Pediatrics Final (Old tests)
A patient tells a nurse, "My 1-year-old baby sleeps a lot. The baby sleeps throughout the night and also takes two naps in the afternoon. Is there any problem with my child?" What should be the response given by the nurse? A. "It is normal behavior." B. "What food do you give the child?" C. "I would refer your child for a sleep study." D. "Engage your child in play activities in the afternoon."
A. "It is normal behavior."
The nurse is teaching a community group about early warning signs of cancer. Which signs does the nurse include? (Select all that apply.) A. A sore that does not heal B. Change in bowel or bladder habits C. Difficulty swallowing or indigestion D. A nagging feeling that something is wrong E. Unusual bleeding or discharge
A. A sore that does not heal B. Change in bowel or bladder habits C. Difficulty swallowing or indigestion E. Unusual bleeding or discharge
A child with sickle cell crisis has been admitted to the pediatric unit for pain management. The nurse is evaluating the child's pain 15 to 20 minutes after an initial dose of morphine. Using the FLACC scale, the nurse notes that the child is sobbing and lying with the legs drawn up. The parents attempt to console the child but have been largely unsuccessful. Based on this assessment, what should the nurse's next action be? A. Administer additional morphine per guidelines. B. Reassess the pain status again in 15 to 20 minutes. C. Use distraction to decrease the child's focus on the pain. D. Contact the primary care provider for a different pain medication.
A. Administer additional morphine per guidelines.
A nurse is caring for a patient who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement to manage this patient's pain? A. Administer morphine sulfate IV via continuous infusion. B. Administer meperidine IM as needed. C. Administer acetaminophen PO every 4 hrs. D. Administer hydrocodone PO every 6 hrs.
A. Administer morphine sulfate IV via continuous infusion.
A child presents to the emergency department with sickle cell crisis. Which intervention does the nurse perform first? A. Administer oxygen B. Assess and treat pain C. Provide warm blankets D. Start IV fluids
A. Administer oxygen
Urinalysis of a patient with type 1 diabetes mellitus shows ketones, glucose, and high concentrations of H+ ions. On examination the nurse finds that the patient's skin is dry, radial artery pulse is weak, and the level of consciousness is decreased. What measures are taken by the nurse? Select all that apply. A. Administer potassium supplements. B. Administer amitriptyline (Elavil). C. Administer insulin. D. Administer IV fluids. E. Administer furosemide (Lasix).
A. Administer potassium supplements. C. Administer insulin. D. Administer IV fluids.
A student is caring for a burned child on the burn unit. The student is performing burn care. Which action by the student requires intervention by the registered nurse? A. Applies silver nitrate (0.5% AgNO3) to the child's face B. Applies silver sulfadiazine (AgSD) to the child's face C. Checks electrolyte levels before applying silver nitrate D. Uses Sulfamylon (mafenide acetate) on child's ear burns
A. Applies silver nitrate (0.5% AgNO3) to the child's face
A nurse is assessing an infant for the most common type of anemia worldwide. What action by the nurse is most helpful? A. Assess if the formula is iron-fortified B. Determine family history of anemia C. Look at mucous membranes for pallor D. Perform range of motion on the hips
A. Assess if the formula is iron-fortified
Type 1 diabetes mellitus has just been diagnosed in a teenage boy who is actively involved in sports. What important instruction should the nurse include in the teaching plan? A. Because exercise can lower the blood glucose level, blood glucose needs to be closely monitored. B. Because exercise can increase the blood glucose level, blood glucose needs to be closely monitored. C. Because exercise can increase the blood glucose level, additional insulin should be taken before physical activity. D. Because exercise can lower the blood glucose level, additional insulin should be taken before physical activity.
A. Because exercise can lower the blood glucose level, blood glucose needs to be closely monitored.
The nurse is preparing a 3-year-old child for the examination of the urethra and taking a urine sample. What strategy should the nurse use while preparing the child? A. Demonstrate and explain the procedure on a doll. B. Explain the urinary system and procedure to the child. C. Show pictures of the urinary system and the procedure. D. Ask the parents to explain the procedure to the child.
