N425 Exam 4 Practice Questions
To assess a 9-year-old's social development, the nurse asks the parent if the child: A. Thinks independently B. Is able to organize and plan C. Enjoys active play D. Has a best friend
D
A preschool age child with sickle cell anemia is admitted to the health care facility in vasoocclusive crisis after developing a fever and joint pain. What is the nurse's highest priority when caring for this child? A. Providing fluids B. Applying cool compresses to affected joints C. Administering antipyretics as ordered D. Maintaining protective isolation
A
A toddler with a ventricular septal defect is receiving digoxin to treat heart failure. Which assessment finding should be the nurse's priority concern? A. Bradycardia B. Hypertension C. Tachycardia D. Hyperactivity
A
The nurse is caring for an infant diagnosed with a congenital heart disease. Which of the following concerns should be a priority for the nurse to address with the parents when discussing the child's condition? A. Congestive heart failure B. Body temperature regulation C. Nutritional concerns D. Kidney failure
A
The nurse is planning care with the parents of a 4-month-old infant with heart failure and congenital heart disease. The parents report that their child tires easily. Which intervention is a priority for this child? A. Increase the number of rest periods B. Prevent infection C. Restrict the child's movements D. Have more frequent health check ups
A
When teaching school age children important injury prevention strategies. The nurse must use creativity to gain cooperation because children tend not to comply with: A. Wearing safety apparel (helmets, knee pad, elbow pads) B. Learning to swim C. Saying "no" when offered illegal or dangerous drugs D. Learning "stranger danger"
A
Which assessment finding is an early sign of HF in a toddler? A. Increased RR B. Decreased HR C. Increased urine output D. Decreased weight
A
A child with sickle cell anemia is being discharged after treatment for a crisis. Which instruction for avoiding future crisis would the nurse provide to the child and family? SATA A. Use cold packs to relieve joint pain B. Restrict activity to quiet board games C. Drink plenty of fluids D. Avoid foods high in folic acid E. Report a sore throat to an adult immediately F. Wash hands before meals and after playing
C,E,F
A nurse is teaching the parents of an infant with HF about the administration of furosemide. The parents will be administering the medication to the infant at home. What is the most important information for the nurse to teach the parents about the drug administration? A. "It's important to call the clinic if there is no urine output in 8 hours." B. "If the child vomits a dose of medication, repeat it." C. "Weight the infant's diapers to get an accurate output measurement." D. "If you miss a dose, give a double dose at the next scheduled time."
A
A child diagnosed with tetralogy of Fallot becomes upset, cries, and thrashes around when a blood specimen is obtained. The child becomes cyanotic and the RR increases to 44 breaths/min. Which action should the nurse do FIRST? A. Place child in knee to chest position B. Obtain and order for sedation for the child C. Explain to the child that it will only hurt for short time D. Assess for an irregular heart rate and rhythm
A
A child, age 6 is anxious and upset before a scheduled bone marrow aspiration. During client preparation, the nurse should keep in mind that: A. Describing what the child will hear, see, smell, and feel will help the child cope with the procedure. B. No small detail about the procedure should go unexplained. C. The child's anxiety will decrease with each successive procedure. D. Explaining bone marrow function will help the child understand the reason for the procedure.
A
When teaching the parents of a child diagnosed with tetralogy of Fallot about the cardiac defects involved with this condition, which defects should be described? Select all. A. Ventricular septal defect B. Overriding aorta C. Right ventricular hypertrophy D. Aortic valve stenosis E. Atrial septal defect F. Pulmonary stenosis
A,B,C,F
Which assessing a child with hemophilia, the nurse identifies which condition as an early sign of hemarthrosis? A. Hematuria B. Active bleeding C. Decreased peripheral pulses D. Joint stiffness
D
Which sign is an early indicator of HF in an infant with congenital heart defect? A. Poor weight gain B. Pulmonary edema C. Tachypnea D. Tachycardia
D
. A nurse is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity is most appropriate for the nurse to schedule in the care plan? A. Climbing on play equipment in the playroom B. Ambulating without restrictions C. Playing ping-pong D. Reading books
D
. Which intervention is the greatest priority for the therapeutic management of a child with congestive heart failure (CHF) resulting from pulmonary stenosis? A. Educating the family about the S&S of CHF B. Administering enoxaparin to improve left ventricular contractibility C. Assessing HR and BP every 2 hour D. Administering furosemide to decrease systemic venous congestion
D
A child, age 4, is admitted with tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak femoral pulse, the nurse suspects the child has: A. A ventricular septal defect B. Patent ductus arteriosus C. Coarctation of the aorta D. Truncus arteriosus
C
When developing a plan of care with a mother who expresses concern that her 10-year-old son is overweight, the nurse should expect to include what intervention? A. Eliminating the intake of fat from the diet B. Including the child in meal planning and preparation C. Encouraging slow weight loss D. Eliminating the child's between meal snacks
B
. A school age child is being discharged with a diagnosis of rheumatic fever. Which instructions should be included in the teaching plan for the family? A. The child should stay out of school until the source of the infection is determined. B. At home, be sure to keep the child on bed rest. C. The child should stay on penicillin and return for a follow-up appt. D. All children with rheumatic fever need monthly blood tests.
