Exam 2

The nurse is providing care to a child with pancreatitis. When reviewing the child's laboratory test results, which of the following would the nurse expect to find? Select all answers that apply. A. Leukocytosis B. Decreased C-reactive protein C. Elevated serum amylase levels D. Positive stool culture E. Decreased serum lipase levels

A. Leukocytosis C. Elevated serum amylase levels

A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following? A. Loud without a thrill B. Loud with a precordial thrill C. Soft and easily heard D. Loud, audible with a stethoscope

A. Loud without a thrill

The nurse is preparing to provide tracheostomy care to an infant. After gathering the necessary equipment, which of the following would the nurse do next? A. Position the infant supine with a towel roll under the neck B. Cut the new tracheostomy ties to the appropriate length C. Cut the tracheostomy ties from around the tracheostomy tube D. Cleanse around the site of the tracheostomy with the prescribed solution

A. Position the infant supine with a towel roll under the neck

A nurse is caring for a 14-year-old girl scheduled for a barium swallow/upper gastrointestinal (GI) series. Before providing instructions, which of the following would be the priority? A. Screening the girl for pregnancy B. Reminding her to drink plenty of fluids after the procedure C. Ordering a bowel prep D. Reminding the girl about potential light-colored stools

A. Screening the girl for pregnancy

The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels? A. Significant cyanosis without presence of a murmur B. Abrupt cessation of chest output with an increase in heart rate/filling pressure C. Soft systolic ejection D. Holosystolic murmur

A. Significant cyanosis without presence of a murmur

A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse most likely expect to be used? A. Simple mask B. Venturi mask C. Nasal cannula D. Oxygen hood

A. Simple mask

The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which of the following? A. Suctioning a tracheostomy tube B. Administering drugs with a nebulizer C. Providing tracheostomy care D. Suctioning with a bulb syringe

A. Suctioning a tracheostomy tube

.The nurse is assessing a 7-year-old boy with pharyngitis. The nurse would least likely expect to assess which of the following? A. Working hard to breathe B. Difficulty swallowing C. Rash on the abdomen D. Sore throat and headache

A. Working hard to breathe

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow? A. Tetralogy of Fallot B. Atrial septal defect C. Hypoplastic left heart syndrome D. Transposition of the great vessels

B. Atrial septal defect

A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which of the following? A. Children's demand for oxygen is lower than that of adults. B. Children develop hypoxemia more rapidly than adults do. C. An increase in oxygen saturation leads to a much larger decrease in pO2. D. Children's bronchi are wider in diameter than those of an adul

B. Children develop hypoxemia more rapidly than adults do.

The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, which of the following would the nurse most likely find? A. Sausage-shaped mass in the upper midabdomen B. Hard, moveable, olive-shaped mass in the right upper quadrant C. Tenderness over the McBurney point in the right lower quadrant D. Abdominal pain in the epigastric or umbilical region

B. Hard, moveable, olive-shaped mass in the right upper quadrant

The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion? A. Thrill at the base of the heart B. Harsh, continuous, machine-like murmur under the left clavicle C. Faint pulses D. Systolic murmur best heard along the left sternal border

B. Harsh, continuous, machine-like murmur under the left clavicle

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents? A. Explaining to them about the diagnosis and surgery B. Having a wound, ostomy, and continence nurse meet with them C. Reinforcing that the ostomy will be temporary D. Teaching them about the medications used to slow stool output

B. Having a wound, ostomy, and continence nurse meet with them

The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess? A. Right ventricular heave B. Holosystolic harsh murmur along the left sternal border C. Fixed split-second heart sound D. Systolic ejection murmur

B. Holosystolic harsh murmur along the left sternal border

A nurse is preparing a teaching plan for the family of a child with allergic rhinitis. When describing the immune reaction that occurs, the nurse would identify the role of which immunoglobulin? A. IgA B. IgE C. IgG D. IgM

B. IgE

A nursing instructor is preparing a class on chronic lung disease. Which of the following would the instructor include when describing this disorder? A. It is a result of cystic fibrosis. B. It is seen most commonly in premature infants. C. It typically affects females more often than males. D. It is characterized by bradypne