A. Demonstrate and explain the procedure on a doll.
A child who is intubated and on a mechanical ventilator is being transferred from the emergency department to the burn unit. Which action by the nurse takes priority? A. Ensure an Ambu bag is at the bedside. B. Have sedation available if needed. C. Orient the family to the burn unit. D. Place the patient on protective isolation.
A. Ensure an Ambu bag is at the bedside.
A 10-year-old child requires daily medications for a chronic illness. The mother tells the nurse that she is always nagging the child to take the medicine before school. What is the most appropriate nursing intervention to promote the child's compliance? A. Establish a contract with the child, including rewards. B. Suggest time-outs when the child forgets her medicine. C. Discuss with the child's mother the damaging effects of nagging. D. Ask the child to bring her medicine containers to each appointment so that the pills can be counted.
A. Establish a contract with the child, including rewards.
Which manifestations in a child with croup syndrome does the nurse distinguish as a sign of acute epiglottitis? Select all that apply. A. Presence of drooling B. Presence of low-grade fever C. Presence of brassy cough D. Presence of stridor when supine E. Presence of toxic appearance
A. Presence of drooling D. Presence of stridor when supine E. Presence of toxic appearance
A 4-year-old boy needs to use a metered-dose inhaler for asthma. He cannot coordinate his breathing to use it effectively. What should the nurse suggest that he use? A. Spacer B. Nebulizer C. Peak expiratory flow meter D. Trial of chest physiotherapy
A. Spacer
The nurse is caring for a 7-year-old child. The nurse finds that the child is very curious about God and states that God is very loving towards children. Which statement appropriately describes spiritual development in the child? A. The child assumes God to be a human. B. The child feels illness to be due to God's anger. C. The child does not believe in hell or heaven. D. The child's beliefs are not influenced by culture.
A. The child assumes God to be a human.
What is the first and most important attribute that must develop for a healthy personality, according to Erikson? A. Trust B. Mistrust C. Autonomy D. Shame and doubt
A. Trust
The mother of a 20-month-old tells the nurse that the child has a barking cough at night. The child's temperature is 37º C (98.6º F). The mother states the child is not having difficulty breathing. The nurse, suspecting croup, should recommend what? A. Trying a cool-mist vaporizer at night and watching for signs of difficulty breathing B. Bringing the child to the hospital to be admitted and to be observed for impending epiglottitis C. Trying over-the-counter cough medicine and coming to the clinic tomorrow if there is no improvement D. Controlling the fever with acetaminophen (Tylenol) and calling the primary care provider if the cough gets worse tonight
A. Trying a cool-mist vaporizer at night and watching for signs of difficulty breathing
A 5-year-old child is brought to the emergency department with abrupt onset of sore throat, pain with swallowing, fever, and sitting upright and forward. Acute epiglottitis is suspected. What are the most appropriate nursing interventions? Select all that apply. A. Vital signs B. Throat culture C. Medical history D. Assessment of breath sounds E. Ready availability of emergency airway equipment
A. Vital signs C. Medical history D. Assessment of breath sounds E. Ready availability of emergency airway equipment
What are some specific signs of bacterial meningitis in neonates? Select all that apply. A. Weak cry B. Poor tone C. Nuchal rigidity D. Full, tense, bulging fontanel E. Normal feedings
A. Weak cry B. Poor tone D. Full, tense, bulging fontanel
The nurse is caring for a preschooler, and the mother asks the nurse how many calories the child should consume each day. What is the best response to this mother's question? A. The average daily intake by preschoolers should be about 1000 calories. B. The quality of food consumed by the child is more important than the quantity. C. Nutritional requirements for preschoolers are very different from those of toddlers. D. The caloric requirement per unit of body weight increases slightly during the preschool period.
B. The quality of food consumed by the child is more important than the quantity.
A 12-year-old child having a check-up at a clinic has not received the hepatitis B (HBV) vaccine. Based on his or her knowledge of vaccines, which does the nurse recognize is the most appropriate recommendation? A. One dose of HBV vaccine is needed at age 14 years. B. The three-dose series of HBV vaccine should be started at this time. C. Only one dose of HBV vaccine will be needed sometime during adolescence. D. The three-dose series of HBV vaccine should be started at age 16 years or sooner if the adolescent becomes sexually active.
