peds final
Immunosuppressive therapy is used as treatment for which of the following disorders? A. Sickle Cell Anemia B. Von Williebrant Disease C. Aplastic Anemia D. Thalassemia
C. Aplastic Anemia
Which iron-rich foods should the nurse recommend for a toddler-age client who is diagnosed with iron deficiency anemia? (Select all that apply). A. Broccoli B. Chicken C. Lean Steak D. Carrots E. Whole Milk
A. Broccoli B. Chicken C. Lean Steak
A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.)
0.4 mL
A nurse is caring for a client who has HIV. Which of following laboratory values is the nurse's priority? A. CDC-T-cell count 180 cells/mm3 B. WBC 5000/mm3 C. Positive Western blot test D. Platelets 150,000/mm3
A. CDC-T-cell count 180 cells/mm3
A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)
2 tab
A 10 year old child diagnosed with asthma has been place don albuterol via a metered-dose inhaler (MDI). The patient might exhibit which of the following side effects of this medication? A. Tremors B. Lethargy C. Bradycardia D. Somnolence
A. Tremors
A nurse is preparing to administer cefprozil 15mg/kg PO every 12 hr to a child. The child weights 45lb. Available is cefprozil 250 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
3 mL
A nurse is preparing to administer digoxin 12 mcg/kg/day PO to divide equally every 12 to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
3.6 mL
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
50 mL
A nurse in a summer day camp that has access to a local beach has cared for several children with impetigo. What is the best nursing intervention to prevent complications? A. Administration of a systemic oral antibiotic and a topical antibiotic may be used as well. B. Administration of a system and a topical Antifungal. C. Removal of crusts with an antimicrobial liquid D. Use of an oil based soap for bathing.
A. Administration of a systemic oral antibiotic and a topical antibiotic may be used as well.
Choose the appropriate therapeutic measures used in a pediculosis captis infestation. (Select all that apply.) A. Focus on prevention and spread of pediculosis B. Manual removal of nits. C. Second pediculicide treatment at 7 to 10 days D. Malathion as first line treatment E. Spray surroundings with an insecticide
A, B, C, D
Which clinical manifestations would lead the nurse to suspect an infant has hydrocephaly? (Select all that apply). A. Bulging fontanelle B. Depressed fontanelle C. Increased head circumference D. Distended scalp veins E. Low-pitched cry F. Separation of the cranial sutures
A, C, D, F
A 9 year old child has a fractured tibia and full leg cast is applied. Which assessment findings would the nurse IMMEDIATELY report to the health care provider? (Select all that apply). A. Tingling sensation in the foot B. Increased urine output C. Cold toes D. Pedal pulse of 90 beats per minute E. Inability to move toes
A, C, E
Which of the following are principles of palliative care? Select all that apply. A. Seek to relieve the physical, emotional, social, and spiritual distress produced by life-limiting conditions; to assist in complex decision making; and to enhance the quality of life B. Establish a goal of care on which the health care team can work together to achieve, and rarely stray from that goal C. Establish goals of care that address the physical, emotional, social, and spiritual distress experienced by patients and their families D. Show expertise and clinical education in the principles of making the transition with children from curative to palliative care or methods of adequately managing children's and families' pain and suffering during the dying process E. Evaluate suffering and the impact of the goals of care because nurses spend much more time with patients and their families compared to other medical team members
A, C, E
A toddler with hemophilia A is receiving factor VIII. The mother asks the nurse, "If my child hurts himself or herself, I'll give 2 children's ibuprofen. Is that right?" How will the nurse respond? A. "Give your child acetaminophen. Ibuprofen may cause bleeding." B. "You seem concerned about giving medications to your child." C. "No. I'll explain why your child isn't allowed pain medications." D. "That's right. Ibuprofen will ease the pain."
A. "Give your child acetaminophen. Ibuprofen may cause bleeding."
A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? A. 0745 B. 0730 C. 0815 D. 0720
A. 0745
A mother calls the pediatric clinic to ask when her daughter will receive Varicella vaccine. Your answer to her question is: A. At 12 months and 4-6 years B. At 2, 4 and 6 months C. At 6 months and 12 months D. At 4 months and 4-6 years.