B. It is seen most commonly in premature infants.

After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding? A. Janeway lesions B. Jerky movements of the face and upper extremities C. Black lines D. Osler nodes

B. Jerky movements of the face and upper extremities

The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include? A. Daily weight assessment B. Maintenance of strict bed rest C.Prevention of infection D. Signs of complications

B. Maintenance of strict bed rest

The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply. A. White blood cell count revealing leukopenia B. Microscopic hematuria with urinalysis C. Electrocardiogram with prolonged PR interval D. Lungs clear on auscultation E. Petechiae on palpebral conjunctiva

B. Microscopic hematuria with urinalysis C. Electrocardiogram with prolonged PR interval E. Petechiae on palpebral conjunctiva

A group of nursing students are reviewing information about inflammatory bowel disease in preparation for a class discussion on the topic. The students demonstrate understanding of the material when they identify which characteristics of Crohn disease? Select all that apply. A. Distributed in a continuous fashion B. Most common between the ages of 10 to 20 years C. Elevated erythrocyte sedimentation rate D. Low serum iron levels E. Tenesmus F. Loss of haustra within bowel

B. Most common between the ages of 10 to 20 years C. Elevated erythrocyte sedimentation rate D. Low serum iron levels

The nurse is preparing to perform a physical examination of a child with asthma. Which of the following techniques would the nurse be least likely to perform? A. Inspection B. Palpation C. Percussion D. Auscultation

B. Palpation

After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? Select all answers that apply. A. Wheat germ B. Peanut butter C. Carbonated drinks D. Shellfish E. Jelly F. Flavored yogurt

B. Peanut butter C. Carbonated drinks D. Shellfish E. Jelly

The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease? A. Normal growth patterns B. Perianal skin tags or fissures C. Poor growth patterns D. Abdominal tenderness

B. Perianal skin tags or fissures

The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which of the following as most helpful in determining the extent of the child's hypoxia? A. Pulmonary function test B. Pulse oximetry C. Peak expiratory flow D. Chest radiograph

B. Pulse oximetry

The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli? A. Pruritus B. Roth spots C. Delayed capillary refill D. Erythema marginatum

B. Roth spots

When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess? A. Hirsutism or striae B. Strawberry tongue C. Malar rash D. Café au lait spots

B. Strawberry tongue

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, which of the following would be least appropriate for the nurse to perform? A. Providing 100% oxygen B. Visualizing the throat C. Having the child sit forward D. Auscultating for lung sounds

B. Visualizing the throat

During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate? A. Risk for delayed growth and development related to necessary treatments B. Deficient knowledge related to the care of a child with congenital heart disease C. Interrupted family processes related to demands of caring for the ill child D. Fear related to infant's cardiac condition and need for ongoing care

C. Interrupted family processes related to demands of caring for the ill child

A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. Which of the following would the nurse do first? A. Notify the physician B. Apply an occlusive dressing C. Clamp the chest tube D. Perform a respiratory assessment

C. Clamp the chest tube

The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most likely as which of the following? A. Greasy B. Clay-colored C. Currant jelly-like D. Bloody

C. Currant jelly-like

When performing the physical examination of a child with c, which of the following would the nurse expect to assess? A. Dullness over the lung fields B. Increased diaphragmatic excursion C. Decreased tactile fremitus D. Hyperresonance over the liver

C. Decreased tactile fremitus

When examining the abdomen of a child, which technique would the nurse use last? A. Auscultation B. Percussion C. Palpation D. Inspection

C. Palpation

A rapid strep test has confirmed that a 5-year-old girl has a group A Streptococcus infection. When teaching the parents about measures to implement, which of the following would be the least immediate concern? A. Using a cool mist humidifier B. Encouraging the child to drink liquids C. Discarding the child's toothbrush D. Administering antibiotic therapy

C. Discarding the child's toothbrush

Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following? A. Grade II B. Grade III C. Grade IV D. Grade V

C. Grade IV

A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason? A. Improve gas exchange B. Bypass the obstruction C. Hasten air reabsorption D. Prevent hypoxemia

