Final with questions from exam 2

A child is hospitalized with pneumonia. The nurse assesses a increase in the work of breathing and respiratory rate. What intervention should the nurse do first? A. Elevate the HOB B. Administer O2 C. Notify healthcare provider D. Obtain O2 saturations levels

A

A child is in the ED with Asthma exacerbation. Upon auscultation, the nurse is unable to hear air movement in the lungs. What is the priority action? A. Administer Beta 2 Adrenergic Agonist B. Administer O2 C. Start a peripheral IV D. Administer steroids

A

A patient is a 9 month old who is brought to the ER by the babysitter. An xray shows a spiral fracture of the femur. The babysitter tells the nurse that she found the infant in this condition. How should the nurse respond? A. Arrange for the parents to come in for an evaluation for possible physical abuse B. Evaluate the infant for an underlying musculoskeletal disorder C. Evaluate the child for a seizure disorder D. Ask the babysitter to advocate for the child and report the incident

A

A school nurse is assessing a school age child and notices white flakes that don't brush off. What is it likely? A. Pediculosis Capitis B. Impetigo C. Folliculitis D. Tinea capitis

A

The community nurse receives a call from a local day care center. One of the children in the center has been diagnosed with impetigo. Which information related to impetigo will the nurse provide to the day care center? A. Impetigo is highly contagious and can spread quickly. B. Impetigo cannot be treated with medication and has to run its course C. The facility staff should wear masks until all children and adults are healthy D. Impetigo usually develops because of sensitivity to pollens and molds

A

The nurse is assessing a newborn and observes webbing of the fingers and toes. The nurse documents this finding as: A. Syndactyly B. Polydactyly C. Metatrsus adductus D. Pectus Carinatum

A

A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125mg tables. How many tables should the nurse administer?

2 tablets

A child requires supplemental O2 therapy at 8 liters per min. Which device would the nurse most likely expect to use? A. Simple face mask B. Venturi Mask C. Nasal Cannula D. O2 hood

A

A nurse is applying a cast to a 12 year old boy with a simple fracture of the radius in the arm. What is the most important for the nurse to do when she finished applying the cast? A. Assess the fingers for warmth, pain, and function B. Cut a window in the cast over the wrist D. X ray the cast to make sure the bones are aligned properly

A

A parent calls the clinic nurse to say their child has shin splints after playing soccer. What instructions should the nurse provide this parent? A. Apply ice to the area to reduce pain and swelling B. Apply ice to the injury for 60 mins on and 60 mins off C. Elevate the legs, and use bed rest for 24 hours D. Taking warm baths will help relax the muscles

A

A nurse is administering amoxicillin 30 mg/kg/day divided equally every 12 hours to a toddler who weights 33 pounds. Available is amoxicillin 200mg/5ml suspension. How many mL should the nurse administer? Round to the nearest 10th

5.6mL

A 12 year old child with scoliosis with a curvature of 30 degrees should use what treatment? A. Traction B. Exercise C. Surgery D. Bracing

D

The nurse is caring for a child with a broken wrist that has just been placed in a cast. The nurse would elevate the arms to... A. Promote healing B. Prevent Edema C. Discourage infection D. Ensure proper bone alignment

B

The nurse is collecting data from a 14 year old female who has had hives intermittently for the past two months. What is the priority action? A. Encourage the mother to purchase over the count topical ointments B. Determine the underlying cause C. Encourage the family to speak to the physician about prescribing topical steroids D. Discuss home remedies to manage the skin conditions

B

The nurse is discussing skin disorders with a group of caregivers. Which caregiver statement indicated an understanding of tinea capitis? A. This is an infection that you get under you fingernails B. I always tell my daughter to use her own hairbrush C. My son got that infection when he was at the swimming pool D. My husband had that once and his groin itched so much

B

The nurse knows that children have larger heads in relation to the body and a higher center of gravity. What are they more likely to have because of this? A. Febrile Seizure B. Head trauma C. Caput Succedaneum D. Posterior Angiocephaly

B

When performing a physical examination of a child with asthma, which technique is the nurse least likely to perform? A. Inspection B. Palpation C. Percussion D. Auscultation

B

A child who has undergone surgery using a steel bar placement to correct pectus excavatum (funnel chest). What position would the nurse instruct that parents to avoid? A. Semi-fowler B. Supine C. High fowler D. Side lying

