Funds test 3 (C)
21. When is the best time to potty train?
1 ½ years old (child will have more sphincter control)
14. A patient with acute dyspnea is scheduled for a spiral computed tomography (CT) scan. Which information obtained by the nurse is a priority to communicate to the health care provider before the CT? a. Allergy to shellfish c. Respiratory rate of 30 b. Apical pulse of 104 d. O2 saturation of 90%
A
17. A patient with chronic bronchitis who has a new prescription for Advair Diskus (combined fluticasone and salmeterol) asks the nurse the purpose of using two drugs. The nurse explains that a one drug decreases inflammation, and the other is a bronchodilator. b Advair is a combination of long-acting and slow-acting bronchodilators. c. the combination of two drugs works more quickly in an acute asthma attack. d the two drugs work together to block the effects of histamine on the bronchioles.
A
18. The nurse has completed patient teaching about the administration of salmeterol (Serevent) using a metered-dose inhaler (MDI). Which action by the patient indicates good understanding of the teaching? a The patient attaches a spacer before using the MDI. b The patient coughs vigorously after using the inhaler. c. The patient floats the MDI in water to see if it is empty. d The patient activates the inhaler at the onset of expiration.
A
19. A previously "potty-trained" 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents based on what knowledge concerning regressive behaviors? a. Regression is seen during hospitalization. b. Developmental delays occur because of the hospitalization. c. The child is experiencing urinary urgency because of hospitalization. d. The child was too young to be "potty-trained."
A
20. The parents of a child who has just died ask to be left alone so that they can rock their child one more time. In response to their request, what intervention should the nurse implement? The nurse is caring for a child who has just died. The parents ask to be left alone so that they can rock their child one more time. The nurse should: a. Grant their request. b. Assess why they feel that this is necessary. c. Discourage this because it will only prolong their grief. d. Kindly explain that they need to say good-bye to their child now and leave.
A
24. During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: a. a normal finding. b. an abnormal finding; the child needs referral to an ophthalmologist. c. a sign of a possible visual defect; the child needs vision screening. d. a sign of small hemorrhages, which usually resolve spontaneously.
A
24. What is probably the single most important influence on growth at all stages of development? a. Nutrition b. Heredity c. Culture d. Environment
A
3. The most appropriate nursing action to implement when a preschooler being prepped for outpatient surgery refused to allow the parent to remove his/her underwear? Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother puts the hospital gown on her, but Katie is crying because she wants to leave on her underpants. The most appropriate nursing action is to: a. Allow the child to wear their underpants. b. Discuss to the mother why this is important. c. Ask the mother to explain to her child why he/she must remove the underwear. d. Explain in a kind, matter-of-fact manner that this is hospital policy.
A
3. The pediatric nurse understands that nonpharmacologic strategies for pain management: a. may reduce pain perception. b. make pharmacologic strategies unnecessary. c. usually take too long to implement. d. trick children into believing they do not have pain.
A
31. A 6-year-old child is hospitalized for intravenous (IV) antibiotic therapy. He eats little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. Which is the best nursing action? a. Request these favorite foods for him. b. Identify healthier food choices that he likes. c. Explain that he needs fruits and vegetables. d. Reward him with ice cream at the end of every meal that he eats.
A
37. The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse that she wants her mother with her "like before." The most appropriate nursing action is to: a. Grant her request b. Explain why this is not possible c. Identify an appropriate substitute for her mother d. Offer to provide support to her during the procedure
A
4. An adolescent boy is brought to the emergency department after a motorcycle accident. His respirations are deep, periodic, and gasping. There are extreme fluctuations in blood pressure. Pupils are dilated and fixed. What type of head injury should the nurse suspect? a. Brainstem b. Skull fracture c. Subdural hemorrhage d. Epidural hemorrhage
A
4. On auscultation of a patient's lungs, the nurse hears low-pitched, bubbling sounds during inhalation in the lower third of both lungs. How should the nurse document this finding? a. Inspiratory crackles at the bases b. Expiratory wheezes in both lungs c. Abnormal lung sounds in the apices of both lungs d. Pleural friction rub in the right and left lower lobes
A
7. Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. What intervention will help an 8 year old most in adjusting to a hospital admission? a. Explain hospital schedules such as mealtimes. b. Use terms such as "honey" and "dear" to show a caring attitude. c. Explain when parents can visit and why siblings cannot come to see her. d. Orient her parents, because she is young, to her room and hospital facility.