A. At 12 months and 4-6 years
An infant is experiencing dyspnea related to patent ductus aretriosus (PDA). The nurse understands dyspnea occurs because blood is: A. Circulated through the lungs again, causing pulmonary circulatory congestion. B. Shunted past the pulmonary circulation, causing pulmonary hypoxia. C. Circulated through the ductus from the pulmonary artery to the aorta, by passing the left side of the heart. D. Shunted past cardiac arteries, causing myocardial hypoxia.
A. Circulated through the lungs again, causing pulmonary circulatory congestion.
Nursing care management of the child with bacterial meningitis includes which interventions? (Select all that apply) A. Decreasing environmental stimuli B. Monitoring level of consciousness (LOC) C. Instituting droplet precautions D. Administration of IV antibiotics E. Increasing IV fluids above the maintenance.
A. Decreasing environmental stimuli B. Monitoring level of consciousness (LOC) C. Instituting droplet precautions D. Administration of IV antibiotics
The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client? A. Deferoxamine B. Dimercaprol C. Trientine D. Ferrous gluconate
A. Deferoxamine
The nurse is caring for a 10 year old child who has an acute head injury , has pediatric Glasgow Coma Scale score of 9 and is unconscious. What intervention should the nurse include in the child's care plan? A. Elevate the head of the bed 15 to 30 degrees with the head maintained in midline. B. Turn the child's head from side to side frequently C. Perform active range of motion and non therapeutic touch every 8 hours. D. Suction the child frequently (every 1-2 hours) to maintain clear airway.
A. Elevate the head of the bed 15 to 30 degrees with the head maintained in midline.
Which should be a priority when caring for a school age child admitted to the pediatric unit with the diagnosis of Guillain-Barre syndrome? A. Evaluate the child for bilateral muscle strength B. Assess the child for ability to follow simple commands C. Implement range of motion exercises D. Provide a child with diversional activity.
A. Evaluate the child for bilateral muscle strength
A long term complication sees in Thalassemia major are associated to which of the following? A. Hemochromatosis/Hemosisderosis B. Immunosuppressive therapy C. Fatigue D. Deferoxamine usage
A. Hemochromatosis/Hemosisderosis
A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as manifestation of which of the following disorders? A. Hirschsprung's disease B. Encopresis C. Pyloric stenosis D. Enterocolitis
A. Hirschsprung's disease
A newly admitted patient blood work reveals Thrombocytopenia, purpura and normal bone marrow. Which of the following disorder is most likely the cause of this? A. Idiopathic thrombocytopenic Purpura B. Disseminated Intravascular Coagulation C. Von Willebrand Disease D. Henoch- Schonlein Purpura
A. Idiopathic thrombocytopenic Purpura
A 1 year old has been admitted for complete repair of a tetralogy of Fallot. What assessment finding should the nurse expect to be documented? A. Increasing cyanosis B. Pale skin color C. Weight gain. D. Decrease in hemoglobin and hematocrit
A. Increasing cyanosis
. The nurse explains that the medication Prostaglandin E1 is being given to their child with transposition of the great vessels to: A. Keep the ductus arteriosus open B. Decrease pulmonary congestion C. Stimulate the production of red blood cells D. Increase blood flow to the system
A. Keep the ductus arteriosus open
The nurse would instruct the client to eat which of the following foods to obtain the best supply of vitamin B12? A. Meats and Dairy Products B. Whole Grains C. Broccoli and Brussels Sprouts D. Green Leafy Vegetables
A. Meats and Dairy Products
A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications? A. Pathologic fractures B. Fluid retention C. Impaired skin integrity D. Dysphagia
A. Pathologic fractures
The nurse is trying to offer assistance to the family of a dying child. The nurse can: A. Praise them for the care they are giving their child. B. Inform the family that they should have taken better care of their child. C. Tell the family to wait until after the death to discuss feelings D. Tell them that the staff will perform all of the final care.
A. Praise them for the care they are giving their child.
A school-aged child is undergoing chemotherapy. How can the nurse best manage a common side effect of chemotherapy? A. Provide meticulous oral hygiene B. Keep the hair cut short C. Restrict fluid intake D. Institute contact precautions.
A. Provide meticulous oral hygiene
The new mother of a 2 day old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is of: A. Reassurance as this is a normal weight loss. B. Concern as this may be an indicator of inadequate nutrition. C. Alarm as this a drastic weight loss D. Alertness as such weight loss is not expected
A. Reassurance as this is a normal weight loss.
While feeing a 3-month old infant, who has Tetralogy of Fallot, you notice the infant's skin begins to have a bluish tint and the breathing rate has increased. Your immediate nursing action would be to: A. Stop feeding the infant and place the infant in the knee-to-chest position and administer oxygen. B. Assess the infant's heart rate and rhythm. C. Stop feeding the infant and provide suction. D. Continue feeding the infant and place the infant on oxygen.