B. The three-dose series of HBV vaccine should be started at this time.
The nurse is educating parents about growth and development of preschoolers. What instructions does the nurse give the parents to help them make preschoolers feel comfortable with their body image? Select all that apply. A. Suggest preschoolers observe others. B. Unstill positive principles regarding body image. C. Emphasize the importance of accepting other individuals. D. Restrict the children from communicating with others. E. Give the children encouraging feedback regarding their appearance.
B. Unstill positive principles regarding body image. C. Emphasize the importance of accepting other individuals. E. Give the children encouraging feedback regarding their appearance.
The nurse is interviewing the mother of a 9-year-old boy. Which question is the most appropriate as the nurse begins to assess the child's school performance? A. "Did he go to preschool?" B. "How is he doing in school?" C. "Does he have problems at school?" D. "How well does he seem to be doing in school?"
B. "How is he doing in school?"
A nurse is caring for a 3-year-old child who has rapidly progressing dysphagia and stridor. The child also has a high fever and rapid pulse and respirations. What syndrome does this child most likely have? A. Acute tracheitis B. Acute epiglottitis C. Acute spasmodic laryngitis D. Acute laryngotracheobronchitis
B. Acute epiglottitis
What are some atraumatic ways in which nurses can encourage deep breathing in children? Select all that apply. A. Having the child pretend to suck up liquid with a straw B. Asking the child to "blow out" the light on an otoscope or pocket flashlight C. Placing a small tissue on the top of a pencil and asking the child to blow off the tissue D. Applying firm pressure on the stethoscope's chest piece but not enough to prevent vibrations and transmission of sound E. Placing a cotton ball in the child's palm, asking them to blow the ball into the air, and having the parent catch it.
B. Asking the child to "blow out" the light on an otoscope or pocket flashlight C. Placing a small tissue on the top of a pencil and asking the child to blow off the tissue E. Placing a cotton ball in the child's palm, asking them to blow the ball into the air, and having the parent catch it.
The parents tell the nurse that their child usually plays alone. While assessing, the nurse finds that the child does not maintain eye contact and repeatedly twists the fingers. The nurse also finds that the child has inadequate speech, and there is no interacting with gestures. Which condition does the nurse suspect in the child? A. Hearing impairment B. Autism spectrum disorder (ASD) C. Down syndrome D. Glaucoma
B. Autism spectrum disorder (ASD)
A nurse working in an inpatient pediatric unit cares for many children with musculoskeletal impairments. Which outcome takes priority for these children? A. Adapting to changing activity restrictions B. Continuing their growth and development C. Resuming ambulation as soon as possible D. Staying current with schoolwork with tutors
B. Continuing their growth and development
A diabetic child who is treated with insulin is trembling and sweating profusely. The nurse learns that the child has skipped lunch. What should the nurse do? A. Administer a glucagon injection. B. Give the child 3 to 6 oz of orange juice. C. Give the child an insulin injection immediately. D. Ignore the symptoms, because they are normal findings.