A
9. A 3 year old has a 102° F fever associated with a viral illness that has not responded to acetaminophen. The nurse's action should be based on what knowledge about fevers in children? Kimberly, age 3 years, has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102° F even though Kimberly had acetaminophen 2 hours ago. The nurse's action should be based on knowing that: a. Fevers such as this are common with viral illnesses. b. Seizures are common in children when antipyretics are ineffective. c. Fever over 102° F indicates greater severity of illness. d. Fever over 102° F indicates a probable bacterial infection.
A
3. A nurse plans therapeutic play time for a hospitalized child. Which are the benefits of therapeutic play? (Select all that apply.) a. Serves as method to assist disturbed children b. Allows the child to express feelings c. The nurse can gain insight into the child's feelings d. The child can deal with concerns and feelings e. Gives the child a structured play environment
B, C, D
9. Go home and ductus arteriosus is still open, when is it located in fetal circulation?
Between the pulmonary artery and aorta
15. An appropriate approach to performing a physical assessment on a toddler is to: a. always proceed in a head-to-toe direction. b. perform traumatic procedures first. c. use minimal physical contact initially. d. demonstrate use of equipment.
C
25. Which strategy would be the least appropriate for a child to use to cope? a. Learning problem solving b. Listening to music c. Having parents solve problems d. Using relaxation techniques
C
17. A sick 10-year-old is facing chemotherapy and leg amputation. The parents do not want the child to know and ask you not tell them either. What should the nurse do?
Contact the priest of case management
20. What is the single most important part of an assessment?
History
15. A 7-year-old wants her mom to hold her while she gets an IV. The child is calm. What does the nurse think?
It will help her relax
11. Child in restraints, when to restrain?
Only restrain to perform the task you need to do then take off
13. 5-year-old in clinic and mom has 4 other children. What is very likely?
Other kids have ADHD too
10. Baby doesn't eat well at home, breaths weird when feeding, looks tired?
Patient ductus is more benign. Ductus is open. Admit and try to close without invasive procedure Go home with murmur and see cardiologists-come in with murmur=PDA
16. Treatment for pain in babies
Put sucrose on the pacifier (acts as morphine by stimulating endorphins)
6. How to treat a child with a brain tumor (select all that apply)?
Surgery Chemotherapy Radiation
22. How is blood pressure taken on a child with heart issues?
Take BP on every extremity
1. If you have a parent that does not want to immunize their child, what are you going to tell them?
That the risk for the vaccine is a lot less than the risk of the disease.
1. In terms of gross motor development, what would the nurse expect for a 5-month-old infant to do? a. Roll from abdomen to back b. Roll from back to abdomen c. Sit erect without support d. Move from prone to sitting position
A
1. The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? a. Introduce himself or herself. b. Make the family comfortable. c. Explain the purpose of the interview. d. Give an assurance of privacy.
A
1. What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain
A
10. The nurse is doing a prehospitalization orientation for a 7 year old, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that he/she will not be able to talk until the endotracheal tube is removed. What is the assessment of this explanation? The nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that Kayla will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is: a. It is unnecessary. b. It is the surgeon's responsibility. c. It is too stressful for a young child. d. It is an appropriate part of the child's preparation.
A
12. The nurse, providing support to parents of a child newly diagnosed with a chronic disability, notices that they keep asking the same questions. How should the nurse respond to best meet their needs? The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. The nurse should: a. Patiently continue to answer questions. b. Kindly refer them to someone else to answer their questions. c. Recognize that some parents cannot understand explanations. d. Suggest that they ask their questions when they are not upset.
