12 × 109/L) 4. Correct answer 1 43. The nurse reinforces discharge teaching to a client who had a total knee replacement 4 days ago. Which client statement indicates the need for additional teaching? "I have to give myself shots in the belly because my spouse is afraid of needles!" 1. "I have to use a walker because I can't bear any weight on this knee yet." 2. "I will call my health care provider if I get short of breath or sore or swollen below my 3. knee." 4. "The raised toilet seat makes it easier for me to get on and off the toilet by myself." Correct answer 2 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 44. The nurse identifies which of the following clients as being at high risk for developing colorectal cancer? Select all that apply. Client who consumes a diet high in red meat and low in fiber 1. Client who is morbidly obese 2. Client with a 15-year history of ulcerative colitis 3. Client with a 40-year history of cigarette smoking 4. Client with a family history of colorectal cancer 5. Correct answer 1,2,3,4,5 45. What information would be most important for the nurse to obtain from a client with suspected bladder cancer who reports blood in the urine but no associated pain? Family history 1. Industrial chemical exposure 2. Tobacco use 3. Usual diet 4. Correct answer 3 46. Which clinical finding would the nurse anticipate in a client with chronic venous insufficiency? 1. Brownish, hardened skin on lower extremities 2. Diminished peripheral pulses 3. Nonhealing ulcer on lateral surface of great toe 4. Shiny, hairless lower extremities Correct answer 1 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 47. A nurse is reinforcing information on dietary management to a group of clients with newly diagnosed type 2 diabetes. Which meal represents the best adherence to the principles of and recommendations for diabetic meal planning? Baked tilapia with tomato salsa, steamed white rice 1. Black bean chili with brown rice, mixed greens salad 2. Grilled chicken breast with baked French fries 3. Hamburger on a whole wheat bun with lettuce and tomato 4. Correct answer 2 48. The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority? Click on the exhibit button for additional information. Administer scheduled oral levothyroxine 1. Manually ventilate the client with a bag-valve-mask 2. Place a warming blanket on the client 3. Review client's serum thyroid laboratory results 4. Correct answer 2 49. A client with a permanent pacemaker with continuous telemetry calls the nurse and reports feeling lightheaded and dizzy. The client's blood pressure is 75/55 mm Hg. What is the nurse's priority action? Click the exhibit button for additional information. 1. Administer atropine 0.5 mg IV 2. Administer dopamine 5 mcg/kg/min IV 3. Initiate transcutaneous pacing 4. Notify the health care provider COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Arrange furniture to allow for free movement 1. Keep frequently used items within easy reach 2. Lock doors leading to stairwells and outside areas 3. Place an identifying symbol on the bathroom door 4. Provide a dark room free of shadows for sleeping 5. Correct answer 1,2,3,4 56. An 86-year-old client with diabetes and gastroparesis has had repeated hospitalizations for aspiration pneumonia following a stroke and is now hospitalized with altered level of consciousness. Which nursing action is most appropriate to decrease the client's risk for developing aspiration pneumonia? Assessing client's breath sounds every 2 hours 1. Placing client in the side lying position in bed 2. Titrating client's oxygen to maintain saturation ≥93% 3. Turning and repositioning the client every 2 hours 4. Correct answer 2 57. A hospitalized client is receiving chemotherapy. Based on today's blood laboratory results, what action should the nurse take? Click on the exhibit button for additional information. 1. Check for hematuria 2. Check for peaked T waves 3. Obtain prescription for epoetin alfa 4. Place a mask on the client Correct answer 4 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 58. The nurse receives the handoff of care report on four clients. Which client should the nurse see first? Client reporting incisional pain of 8 on a scale of 0-10 with a respiratory rate of 25/min 1. who had a right pneumonectomy 12 hours ago Client with a left pleural effusion who has crackles, absent breath sounds in the left base, 2. and an SpO2 of 94% on room air Client with a temperature of 100.4 F (38 C) and a respiratory rate of 12/min who had a 3. small bowel resection 1 day ago Client with pneumonia who has a temperature of 97.6 F (36.4 C), has an SpO2 of 93% on 4 4. L/min supplemental oxygen, and is becoming restless Correct answer 4 59. The nurse working in the intensive care unit hears an alarm coming from a client's room. On entering the room, the nurse sees the rhythm displayed in the exhibit on the monitor. The nurse recognizes it as which rhythm? Click on the exhibit button for additional information. Asystole 1. Atrial fibrillation 2. Ventricular fibrillation (VF) 3. Ventricular tachycardia 4. Correct answer 3 60. The nurse understands that which of these body substances are modes of transmission for hepatitis B? Select all that apply. 