B. Give the child 3 to 6 oz of orange juice.
A nurse works in a pediatric clinic. Which routine vaccines does the nurse recommend for reducing the incidence of bacterial meningitis during infancy? Select all that apply. A. E. coli vaccine B. H. influenza vaccine C. Pneumococcal vaccine D. Staphylococcal vaccine E. Meningococcal vaccine
B. H. influenza vaccine C. Pneumococcal vaccine
A nurse on an inpatient endocrine unit has received report on a group of four patients. Which patient should the nurse see first? A. Blood glucose of 78 mg/dL, 12-year-old child B. Had Humalog injection and is not eating C. Needs teaching on giving insulin injections D. NPH insulin given, waiting an hour to eat
B. Had Humalog injection and is not eating
The nurse is concerned with the prevention of communicable disease. From what does primary prevention result? A. Strict isolation B. Immunizations C. Early diagnosis D. Treatment of disease
B. Immunizations
A student nurse asks the faculty why a child with patent ductus arteriosus (PDA) is taking a nonsteroidal anti-inflammatory drug (NSAID). Which response by the faculty is the most appropriate? A. Decreases venous stasis, lowering risks of clotting B. Inhibits prostaglandin, which helps close the PDA C. Provides long-lasting pain and inflammation control D. Reduces swelling around the PDA, making surgery easier
B. Inhibits prostaglandin, which helps close the PDA
What are some triggers that precipitate or aggravate asthma exacerbations? Select all that apply. A. Lethargy B. Medications C. Strong emotions D. Indoor allergens E. Mild, consistent weather
B. Medications C. Strong emotions D. Indoor allergens
What is the priority nursing action when the nurse notices increased irritability, drowsiness, and restlessness in an infant who has just undergone surgery for a brain tumor? A. Assessing the level of consciousness B. Notifying the health care provider immediately C. Watching closely for signs of increased intracranial pressure D. Administering pain medication and assessing the child for a response
B. Notifying the health care provider immediately
What does the nurse recognize as the primary clinical manifestations of diabetes insipidus? A. Nausea and vomiting B. Polyuria and polydipsia C. Oliguria and facial edema D. Glycosuria and ketonuria
B. Polyuria and polydipsia
The nurse is assessing the cerebrospinal fluid (CSF) analysis for a child. Which laboratory finding helps the nurse to distinguish bacterial meningitis from viral meningitis? A. Clear cerebrospinal fluid B. Positive Gram stain C. Normal glucose content D. Normal protein content
B. Positive Gram stain
As part of therapeutic play for the patients, the pediatric nurse reads a book about children receiving injections. For which age group is this nursing intervention most appropriate? A. Adolescents B. Preschoolers C. School-aged children D. Toddlers
B. Preschoolers
Autism is a complex developmental disorder. Diagnostic criteria for autism include delayed or abnormal function in certain areas before 3 years of age. What are they? Select all that apply. A. Parallel play B. Social interaction C. Gross motor develpment D. Inability to maintain eye contact E. Language as used in social communication
B. Social interaction D. Inability to maintain eye contact E. Language as used in social communication
The parents of a child with cognitive impairment tell the nurse that it is difficult to teach self-care skills to their child. What is a priority action in this case? A. Inform about effective coping strategies. B. Teach developmental sequences of learning. C. Say that it requires patience. D. Ask whether proper verbal instructions are given.
B. Teach developmental sequences of learning.
What interventions must the nurse perform when caring for an infant with respiratory syncytial virus (RSV) infection? Select all that apply. A. Offer formula if infant stops breastfeeding. B. Teach parents to instill normal saline drops in the nares C. Teach parents to suction the mucus with a bulb syringe D. Offer small amounts of fluids at frequent intervals E. Administer intramuscular injections of palivizumab (Synagis)
B. Teach parents to instill normal saline drops in the nares C. Teach parents to suction the mucus with a bulb syringe D. Offer small amounts
One of the goals for children with asthma is to prevent respiratory tract infection because of which effect? A. Increased sensitivity to allergens B. Lessens effectiveness of medications C. Encourages exercise-induced asthma D. Can trigger an episode or aggravate an asthmatic state
D. Can trigger an episode or aggravate an asthmatic state
A 2-month-old formula-fed baby is brought in for a routine checkup. The parent of the baby tells the nurse that a friend has advised her to give fresh cow's milk to the baby instead of formula milk, because it has high nutritional value. What does the nurse tell the parent? A. Fresh cow's milk is the best source of nutrition for a 2-month-old baby. B. The mother can start giving cow's milk to her baby at 3 months of age. C. Cow's milk should be avoided before 12 months of age, because it may cause sickle cell anemia. D. Cow's milk should be avoided before 12 months of age, because it may cause iron-deficiency anemia.