C. Hasten air reabsorption

A nurse is preparing a teaching program for a parenting group about preventing foreign body aspiration. Which of the following would the nurse include? A. Avoid giving popcorn to children younger than the age of 2 years. B. Withhold peanuts from children until they are at least 5 years of age. C. If an object fits through a standard toilet paper roll, the child can aspirate it. D. Keep pennies and dimes out of the child's reach; quarters do not pose a problem

C. If an object fits through a standard toilet paper roll, the child can aspirate it.

A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication? A. Alprostadil B. Heparin C. Indomethacin D. Spironolactone

C. Indomethacin

The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond? A. "There is a good chance that you will be able to breastfeed almost immediately." B. "Breastfeeding is likely to be possible, but check with the surgeon." C. "After the suture line heals, breastfeeding can resume." D. "We will have to wait and see what happens after the surgery."

B. "Breastfeeding is likely to be possible, but check with the surgeon."

The nurse is caring for a 6-month-old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? Select all that apply. A. "My smoking during pregnancy didn't have anything to do with this disorder. Smoking primarily causes low birth weight." B. "I know my baby takes a lot longer to feed than most children this age." C. "It really worries me that my baby may have some other disorders that haven't been detected yet." D. "I wonder if my baby will develop speech problems when language development begins?" E. "Thankfully there are doctors that specialize in correcting this type of disorder."

B. "I know my baby takes a lot longer to feed than most children this age." C. "It really worries me that my baby may have some other disorders that haven't been detected yet." D. "I wonder if my baby will develop speech problems when language development begins?" E. "Thankfully there are doctors that specialize in correcting this type of disorder."

The mother of a 3-week-old infant old brings her daughter in for an evaluation. During the visit, the mother tells the nurse that her baby is spitting up after feedings. Which response by the nurse would be most appropriate? A. "We need to tell the doctor about this." B. "Infants this age commonly spit up." C. "Your daughter might have an allergy." D. "Don't worry; you're just feeding her too much."

B. "Infants this age commonly spit up."

The nurse is performing a gastrointestinal assessment on a 7-year-old boy. The parents are assisting with the history. Which assessment findings are indicative of constipation? Select all that apply. A. "Our child only has 3 to 4 bowel movements per week." B. "Our child complains of pain because his bowel movements are so hard." C. "Our child tells us that his belly hurts a lot of the time." D. "I can tell he holds his bowel movement much of the time because of the way he stands." E. "I find smears of stool in his underwear almost every day."

B. "Our child complains of pain because his bowel movements are so hard." C. "Our child tells us that his belly hurts a lot of the time." D. "I can tell he holds his bowel movement much of the time because of the way he stands." E. "I find smears of stool in his underwear almost every day."

The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation? A. "My baby does not make any grunting noises." B. "The baby seems more comfortable over my shoulder." C. "The baby usually drinks all of her bottle." D. "I don't notice any rapid breathing patterns."

B. "The baby seems more comfortable over my shoulder."

The school nurse is working with a 10-year-old girl with recurrent abdominal pain. The girl's teacher has been less than understanding about the frequent absences and trips to the nurse's office. How should the nurse respond? A. "Be patient; she is trying some new medication." B. "The pain she is having is real." C. "The family is working toward improvement." D. "Please do not add to this family's stress."

B. "The pain she is having is real."

The nurse is determining maintenance fluid requirements for a child who weighs 25 kg. How much fluid would the child need per day? A. 1,560 mL B. 1,600 mL C. 1,650 mL D. 1,700 mL

B. 1,600 mL

A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? A. Salmeterol B. Albuterol C. Ipratropium D. Cromolyn

B. Albuterol

The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. If redness occurs, which of the following would be most appropriate to promote healing and prevent further skin breakdown? A. Clean the area well with a scented diaper wipe. B. Apply a barrier/healing cream or paste on the skin. C. Use a barrier wafer (such as Stomahesive) to attach the appliance. D. Sanitize the area with an alcohol wipe after each diaper change

B. Apply a barrier/healing cream or paste on the skin.

A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply. A. Intravenous immunoglobulin B. Ibuprofen C. Acetaminophen D. Aspirin E. Alprostadil

A. Intravenous immunoglobulin C. Acetaminophen D. Aspirin

The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which of the following drugs would the nurse identify as an adjunct to a b2-adrenergic agonist for treatment of bronchospasm? A. Ipratropium B. Montelukast C. Cromolyn D. Theophylline

A. Ipratropium

A group of students are reviewing information about gallbladder disease in children. The students demonstrate a need for additional review when they state: A. Cholesterol gallstones are more frequently found in males. B. Pigment stones are found primarily in the common bile duct. C. Pancreatitis is a common complication of cholecystitis in children. D. Cholecystitis is due to chemical irritation from obstructed bile flow.