A
13. The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response should be based on what knowledge concerning discipline? a. Appropriate disciple is essential for the child. a. Essential for the child b. It may be too difficult to implement appropriate b. Too difficult to implement with a special-needs discipline for a special-needs child. child c. Discipline is not needed unless the child becomes problematic. c. Not needed unless the child becomes problematic d. Discipline is best achieved with punishment for misbehavior. d. Best achieved with punishment for misbehavior
A
6. A common parental reaction to a child with special needs is parental overprotection. Parental behavior suggestive of this includes which behavior? a. Attempting to avoid frustrating situations/Giving inconsistent discipline b. Providing consistent, strict discipline. c. Forcing child to help self, even when not capable. d. Encouraging social and educational activities not appropriate to child's level of capability.
A
6. The parent of a 2-month-old infant who has just received the first dose of DTaP asks the nurse about expected reactions to the vaccine. The nurse will respond by saying that: a. "Mild reactions, including a low-grade fever, are common." b. "Most children do not experience any reaction." c. "Seizures are common and may require anticonvulsant medication." d. "The most common reaction is a rash that develops into itchy vesicles."
A
an older patient is receiving standard multi drug therapy for tuberculosis (TB). the nurse should notify the health care provider if the patient exhibits which finding? A. yellow-tinged sclera B. orange-colored sputum C. thickening of the fingernails D. difficulty hearing high-pitched voices
A
the nurse is reviewing the medical records for five patients who are scheduled for their yearly physical examinations in September. Which patients should receive the inactivated influenza vaccination? (SATA) a. a 76 year old nursing home resident B. 36 year old female patient who is pregnant c. a 42 year old patient who has a 15 pack year smoking history d. a 30 year old patient who takes corticosteroids for rheumatoid arthritis e. a 24 year old patient who has allergies to penicillin and cephalosporins
A B D
the clinic nurse is teaching a patent with acute sinusitis. which interventions should the nurse plan to include in the teaching session (SATA)? a. decongestants can be used to relieve swelling b. blowing the nose should be avoided to decrease the nosebleed risk c. taking a hot shower will increase sinus drainage and decrease pain d. saline nasal spray can be made at home and used to wash out secretions e. you will be more comfortable if you keep your head in an upright position
A C D E
8. Sometimes baby is sent home with a benign murmur. What if it doesn't close on its own?
Ablation or vagal maneuver to close
1. A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment. b. Briefly ask specific questions about this episode of respiratory distress. c. Complete the admission database to check for allergies before treatment. d. Delay the physical assessment to first complete pulmonary function tests.
B
11. A mother reports that her 6-year-old child is highly active and irritable and that she has irregular habits and adapts slowly to new routines, people, or situations. According to Chess and Thomas, which category of temperament best describes this child? a. Easy child b. Difficult child c. Slow-to-warm-up child d. Fast-to-warm-up child
B
15. What is the characteristic of the preoperational stage of cognitive development? a. Thinking is logical. b. Thinking is concrete. c. Reasoning is inductive. d. Generalizations can be made.
B
15. What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture? a. "You must hold still or I'll have someone hold you down. This is not going to hurt." b. "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less." c. "Be a big boy and hold still. This will be over in just a second." d. "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon."
B
2. Lindsey, age 5 years with a diagnosis of cerebral palsy, will be starting kindergarten next month and will be placed in a special education classroom. The parents are tearful when telling the nurse about this and state that they did not realize that their child's disability was so severe. How should the nurse interpret this parental response? a. This is a sign that parents are in denial. b. This is a normal anticipated time of parental stress. c. The parents need to learn more about cerebral palsy. d. The parents are used to having expectations that are too high.