D. Cow's milk should be avoided before 12 months of age, because it may cause iron-deficiency anemia.
A mother tells the nurse that her daughter's favorite toy is a large empty box that contained a stove. She plays "house" in it with her toddler brother. The nurse, drawing on knowledge of growth and development, recognizes what information from this activity? A. Suggestive of limited family resources B. Suggestive of limited adult supervision C. Unsafe play that should be discouraged D. Creative play that should be encouraged
D. Creative play that should be encouraged
When may a child with leukemia be immunized with live-virus vaccines? A. Immunizations may be given as normally scheduled. B. Live-virus immunizations may be given when infection is suspected. C. Immunization with live-virus vaccines is contraindicated in children with leukemia. D. Live-virus immunizations may be given when the immune system is capable of responding
D. Live-virus immunizations may be given when the immune system is capable of responding
The parents report that their child has excessive urination, thirst, hunger, irritability, fatigue, flushed skin, headache, blurred vision, and dry skin. The child is diagnosed with type 1 diabetes mellitus. Based on this diagnosis, what should the nurse include in the plan of care? A. Assess the feet for open sores. B. Obtain a urine dipstick for bacteria. C. Administer corticosteroids to decrease inflammation. D. Monitor capillary blood glucose levels before meals and at bedtime.
D. Monitor capillary blood glucose levels before meals and at bedtime.
What would the nurse expect when assessing a preschooler's chest? A. Respiratory movements to be chiefly thoracic B. Intercostal retractions on respiratory movement C. Anteroposterior diameter to be equal to the transverse diameter D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
D. Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
What are the first parts of speech to be demonstrated by children? A. Adjectives and nouns B. Adjectives and adverbs C. Sentences of 3-5 words D. Nouns, sometimes verbs and combination words.
D. Nouns, sometimes verbs and combination words.
The nurse is caring for a young child who has sustained a head injury. During assessment the nurse notes that the child is arousable with stimulation. What level of consciousness does this finding suggest? A. Stupor B. Lethargy C. Confusion D. Obtundation
D. Obtundation
What is the therapeutic value of play? A. Play helps children to learn the effect of their behavior on others. B. Play helps the child to establish positive social relationships. C. Play creates an opportunity to express ideas and experiment. D. Play expresses emotions and releases improper impulses.
D. Play expresses emotions and releases improper impulses.
Which health promotion measure does the nurse teach as being most important for the child with sickle cell disease? A. Adequate nutrition B. Ensured rest periods C. Plenty of fluids D. Routine vaccinations
D. Routine vaccinations
What is the most common test of visual acuity in children beyond infancy? A. HOTV B. Tumbling E C. Photoscreening D. Snellen Letter Chart
D. Snellen Letter Chart
A 17-year-old with type 1 diabetes mellitus tells the school nurse about recently starting to drink alcohol with friends on weekends. What is the most appropriate intervention by the nurse? A. Tell the adolescent not to drink alcohol B. Ask the adolescent about the reasons for drinking alcohol C. Recommend counseling so the adolescent understands the serious consequences of alcohol consumption D. Teach the adolescent about the effects of alcohol on type 1 diabetes mellitus and how to prevent problems associated with alcohol intake
D. Teach the adolescent about the effects of alcohol on type 1 diabetes mellitus and how to prevent problems associated with alcohol intake
A child who was visiting a wooded area on vacation presents to the doctor's office with a localized bull's-eye rash. Which action by the nurse is the most appropriate? A. Advise parents that treatment depends on laboratory results. B. Assess for cardiac and neurological involvement. C. Facilitate admission to a nearby hospital. D. Teach the parents about Vibramycin (doxycycline)
D. Teach the parents about Vibramycin (doxycycline)
A nursing student asks a pediatric intensive care nurse why being bed-bound for several weeks would affect a young child's growth and development. Which response by the nurse is the most appropriate? A. "A child on bedrest has depression, slowing development." B. "Bedrest causes muscle weakness that limits activity." C. "Growth and development are highly connected to activity." D. "Isolation from peers has a negative effect on growth."
C. "Growth and development are highly connected to activity."
The nurse is discussing the behaviors based on the developmental changes in children with the parents of a 2-year-old child. Based on Erikson's psychosocial stages of development, what advice does the nurse give the parents? A. "Always keep the child close to you." B. "Allow your child to make decisions." C. "Let your child play on a slide and run around in the park." D. "Encourage a competitive spirit in the child."