A. Cholesterol gallstones are more frequently found in males

An 8-month-old infant is brought to the clinic for evaluation. The mother tells the nurse that she has noticed some white patches on the infant's tongue that look like curdled milk after breastfeeding. The nurse suspects oral candidiasis (thrush). Which question would the nurse use to help confirm this suspicion? A. "Are you having breast pain when you nurse the baby?" B. "Has he had any dairy problems recently?" C. "Is he experiencing any vomiting lately?" D. "How have his stools been this past week?"

A. "Are you having breast pain when you nurse the baby?"

The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which of the following responses would lead the nurse to suspect irritable bowel syndrome? A. "I always feel better after I have a bowel movement." B. "I don't take any medicine right now." C. "The pain comes and goes." D. "The pain doesn't wake me up in the middle of the night."

A. "I always feel better after I have a bowel movement."

The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching? A. "I should position him on his abdomen with knees bent." B. "He will require 250 to 500 mL of enema solution." C. "I should wash my hands and then wear gloves." D. "He should retain the solution for 5 to 10 minutes."

A. "I should position him on his abdomen with knees bent."

The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond? A. "I will help you become an expert on your daughter's care." B. "You must learn how to care for your daughter at home." C. "You really need the support of your husband." D. "There is a lot to learn and you need a positive attitude."

A. "I will help you become an expert on your daughter's care."

After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding? A. Aortic stenosis B. Patent ductus arteriosus C. Aortic insufficiency D. Complete heart block

A. Aortic stenosis

A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also helps to do which of the following? A. Cause vasodilation B. Increase pulmonary vascular resistance C. Promote diuresis D. Mobilize secretions

A. Cause vasodilation

A child is scheduled for a lower endoscopy. Which of the following would the nurse include in the child's plan of care in preparation for this test? A. Explaining about the need to ingest barium B. Establishing an intravenous access for radionuclide administration C. Administering the prescribed bowel cleansing regimen D. Withholding prescribed proton pump inhibitors for 5 days before

C. Administering the prescribed bowel cleansing regimen

A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely include? A. "This test will check the pattern of how your heart is beating." B. "They'll take a picture of your chest to look at the heart's size." C. "A special wand that picks up sound is used to check your heart." D. "Small patches are attached to your chest to check the heart rhythm"

C. "A special wand that picks up sound is used to check your heart."

An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate? A. "That's true, but we'll make sure she gets the best intravenous nutrition." B. "Unfortunately, your baby needs more nutrients than what breast milk can provide." C. "Breast milk may help to boost her immune system, so you can continue to use it." D. "She won't be able to suck, so we have to give her fortified formula through a tube."

C. "Breast milk may help to boost her immune system, so you can continue to use it."

A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful? A. "This pressure dressing needs to stay on for 5 days from now." B. "He can't eat but he can drink fluids for the next 24 hours." C. "He should avoid taking a bath for about 3 days but he can shower." D. "It's normal if he says he feels like his heart skipped a beat."

C. "He should avoid taking a bath for about 3 days but he can shower."

The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching? A. "The baby may need as much as 150 calories/kg/day." B. "Small, frequent feedings are best if tolerated." C. "I need to feed him every hour to make sure he eats enough." D. "Gavage feedings may be required for now."

C. "I need to feed him every hour to make sure he eats enough."

A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information? A. "I have to make sure that I don't eat a lot of salty foods." B. "I can eat any amount at a meal as long as I don't eat between meals." C. "I should eat plenty of fresh fruits and vegetables." D. "If I skip breakfast, I can eat a much bigger lunch."