B
21. A 2-year-old child comes to the emergency department demonstrating signs of dehydration and hypovolemic shock. Which best explains why an intraosseous infusion is started? a. It is less painful for small children. b. Rapid venous access is not possible. c. Antibiotics must be started immediately. d. Long-term central venous access is not possible.
B
3. A diabetic patient's arterial blood gas (ABG) results are pH 7.28; PaCO2 34 mm Hg; PaO2 85 mm Hg; HCO3- 18 mEq/L. The nurse would expect which finding? a. Intercostal retractions c. Low oxygen saturation (SpO2) b. Kussmaul respirations d. Decreased venous O2 pressure
B
3. The nurse is preparing a school-age child for a computed tomography (CT) scan to assess cerebral function. When preparing the child for the scan, which statement should the nurse include? a. "Pain medication will be given" b. "The scan will not hurt" c. "You will be able to move once the equipment is in place" d. "Unfortunately no one can remain in the room with you during the test"
B
30. Which "expected outcome" would be developmentally appropriate for a hospitalized 4-year-old child? a. The child will be dressed and fed by the parents. b. The child will independently ask for play materials or other personal needs. c. The child will be able to verbalize an understanding of the reason for the hospitalization. d. The child will have a parent stay in the room at all times.
B
4. Using knowledge of child development, what is the best approach when preparing a toddler for a procedure? a. Avoid asking the child to make choices. b. Demonstrate the procedure on a doll. c. Plan for the teaching session to last about 20 minutes. d. Show necessary equipment without allowing child to handle it.
B
41. A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. The nurse should recognize that this: a. Is unsafe b. May help the child relax c. Is against hospital policy d. Is unnecessary because of the child's age
B
5. A 6 year old, hospitalized again because of a chronic illness, is told by school-age siblings that, "We are sick of Mom always sitting with you in the hospital and playing with you. It is not fair that you get everything and we have to stay with the neighbors." What is the nurse's best assessment of the cause of the siblings' resentment? Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." The nurse's best assessment of this situation is that: a. The siblings are immature and probably spoiled. b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling. c. The family has ineffective coping mechanisms to deal with chronic illness. d. The siblings need to better understand the patient's illness and needs.
B
8. The nurse observes that a patient with respiratory disease experiences a decrease in SpO2 from 93% to 88% while the patient is ambulating. What is the priority action of the nurse? While caring for a patient with respiratory disease, the nurse observes that the patient's SpO2 drops from 93% to 88% while the patient is ambulating in the hallway. What is the priority action of the nurse? a. Notify the health care provider. b. Administer PRN supplemental O2. c. Document the response to exercise. d. Encourage the patient to pace activity.
B
8. Which intervention will encourage a sense of autonomy in a toddler with disabilities? a. Avoiding separation from family during hospitalization b. Encouraging age appropriate independence in as many areas as possible c. Exposing child to pleasurable experiences as much as possible d. Helping parents learn special care needs of their child
B
3. A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply.) a. Complaints of a sore back b. Asymmetry of the shoulders c. An uneven hemline d. Inability to bend at the waist e. Unequal waist angles
B, C, E
8. The nurse is reviewing the charts for five patients who are scheduled for their yearly physical examinations in October. Which of the following patients will require the inactivated influenza vaccination (select all that apply)? a. A 56-year-old patient who is allergic to eggs b A 36-year-old female patient who is pregnant c. A 42-year-old patient who has a 15 pack-year smoking history d A 30-year-old patient who takes corticosteroids for rheumatoid arthritis e A 24-year-old patient who has allergies to penicillin and the cephalosporins
B, D
2. The nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effects should the nurse expect to monitor for? (Select all that apply.) a. Diarrhea b. Respiratory depression c. Hypertension d. Pruritus e. Sweating
B, D, E
1. The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. Which criteria should the nurse use in determining the appropriate-size blood pressure cuff? (Select all that apply) a. The cuff is labeled "toddler." b. The cuff bladder width is approximately 40% of the circumference of the upper arm. c. The cuff bladder length covers 80% to 100% of the circumference of the upper arm. d. The cuff bladder covers 50% to 66% of the length of the upper arm.