1. Blood 2. Feces 3. Semen 4. Urine COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Vaginal secretions 5. Correct answer 1,3,5 61. The nurse is caring for a client with hyperosmolar hyperglycemic state. The nurse understands which characteristic is most consistent with HHS? Abdominal pain 1. Altered level of consciousness 2. History of type 1 diabetes 3. Kussmaul respirations 4. Correct answer 2 62. A client with a history of diverticular disease is being discharged after an episode of acute diverticulitis. Which instructions should the nurse reinforce to reduce the risk of future episodes? Select all that apply. Drink plenty of fluids 1. Exercise regularly 2. Follow a low-fiber diet 3. Include whole grains, fruits, and vegetables in the diet 4. Increase intake of red meat 5. Correct answer 1,2,4 63. A client with aortic stenosis is scheduled for surgery in 2 weeks. The client reports episodes of angina and passing out twice at home. Which would be the best response by the nurse to explain the appropriate activity for this client at this time? 1. "Avoid strenuous activity before the surgery." "Continue to exercise, even if angina occurs. It will strengthen your heart muscles." COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Family history of skin cancer 1. High number of moles 2. History of severe adolescent acne 3. Immunosuppressant medication use 4. Outdoor occupation 5. Correct answer 1,2,4,5 70. The practical nurse is performing a cardiac assessment in collaboration with the registered nurse. Where does the nurse expect to feel the client's point of maximal impulse? Correct answer 4 & 5 left ribs 71. During a camping trip, a camp counselor falls and gets a small splinter of wood embedded in the right eye. What action should the volunteer camp nurse take first? 1. Gently flush the eye with cool water 2. Instill optic antibiotic ointment 3. Patch both eyes with eye shields 4. Remove the splinter using tweezers Correct answer 3 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 72. An adult diagnosed with celiac disease 3 weeks ago was placed on a gluten-free diet. The client returns for ambulatory care follow-up, reports continuation of symptoms, and does not seem to be responding to therapy. Which is the best response by the nurse? "It should take about 6-8 weeks before your symptoms improve." 1. "Tell me what you had to eat yesterday." 2. "We will refer you to the dietitian." 3. "You must not be following your diet." 4. Correct answer 2 73. A nursing diagnosis of "ineffective airway clearance related to pain" is identified for a client who had open abdominal surgery 2 days ago. Which intervention should the nurse implement first? Administer prescribed analgesic medication for incisional pain 1. Encourage use of incentive spirometer every 2 hours while awake 2. Offer an additional pillow to splint the incision while coughing 3. Promote increased oral fluid intake 4. 74. The nurse cares for a client with a pulmonary embolism. Which of the following clinical manifestations would the nurse anticipate? Select all that apply. 1. Bradycardia 2. Chest pain 3. Dyspnea 4. Hypoxemia 5. Tachypnea COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Tracheal deviation 6. Correct answer 2,3,4,5 75. The nurse is caring for a client with cirrhosis. Assessment findings include ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Which interventions would be appropriate for the nurse to implement to promote the client's comfort? Select all that apply. Encourage adequate sodium intake 1. Place client in semi-Fowler position 2. Place client in Trendelenburg position 3. Provide alternating air pressure mattress 4. Use music to provide a distraction 5. Correct answer 2,4,5 76. The practical nurse is assisting the registered nurse in preparing the room for a client with new-onset tonic-clonic seizures. It is important to ensure that what equipment is in the room? Select all that apply. Oral bite prevention device 1. Oxygen delivery system 2. Padding on the bed side rails 3. Soft arm and leg restraints 4. Suction equipment 5. Correct aswer 2,3,5 77. The practical nurse is collaborating with the registered nurse to create a care plan for a client experiencing exophthalmos as a complication of Graves disease. Which interventions should be included in the client's plan of care? Select all that apply. COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 4. Correct answer 1 81. An older client comes to the outpatient clinic for a routine physical examination and health screening. Which findings does the nurse recognize as possible indications of colorectal cancer? Select all that apply. Abdominal pain 1. Blood in the stools 2. Change in bowel habits 3. Low hemoglobin level 4. Unexplained weight loss 5. Correct answer 1,2,3,4,5 82. The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain? 1. A burning sensation; in the upper abdomen 2. An 8 out of 10; on the left side below the belly button 3. Excruciating; in the lower abdomen above the right hip COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Intermittent; in the abdomen and right shoulder 4. Correct answer 3 83. The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the highest priority to report to the registered nurse? Pain and pallor in one foot 1. Pain in both knees 2. Splinter hemorrhages in the nail beds 3. Temperature of 102.2 F (39 C) 4. Correct answer 1 84. The telemetry nurse is reviewing a client's cardiac rhythm strip. What is the correct interpretation for this strip? Atrial paced rhythm 1. First-degree