A. Stop feeding the infant and place the infant in the knee-to-chest position and administer oxygen.
The nurse assessing a child with acute poststreptococcal glomerulonephritis should be alert for which finding? A. Tea-colored urine B. Increased urine output C. Hypotension D. Weight gain
A. Tea-colored urine
An 11 month old infant with iron deficicency anemia is started on an oral iron supplement. What information should the nurse include when teaching the parents about the side effects of iron supplements? A. The teeth may become stained B. The stools will take on a clay color C. The urine may turn red D. The skin will turn yellow
A. The teeth may become stained
The nurse is caring for a 22-pound 1 year old child who has had open heart surgery is aware that the minimum acceptable urine output for the child is: A. 42 mL/hour B. 10 mL/hour C. 8 mL/hour D. 12 mL/hour
B. 10 mL/hour
The goals of palliative care include which of the following? A. Enhance the quality of life. B. All of the above. C. To assist in complex decision making D. To relieve the physical, emotional, social, and spiritual distress produced by life limiting conditions.
B. All of the above.
The nurse is aware that the Tanner staging system for sexual maturity is: A. Based on developmental achievement according to the age. B. Based on the development of pubic hair in girls C. Based on measured color of pigmentation on the Scrotum D. Based on staged voice changes in males
B. Based on the development of pubic hair in girls
A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Neutropenic B. Bleeding C. Droplet D. Contact
B. Bleeding
The nurse would include in a teaching plan about mouth care for a child receiving chemotherapy to: A. Inspect the mouth weekly for ulcerations B. Clean the teeth manually with a soft toothbrush C. Visit a dental professional only during episodes of excessive bleeding or pain D. Use a potent commercial mouthwash
B. Clean the teeth manually with a soft toothbrush
A 17 year old student with type 1 diabetes asks the nurse which hormone causes the blood glucose level to rise. When responding, the nurse should explain in language that the client can understand that liver glycogenolysis is stimulated by a hormone secreted by the islets of Langerhans. Which hormone is this? A. Insulin B. Glucagon C. Adrenocorticotropic hormone (ACTH) D. Epinephrine
B. Glucagon
A 3 year old child with mild iron deficiency anemia is seen by a nurse in the clinic. In addition to weakness and fatigue, what should the nurse expect the child to exhibit? A. Increased blood pressure B. Increased pulse rate C. Warm Skin D. Cyanosis of the nail beds
B. Increased pulse rate
Which stage of Erickson's theory would the nurse explain describes the development of a preschooler? A. Trust versus mistrust B. Initiative versus guilt C. Identity versus role confusion D. Autonomy versus sense of shame and doubt
B. Initiative versus guilt
A nurse is caring for a 3 year old male child who presents with sudden abdominal pain and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings? A. Tracheoesophageal fistula B. Intussusception C. Hypertrophic pyloric stenosis D. Inguinal hernia
B. Intussusception
A child with juveniles idiopathic arthritis (JIA) reports to the school clinic. He is experiencing redness and pain in the eye. The nurse suspects the child may have: A. Eye strain B. Iridocylitis C. Pink eye D. Presbyopia
B. Iridocylitis
Which action should the nurse take when providing postoperative nursing care to a child after insertion of ventriculoperitoneal (VP ) shunt? A. Check the urine for glucose and protein B. Monitor for increased temperature. C. Administer narcotics for pain control D. Test cerebrospinal (CSF) fluid leakage for protein
B. Monitor for increased temperature.
A nurse is caring for a 17 year old who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receives treatment. Which of the following actions should the nurse take? A. Offer the client an antiemetic B. Notify the provider of the situation C. Initiate the IV per the parent's request. D. Administer a sedative to calm the client.
