PEDS REVIEWER
A baby boy has just had surgery to repair his cleft lip. Which nursing intervention is the most important during the immediate postoperative period? * a. Clean the suture line carefully with a sterile solution after every feeding. b. Lay the infant on his abdomen to help drain fluids from his mouth. c. Allow the infant to cry to promote lung reexpansion. d. Give the baby a pacifier to suck for comfort.
A
A clinic nurse reviews the record of an infant and notes that the physician has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the record, knowing that which symptom most likely led the mother to seek health care for the infant? * A. Diarrhea B. Projectile vomiting C. Regurgitation of feedings D. Foul-smelling ribbon-like stools
A
A neonate born 18 hours ago with myelomeningocele over the lumbosacral region is scheduled for corrective surgery. Preoperatively, what is the most important nursing goal? * a. Preventing infection b. Ensuring adequate hydration c. Providing adequate nutrition d. Preventing contracture deformity
A
A nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which of the following indicates that the child is bleeding? * a. Frequent swallowing b. A decreased pulse rate c. Complaints of discomfort d. An elevation in blood pressure
A
A nurse is caring for a child after spinal fusion for scoliosis treatment. The child complains of abdominal discomfort and begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. Based on these findings, the nurse should take which action? * A. Notify the physician. B. Administer an antiemetic. C. Increase the intravenous fluids. D. Place the child in a Sims' position.
A
A nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? * A. Excessive vomiting B. Bulging anterior fontanel C. Increasing head circumference D. Complaints of a frontal headache
A
A toddler is brought to the emergency department with sudden onset of abdominal pain, vomiting, and stools that look like red currant jelly. To confirm intussusception, the suspected cause of these findings, the nurse expects the physician to order: * a. a barium enema. b. suprapubic aspiration. c. nasogastric (NG) tube insertion. d. indwelling urinary catheter insertion.
A
A type of Hydrocephalus wherein the decreased absorption of the CSF is caused by post meningitis or intraventricular hemorrhage. * a. Communicating b. Non-communicating c. Brain Edema d. Meningitis
A
Anti-inflammatory effect diminishes inflammatory component of asthma and reduces airway obstruction; preferred controller medicine for all ages * A. Corticosteroids B. H2 blocker C. Cephalosporin D. Beta Blocker
A
Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of tympanostomy tubes. The nurse provides discharge instructions to the parents regarding the administration of the antibiotics. Which statement, if made by the parents, indicates that they understood the instructions? * a. "Administer the antibiotics until they are gone." b. "Administer the antibiotics if the child has a fever." c. "Administer the antibiotics until the child feels better." d. "Begin to taper the antibiotics after 3 days of a full course."
A
Confirmatory diagnosis for meningitis is? * a. Lumbar puncture b. Biopsy c. X-ray d. Ultrasound
A
Disorder characterized by refusal to maintain a minimally normal body weight because of a disturbance in perception of the body's size or appearance * A. Anorexia Nervosa B. Bulimia Nervosa C. Aphasia D. Loss of Appetite
A
For patient with meningitis a droplet precaution should be implemented for how many hours after the 1st dose of antibiotic. * a. at least 48 hrs b. at least 24 hrs c. at least 42 hrs d. at least 40 hrs
A
Formerly referred to as juvenile diabetes or insulin-dependent diabetes * A. DM1 B. DM2 C. Hyperglycemia D. Hypoglycemia
A
Inflammation of the air cavities within the passages of the nose. * A. Sinusitis B. Bronchitis C. Atelectasis D. Pneumonia
A
Is a disease in which there is inflammation (swelling) of the synovium in children aged 16 or younger? * A. Juvenile Idiopathic Arthritis B. Rheumatoid Arthritis C. Rheumatic Fever D. None of the above
A
Is a group of nonprogressive disorders of upper motor neuron impairment that result in motor dysfunction? * A. Cerebral Palsy B. Meningitis C. Hydro Cephalus D. Brain tumor
A
Is caused by an imbalance in the production and absorption of cerebral spinal fluid (CSF) in the ventricular system * a. Hydrocephalus b. Meningitis c. Septicemia d. Otitis Media
A
