PrepU week 2 quiz

The nurse is providing emotional support for the parent of a 12-year-old hospitalized child. The parent tearfully reports the child's younger sibling is acting out and always seems angry with both parents. What response by the nurse would be most beneficial?

"Is there any way you can spend the evening at home with your younger child instead of at the hospital?"

The nurse is caring for a child with burns. The child is scheduled to be discharged the following day, and the nurse is going over discharge instructions with the parents. After teaching the parents about caring for the burn, the nurse determines that the teaching was successful when the parents make which statement about removing an old dressing?

"We need to soak the old dressing in tepid water just before we take it off."

A parent brings a child to the emergency department and states "Our neighbor's dog just bit my child!" The nurse interviews the parent as the child receives treatment. Which question(s) should the nurse ask to assist with the child's care? Select all that apply.

"What kind of dog bit your child?" "Do you know if the dog has had its shots?" "Did your child provoke the dog?" "Are your child's immunizations up to date?

A parent calls the pediatric clinic and tells the nurse that the child has developed a large rash. Which question is most important for the nurse to ask the parent?

"What more can you tell me about the rash?"

A nurse is providing care to a hospitalized child who has burns over 40% of the body. The child is receiving intravenous fluid replacement with a 24 hour total of 3,216 ml. The nurse is administering the second half of the fluid between 0100 and 1700 hours. What rate should the nurse set the infusion pump? Record your answer using one decimal place.

100.5

The nurse is caring for a 2-year-old child who experienced burns to the left upper arm, left thigh, left leg, head, and neck. The nurse calculates this to represent what percentage of total body surface area (BSA) burned? Record your answer using one decimal place.

34.5

The nurse recognizes that a 12-year-old child who is admitted monthly for chemotherapy treatments for cancer is demonstrating behavior related to loss of control. What interventions can the nurse include in the plan of care to address this issue? Select all that apply.

Allow the child to order his or her own meals from the hospital kitchen. Allow the child to choose his or her own diversional activity, such as headphones or television, during chemotherapy treatments. Allow the child the choice to wear his or her own pajamas or a hospital gown. Allow the child to help the nurses organize the play times for younger children.

A 7-year-old client presents to the emergency room (ER) after experiencing an allergic reaction to a bee sting. The client is breathing and able to verbally communicate. The nurse notes the client's pulse 90 beats/minute, respirations are 23 breaths/minute, blood pressure is 100/60 mm Hg, lungs are clear. Which nursing action is priority?

Ask if any medications were given before arriving to the ER.

The nurse is preparing the anticipatory guidance sheets that are provided to parents. When organizing the sheets, place the milestones in their proper sequence from earliest to latest.

Creep up stairs Run and jump in place Engage in parallel play Name one color Zip up their own jackets

Nursing students are reviewing information about preschooler growth and development. The students demonstrate understanding of the information when they identify which of the following as a common fear during this period? Select all that apply.

Fear of the dark Fear of mutilation Fear of abandonment Fear of separation

The nurse is creating a discharge plan for a 12-year-old child with multiple medical conditions. What action would be most beneficial for this child and family?

Have the parents participate in a trial period of home care.

A group of nursing students are completing a clinical day at a preschool. Which behaviors would they identify as common in this preschool group? Select all that apply.

Telling of tall tales Sibling rivalry Difficulty with sharing Regression Imaginary friends

When considering the moral development of a 7-year-old child, which actions are most consistent with the anticipated state of development?

The child focuses on being a good girl or boy.

Which assessment findings of the speech of a 5-year-old child warrant further follow-up? Select all that apply.

The child is unable to provide his address when asked. The child has a vocabulary of an estimated 1,200 words. It is difficult for people outside of the household to understand his conversation.

The nurse is assessing the neurological status of a 10-month-old infant. Which finding(s) does the nurse determine to be abnormal when performing this assessment? Select all that apply.

The infant reflexively grasps when the nurse touches the palm. The infant demonstrates reflexive sucking when nipple or finger is placed in infant's mouth. The infant turns to the right side, searching with mouth, when the right side of the cheek is stroked. With sudden extension of the infant's head, the arms abduct and move upward and the hands form a "C".

The nurse is writing a care plan for the nursing diagnosis "Knowledge deficit related to proper seat belt use, as evidenced by improper buckling of seat belt." Choose goals that are appropriate for this diagnosis. Select all that apply.

The parents will demonstrate the proper use of the seat belt for securing the child car seat. The parents will voice an understanding that the child should not sit in the front seat of the The parents will voice an understanding that a rear-facing car seat should be used until at least the age of 2. The parents will demonstrate the proper use of a car seat with a harness strap for the child under the age of 2. The parents will voice an understanding that in trucks the car seat will be placed in the back seat.

A nurse is assessing a 3 year old at a well-child visit. Which developmental milestones would the nurse expect to assess? Select all that apply.

Undresses self without difficulty Stacks a tower of blocks

A child is admitted to the burn unit with a full-thickness or third-degree burn over 35% of the body. Which infection prevention measures would the health care team use with this child? Select all that apply.

head cover mask gown frequent handwashing

Which assessment findings if noted in a 4-month-old infant would the nurse recognize as normal growth and development?

holds head up when prone, bears partial weight on legs, reflexes are fading

A nurse is conducting an assessment of a 16-year-old's cognitive development. The nurse determines that the adolescent's cognitive development is within acceptable parameters for the adolescent's age based on which assessment finding? Select all that apply.

uses scientific methods to solve verbal problems shows a beginning interest and concern with societal and political issues. demonstrates thinking that the adolescent is invincible