D

A infant with a higher respiratory rate is NPO and is receiving IV fluids. Which assessments will the nurse make to assure this infant is hydrated? Select all that apply. A. Measure skin turgor B. Palpate anterior Fontanel C. Determine Urine Output D. Assess the lung sounds E. Review Electrolyte Laboratory Results

A, B, C

Which assessment finding by the nurse would warrant immediate action? A. A child with impetigo has honey colored drainage noted on the skin area B. A child with periobital cellulitis reports changes in vision and pain with eye movement C. A child has red, warm, edematous area over an old spider bite. D. A child with cellulitis has a temporal Temp of 101

B

A nurse is working with a girl with osteomyelitis who is recovering from surgery while in traction. What nursing intervention should be implemented? Select all that apply A. Institute infection control precautions related to drainage tubes B. Administer IV antibiotics at the hospital C. Ensure that the pins associated with traction are cleaned twice a day D. Instruct the parents on how to implement 6 months of bedrest

B, C

The nurse is assessing a 10 year old girl recently fitted with a cast on her wrist. Which assessment finding would the nurse immediately report to the provider? Select all that apply A. Drainage on the cast B. Pallor of the fingers C. Delayed capillary refill D. Diminished pulse E. Improved ROM

B, C, D

A nurse is providing care to a child diagnosed with Varicella. The child has many lesions in various stages. The parents constantly need to remind the child not to scratch the lesions. Which intervention is more important for the nurse to implement? A. Suggest distraction activities B. Administer acetaminophen C. Administer a soothing bath D. Encourage oral fluids

C

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

The nurse has received morning report on a group of patients. Which patient should the nurse see first? A. An infant with rhinorrhea, coughing, and O2 sat of 92% B. A toddler with a temp of 100.1 and a harsh, barking cough C. A preschool child with crackles in the right lower lob, and chest pain D. A school age child with dysphagia, and a hoarse voice

D

The nurse is caring for a child following a tonsillectomy. The child request something to drink. Which action by the nurse is best? A. Inform them they cannot have anything to drink for a few hours. B. Give Red popsicle C. Give a few ice chips D. Asses the child's gag reflex before giving oral fluids

C

The nurse is conducting a physical examination of a child with suspected developmental dysplasia of the hip. Which findings would help confirm this diagnosis? A. Abduction occurs to 75 degrees and adduction to within 30 degrees B. A high pitched "click" is heard with hip flexion or extension C. A distant "clunk" is head of Barlow and Ortolani Maneuvers D. The thigh and gluteal folds are symmetric

C

A 10 year old child is brought to the clinic by his parents. Assessment reveals small circular patches of hair loss on the scalp. The nurse suspects what condition? A. Tinea faciei B. Tinea capitis C. Tinea Cruis D. Tinea corporis

B

A nurse is providing reacher to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make? A. The blood supply to the bone is disrupted B. Normal Bone growth can be affected. C. Bone Marrow can be lost through the fracture D. The younger the child, the longer then healing process will be

B

A nurse is providing instruction to the parents of a 3 month old infant with developmental dysplasia of the hip who is being treated with a Pavlik harness. Which statements by the parents demonstrates an understanding of the instructions? Select all that apply A. We need to adjust the straps so that they are snug but not too tight B. We should change the diaper without taking our infant out of the harness. C. We need to check the area behind our infant's knees for redness and irritation D. We need to send the harness to the dry cleaners E. We need to call the HCP if our infant is not able to actively kick the legs

B, C, E

Bacterial pneumonia is suspected in a 4 year old boy with fever, headache, and chest pain. Which assessment finding would likely indicated the need for medical care? A. Fever B. O2 saturation level of 96% C. Tachypnea with retractions D. Pale Skin

C

The caregiver of a child who has a cast applied to the leg observes the nurse putting adhesive tape strips around the edge of the cast. The caregiver asks the nurse why is doing this. The best response by the nurse would be: A. We put these on so the child will not pull the padding from under the cast B. These will make the cast look more attractive C. These make a smooth edge on the cast so the skin is better protected D. In cast the child has a accident and misses the bedpan

C

The nurse has been teaching the parents of a child diagnosed with osteogensis imperfect about the use of bisphosphonates for this condition. Which statement by the parents indicated a need for further teaching? A. This medication will help increase bone mineral density B. My child's risk for fractures will be decreased with this medication C. This medication will cure my child D. This medication does not prevent fractures

C

A group of student are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they state: A. Children have a proportionally greater amount of body water than adults do B. Fever plays a greater role in insensible fluid loss 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 overconcentrate urine

D