C. "Let your child play on a slide and run around in the park."
Two parents bring their 4-month-old infant in for a well-baby visit. They are describing the child's growth and development to the nurse during the assessment interview. Which parent statement below indicates a potential delay in milestone development? A. "Our child is drooling all the time now. Does that mean teething has started?" B. "Our child is putting everything into his mouth. We are careful about leaving items in reach." C. "Our child has not made attempts to speak words yet, but he does coo and laugh." D. "Our child seems to really enjoy people and when people talk to him."
C. "Our child has not made attempts to speak words yet, but he does coo and laugh."
The nurse is teaching a patient with spina bifida about latex allergies. Which suggestion given by the nurse is helpful in preventing the occurrence of allergic reactions to latex? A. "Reduce the intake of apricot." B. "Reduce the intake of coconut." C. "Reduce the intake of avocado." D. "Reduce the intake of strawberry."
C. "Reduce the intake of avocado."
A nurse has given an infant a vaccination. Which information is important to document specifically for this vaccination? A. Date of next regularly scheduled immunization B. Drug, dose, site of administration, infant's reaction C. Parental education provided before administration D. Vaccine information sheet given before administration
D. Vaccine information sheet given before administration
A child is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). The parent asks why the child's sodium level is so low. Which response by the nurse is the most appropriate? A. "It's a side effect of oral desmopressin (DDAVP)." B. "Sodium is being excreted in the large volume of urine." C. "The water your child retains is diluting the sodium." D. "Your child is not absorbing sodium in the intestines."
C. "The water your child retains is diluting the sodium."
The mother of a child with type 1 diabetes mellitus asks why her child cannot avoid all those "shots" and instead take pills as an uncle does. What is the most appropriate response by the nurse? A. "The pills only work with an adult pancreas." B. "The drugs affect fat and protein metabolism, not sugar." C. "Your child needs to have insulin replaced, and the oral hypoglycemics only add to an existing supply of insulin." D. "Perhaps when your child is older the pancreas will produce its own insulin, and then your child can take oral hypoglycemics."
C. "Your child needs to have insulin replaced, and the oral hypoglycemics only add to an existing supply of insulin."
What explains the importance of detecting strabismus in young children? A. Color vision deficit may result. B. Ptosis may develop secondarily. C. Amblyopia, a type of blindness, may result. D. An epicanthal fold may develop in the affected eye.
C. Amblyopia, a type of blindness, may result.
What is an important part of establishing therapeutic communication with adolescents? A. Using nonverbal techniques B. Communicating through transition objects C. Building a foundation for a trusting relationship D. Explaining procedures using short sentences and simple words
C. Building a foundation for a trusting relationship
A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind of childhood cancer. Which collaborative care does the nurse prepare to provide to this patient? A. Antibiotic administration B. Bone marrow transplant C. Chemotherapy D. Liver transplant
C. Chemotherapy
Which statement best describes pseudohypertrophic (Duchenne) muscular dystrophy (DMD)? A. DMD is inherited as an autosomal dominant disorder. B. The onset of DMD occurs in later childhood and adolescence. C. DMD is characterized by muscle weakness, usually beginning around the age of 3 years. D. DMD is characterized by weakness of the proximal muscles of both the pelvic and shoulder girdles.
C. DMD is characterized by muscle weakness, usually beginning around the age of 3 years.
Nurses play an important role in identifying children with cognitive impairment. What should the nurse recognize as a major clue to cognitive impairment? A. Fine motor delays B. Normal eye contact C. Delayed developmental milestones D. Increased alertness to voice or movement
C. Delayed developmental milestones
The nurse is interviewing the parent of a 3-year-old-child to determine growth and development. The parent tells the nurse, "My child can ride a tricycle well." Which skill set does the child demonstrate by performing this action? A. Cognition skills B. Fine motor skills C. Gross motor skills D. Socialization skills
C. Gross motor skills
A child is 2 hours postoperative after a resection of a brain tumor. Which assessment by the nurse takes priority? A. Blood pressure B. Intake and output C. Neurological exam D. Temperature
C. Neurological exam
An HIV-positive child has low titers after a measles vaccination. She has now been exposed to the disease. Which action by the nurse is most appropriate? A. Administer prophylactic antibiotics. B. Place the child in protective isolation. C. Prepare to administer immunoglobulin. D. Repeat the vaccination as soon as possible.