Tends to occur in children with atopy or those who tend to be hypersensitive to allergens. Mast cells release histamine and leukotrienes that result in diffuse obstructive and restrictive airway disease because of a triad of inflammation, bronchoconstriction, and increased mucus production * A. Asthma B. Bronchitis C. Epiglottitis D. Tonsilitis
A
The distorted and uncontrolled proliferation of WBCs (leukocytes) and is the most frequently occurring type of cancer in children * A. Leukemia B. Bone Cancer C. Wilms Tumor D. Aplastic Anemia
A
The following are example of independent nursing intervention except? * A. Give oxygen inhalation via nasal cannula for patient with difficulty of breathing. B. Assess respiratory status and breath sounds, noting nasal flaring, the use of accessory muscles, retractions, and the presence of stridor. C. Position the patient on high fowlers position if there is DOB D. Have resuscitation equipment available
A
The mother of a 4-year-old child brings the child to a clinic and tells a pediatric nurse specialist that the child's abdomen seems to be swollen. During further assessment of subjective data, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, would avoid which of the following during the physical assessment? * A. Palpating the abdomen for a mass B. Assessing the urine for the presence of hematuria C. Monitoring the temperature for the presence of fever D. Monitoring the blood pressure for the presence of hypertension
A
The parents of an infant who has had a surgical repair of a myelomeningocele express concern about skin care and ask what they can do to avoid problems. The nurse should teach the parents that their infant: * a. will require long-term multidisciplinary follow-up care b. should take prophylactic antibiotic therapy indefinitely c. mut be kept dry by applying powder after each diaper change d. does not need anything more than routine cleansing and diaper changes.
A
The treatment for hydrocephalus is * a. Ventriculoperitoneal Shunts b. Ventriculosubclavian shunts c. Ventrculopapulo shunts d. Ventriculoabdominal shunts
A
Therapeutic Management Therapy for patient with Candidiasis? * A. Vaginal suppositories or cream applications of antifungal preparations such as miconazole (Monistat) or clotrimazole (Lotrimin), once a day for 3 to 7 days. B. removing a sample of the discharge from the vaginal wall C. An at-home test kit (Vagasil Screening Kit) is available that gives results instantly D. None of the above
A
Twenty-four hours after birth, a neonate hasn't passed meconium. The nurse suspects which condition? * a. Hirschsprung's disease b. Celiac disease c. Intussusception d. Abdominal wall defect
A
What is an essential nursing action when caring for a young child with severe diarrhea? * a. Maintain the IV b. Take daily weights c. Replace the lost calories d. Promote perianal skin integrity
A
What should be a clinic nurse's first action when a child tells the nurse of a sore throat? * A. Examine the throat B. Have the child sent home C. Take the child's temperature. D. Secure a prescription for a oral analgesic
A
What should be the nursing care for an infant after the surgical repair of a cleft lip include? * a. Preventing crying b. Placing in a semi-fowler position c. Keeping NPO for 1 day after surgery d. Feeding with a spoon for 2 days after surgery.
A
When developing a postoperative plan of care for an infant scheduled for cleft lip repair, the nurse should assign highest priority to which intervention? * a. Comforting the child as quickly as possible b. Maintaining the child in a prone position c. Restraining the child's arms at all times, using elbow restraints d. Avoiding disturbing any crusts that form on the suture line
A
A 1-year-old infant has been admitted with a tentative diagnosis of bacterial meningitis. A lumbar puncture is performed to confirm the diagnosis. What laboratory report the spinal fluid supports this diagnosis? * a. Decreased cell count b. Elevated protein level c. Increased glucose level d. Low spinal glucose level
B
A 10-month-old child with recurrent otitis media (middle ear inflammation) is brought to the clinic for evaluation. To help determine the cause of the child's condition, the nurse should ask the parents: * a. "Does water ever get into the baby's ears during shampooing?" b. "Do you give the baby a bottle to take to bed?" c. "Have you noticed a lot of wax in the baby's ears?" d. "Can the baby combine two words when speaking?"