C
A nurse is providing injury-prevention education to the parents of a school-aged child. The parents admit that they keep a gun in their home. Which of the nurse's statements is most appropriate? A. "Remind your child that only a parent may touch the gun." B. "You child should attend a community gun safety program." C. "The gun should be stored unloaded in a locked cabinet." D. "Store ammunition in the same locked are as the gun."
C
A physician orders digoxin elixir for a toddler with heart failure. Immediately before administering this drug, the nurse must check the toddler's: A. Weight B. Serum sodium level C. Apical pulse D. Urine output
C
The nurse is caring for a child with hemophilia who is actively bleeding from the leg. The nurse should apply: A. Ice to the injured leg area several times a day B. Ice bag with elevation of the leg twice a day C. Direct pressure to the injured area continuously for 10 minutes D. Direct pressure, checking every few minutes to see if the bleeding has stopped
C
When teaching a group of parents of school-age children about growth and development, which characteristics about children of this age should the nurse include? A. Ability to consider hypothetical risks and benefits B. Feeling that others are focused on them C. Desire to carry a task to completion D. Ability to imagine possibilities
C
Which action should a nurse include in the care plan for a 2-month-old infant with heart failure? A. Bathe the infant and administer medications before feeding B. Weight and bathe the infant before feeding C. Allow the infant to rest before feeding D. Feed the infant when he cries
C
A school age child is admitted to the hospital in vasoocclusive sick cell crisis. Place the prescription in the order of priority (first to last) that the nurse should implement them. All options must be used: A. Start an intravenous infusion B. Draw blood for electrolyte levels and pH balance C. Start O2 via nasal cannula D. Administer morphine for the pain
C,A,D,B
A nurse is giving instructions to parents of a school age child diagnosed with sickle cell anemia. The instructions should include: A. Applying cold to affected areas to reduce the child's discomfort B. Avoiding areas of low O2 concentration such as high altitudes C. Encouraging the child to exercise to reduce the likelihood of crisis D. Restricting the child's fluids during crisis situations
B
A young child with sickle cell anemia prefers a side-lying position with the knees sharply flexed. The nurse should assess further for: A. Emotional regression B. Abdominal pain C. Nausea D. Backache
B
The mother of an infant with hemophilia tells the nurse that she is planning to do home teaching when the child reaches school age. She doesn't want her child in school because the teacher will not represent what common parental reaction to a child's chronic illness? A. Mistrust B. Overprotection C. Insecurity D. Devotion
B
The nurse is conducting a health assessment for school age children. A characteristic behavior of a 7- year-old girl is that she: A. Prefers to play with her sister B. Likes to play only with other girls C. Likes to play alone D. Prefers to play team games
B
The nurse is planning interventions for a school aged child hospitalized with acute poststreptococcal glomerulonephritis in need of diversional activity. Which activity should the nurse expect to include? A. Playing video games with a 4-year-old B. Playing a card game with someone the same age C. Putting together a puzzle with mother D. Watching a movie with a younger brother
B
A nurse is caring for a 9-year-old child who is scheduled for surgery. The parents ask the nurse not to tell the child about the surgery until leaving for the OR. Which response best demonstrates the nurse's role in supporting the child's rights? A. "It is important to tell your child about the surgery in order to allow time for questions to be answered." B. "I will not tell you child about the surgery until it is absolutely necessary." C. "You child must be made aware of the impending surgery in order to obtain informed consent." D. "I am legally obligated to tell you child of the surgery."
A
A 7-year-old child is brought to the clinic by a parent for a school physical. When the child is prepared for examination, which of the following interventions should the nurse provide to ensure the child's comfort? A. Distract the child with bright colors B. Explain the purpose of the equipment being used during the examination C. Have the child take off all of their clothing and put on a client gown D. Offer the option of the parent staying or remaining in the waiting room
B
A mother is concerned about her 9-year-old child's compulsion for collecting things. The nurse's explanation is based on the understanding that this behavior is related to the cognitive ability to perform which functions? A. Formal operations B. Tertiary circular reactions C. Coordination of secondary schemata D. Concrete operations
D
A nurse has just received a report from the nurse who worked the previous shift. Which child should she assess first? A. A 5-year-old child who needs factor VIII before a tonsillectomy B. A 4-year-old child admitted with reactive airway disease receiving albuterol every 4 hours C. A 3-year-old who has an appendectomy and is complaining of pain D. A 6-year-old child with acute HF on 2 L of oxygen
D
A nurse is assessing the grown and development of a 10-year-old. What is the expected behavior of this child? A. Enjoys physical demonstrations of affection B. Is uncooperative in play and school C. Is selfish and insensitive to the to the welfare of others D. Has a strong sense of justice and fair play
D