B,C
10. The nurse recognizes that the goals of teaching regarding the transmission of pulmonary tuberculosis (TB) have been met when the patient with TB a. demonstrates correct use of a nebulizer. b washes dishes and personal items after use. c. covers the mouth and nose when coughing. d reports daily to the public health department.
C
10. What intervention is appropriate when administering tepid water or sponge baths prescribed for hyperthermia in children? Tepid water or sponge baths are indicated for hyperthermia in children. The nurse should: a. Add isopropyl alcohol to the water. b. Direct a fan on the child in the bath. c. Stop the bath if the child begins to chill. d. Continue the bath for 5 minutes.
C
11. An 11-year-old boy received all childhood immunizations before attending school as a kindergartner. Which vaccines are recommended for this child at his current age? a. DTaP, MCV4, Varivax b. PCV-23, Td, MMR c. Tdap, MCV4, HPV d. Tdap, Varivax, hepatitis B
C
11. The nurse is caring for an adolescent hospitalized after a bicycle accident. Which statement by the adolescent would be expected about separation anxiety? The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which statement by the adolescent would be expected about separation anxiety? a. "I wish my parents could spend the night with me while I am in the hospital." b. "I think I would like for my siblings to visit me but not my friends." c. "I hope my friends don't forget about visiting me." d. "I will be embarrassed if my friends come to the hospital to visit."
C
15. During the first 4 days of hospitalization, an 18 month old cried inconsolably when his/her parents left and he/she refused the staff's attention. Now the nurse observes that the child appears to be "settled in" and unconcerned about seeing his/her parents. How should the nurse interpret this change in behavior? During the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Eric appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as which of the following? a. The child has successfully adjusted to the hospital environment. b. The child has transferred their trust to the nursing staff. c. The child may be experiencing detachment, which is the third stage of separation anxiety. d. Because the child is "at home" in the hospital now, seeing his mother frequently will only start the cycle again.
C
16. What important consideration in providing atraumatic care should the nurse consider when preforming a venipuncture on a 6-year-old child? A nurse must do a venipuncture on a 6-year-old child. An important consideration in providing atraumatic care is to: a. Use an 18-gauge needle if possible. b. If not successful after four attempts, have another nurse try. c. Restrain the child only as needed to perform venipuncture safely. d. Show the child equipment to be used before procedure.
C
16. Which behavior is most characteristic of the concrete operations stage of cognitive development? a. Progression from reflex activity to imitative behavior. b. Inability to put oneself in another's place. c. Increasingly logical and coherent thought processes. d. Ability to think in abstract terms and draw logical conclusions.
C
17. A nurse is preparing to complete an admission assessment on a 2-year-old child who is sitting on the parent's lap. Which technique should the nurse implement to complete the physical examination? a. Ask the parent to place the child in the hospital crib. b. Take the child and parent to the examination room. c. Perform the examination while the child is on the parent's lap. d. Ask the child to stand by the parent while completing the examination.
C
19. A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. What information should the nurse provide to these parents? a. This will help the child cope effectively by denial. b. This attitude is helpful to give parents time to cope. c. Terminally ill children know when they are seriously ill. d. Terminally ill children usually choose not to discuss the seriousness of their illness.
C
2. At which age can most infants sit steadily unsupported? a. 4 months b. 6 months c. 8 months d. 10 months
C
20. A patient seen in the asthma clinic has recorded daily peak flows that are 85% of the baseline. Which action will the nurse plan to take? a. Teach the patient about the use of oral corticosteroids. b Administer a bronchodilator and recheck the peak flow. c. Instruct the patient to continue to use current medications. d Evaluate whether the peak flow meter is being used correctly.