B. Notify the provider of the situation
A nurse is caring for a 6-week old infant who has hypertrophic pyloric stenosis (HPS). Which of the following clinical manifestations should the nurse expect? A. Distended neck veins B. Projectile vomiting C. Red current jelly stools D. Ridged abdomen
B. Projectile vomiting
A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders? A. Lordosis B. Scoliosis C. Torticollis D. Kyphosis
B. Scoliosis
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a possible manifestation of the condition? A. Smiles when a parent appears B. Sits with pillow props C. Uses a pincer grasp to pick up a toy D. Tracks an object with eyes
B. Sits with pillow props
The nurse is performing an admission assessment on the neonate and finds femoral pulses to be weaker than the brachial and radial pulses. The next nursing action should be: A. Notify the Physician B. Take the infant's blood pressure in all 4 extremities C. Place the infant in reverse Trendelenburg position D. Place the infant in the knee to chest position
B. Take the infant's blood pressure in all 4 extremities
A nurse is preventing teaching to parent of preschooler who has eczema. Which of following instructions should the nurse include in the teaching? A. Give the child a bubble baths every day. B. Dress the child in woolen clothes during cold months. C. Apply a topical corticosteroid ointment to the affected area. D. Launder the child's clothing and fabric softener.
C. Apply a topical corticosteroid ointment to the affected area.
The nervous parent asks when the big "soft spot" (anterior fontanel) will be closed. The nurse's most informative response would be: A. "Babies' soft spot close at different times depending on their growth rate." B. "The big soft spot will close at around 24 months of age." C. "The big soft spot is usually closed between 12 and 18 months of age." D. "That big soft spot will be covered in bone by the end of the second month."
C. "The big soft spot is usually closed between 12 and 18 months of age."
A pregnant client tells the nurse in the prenatal clinic that although she and her husband do not have the disease, she has a 1 year old daughter with sickle cell anemia. She asks the nurse, "Will this baby also have sickle cell anemia?" How should the nurse respond? A. "If your partner has the sickle cell gene, 50% of your children will have sickle cell anemia." B. "Only one child in a family is affected, so the other probably will be all right." C. "The chance that another child will have sickle cell anemia is 25%." D. "The most likely conclusion is that your children will have sickle cell anemia."
C. "The chance that another child will have sickle cell anemia is 25%."
A young mother confides in the nurse that her husband does not want her to give so much attention to their new baby for fear that the child will become spoiled. The nurse's best response would be: A. "Your husband knows that he is talking about. A lot of attention causes a child to become self-centered." B. "Your husband is correct. Constant attention makes an infant irritable and spoiled." C. "Your husband is not correct. Interaction helps an infant establish trust." D. "Your husband is concerned for you as giving so much attention to an infant significantly depletes your energy."
C. "Your husband is not correct. Interaction helps an infant establish trust."
Which of the following Reticulocyte count is an indicative of severe anemia for an infant? A. 0.5% B. 3% C. 8% D. 5%
C. 8%
The nurse reports to the healthcare provider signs of increased intracranial pressure in an infant with myelomeningocele who has which finding? A. Minimal lower extremity movement B. A fontanelle that bulges with crying C. A high pitched cry D. Overflow voiding only
C. A high pitched cry
A nurse is caring for a 4 year old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? A. A video game B. A story book about a child who has diabetes. C. A needleless syringe and a doll D. A period of play in the playroom
C. A needleless syringe and a doll
When assessing a child after heart surgery to correct Tetralogy of Fallot (TOF), which finding should alert the nurse to suspect a low cardiac output? A. Capillary refill of 2 seconds and blood pressure of 97/67 mm Hg B. Extremities warm to the touch and pale skin C. Altered level of consciousness and thready pulse D. Bounding pulse and mottled skin
C. Altered level of consciousness and thready pulse
A 9 year old child with type 1 diabetes is prone to have hypoglycemic episodes in the morning. Which intervention would be included in the school nurse's plan of care for this child? A. Limiting fluid intake during school hours. B. Considering the presence of diabetes but treating the child the same as the other children. C. Asking the child each day what was eaten for breakfast D. Checking several times a day for injuries because of participation in the physical education program
C. Asking the child each day what was eaten for breakfast
A healthy 2-month old infant is being seen in the local clinic for a well-child checkup and initial immunizations. When analyzing the pediatric record, which immunizations would the nurse anticipate administering at this appointment? (Select all that apply) A. Varicella (chickenpox) vaccine B. MMR (measles, mumps, and rubella) C. DTap (diptheria, tetanus, pertusis) D. Hib (hemophilus influenza vaccine) E. IPV (inactivated polio vaccine) F. PCV (pneumococcal vaccine)
C. DTap (diptheria, tetanus, pertusis) D. Hib (hemophilus influenza vaccine) E. IPV (inactivated polio vaccine) F. PCV (pneumococcal vaccine)
The nurse is planning care for an 18 month old child. Which of the following should be included in the child's care? A. Allow the child to walk independently on the nursing unit. B. Hold and cuddle the child often C. Encourage the child to feed himself finger foods. D. Engage the child in games with other children.
