A nurse is reviewing data for patients on an inpatient unit. Which patient will the nurse see first?

A 6-year-old who has asthma and an oxygen saturation of 94% on room air.

A 10-year-old who has sickle cell anaemia reporting severe chest pain.

A 47-year-old who has diabetes insipidus with a urine specific gravity of 1.010.

A 5-year-old who has respiratory syncytial virus (RSV) with a temperature of 102.2°F.

Answer and Explanation

The Correct Answer is B

Choice A reason: While an oxygen saturation of 94% is slightly low, it is not an immediate emergency for a child with asthma. This patient can be monitored but does not require the nurse's immediate attention.

Choice B reason: Severe chest pain in a patient with sickle cell anaemia can indicate a serious complication known as acute chest syndrome, which is a medical emergency. This condition requires immediate assessment and intervention to prevent life-threatening complications.

Choice C reason: A urine specific gravity of 1.010 indicates dilute urine, which is typical for a patient with diabetes insipidus. While this condition requires management, it is not an immediate emergency compared to severe chest pain in a sickle cell anaemia patient.

Choice D reason: A fever of 102.2°F in a child with respiratory syncytial virus (RSV) is concerning and requires attention, but it is not as immediately life-threatening as severe chest pain in a sickle cell anaemia patient. This patient can be seen after addressing the more urgent case.

Would you like to provide another text for editing, or is there anything else I can help you with?

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

Explanation

Choice A reason: Warming the stethoscope before use prevents heat loss through conduction. Conduction is the transfer of heat from the infant's body to a cooler surface or object that comes in direct contact with them. By warming the stethoscope, the nurse ensures that the infant does not lose heat to the cold surface of the stethoscope, thereby helping to maintain the infant's body temperature.

Choice B reason: Moving the infant away from a drafty vent helps prevent heat loss through convection, not conduction. Convection is the transfer of heat through air currents, and keeping the infant away from drafts helps minimize this type of heat loss.

Choice C reason: Drying the infant with a towel prevents heat loss through evaporation. When a wet infant is dried, it helps reduce the loss of heat that occurs as moisture evaporates from the skin.

Choice D reason: Closing the doors to the isolate helps prevent heat loss through radiation. Radiation is the transfer of heat from the infant's body to cooler surrounding surfaces. By closing the doors, the nurse helps maintain a warm environment, reducing heat loss.

A. Holding head upright and sitting unsupported. B. Pushing food out with their tongue. C. Grasping small objects and not letting go. D. The infant is between 4 and 6 months old.

Correct Answer is B

Explanation

Choice A reason: Holding their head upright and sitting unsupported are signs that an infant may be ready for solid foods. These motor skills indicate that the baby has enough control to handle swallowing food safely.

Choice B reason: Pushing food out with their tongue is known as the tongue-thrust reflex, and it is a sign that the infant may not be ready for solid foods yet. This reflex prevents choking and generally diminishes between 4 and 6 months of age.

Choice C reason: Grasping small objects and not letting go demonstrates that the baby has developed fine motor skills, which are also important for starting solid foods. However, this alone does not determine readiness.

Choice D reason: Being between 4 and 6 months old is an appropriate age range for introducing solid foods, as long as other readiness signs are also present. Age alone is not the sole indicator of readiness for solid foods.

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 is reviewing data for patients on an inpatient unit. Which patient will the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 40-week-gestation infant. What action by the nurse prevents heat loss through conduction?

Correct Answer is A

Explanation

The nurse is assessing a 5-month-old patient on their readiness for solid foods. Which observation will indicate the family should postpone solid foods?

Correct Answer is B

Explanation

The nursing student is creating a plan of care for a patient with a complex medical history. Which discharge intervention will require further education by the nursing instructor?

A nurse is teaching a 10-year-old child how to manage their cystic fibrosis. What medication will the nurse teach the child to take before their lunch break?

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What will the nurse do?

The nurse is caring for a patient experiencing precipitous Labor. What complication will the nurse monitor this patient for?

A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

The nurse is caring for a patient who is two days postpartum and exclusively breastfeeding. Upon assessment, the patient has cracked nipples and a painful latch. What will the nurse include in the patient's plan of care?

The nurse is teaching a parent who delivered the baby with vacuum-assisted delivery. Which of the following statements will confirm to the nurse that the teaching was effective?

The nurse is providing discharge teaching to a postpartum patient. Which information will the nurse include when teaching the parent about the difference between pathologic and physiologic jaundice?