C
20. The nurse needs to take a blood pressure on the child playing in the playroom. Which is the appropriate procedure for obtaining the blood pressure? A child is playing in the playroom. The nurse needs to take a blood pressure on the child. Which is the appropriate procedure for obtaining the blood pressure? a. Take the blood pressure in the playroom. b. Ask the child to come to the exam room to obtain the blood pressure. c. Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom. d. Document that the blood pressure was not obtained because the child was in the playroom.
C
3. When auscultating a patient's chest while the patient takes a deep breath, the nurse hears loud, high-pitched, "blowing" sounds at both lung bases. The nurse will document these as a. normal sounds. b vesicular sounds. c. abnormal sounds. d adventitious sounds.
C
30. Which term is used to describe breath sounds that are produced as air passes through narrowed passageways? a. Rubs b. Rattles c. Wheezes d. Crackles
C
37. During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action? a. Teach the parents appropriate exercises. b. Recheck head control at the next visit. c. Refer the child for further evaluation. d. Refer the child for further evaluation if the anterior fontanel is still open.
C
43. A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as acetaminophen (Tylenol). The nurse should explain that antipyretics: a. May cause malignant hyperthermia b. May cause febrile seizures c. Are of no value in treating hyperthermia d. Are of limited value in treating hyperthermia
C
5. A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply: a. 4% Liposomal Lidocaine (LMX) 15 minutes before the procedure. b. a transdermal fentanyl (Duragesic) patch immediately before the procedure. c. eutectic mixture of local anesthetics (EMLA) 1 hour before the procedure. d. EMLA 30 minutes before the procedure.
C
5. The nurse is cleaning multiple facial abrasions on a 9-year-old who was brought to the emergency department by his/her mother. When the child begins crying and screaming loudly, what intervention should the nurse implement to best manage this situation? The emergency department nurse is cleaning multiple facial abrasions on 9-year-old Mike. His mother is present. He is crying and screaming loudly. The nurse should: a. Calmly ask the child to be quieter. b. Suggest that his/her mother help the child to relax. c. Tell the child it is okay to cry and scream. d. Suggest that he/she talk to his/her mother as a form of distraction.
C
6. A patient with a chronic cough is scheduled to have a bronchoscopy with biopsy. Which intervention will the nurse implement directly after the procedure? a. Encourage the patient to drink clear liquids. b. Place the patient on bed rest for at least 4 hours. c. Keep the patient NPO until the gag reflex returns. d. Maintain the head of the bed elevated 90 degrees.
C
9. The nurse teaches a patient about pulmonary spirometry testing. Which statement, if made by the patient, indicates teaching was effective? a. "I should use my inhaler right before the test." b. "I won't eat or drink anything 8 hours before the test." c. "I will inhale deeply and blow out hard during the test." d. "My blood pressure and pulse will be checked every 15 minutes."
C
10. The nurse observes a student who is listening to a patient's lungs. Which action by the student indicates a need to review respiratory assessment skills? a. The student compares breath sounds from side to side at each level. b. The student listens during the inspiratory phase, then moves the stethoscope. c. The student starts at the apices of the lungs, moving down toward the lung bases. d. The student instructs the patient to breathe slowly and deeply through the mouth. a. The student starts at the apices of the lungs and moves to the bases. b. The student compares breath sounds from side to side avoiding bony areas. c. The student places the stethoscope over the posterior chest and listens during inspiration. d. The student instructs the patient to breathe slowly and a little more deeply than normal through the mouth.
C**changed answer, correct answer on test was "puts stethoscope over the scapulae and auscultates"
23. Order of infant/toddler vital signs?
Count respirations without disturbing child Apical pulse BP Temperature
13. The nurse admits a patient who has a diagnosis of an acute asthma attack. Which statement indicates that the patient may need teaching regarding medication use? a. "I have not had any acute asthma attacks during the past year." b. "I became short of breath an hour before coming to the hospital." c. "I've been taking Tylenol 650 mg every 6 hours for chest wall pain." d. "I've been using my albuterol inhaler more frequently over the last 4 days."