C. Encourage the child to feed himself finger foods.
A nurse is planning care for a 10 year old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson? A. Provide a daily session with a play therapist. B. Vary the child's schedule each day. C. Encourage the client to complete school work. D. Discourage visits from the client's friends.
C. Encourage the client to complete school work.
A nurse is planning to teach parents of a preschool child with recently diagnosed cystic fibrosis why the child has respiratory problems. What should the nurse remember about the underlying pathophysiology? A. Endocrine glands secrete surplus hormones B. Lung parenchyma becomes inflamed C. Excessively thick mucus obstructs airways D. Airway irritability causes spasms
C. Excessively thick mucus obstructs airways
A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect? A. Bradycardia B. Diarrhea C. Fatigue D. Hypertension
C. Fatigue
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication A. Reports of thirst. B. Reports of pain C. Frequent swallowing D. Mouth breathing
C. Frequent swallowing
Which of the following test will be the most accurate test to diagnose HIV for a 2 month old infant? A. ELISA Test B. Western Blot immunoassay C. HIV RNA/PCR testing D. T cell count
C. HIV RNA/PCR testing
The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply) A. Hypolipidemia B. Anemia C. Hyperlipidemia D. Hypoproteinuremia E. Hypoglycemia
C. Hyperlipidemia D. Hypoproteinuremia
What nursing assessment finding suggests that child with Nephrotic Syndrome is improving? A. Decreased protein levels in serum B. Increased ability of tissue to retain fluid C. Increased diuresis and decreased protein loss in urine D. Reduced blood pressure
C. Increased diuresis and decreased protein loss in urine
A nurse analyzes the laboratory results of a child with Hemophilia. The nurse understands that which result will most likely be abnormal in this child? A. Hemoglobin level B. Hematocrit level C. Partial thromboplastin time D. Platelet count
C. Partial thromboplastin time
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take? A. Transport the child to radiology for a throat x-ray. B. Obtain a throat culture C. Place the child in an upright position D. Visualize the epiglottitis with a tongue depressor.
C. Place the child in an upright position
An infant of a mother infected with HIV is seen in the clinic each month and is being monitored for symptoms indicative of human immunodeficiency virus (HIV) infection. The nurse assesses the infant, knowing that which infection is most common opportunistic infection of children infected with HIV? A. Gastroenteritis B. Meningitis C. Pnemocystis jiroveci pneumonia D. Cytomegalovirus infection
C. Pnemocystis jiroveci pneumonia
The nurse instructs the parents of a 6-month-old infant that the introduction of solid food to the baby should be initiated with: A. Pureed fruits B. Pureed vegetables C. Rice cereal D. Quinoa
C. Rice cereal
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect? A. Clear drainage from the affected ear. B. Pain when manipulating the affected ear lobe. C. Tugging on the affected ear lobe. D. Erythema and edema of the affected ear.
C. Tugging on the affected ear lobe.
The preoperative nurse is reviewing a child's history and physical before repair of a ventricular septal defect. Whish assessment finding should the nurse expect? A. High hemoglobin and hematocrit levels B. High blood pressure in the arms and low blood pressure in the legs C. Severe cyanosis D. Bilateral lung sounds with rales and rhonchi
D. Bilateral lung sounds with rales and rhonchi
Signs and symptoms of leukemia include all of the following EXCEPT: A. Petechiae B. Fevers C. Easy Bruising D. Blindness
D. Blindness
A 17 year old adolescent was recently found to have type 2 diabetes mellitus. What information will the nurse include when providing education to the family? A. "This condition causes weight loss and deceased appetite, thirst, and urination." B. "Your teen will need insulin injections for the rest of her life." C. "This sis a condition where the body produces antibodies against its own cells." D. "The most important interventions are good nutrition and portion control."
D. "The most important interventions are good nutrition and portion control."
A 5 year old child is undergoing chemotherapy. The mother tells the nurse that the child is not up to date on the required immunizations for school. What is the BEST response by the nurse? A. "By this time your child has developed sufficient antibodies to provide immunity." B. "It's important to complete the immunizations because your child needs to be protected from childhood diseases that could be fatal." C. "Maintaining current immunizations is critical. Make sure the series is completed." D. "This isn't the best time to finish the immunizations because your child's immune system is suppressed."