B
A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. A nurse caring for the child monitors for which of the following, knowing that it indicates a worsening of the condition? * a. Warm, dry skin b. Decreased wheezing c. Pulse rate of 90 beats/min d. Respirations of 18 breaths/min
B
A 6 mos. old client is admitted with possible intussusceptions. which question during the nursing history is least helpful in obtaining information regarding this diagnosis. * a. Cab you describe the pain b. What does his vomits look like c. Describe his usual diet d. Have noticed changes in his abdominal size?
B
A adolescent client calls the emergency department and tells the nurse that he had been cleaning a wooded area in the backyard and came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. Which of the following is the appropriate nursing response? * A. "Come to the emergency department." B. "Apply calamine lotion immediately to the exposed skin areas." C. "Take a shower immediately, lathering and rinsing several times." D. "It is not necessary to do anything if you cannot see anything on your skin."
B
A lumbar puncture is performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that which of the following results would verify the diagnosis? * a. Clear CSF, decreased pressure, and elevated protein level b. Clear CSF, elevated protein, and decreased glucose levels c. Cloudy CSF, elevated protein, and decreased glucose levels d. Cloudy CSF, decreased protein, and decreased glucose levels
B
A mother arrives at an emergency department with her 5-year-old child and states that the child fell off a bunk bed. A head injury is suspected, and a nurse checks the child's airway status and assesses the child for signs of increased intracranial pressure (ICP). Which of the following is a late sign of increased ICP in this child? * a. Nausea b. Bradycardia c. Bulging fontanel d. Dilated scalp veins
B
A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority nursing intervention is to: * a. Test the urine for protein. b. Reposition the infant frequently. c. Provide a stimulating environment. d. Assess blood pressure every 15 minutes.
B
A nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which appropriate position? * A. Supine B. Side-lying C. High Fowler's D. Trendelenburg's
B
A nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instructions? * A. "I will encourage my child to perform prescribed exercises." B. "I will have my child wear soft fabric clothing under the brace." C. "I should apply lotion under the brace to prevent skin breakdown." D. "I should avoid the use of powder because it will cake under the brace."
B
A nurse is reviewing the laboratory results for a child scheduled for tonsillectomy. The nurse determines that which laboratory value is most significant to review? * a. Creatinine level b. Prothrombin time c. Sedimentation rate d. Blood urea nitrogen level
B
After a tonsillectomy, a nurse reviews the physician's postoperative prescriptions. Which of the following physician's prescriptions does the nurse question? * A. Monitor for bleeding. B. Suction every 2 hours. C. Give no milk or milk products. D. Give clear, cool liquids when awake and alert.
B
An emergency department nurse is caring for a child diagnosed with epiglottitis. Assessing the child, the nurse monitors for which indication that the child may be experiencing airway obstruction? * a. The child exhibits nasal flaring and bradycardia. b. The child is leaning forward, with the chin thrust out. c. The child has a low-grade fever and complains of a sore throat. d. The child is leaning backward, supporting himself or herself with the hands and arms.
B
An infant with myelomeningocele is admitted to the pediatric intensive care unit (PICU). While the infant is awaiting surgical correction of the defect, what is the most appropriate nursing intervention? * a. Using disposable diaper b. Placing the infant in the prone position c. Performing neurologic checks above the site of the lesion d. washing the area below the defect with a nontoxic antiseptic
B
For acute otitis media, the treatment is prompt antibiotic therapy. Delayed treatment may result to complications of; * a. tonsilitis b. brain damage c. eardrum perforation d. Infections
B
How can a nurse best communicate with adolescents? * a. Using teen language b. Relating to peer level c. Establishing a relationship over time d. Interacting by using concrete concepts
B
Inflammatory disease that affects the heart, joints, central nervous system, subcutaneous system. It follows infection with group B-hemolytic streptococcus pharyngitis in 2 - 6 weeks if untreated. * A. Rheumatic Heart Disease B. Rheumatic fever C. Rheumatoid Arthritis D. Rheumatic carcinoma
B
Is a congenital brain malformation involving the cerebellum and the fluid-filled spaces around it. The key features of this syndrome are an enlargement of the fourth ventricle a partial or complete absence of the area of the brain between the two cerebellar hemispheres (cerebellar vermis), and cyst formation near the lowest part of the skull. * a. Chiari malformation b. Dandy-Walker Syndrome c. Hydrocephalus d. Meningitis
B
The mother of a child with juvenile idiopathic arthritis calls the clinic nurse because the child is experiencing a painful exacerbation of the disease. The mother asks the nurse if the child can perform range-of-motion exercises at this time. The appropriate nursing response is: * A. "Avoid all exercise during painful periods." B. "Range-of-motion exercises must be performed every day." C. "Have the child perform simple isometric exercises during this time." D. "Administer additional pain medication before performing range-of-motion exercises."
