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Question 1 of 25
1. Question
A client with iron deficiency anemia is scheduled for discharge. Which instruction about prescribed ferrous gluconate therapy should the nurse include in the teaching plan?
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Question 2 of 25
2. Question
Which of the following disorders results from a deficiency of factor VIII?
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Question 3 of 25
3. Question
The nurse explains to the parents of a 1-year-old child admitted to the hospital in a sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following?
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Question 4 of 25
4. Question
The mothers asks the nurse why her child’s hemoglobin was normal at birth but now the child has S hemoglobin. Which of the following responses by the nurse is most appropriate?
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Question 5 of 25
5. Question
Which of the following would the nurse identify as the priority nursing diagnosis during a toddler’s vaso-occlusive sickle cell crisis?
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Question 6 of 25
6. Question
A mother asks the nurse if her child’s iron deficiency anemia is related to the child’s frequent infections. The nurse responds based on the understanding of which of the following?
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Question 7 of 25
7. Question
Which statements by the mother of a toddler would lead the nurse to suspect that the child has iron-deficiency anemia? Select all that apply.
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Question 8 of 25
8. Question
Which of the following foods would the nurse encourage the mother to offer to her child with iron deficiency anemia?
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Question 9 of 25
9. Question
The physician has ordered several laboratory tests to help diagnose an infant’s bleeding disorder. Which of the following tests, if abnormal, would the nurse interpret as most likely to indicate hemophilia?
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Question 10 of 25
10. Question
Which of the following assessments in a child with hemophilia would lead the nurse to suspect early hemarthrosis?
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Question 11 of 25
11. Question
Because of the risks associated with administration of factor VIII concentrate, the nurse would teach the client’s family to recognize and report which of the following?
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Question 12 of 25
12. Question
A child suspected of having sickle cell disease is seen in a clinic, and laboratory studies are performed. A nurse checks the lab results, knowing which of the following would be increased in this disease?
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Question 13 of 25
13. Question
A clinic nurse instructs the mother of a child with sickle cell disease about the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further instructions?
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Question 14 of 25
14. Question
Laboratory studies are performed for a child suspected of having iron deficiency anemia. The nurse reviews the laboratory results, knowing which of the following results would indicate this type of anemia?
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Question 15 of 25
15. Question
A pediatric nurse health educator provides a teaching session to the nursing staff regarding hemophilia. Which of the following information regarding this disorder would the nurse plan to include in the discussion?
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Question 16 of 25
16. Question
A nurse is assessing the neurovascular of a client who has returned to the surgical nursing unit 4 hours ago after undergoing an aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. The nurse interprets that the neurovascular status is:
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Question 17 of 25
17. Question
After open-heart surgery, a client develops a temperature of 102°F. The nurse notifies the physician because elevated temperatures:
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Question 18 of 25
18. Question
During a cardiac catheterization blood samples from the right atrium, right ventricle, and pulmonary artery are analyzed for their oxygen content. Normally:
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Question 19 of 25
19. Question
The nurse prepares the client for insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the client that the catheter will be inserted to provide information about:
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Question 20 of 25
20. Question
When preparing a client for discharge after surgery for a CABG, the nurse should teach the client that there will be:
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Question 21 of 25
21. Question
What is the most important nursing action when measuring a pulmonary capillary wedge pressure (PCWP)?
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Question 22 of 25
22. Question
The most important assessment for the nurse to make after a client has had a femoropopliteal bypass for peripheral vascular disease would be:
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Question 23 of 25
23. Question
Which signs cause the nurse to suspect cardiac tamponade after a client has cardiac surgery? Select all that apply.
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Question 24 of 25
24. Question
A client has the diagnosis of left ventricular failure and a high pulmonary capillary wedge pressure (PCWP). The physician orders dopamine to improve ventricular function. The nurse will know the medication is working if the client’s:
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Question 25 of 25
25. Question
A 35-year-old male was knifed in the street fight, admitted through the ER, and is now in the ICU. An assessment of his condition reveals the following symptoms: respirations shallow and rapid, CVP 15 cm H2O, BP 90 mm Hg systolic, skin cold and pale, urinary output 60-100 mL/hr for the last 2 hours. Analyzing these symptoms, the nurse will base a nursing diagnosis on the conclusion that the client has which of the following conditions?
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