C. Prepare to administer immunoglobulin.
What is the primary goal in caring for the child with cognitive impairment? A. Encouraging play B. Developing vocational skills C. Promoting optimal development D. Helping families develop a care plan and having them stay with it
C. Promoting optimal development
The nurse finds that a preschooler has hyperactivity and autistic-like behaviors. What would be the nurse's best intervention? A. Administer the Denver II screening test. B. Ask the mother if she drank when she was pregnant. C. Recommend diagnostic genetic testing for fragile X syndrome. D. Document the findings and instruct the parents to monitor the behavior.
C. Recommend diagnostic genetic testing for fragile X syndrome.
A child who weighs 32 kg (74.4 lb) is hospitalized with a sickle cell crisis. By your calculation, this child's 24-hour fluid requirement would be (BLANK) mL/24 hours.
2610 ml
A 4-year-old child is prescribed liquid iron for iron-deficiency anemia. What instructions are given to the parents of this child? Select all that apply. A. Give the iron using a straw. . B. Give the iron using a tablespoon. C. Brush the child's teeth after administration of iron. D. Brush the child's teeth before administration of iron. E. Give iron along with milk or milk products.
A. Give the iron using a straw. . C. Brush the child's teeth after administration of iron.
The nurse is assessing a child who has sickle cell anemia. The nurse identifies that the parents constantly argue among themselves and take little interest in child care. How can the nurse improve the parents' participation in managing the child's condition? A. Motivate the parents for their role in caring. B. Provide complex care strategies for home care. C. Remind the parents that their child is suffering. D. Test the parents' understanding of the treatment regimen.
A. Motivate the parents for their role in caring.
The patient has had a persistent fever for the last 5 days, inflammation of lips and conjunctiva, and reddening of the tongue. The patient also has cervical lymphadenopathy and erythema in the palms and soles. What diagnosis does the nurse expect to find in the medical record? A. Cardiomapathy B. Rheumatic fever C. Kawasaki disease D. Bacterial endocarditis
C. Kawasaki disease
A nurse is caring for a patient who has a superficial partial-thickness burn. Which of the following actions should the nurse take? A. Administer IV infusion of 0.9% sodium chloride. B. Apply cool, wet compresses to the affected area. C. Clean the affected area using a soft-bristle brush. D. Administer morphine sulfate.
B. Apply cool, wet compresses to the affected area.
What category of medication is the first-line therapy for inflammation in children with asthma? A. Theophylline B. Corticosteroids C. Anticholinergics D. Cromolyn sodium
B. Corticosteroids
What early finding in infants has been associated with autism? A. Easy to soothe B. Lack of eye contact C. Metabolic disorders D. Desire for body contact
B. Lack of eye contact
While reviewing the laboratory reports of a patient with hemophilia, the nurse finds that the patient has passed black, tarry stools. What should the nurse interpret from these findings? A. The patient has increased peristalsis. B. The patient has gastrointestinal bleeding. C. The patient is taking calcium supplements. D. The patient is taking multivitamin supplements.
B. The patient has gastrointestinal bleeding.
A mother of two children tells the nurse that she has decided to not have her children immunized because her neighbor has a 9-year-old son with autism, and she is now convinced that the autism may have been caused by the immunizations her son received. What is the best response the nurse could give? A. "Don't worry, there's no evidence that immunizations cause autism." B. "The law says you must immunize your children. Refusing to immunize is breaking the law." C. "You must really be afraid. Autism is a horrible condition for any parent to have to deal with." D. "I can understand your concerns. Would you like more information about the safety of immunizations?"
D. "I can understand your concerns. Would you like more information about the safety of immunizations?"
What nursing intervention is used to prevent increased intracranial pressure in a conscious child? A. Frequent suctioning B. Providing environmental stimulation C. Turning the head from side to side every hour D. Avoiding activities that result in pain or crying
D. Avoiding activities that result in pain or crying
A child has been in the burn unit for 13 days. Which nursing assessment indicates that a priority goal has been met? A. Decreased albumen over 5 days B. Intake equals output for 24 hours C. Participates in dressing changes D. Weight gain of 0.5 kg in 1 week
D. Weight gain of 0.5 kg in 1 week