B
The nurse formulates a nursing diagnosis of Risk for infection for a child with Down syndrome. Which condition typically seen in children with this syndrome supports this nursing diagnosis? * a. Muscular hypotonicity b. Muscle spasticity c. Increased mucus viscosity d. Hypothyroidism
B
What is the primary nursing intervention for an infant with a myelomeningocele before surgical correction? * a. Minimize infection b. Prevent trauma to the sac c. Observe for increasing paralysis d. Assess the degree of bowel and bladder control.
B
What treatment should a nurse suggest to an adolescent with type 1 diabetes if an insulin reaction is experienced while at the basketball game? * a. Call the parents immediately b. Buy soda and hamburger to eat c. Administer insulin as soon as possible d. Leave the arena and rest until the condition subsides.
B
When caring for a client with extensive burns, the nurse anticipates that pain medication will be administered via which route? * A. Oral B. Intravenous C. Intramuscular D. Subcutaneous
B
A 13-year-old adolescent is diagnosed with idiopathic scoliosis. Because exercise and avoidance of fatigue are essential components of care, which sport should the nurse suggest will be most therapeutic for this condition. * a. Golf b. Bowling c. Swimming d. Badminton
C
A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. The nurse responds to the grandmother by telling her: * A. "I have a vase in the utility room, and I will get it for you." B. "I will get the vase and wash it well before you put the flowers in it." C. "The flowers from your garden are beautiful, but should not be placed in the child's room at this time." D. "When you bring the flowers into the room, place them on the bedside stand as far away from the child as possible."
C
A child is hospitalized because of persistent vomiting. The nurse monitors the child closely for: * a. Diarrhea b. Metabolic acidosis c. Metabolic alkalosis d. Hyperactive bowel sounds
C
A nurse is caring for a newborn infant with a suspected diagnosis of imperforate anus. The nurse monitors the infant, knowing that which of the following is a clinical manifestation associated with this disorder? * a. Bile-stained fecal emesis b. The passage of currant jelly-like stools c. Failure to pass meconium stool in the first 24 hours after birth d. Sausage-shaped mass palpated in the upper right abdominal quadrant
C
A nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which of the following if this type of posturing is present? * a. Flaccid paralysis of all extremities b. Adduction of the arms at the shoulders c. Rigid extension and pronation of the arms and legs d. Abnormal flexion of the upper extremities and extension and adduction of the lower extremities
C
After a tonsillectomy, a child begins to vomit bright red blood. The initial nursing action is to: * Notify the physician. b. Maintain NPO status. c. Turn the child to the side. d. Administer the prescribed antiemetic.
C
After closure of a newborn's myelomeningocele, what essential nursing intervention must be included in the plan of care? * a. Limiting leg movement b. Decreasing environmental stimuli c. Measuring Head circumference only d. Observing for serous drainage from the nares.
C
An infant has just returned to the nursing unit after a surgical repair of a cleft lip on the right side. The nurse places the infant in which best position at this time? * a. Prone position b. On the stomach c. Left lateral position d. Right lateral position
C
An infant undergoes surgery to remove a myelomeningocele. To detect increased intracranial pressure (ICP) as early as possible, the nurse should stay alert for which postoperative finding? * a. Decreased urine output b. Increased heart rate c. Bulging fontanels d. Sunken eyeballs
C
Range of motion exercise are prescribed for a child with juvenile idiopathic arthritis (JIA). What criterion should the nurse use to evaluate the effectiveness of the exercises? * a. Pain is relieved b. Affected joints can flex and extend c. Pedal and radial pulses are diminished d. Subcutaneous nodules at the joints recedes.