D
15. The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action? a. The bicarbonate level (HCO3-) is 31 mEq/L. b. The arterial oxygen saturation (SaO2) is 92%. c. The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg. d. The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg.
D
2. Physiologic measurements in children's pain assessment are: a. the best indicator of pain in children of all ages. b. essential to determine whether a child is telling the truth about pain. c. of most value when children also report having pain. d. of limited value as sole indicator of pain.
D
2. The nurse prepares a patient with a left-sided pleural effusion for a thoracentesis. How should the nurse position the patient? a. High-Fowler's position with the left arm extended b. Supine with the head of the bed elevated 30 degrees c. On the right side with the left arm extended above the head d. Sitting upright with the arms supported on an over bed table
D
21. When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: a. some form of cancer. b. local scalp infection common in children. c. infection or inflammation distal to the site. d. infection or inflammation close to the site.
D
23. The nurse should expect the anterior fontanel to close at age: a. 2 months. b. 2 to 4 months. c. 6 to 8 months. d. 12 to 18 months.
D
34. Which is the preferred site for intramuscular injections in infants? a. Deltoid b. Dorsogluteal c. Rectus femoris d. Vastus lateralis
D
35. Nursing interventions to help the siblings of a child with a complex or chronic condition cope include: a. Explaining to the siblings that embarrassment is unhealthy b. Encouraging the parents not to expect siblings to help them care for the child with special needs c. Providing information to the siblings about the child's condition only as they request it d. Suggesting to the parents ways of showing gratitude to the siblings who help care for the child with a disability or chronic condition
D
40. An 8-month-old infant is restrained to prevent interference with the intravenous infusion. The nurse should: a. Remove the restraints once a day to allow movement b. Keep the restraints on constantly c. Keep the restraints secure so the infant remains supine d. Remove the restraints whenever possible
D
5. A patient is admitted to the emergency department complaining of sudden onset shortness of breath and is diagnosed with a possible pulmonary embolus. To confirm the diagnosis, the nurse will anticipate preparing the patient for a a. positron emission tomography (PET) scan. b chest x-ray. c. bronchoscopy. d spiral computed tomography (CT) scan.
D
5. Physiologic measurements in children's pain assessment are: a. The best indicator of pain in children of all ages b. Essential to determine whether a child is telling the truth about pain c. Of most value when children also report having pain d. Of limited value as sole indicator of pain
D
5. The nurse palpates the posterior chest while the patient says "99" and notes absent fremitus. Which action should the nurse take next? a. Palpate the anterior chest and observe for barrel chest. b. Encourage the patient to turn, cough, and deep breathe. c. Review the chest x-ray report for evidence of pneumonia. d. Auscultate anterior and posterior breath sounds bilaterally.
D
7. Most parents of children with special needs tend to experience chronic sorrow. How may chronic sorrow be characterized? a. Lack of acceptance of the child's limitation. b. Lack of available support to prevent sorrow. c. Periods of intensified sorrow when experiencing anger and guilt. d. Periods of intensified sorrow and loss that occur in waves over time.
D
8. What is an appropriate intervention to encourage food and fluid intake in a hospitalized child? a. Force child to eat and drink to combat caloric losses. b. Discourage participation in noneating activities until caloric intake is sufficient. c. Administer large quantities of flavored fluids at frequent intervals and during meals. d. Give high-quality foods and snacks whenever child expresses hunger.
D
14. Factor associated with the etiology of ADHD from genetic perspective?
Having siblings with ADHD
18. What is important to know about a pediatric patient with no cardiac history or history of a murmur that suddenly develops a murmur? The patient may only have less than a few hours to live 19. What is the difference between hyperthermia and fever?
Hyperthermia deals with the weather and brain stem while fever occurs when people are sick and is fixed with medication
12. Child with Hodgkin's lymphoma, there is a cell that they look for?
Reid's Sternberg
7. When baby goes home form the hospital and needs to be readmitted?
They are considered a pediatric pt., they would not be readmitted to the nursery