Kahoot Questions - 341 Final

To take the vital signs of a 4 mo old child, which order will give the most accurate results? A. RR, HR, then rectal temp B. HR, rectal temp, then RR C. Rectal temp, HR, RR D. Rectal temp, RR, HR

A

Unknown question-- I think it was something about a child coming onto your unit for the first time, what is the first thing you do? (I think the child also had an NG tube already placed) A. Assessing the infants status B. Giving the infant a mild sedative C. Connecting the NG tube to wall suction D. Placing the IV tubing through an infusion pump

A

Unknown question-- One limb is casted and the extremity is cold. What do you do? A. Assess the temperature of the two hands B. Clip the edge of the cast to reduce pressure C. Elevate R arm to reduce swelling D. Inform provider of the circulatory impairment

A

A 9 mo old infant who appears well nourished, alert and happy is brought to the baby clinic for a routine physical examination. Using Erikson's theory of development, what task does the nurse determine that the infant is in the process of achieving? A. Trust B. Industry C. Initiative D. Autonomy

A

A nurse concludes that the teaching about sickle cell anemia has been understood when an adolescent with the disorder makes which statement? A. I'll start to have symptoms when i drink less fluid B. I'll start to have symptoms when i have fewer platelets C. I'll start to have symptoms when i decrease the iron in my diet D. I'll start to have symptoms when i have fewer WBCs

A

The nurse assesses a 5yo after a shunt procedure is performed to correct increased ICP. which finding is most concerning? A. Marked irritability B. Complaints of pain C. Pulse 100 bpm D. Temp 99.4F

A

6 month old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. What are the findings that are most suggestive in this infant? A. Cerebral palsy B. Hypotonia C. Neonatal myasthenia gravis D. Spinal cord injury

A

A 1 mo old infant with hydrocephalus is scheduled to have surgery for the insertion of a VP shunt. What is the primary focus of the nursing interventions for this infant? A. Maintain satisfactory comfort level to limit crying B. Applying bandages to the infant's head to protect it from injury C. Timed feeding schedule to ensure appropriate nutrition D. Providing play objects to maintain age appropriate stimulation

A

A 2 yo child with down syndrome is brought to the clinic. Which problem is frequently associated with down syndrome? A. CHD B. Fragile X chromosome C. Trisomy 13 D. Pyloric stenosis

A

A 4 mo old infant is NPO status in preparation for surgery. What should the nurse do when the infant starts crying? A. Offer a pacifier B. Provide a baby rattle C. Hang a mobile over the crib D. Wrap a soft blanket around the infant

A

A 6 yo child begins sucking her thumb after surgery. The child did not do this before. What is the best action? A. Accepting the thumb sucking B. Distracting the child to play with checkers C. Reporting behavior to provider D. Telling the child to stop

A

What are the common characteristics of a relationship b/t an adolescent and his or her parents? Select all that apply A. Great push for emancipation B. Low point in parent child relationship C. Desire to remain dependent on parents D. Major conflicts over independence and control

A, D

A nurse is caring for a 9 mo old patient with severe dehydration. What does the nurse expect to note while completing a physical assessment of this infant? A. Frothy stools B. Weak, rapid pulse C. Pale, copious urine D. Bulging anterior fontanel

B

Abdominal surgery is planned for a 2 yo. Which item should the nurse provide for the infant on the day of surgery? A. Rattle to shake B. Pacifier to suck C. Mobile for watching D. Music box for listening

B

During discharge planning the parents of an infant with spina bifida express concern about skin care and ask the nurse what can be done to avoid the problems. What is the best response by the nurse? A. Diaper should be changed at least q4hrs B. Frequent diaper changes with cleansing are needed C. Medicated ointment should be applied 6x/day D. Powder may be used in the perineal area when it becomes wet

B

The nurse is teaching parents of toddlers and preschoolers. What information is important to prevent poisoning? A. Tell the children they should not taste anything but food B. Store all toxic agents and medicines in locked cabinets D. Punish children if they open cabinets that contain household chemicals

B

The school nurse recommends suitable activity for a child with exercise-induced asthma. Which statement by the parent indicates the need for further teaching? A. "I'll sign him up for swimming lessons" B. "I'll encourage him to join a youth running club" C. "She'd really enjoy being on a boxing team" D. "I know she'd enjoy going to the gym and lifting weights"

B

A professor asks a nurse to explain the stage when an adolescent has a prevalence of egocentric thought. Which period of Piaget is this? A. Sensorimotor B. Preoperational C. Formal operational D. Concrete operational

C

A school nurse is planning to teach the importance of washing hands to first graders. What is the most effective approach for this age group? A. Showing a video of correct technique B. Discussion C. Demonstration D. Describing how germs cause illness

C

What behavior would the nurse expect a 2 yo to exhibit? A. Build houses with blocks B. Ride tricycle C. Display possessiveness of toys D. Look at picture book for 15 min

C

You are caring for an infant with myelomeningocele who is scheduled for surgery. What is the priority preoperative intervention? A. Keeping infant sedated B. Ensuring maintenance of leg movement C. Keeping the infant free from infection D. Ensuring the development of a strong sucking reflex

C

A 1 mo old infant is being treated with sequential casts for bilateral clubfoot (talipes equinovarus); new casts have just been applied. The goal at this time is ensuring that circulation to the feet remains sufficient. How will the nurses determine that the goal is being met? A. Cast intact and there is no drainage B. There are no signs of pain in the extremities C. There is ROM in the hips and knees D. The toes when compressed exhibit cap refill <2secs

D

A nurse is caring for an infant with heart failure. What tx does the nurse most likely anticipate? A. Open heart surgery B. Cardiac stress test C. Aggressive IV fluids D. Medications that are prescribed for both children and adults

D

A parent tells the nurse "my 9 mo old doesn't have the same strong grasp that she had when she was born and she is not startled by loud noises anymore". How should the nurse explain the changes in behavior? A. "Let me check these responses before deciding how to proceed" B. "When these responses fail, it might indicate developmental delay" C. "The baby needs more sensory stimulants to get these responses back" D. "Those responses are replaced by voluntary activity around 5 months of age"

D

Hydrocephalus develops in an infant who was born with a meningomyelocele, and a VP shunt is inserted. What nursing intervention is most important in the infants care during the first 24 hrs? A. Placing in high fowler position B. Administering the prescribed sedative C. Positioning on the same side as the shunt D. Monitoring for increased ICP

D

What is included in the therapeutic management of a child with tetanus? A. NSAID to reduce inflammation B. Muscles stimulants to counteract muscle weakness C. Bronchodilators to prevent respiratory complications D. Antibiotics to control bacterial proliferation at the site of injury

D

A 6 yo child is an IV antibiotic to be piggybacked to a continuous hydration solution. During administration of the antibiotic the child becomes restless, flushes, and begins to wheeze. Place the nursing actions in order of priority. A. Notifying the practitioner B. Assessing respiratory status C. Maintaining hydration infusion D. Stopping the antibiotic infusion

D, B, C, A