unit 3 holistic fall 2022 quiz questions
A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the practical nurse make for this situation? DTaP and IPV can be safely given to the infant at the scheduled time. DTaP and IPV are contraindicated because the infant has a cold. IPV is contraindicated because her sister is immunocompromised. DTaP is contraindicated because her sister is immunocompromised.
A
A mother is returning a demonstration for the instillation of saline nose drops for her 3-month-old infant who has nasal congestion. Which schedule is best for the practical nurse to recommend to the mother? Administer anytime the infant is congested while awake. Drop saline in nose every 4 hours during the day. Instill in both nares 20 to 30 minutes before feeding. Give when the infant is asleep and is not crying.
C
After reinforcing information to treat a sprained ankle, what statement by the adolescent indicates to the practical nurse that further instruction is needed? "Keep the leg elevated when sitting." "Wrap the ankle in an elastic bandage for support." "Apply warm compresses to the ankle for the first 24 hours." "Put an ice pack on the ankle, alternating 30 minutes on and 30 minutes off."
C
A 12-year-old male is brought to the clinic after falling during a skateboarding trick. The child's vital signs are heart rate 135 beats/minute, respirations 20 breaths/minute, and blood pressure 90/60. Which finding should the practical nurse report to the healthcare provider immediately? The client complaints of his back being sore. Capillary refill is less than 2 seconds. Blood pressure is 94/68. Peripheral pulses are weak and rapid.
D
A 3-year-old boy with cerebral palsy (CP) has difficulty swallowing, cannot hold a utensil, and is slightly underweight for his height. Which action should the practical nurse implement when feeding this child? Stabilize the child's jaw with the caregiver's hand. Offer a specialized formula per tube feedings. Put the child in a well-supported, semi-reclining position. Place the child in a sitting position with the neck hyperextended.
a
A 3-year-old male child who has been toilet trained has had several urinary "accidents" since hospital admission. What action should the practical nurse (PN) implement? Provide the child with frequent opportunities to urinate. Determine how the long the child has been toilet trained. Place a bedpan on the bedside table for the child to use. Inform the parent that the child will need to be retrained.
a
A child is prescribed radiographs of the hand and wrist. The child's parent asks the practical nurse (PN) the purpose of this procedure. What finding should the PN explain is provided by the diagnostic study? Skeletal age. Linear growth. External proportions. Neurologic maturation.
a
Which action is best for the practical nurse (PN) to implement to help a 7-year-old child cope with a lengthy course of IV antibiotic therapy? Allow the child to participate in injection play. Give the child stickers for cooperative behavior. Arrange for the child to go to the playroom daily. Ask the child to draw a picture about himself.
a
Which information is most important for the practical nurse (PN) to reinforce with an adolescent who has hepatitis A about preventing the spread of hepatitis in the home? Prevent the adolescent from preparing food. Ensure that all family members wash their hands before eating. Wash the adolescent's dishes separately. Encourage the adolescent to wear a mask over the nose and mouth.
a
Which preoperative action is most important for the practical nurse (PN) to implement for a newborn with a meningomyelocele? Minimize the risk for infection. Prevent skin breakdown. Monitor neurologic functioning. Document vital signs.
a
The mother of a male newborn calls the clinic to inquire about the formation of a yellow crust over her son's circumcision area. What information should the practical nurse (PN) provide? Bring him into the clinic. Do not remove the yellow crust from the site. Tightly fasten the diaper. Stop using petroleum around the head of the penis.
b
The practical nurse (PN) is checking the musculoskeletal system of a one-month old infant during a well child visit. Which finding should the PN report to the healthcare provider? Hypotonicity of the leg muscles. One leg is shorter than the other. Two skin folds on the back of each thigh. Broadening and flattening of the buttocks.
b
The practical nurse (PN) is interviewing a 10-year-old girl about school and her extracurricular activities. She responds, "I like school. I play the flute in the school band, and I take tennis lessons." Based on Erikson's psychosocial theory, the PN identifies that this child is in what stage of development? Identity. Industry. Intimacy. Initiative. Submit
b
Using Freud's theory, the practical nurse should expect a 2-year-old boy to demonstrate the behaviors of which stage? Oral. Anal. Phallic. Latency.
b
Which statement by a mother indicates that her 5-month-old infant girl is ready for solid food? "I find that my baby really has to be encouraged to eat." "My baby has just started to sit up without any support." "I am surprised that my baby only weighs 11 pounds. I expected her to have gained more weight." "When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow."
b
A 3-year-old boy cries, kicks, and clings to his father when the parents try to leave the hospital room. The parents express their concern to the practical nurse (PN). What response should the PN provide? "You can avoid this if you wait to leave after your child falls asleep." "It is not helpful for parents to stay with children during hospitalization." "Your child is showing a normal response to the stress of hospitalization." "Your child's behavior indicates a need for psychological consultation."