D. "This isn't the best time to finish the immunizations because your child's immune system is suppressed."
When advising the mother of a 1 year old child, the nurse recommends that children 1 year of age and older should limit whole milk consumption to: A. 32 ounces per day B. 50 ounces per day C. 8 ounces per day D. 24 ounces per day.
D. 24 ounces per day.
New foods should be introduced to the infant at intervals of: A. 2 to 3 days B. 8 to 10 days C. 1 day D. 5 to 7 days
D. 5 to 7 days
The nurse devices a teaching plan for the patients with aplastic anemia. Which of the following is the most important concept to teach for health maintenance? A. Get 8 hours of sleep at night and take naps during the day. B. Eat animal protein and dark leafy green vegetables each day. C. Practice yoga and meditation to decrease stress and anxiety D. Avoid exposure to others with acute infections.
D. Avoid exposure to others with acute infections.
Which parent teaching would the nurse provide to minimize regurgitation in an infant with a cleft lip? A. Position the child on their side with the bottle propped. B. Place the child in an infant seat during feedings. C. Offer a thickened formula D. Burp frequently during feedings.
D. Burp frequently during feedings.
A nurse is caring for a 3-month old infant with congenital hypothyroidism. What should the parents be taught about the probably long-term effect of the condition if treatment is not begun immediately? A. Myxedema B. Spastic paralysis C. Thyrotoxicosis D. Cognitive impairment
D. Cognitive impairment
An 8 year old child is admitted for asthma. The nurse would expect to carry out which of the following measures to care for this child: A. Place child flat in the bed B. Limit fluid intake C. Encourage rapid breathing D. Monitor oxygen saturation
D. Monitor oxygen saturation
A nurse is teaching the parents of an infant with cerebral palsy on how to provide optimal care. What should the nurse include in the teaching? A. Focus on cognitive rather than motor skills B. Maintain immobility of the limbs with splints C. Continue to offer a special formula to limit gagging D. Preserve muscle tone to prevent joint contractures.
D. Preserve muscle tone to prevent joint contractures.
A child receiving radiation and chemotherapy for a brain tumor has lost his hair. Which intervention would be most appropriate for this child? A. Reassure the child that no one will notice the missing hair. B. Reassure the child that the hair will grow back just as it was before C. Reassure the child that baldness is not important D. Reassure the child that hair will grow back but maybe a different color.
D. Reassure the child that hair will grow back but maybe a different color.
A nurse is providing teaching to a parent of child who has celiac disease. The nurse should include which of the following food choices for this child? A. Barley B. Rye C. Wheat D. Rice
D. Rice
Elevated ADH levels and Hyponatremia is seen with which of the following disorders? A. Diabetes Insipidus B. Acromegaly C. Addisons disease D. Syndrome of Inappropriate Antidiuretic Hormone
D. Syndrome of Inappropriate Antidiuretic Hormone
A diagnosis of Hodgkin's disease is suspected in a 12 year old child seen in a clinic. After diagnostic tests are performed, which test results confirm the diagnosis of Hodgkin's disease? A. The presence of blast cells in the bone marrow. B. The presence of Epstein-Barr virus in the blood C. The presence of lymphocytes in the cerebrospinal fluid D. The presence of Reed-Sternberg cells in the lymph nodes.
D. The presence of Reed-Sternberg cells in the lymph nodes.
When the frustrated mother of an 8 month old child with gastroesophageal reflux asks what can be done to limit the reflux, the nurse suggests: A. Following the formula with 3 ounces of water B. Giving large feedings several times per day. C. Warming the formula before feeding the child. D. Thickening the formula with cereal.
D. Thickening the formula with cereal.
When assessing an 18 month toddler, the nurse would expect the child to be able to: A. jump with both feet B. Use a vocabulary of 300 words C. Demonstrate independent dressing D. Walk upstairs with one hand held
D. Walk upstairs with one hand held
A nurse is caring for a 10 year old child who will need to be hospitalized for an extended period of time. Which of the following actions should the nurse include in the nursing plan to meet the client's psychosocial needs according to Erikson? a. Arrange for the hospital teacher to do lesson plans b. Allow the client to select his own food off the menu c. Encourage visits from the client's friends d. Provide a daily session with a play therapist
a. Arrange for the hospital teacher to do lesson plans
