18. The nurse receives a call from the monitoring technician indicating that the client’s telemetry reading is indicating asystole.  Which action should the nurse perform first?

54.  A nurse administers an intramuscular injection of vitamin K to a newborn. What is the purpose of the injection?

13. The nurse performed a routine physical assessment of a client admitted with back pain. Which assessment finding should immediately be reported to the primary health care provider?

38.  What is an expected assessment finding in a child with coarctation of the aorta?

29. The nurse is caring for a diabetic client who has experienced stroke symptoms. Which action can the nurse delegate to a licensed practical nurse?

52. In teaching family members about their child’s von Willebrand disease, what is the priority outcome for the child that the nurse should discuss?

11.  The client has experienced an acute myocardial infarction and is in cardiogenic shock.  Which nursing intervention has the highest priority?

35. When assessing a child for possible congenital heart defects (CHDs), where should the nurse measure blood pressure?

36. Before giving a dose of digoxin the nurse checked an infant’s apical heart rate and it was 114 beats/minute. What should the nurse do next?

8. Which assessment findings should the nurse anticipate for a client with hypertrophic cardiomyopathy? (Select all that apply)