c
An adolescent female who comes to the school clinic is reluctant to confide her concerns to the practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principal supports the PN's response? The adolescent should be encouraged to seek help outside of the school clinic. Disclosures from the adolescent should be kept confidential. Honest information ensures establishing a trusting relationship. Minor adolescents should not be encouraged to disclose private concerns.
c
During a well child visit, the mother of an infant states, "I will probably not have my baby immunized because I am concerned about the risk of a severe reaction." Which response should the practical nurse (PN) provide? "It is your decision." "You are making a mistake." "No immunization poses a greater risk for your child." "Have you talked with other parents about this decision?"
c
The mother of a young child with type 1 diabetes mellitus (DM) who needs insulin injections at home tells the practical nurse (PN) that she is afraid she does not know what to do properly. Which action is most important for the PN implement to decrease the mother's apprehension? Review the side effects of insulin with the mother. Help the mother devise a schedule for rotating the injections. Observe the mother while she administers an insulin injection. Have the mother verbalize the importance of follow-up care. Submit
c
The practical nurse (PN) collects information about infant growth and development milestones for infants who come to the clinic for a well-child visit. Which finding should the PN document as normal infant growth and development? Anterior fontanel closes by 6 to 10 months of age. Binocularity is well established by 8 months of age. Birth weight doubles by age 5 months and triples by 1 year. Maternal iron stores persist during the first 12 months of life.
c
The practical nurse (PN) is caring for a school-aged male child who is having problems adjusting to a new school. Which action should the PN recommend to the parents that may foster their child's developmental task of industry? Ask the child what the child wants to achieve in his new school. Decrease their expectations of home tasks and school success. Structure the tasks in the home environment and recreational settings. Identify failures immediately for feedback from the child and his peers.
c
Which first-aid action should the practical nurse implement for a child who has sustained a second-degree thermal burn? Apply ice to the burned area. Break any blisters that are present. Immerse the burned area in cold water. Apply petroleum jelly to the burned skin.
c
Which physiological difference is present in a 3-month-old infant that affects oral drug absorption rates? More acidic gastric secretions. More rapid peristaltic activity. Variable pancreatic enzyme activity. An accelerated gastric emptying rate.
c
Which play activity should the practical nurse (PN) provide a hospitalized 6-month-old infant? Push and pull toys. Supervised water play. Pat-a-cake and peek-a-boo. Ball-rolling and hide and seek game.
c
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?" Which finding should the PN tell the mother to observe for with the onset of puberty? Menarche. Mood swings. Heterosexual interest. Growth of pubic hair.
d
The practical nurse (PN) arrives at the playgrounds and sees a school-aged boy who has eaten something he is allergic to and is demonstrating a stridor. Which action should the PN implement first? Determine what the child has eaten. Ask if the child is alone. Move the child to a different environment. Call for an ambulance.
d
The practical nurse (PN) is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells the PN that she does not have pain but a few minutes later, tells her parents that she does. What child development concept is relevant to this situation? Truthful reporting of pain should occur by this age. Children use pain experiences to manipulate their parents. Inconsistency in pain reporting suggests that pain is not present. A child may have pain yet deny its presence to the nurse.
d
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6-month-old infant. What site should the PN select? Deltoid. Dorsogluteal. Ventrogluteal. Vastus lateralis.
d
What analgesia should the practical nurse use to prepare a school-age child for a lumbar puncture (LP)? Ondansetron (Zofran) 4 mg / 5 ml PO TID. Codeine 10 mg PO 30 minutes before the procedure. A transdermal fentanyl (Duragesic) patch immediately before the procedure. EMLA (eutectic mixture of local anesthetics) 2.5 hours before the procedure.
d
What information should the practical nurse (PN) reinforce with the parents of a 3-month old infant about liquid medication administration? Place the medication in a nipple and have the infant suck the nipple. Pour the medication into a small cup and allow the infant to drink it. Administer the medication with a dropper to the back of the infant's tongue. Use an oral syringe to place the medication in the side of the infant's mouth.
d
Which developmental behavior should the practical nurse (PN) identify as normal for a 6-month-old infant? Rolls over completely. Creeps on all four extremities. Pulls self to a standing position. Assumes a sitting position independently.
A
Which information should the practical nurse ensure the family understands about the care of a child with a tracheostomy? Cardiopulmonary resuscitation. Hygiene that includes showering. Tracheostomy suction for 30 seconds. Powder application around the stoma. Submit
A
The practical nurse (PN) is caring for a school-aged child with a fracture of the proximal third of the left femur. Following the application of a hip spica cast, which nursing intervention should the PN implement? Use the cast's abduction bar to turn the client. Assess the client for abdominal pain and gastric distress. Prepare the client for a prolonged recovery of bed rest. Turn the client prone every four hours during cast drying. Submit
B
The practical nurse (PN) is instilling ear drops in a 2-year-old child. To straighten the external auditory canal, which direction should the PN pull the earlobe? Up and back. Down and back. Up and forward. Down and forward.