C. "I should eat plenty of fresh fruits and vegetables."

A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be most appropriate? A. "She really doesn't need the vaccine until she reaches 1 year of age." B. "She will probably receive it the next time she is to get her routine shots." C. "Since your daughter is older than 6 months, she should get the vaccine every year." D. "The vaccine has many side effects, so she wouldn't get it until she's ready to go to school."

C. "Since your daughter is older than 6 months, she should get the vaccine every year."

Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration? A. Dusky extremities B. Tenting of skin C. Sunken fontanels D. Hypotension

C. Sunken fontanels

Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? A. Fever B. Oxygen saturation level of 96% C. Tachypnea with retractions D. Pale skin color

C. Tachypnea with retractions

The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child's cooperation? A. "Can you cough for me please?" B. "You must blow in this or you might get pneumonia." C. "If you don't try, I will have to get the doctor." D. "Can you blow this cotton ball across the tray?"

D. "Can you blow this cotton ball across the tray?"

A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern? A. 120 mg/dL B. 150 mg/dL C. 180 mg/dL D. 210 mg/dL

D. 210 mg/dL

After teaching the parents of a 6-year-old how to administer an enema, the nurse determines that the teaching was successful when they state that they will give how much solution to their child? A. 100 to 200 mL B. 200 to 300 mL C. 250 to 500 mL D. 500 to 1,000 mL

D. 500 to 1,000 mL

The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was: A. 140 beats per minute B. 120 beats per minute C. 100 beats per minute D. 80 beats per minute

D. 80 beats per minute

The nurse is providing care to several children who have been brought to the clinic by the parents for complaints of cold-like symptoms. The nurse would most likely suspect sinusitis in which child? A. A 2-year-old with thin watery nasal discharge B. A 3-year-old with sneezing and coughing C. A 5-year-old with nasal congestion and sore throat D. A 7-year-old with halitosis and thick, yellow nasal discharge

D. A 7-year-old with halitosis and thick, yellow nasal discharge

The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next? A. Contact the physician B. Offer a snack and administer another dose C. Immediately administer another dose D. Administer next dose as ordered in 12 hours

D. Administer next dose as ordered in 12 hours

The nurse hears wheezing when auscultating a 4-year-old. Which of the following conditions would the nurse most likely rule out based on the assessment findings? A. Bronchiolitis B. Asthma C. Influenza D. Cystic fibrosis

D. Cystic fibrosis

The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan? A. Frozen yogurt B. Rye bread C. Creamed spinach D. Fruit juice

D. Fruit juice

A child is brought to the emergency department by his parents because he suddenly developed a barking cough. Further assessment leads the nurse to suspect that the child is experiencing croup. Which of the following would the nurse have most likely assessed? A. High fever B. Dysphagia C. Toxic appearance D. Inspiratory stridor

D. Inspiratory stridor

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? A. Encouraging consumption of fruit juice B. Offering Kool-Aid or popsicles as tolerated C. Encouraging milk products to boost caloric intake D. Maintaining the intravenous fluid rate as ordered

D. Maintaining the intravenous fluid rate as ordered

A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which of the following would the nurse instruct the parents to administer orally? A. Recombinant human DNase B. Bronchodilators C. Anti-inflammatory agents D. Pancreatic enzymes

D. Pancreatic enzymes

A nursing instructor is developing a class presentation about the medications used to treat peptic ulcer disease. Which drug class would the instructor be least likely to include in the presentation? A. Antibiotics B. Proton pump inhibitors C. Histamine antagonists D. Prokinetics

D. Prokinetics

The nurse is examining a 5-year-old boy. Which of the following signs or symptoms is a reliable first indication of respiratory illness in children? A. Slow, irregular breathing B. A bluish tinge to the lips C. Increasing lethargy D. Rapid, shallow breathing

D. Rapid, shallow breathing

A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they identify which of the following? A. Children have a proportionately greater amount of body water than do adults. B. Fever plays a greater role in insensible fluid losses in infants and children. C. A higher metabolic rate plays a major role in increased insensible fluid losses. D. The infant's immature kidneys have a tendency to over concentrate urine more

D. The infant's immature kidneys have a tendency to over concentrate urine more