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    RN Comprehensive Predictor 2026 Proctored Exam V2
    Select All That Apply

    Click to highlight the findings that indicate a worsening in the child's condition post-appendectomy: • Alert and oriented x2 (was x4 preoperatively) — Worsening ✓ • Lethargic — Worsening ✓ • Lung sounds clear in lower lobes — Expected finding • Bowel sounds normoactive in all 4 quadrants — Expected finding • Child reports no nausea — Expected finding • Abdominal dressings clean, dry, intact — Expected finding • Pain 2/10 on FACES scale — Expected finding • Blood pressure 102/60 mm Hg — Worsening ✓ • Heart rate 90/min — Expected finding • Oxygen saturation 95% on room air — Worsening ✓

    Explanation & Rationale

    Decreased level of orientation (x2 vs. x4 preoperatively), lethargy, hypotension (102/60 mm Hg), and low oxygen saturation (95%) are all signs of clinical deterioration that may indicate hemorrhage, sepsis, or respiratory compromise. Normoactive bowel sounds, intact dressings, and reduced pain indicate expected or improved postoperative findings.

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