B
The practical nurse is conducting a well-baby check of a 7-month-old infant and finds that there is an absence of babbling by the infant. Which focused assessment should the PN implement? Visual function. Auditory function. Cognitive function. Social development.
B
What information should the practical nurse (PN) reinforce with the mother whose child has ringworm ( Tinea )? Ringworm is not contagious. Tinea infections are indicative of poor hygiene and uncleanliness. Tinea infections are spread by direct and indirect contact. Ringworm often subsides spontaneously.
C
The practical nurse (PN) palpates the anterior fontanel of a 14-month-old toddler and finds that it is closed. What action should the PN implement? Document the normal finding for the 14-month-old toddler. Report premature cranial suture closure to the healthcare provider. Perform a focused neurological examination. Refer the toddler for a developmental evaluation.
A
What age-appropriate play activity should the practical nurse suggest to the parents of a 7-month-old infant to encourage visual stimulation? Play peek-a-boo. Play pat-a-cake. Imitate animal sounds. Show how to clap hands.
A
What information should the practical nurse (PN) recommend to parents who ask about the prevention of otitis media (OM) in their infant? Refrain from exposing the infant to tobacco smoke. Use an over-the-counter nasal decongestant. Keep the infant away from children with otitis media. Bottle or breast-feed the infant in a supine position.
A
What information should the practical nurse (PN) reinforce with the parents about introducing solid foods to their infant? Begin with one tablespoon of the food. Introduce each food 4 to 7 days apart. Mix the new food with rice cereal. Remove foods when the infant refuses it.
B
The mother calls the clinic and tells the practical nurse (PN) that her child cannot swallow a prescribed tablet that was dispensed by the local pharmacy as a whole tablet. How should the PN respond? "You can crush the tablet and put it in some food." "You should hold the child's nose closed to force her to swallow the tablets." "If a liquid form is available, the pharmacist can call for a prescription change." "If the child can't swallow the tablet, tell the child to chew it."
C
What information about Reye's syndrome should the practical nurse (PN) reinforce with the parents of a school-aged child? Vaccinate your child before the age of 7 for Reye's syndrome. Keep the child at home for 2 days after the appearance of symptoms. Avoid giving any medication containing aspirin during a viral illness. Do not provide any citrus juices during a bacterial or viral illness. Submit
C
When reviewing developmental changes with the parents of a 6-month-old infant, what information should the practical nurse reinforce? Allow the infant to self-feed finger foods. Develop strategies to teach the infant to sit up. Provide a developmentally safe environment for the infant. Explain that an increased appetite occurs in next 6 months.
C
When reviewing the adverse effects of the DTaP (diphtheria, tetanus, and acellular pertussis) vaccine with parents whose child is being immunized, what side effect should the practical nurse convey as most common? Persistant crying and hyperpyrexia. Seizures and hyporesponsive episodes. Local erythema and edema at injection site. Vomiting and dehydration.
C
A 4-year-old girl is brought to the emergent care center with a frog-like croaking sound on inspiration. She is having difficulty breathing and has her chin thrust forward with her mouth open. She is drooling, agitated, and insists on sitting upright. What action should the practical nurse take? Make the child lie down on the stretcher and rest quietly. Examine the oral pharynx and report to the healthcare provider. Auscultate the lungs and make preparations for placing the child in a mist tent. Notify the healthcare provider and prepare for immediate intubation or tracheotomy.
D
Which action should the practical nurse (PN) implement to promote a toddler's nutrition during hospitalization? Allow the child to walk around during meals. Select new foods for the child from the menu. Encourage the child to finish all the food on the plate. Ask the child's parents to bring a cup and utensils from home.
D
A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management? "I hope I will be able to drive while taking these pills." "My friends will think I am a freak if I take these pills." "I don't want my parents monitoring my medications." "I will take the pills at home so others will not see me."
B
The mother of a 9-month-old girl provides the practical nurse information about her daughter's diet. Which statement by the mother may indicate why the infant has been diagnosed with iron-deficiency anemia? "She almost never drinks sugar water." "She has been on whole milk for 7 months." "She likes to chew on bread as a snack." "She doesn't like to eat peaches or pears."
B
The practical nurse (PN) is reinforcing information about Lyme disease prevention with a client who is preparing for a camping trip with family. Which statement by the client informs the PN that the client understands the instruction? "I'll make sure my son wears dark clothing on his hike." "I'll get a prescription for amoxicillin to take with us." "We should all get the Lyme disease vaccine before our trip." "We will wear long pants and long-sleeved shirts in the woods."
D
How should the practical nurse respond to a mother's inquiry regarding the appropriate time to start cleaning the teeth of her 3-month-old infant? "There is no need to begin until after all of the child's baby teeth are in." "You don't have to worry about that until your child can handle a toothbrush." "You can begin now using toothpaste on a gauze pad and wiping the gums." "Begin wiping the teeth with a washcloth and water when the first tooth appears."
D