C
Scoliosis is a lateral (sideways) curvature of the spine. It may involve all or only a portion of the spinal column. * A. Spina Bifida B. Spina Occulta C. Scoliosis D. Lordosis
C
Signs of increase intracranial pressure include the following except? * a. High blood pressure b. slow pulse c. rapid pulse d. Bulging fontanels
C
The following are chromosomal aberration EXCEPT: * a. trisomy 21 b. tranlocation15/21 c. trisomy 15 d. mosaicism
C
The mother of an 8-year-old child being treated for right lower lobe pneumonia at home calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that the ibuprofen (Motrin) is not effective. The nurse should tell the mother to: * a. Increase the dose of the ibuprofen. b. Increase the frequency of the ibuprofen. c. Encourage the child to lie on the left side. d. Encourage the child to lie on the right side.
C
The nurse is caring for a client following an autograft and grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? * A. Out of bed B. Bathroom privileges C. Immobilization of the affected leg D. Placing the affected leg in a dependent position
C
The nurse is caring for a toddler with Down syndrome. To help the toddler cope with painful procedures, the nurse can: * a. prepare the child by positive self-talk b. establish a time limit to get ready for the procedure. c. hold and rock him and give him a security object. d. count and sing with the child.
C
The nurse manager is observing a new nursing graduate caring for a burn client in protective isolation. The nurse manager intervenes if the new nursing graduate planned to implement which incorrect component of protective isolation technique? * Using sterile sheets and linens B. Performing strict hand-washing technique C. Wearing gloves and a gown only when giving direct care to the client D. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns, and plastic apron
C
The pedia nurse is caring for an infant with spina bifida. Which technique is most important in recognizing possible hydrocephalus? * a. Magnetic resonance imaging (MRI) b. Obtaining skull X-ray c. Performing a lumbar puncture d. Measuring head circumference
C
Treatment for otitis media * a. Feeding techniques b. No bottle propping c. Myringotomy with Pressure Equalizing (PE) tubes d. Health Teaching
C
What does a nurse determine is the most serious complication of meningitis in young children? * a. Epilepsy b. Blindness c. Peripheral circulatory collapse d. Communicating hydrocephalus
C
When teaching an adolescent with type 1 Diabetes about dietary management, what should the nurse include? * a. Meals should be eaten at home b. Foods should be weight on a gram scale. c. Ready source of glucose should be available. d. Specific foods should be cooked for an adolescent.
C
5-month-old infant develops severe diarrhea and is given IV fluids. What is the rationale for the nurse to closely monitor the IV flow rate? * a. Limiting output b. replacing loss fluids c. Avoid IV infiltration d. Preventing cardiac overload
D
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. The appropriate nursing action is to: * a. Tell the mother that the child must stay in the tent. b. Call the physician and obtain a prescription for a mild sedative. c. Place a toy in the tent to make the child feel more comfortable. d. Let the mother hold the child and direct the cool mist over the child's face
D
A healthy infant has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client's fluid intake because fluid overload may cause: * a. Hypovolemic shock b. Heart failure c. Dehydration d. Cerebral edema
D
A new mother expresses concern to a nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed on the: * a. Side or prone b. Back or prone c. Stomach with the face turned d. Back rather than on the stomach
D
A nurse in the pediatric clinic is assessing an infant who had a revision of ventriculoperitoneal shunt. Hat clinical finding alerts the nurse that intracranial pressure has increased? * a. Increased pulse rate b. Hypoactive reflexes c. decreased blood pressure d. Tension of the anterior fontanel
D
A nurse is caring for a child recently diagnosed with cerebral palsy, and the parents of the child ask the nurse about the disorder. The nurse bases her response on the understanding that cerebral palsy is: * A. An infectious disease of the central nervous system B. An inflammation of the brain as a result of a viral illness C. A congenital condition that results in moderate to severe retardation D. A chronic disability characterized by impaired muscle movement and posture
D
A nurse is caring for an infant with bacterial meningitis. The parents ask how their baby could have contracted the illness. What does the nurse consider as the most likely route of transmission to the central nervous system (CNS)? * a. Genitourinary tract b. Gastrointestinal tract c. Skin or mucous membrane d. Cranial apertures or sinuses
D
A nurse is developing a plan of care for an 8-year-old patient who was recently diagnosed with diabetes mellitus type 1. What is the developmental characteristic of the child this age should the nurse consider? * A. Child is in abstract level of cognition. B. Child's dependence on peer influence has reached its peak. C. Child will welcome opportunities for participation in self-care D. Childs developmental stage involves achieving a sense of identity
D
A nurse is monitoring a child with burns during treatment for burn shock. The nurse understands that which of the following assessments provides the most accurate guide to determining the adequacy of fluid resuscitation? * A. Skin turgor B. Neurological assessment C. Level of edema at burn site D. Quality of peripheral pulses
D
A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following should be included in the plan of care? * a. Maintain enteric precautions. b. Maintain neutropenic precautions. c. No precautions are required as long as antibiotics have been started. d. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics.
