Coursepoint Questions

A child, accompanied by a parent, is brought to the emergency department after sustaining an injury from a fall. The nurse is assessing the child. Which question is important for the nurse to ask the parent first? "Did your child lose consciousness?" "What time did the injury occur?" "How did your child get hurt?" "Does your child have any allergies?"

"How did your child get hurt?"

Which statement by the parent of a 5-year-old child with special needs indicates to the nurse additional teaching is needed? "I hope my child will be toilet trained soon. We are working on it." "My child has an imaginary playmate who has a place at our dinner table." "I do not take my child to the park when other kids are there because they tend to stare." "My child enjoys knocking down tall block towers I build."

"I do not take my child to the park when other kids are there because they tend to stare."

The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best? "Milestones are often delayed for children with Down Syndrome." "How many other children do you and your husband have?" "How old was your child when he or she first begin to smile?" "We should ask a physical therapist to address your concern."

"Milestones are often delayed for children with Down Syndrome."

A parent asks why a physical therapist is needed for the 6-month-old child diagnosed with Down syndrome. What is the best response by the nurse? "To optimize the child's development and functioning" "The earlier the intervention, the more likely we are to cure the problem" "To prevent contractures" "To ensure that the child meets all developmental milestones on time"

"To optimize the child's development and functioning"

The nurse is working with a family as they make decisions regarding their newborn's care following the diagnosis of a serious genetic disorder. What response by the nurse would be appropriate? "Are you sure your doctor has enough experience to help you care for your child?" "My niece has the same disorder so I can tell you what I think you should do about it." "Requesting input from your extended family will likely complicate your ability to make decisions." "What are some advantages and disadvantages of the decisions you are making for the baby?"

"What are some advantages and disadvantages of the decisions you are making for the baby?"

The parents of a premature newborn are adjusting to the fragile state of their newborn. Which response by the nurse will assist the most in this transition? "I think the name you picked for your baby is the cutest name in the whole nursery." "I will keep changing her diapers until you feel you are ready to be good parents to her." "You are doing great holding her with all her equipment. Do you have any questions?" "Your baby looks so much like you. I see your eyes and your smile in her."

"You are doing great holding her with all her equipment. Do you have any questions?"

The nurse has administered IV adenosine as prescribed to a child with supraventricular tachycardia. Which action would the nurse do next? Set up a continuous infusion for administration of adenosine. Monitor for ventricular arrhythmias. Administer a rapid, generous saline flush. Give five positive-pressure ventilations.

Administer a rapid, generous saline flush.

The nurse is caring for a family making end-of-life decisions for their child. How will the nurse educate the parents as to what is involved in end-of-life care? The focus of care will be on the comfort of the child. The staff will complete care when parents request. The parents will be able to do complete care for child. The child will be placed in hospice so the child is not alone.

The focus of care will be on the comfort of the child.

A hospitalized child has suddenly stopped breathing. The nurse opens the child's airway and assesses the child's pulse. The nurse will begin cardiopulmonary resuscitation (CPR) when which symptom is present? The heart rate is 60 beats/min or lower. There is no respiratory effort. The respiratory rate is 8 breaths/min. The airway is not patent.

The heart rate is 60 beats/min or lower.