13. A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on the child in various stages of healing. The parent claims the toddler bruises easily and falls a lot when they are trying to walk. The best action on the part of the nurse would be to:

32. A patient is admitted to the Emergency Department following a motor vehicle accident.  The physician has ordered a hypotonic crystalloid solution to be infused.  Which of the following symptoms exhibited by the patient would require immediate intervention?

6. Order 60mL of D5LR over 1 hour.  25gtt/min using micro drip tubing is available.  (gtt/min is assumed in your answer)

16. A nurse reviews the laboratory report for a client who is receiving lithium carbonate (Eskalith). The client’s blood lithium level is 2.5 mEq/L. The nurse identifies that this lab value indicates which of the following?

24. The nurse is caring for a child who has a cast on the left forearm due to a recent bone break.  During the routine medication pass the child is noted to be crying inconsolably and points to the face picture pain guide of a crying face.   Which of the following interventions is priority?

29. A nurse is reinforcing teaching for a client who is to have a myelogram. Which of the following statements indicates the client understands the teaching?

11. A nurse is assisting in the planning of care for a client following a suicide attempt. Which of the following interventions is appropriate when implementing suicide precautions?

30. A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

 26. A nurse is collecting data from a 4-month-old infant who has meningitis. Which of the following manifestations of this condition should the nurse expect? 

4. The nurse is completing a history and physical on a patient who takes acetaminophen (Tylenol) daily basis for relief of generalized discomfort.  Which of the following indicates toxicity associated with the mediation?