During a neonatal examination, the nurse notices that the newborn infant has six toes. How should the nurse document this finding?

A) Unidactyly
B) Syndactyly
C) Polydactyly
D) Multidactyly

Which medication is to be administered immediately to the patient?

A) Acetaminophen 325 mg PO prn
B) Insulin aspart 12 units subQ AC
C) Metronidazole 500 mg PO BID
D) Nitroglycerin 0.4 mg sublingual STAT

The patient refuses to believe the physician's diagnosis and insists on a second opinion from a specialist.Which ego-defense mechanism is used by the patient?

A) Denial
B) Dissociation
C) Deterioration
D) Displacement

A patient has a continuous IV infusion at 60 mL/hr.The right hand IV has infiltrated and the nurse has started a new IV on the left forearm.Which of the following interventions should the nurse also perform?

A) Elevate the patient's left forearm.
B) Schedule daily dressing changes to the new IV site.
C) Change the administration set.
D) Place the patient in Fowler's position.

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. Which is the most appropriate way to collect small amounts of urine for these tests?

A) Apply a urine-collection bag to the perineal area.
B) Tape a small medicine cup to the inside of the diaper.
C) Aspirate urine from cotton balls inside the diaper with a syringe.
D) Aspirate urine from a superabsorbent disposable diaper with a syringe.

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. How should the nurse interpret this finding?

A) Normal finding
B) Abnormal finding, so child needs referral to ophthalmologist
C) Sign of possible visual defect, so child needs vision screening
D) Sign of small hemorrhages, which will usually resolve spontaneously