atrioventricular block with bigeminy 2. Sinus rhythm with premature ventricular contractions 3. Ventricular paced rhythm with failure to sense 4. Correct answer 1 85. The nurse is caring for a client with cholelithiasis and acute cholecystitis. The client suddenly vomits 250 mL of greenish-yellow emesis and reports severe right upper quadrant pain with radiation to the right shoulder. Which intervention would have the highest priority? COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Administer promethazine suppository 1. Initiate NPO status 2. Insert nasogastric tube set to low suction 3. Obtain prescription for pain medication 4. Correct answer 2 86. The nurse is caring for a client with a chest tube that was placed 2 hours ago for a pneumothorax. Where would the nurse expect gentle, continuous bubbling? Air leak monitor 1. Collection chamber 2. Suction control chamber 3. Water seal chamber 4. Correct answer 3 87. The nurse is caring for a client admitted for a seizure disorder. The nurse witnesses the client having a tonic-clonic seizure with increasing salivation. Which actions should the nurse take? Select all that apply. 1. Call for help 2. Hold down the client's arms 3. Insert a tongue depressor to move the tongue 4. Prepare for suctioning 5. Turn the client on the side Correct answer 1,4,5 COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ Small cell lung cancer 4. Correct answer 4 94. The nurse is caring for a client with an exacerbation of asthma following a viral respiratory illness. When collecting data, the nurse expects to find which clinical characteristics of a severe asthma exacerbation? Select all that apply. Accessory muscle use 1. Chest tightness 2. High-pitched expiratory wheeze 3. Prolonged inspiratory phase 4. Tachypnea 5. Correct answer 1,2,3,5 95. The nurse is reinforcing teaching on nutritional therapy for a client with chronic kidney disease. Which statement indicates that further teaching is needed? "Because I have chronic kidney disease, I should avoid canned soups and cold-cut 1. sandwiches." "I can use a salt substitute because I am required to restrict both sodium and potassium in 2. my daily diet." "I must avoid eating raw carrots and tomatoes on my salads because I take hemodialysis 3. treatments." "The popsicles I eat should be counted in my daily fluid intake because they become liquid 4. at room temperature." Correct answer 2 96. The nurse is reviewing discharge instructions on home management for a client with peripheral arterial disease. Which statements indicate a correct understanding of the instructions? Select all that apply. 1. "I will apply moisturizing lotion on my legs every day." "I will elevate my legs at night when I am sleeping." COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ 2. "I will keep my legs below heart level when sitting." 3. "I will start walking outside with my neighbor." 4. "I will use a heating pad to promote circulation." 5. Correct answer 1,3,4 97. The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease and pneumonia. The nurse notes that the client has become disoriented and restless and becomes concerned that the client may have impaired oxygenation due to poor secretion clearance. Which is the nurse's priority action? Administer lorazepam 1 mg IM 1. Administer oxygen using venturi mask 2. Maintain IV normal saline infusion at prescribed rate of 125 mL/hr 3. Place the head of the bed in semi-Fowler position 4. Correct answer 2 98. An experienced nurse is precepting a new graduate nurse on the orthopedic unit. Which action by the graduate nurse requires the precepting nurse to intervene? Elevating a client's residual limb on a pillow 1 day after above-the-knee amputation 1. Placing an abductor pillow between a client's legs after total hip replacement 2. Positioning a client with Buck traction supine with the foot of the bed raised 3. Using pillows to raise a client's extremity following cast placement 4. Correct answer 1 99. The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse? COMMUNITY HEALTH NCLEX child health QUESTIONS WITH ANSWERS 2023 A+ "I will raise the head of the bed, so it is easier to see the 1. television." "I will turn down the lights when I leave." 2. "Let me move your belongings closer so you can reach them." 3. "You should do deep breathing and coughing exercises." 4. Correct answer 4 100. The nurse is assessing a client in the outpatient clinic who has a cast on for a distal humerus fracture. Which statements made by the client would be the priority to assess further? "I am having problems extending my fingers since this morning." 1. "I can't take any of the pain medicine because it makes me feel sick." 2. "I have to scratch under the cast with a nail file because of the itching." 3. "I noticed a warm spot on my cast, and a bad smell is coming from it." 4. Correct answer 1 101. The nurse assessing a client notices pearly white plaque-like lesions on the mouth mucosa. The nurse understands that which client is at highest risk for oral candidiasis? A client with asthma who uses an albuterol nebulizer once a day 1. A client receiving intravenous broad-spectrum antibiotics daily 2. A teenage client with braces who drinks several sugary drinks daily 3. An elderly client with poor oral hygiene and inadequate nutrition 4. Correct answer 2 102. Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease? Select all that apply.