D
A nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which symptom of this disorder documented? * a. Watery diarrhea b. Ribbon-like stools c. Profuse projectile vomiting d. Bright red blood and mucus in the stools
D
A nurse performs an admission assessment on a child and suspects physical abuse. Based on this suspicion, the primary legal nursing responsibility is which of the following? * a. Refer the family to the appropriate support groups. b. Assist the family in identifying resources and support systems. c. Report the case in which the abuse is suspected to the local authorities. d. Document the child's physical assessment findings accurately and thoroughly
D
A nurse who is caring for an infant with a cleft lip is concerned about preventing an infection. Why does the cleft lip predispose the infant to infection? * a. Waste products accumulate along the defect. b. There is inadequate circulation in the defective area. c. Nutrition is inadequate because of ineffective feeding d. Mouth breathing dries the oropharyngeal mucous membrane
D
A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The school nurse provides instructions regarding how to prevent hypoglycemia during practice. The school nurse tells the child to: * a. Eat twice the amount normally eaten at lunch time. b. Take half the amount of prescribed insulin on practice days. c. Take the prescribed insulin at noontime rather than in the morning. d. Eat a small box of raisins or drink a cup of orange juice before soccer practice.
D
An infant is diagnosed with communicating hydrocephalus, the parents ask for clarification of the health care provider's explanation of their baby's problem. How should the nurse respond? * a. "Too much spinal fluid is produced within the spaces (ventricles) of the brain". b. . "The flow of the spinal fluid through the brain cells does not empty effectively into the spinal cord". c. "The spinal fluid is prevented from adequate absorption by a blockage in the spaces (ventricles) of the brain". d. "There is a part of the brain surface that usually absorbs spinal fluid after its production that is not functioning adequately".
D
During a visit to the well-baby clinic, a mother who's breast-feeding her 2-month-old infant expresses concern over the infant's bowel movements. Which statement by the mother would lead the nurse to believe that the infant's bowel movements are normal? * a. "The baby's stools are yellow and semi formed." b. The baby's stools are dark green and sticky." c. "The baby's stools are green and watery." d. The baby's stools are bright yellow and soft
D
How to position a patient with hydrocephalus. * a. Prone position b. left side lying c. On her abdomen d. Head of bed 30-45 degrees
D
The client arrives at the emergency department following a burn injury that occurred in the basement at home and an inhalation injury is suspected. Which of the following would the nurse anticipate to be prescribed for the client? * A. 100% oxygen via an aerosol mask B. Oxygen via nasal cannula at 15 L/min C. Oxygen via nasal cannula at 10 L/min D. 100% oxygen via a tight-fitting, non-rebreather face mask
D
The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse instructs the mother to: * A. Hold the next dose of insulin. B. Come to the clinic immediately. C. Administer an additional dose of regular insulin. D. Encourage the child to drink calorie-free liquids.
D
The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 cells/mm3. Based on this laboratory result, which intervention would the nurse document in the plan of care? * a. Monitor closely for signs of infection. b. Monitor the temperature every 4 hours. c. Initiate protective isolation precautions. d. Use a soft small toothbrush for mouth care.
D
The nurse is administering fluids intravenously as prescribed to a client who sustained superficial partial-thickness burn injuries of the back and legs. In evaluating the adequacy of fluid resuscitation, the nurse understands that which of the following would provide the most reliable indicator for determining the adequacy? * A. Vital signs B. Urine output C. Mental status D. Peripheral pulses
D
The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the resuscitation/emergent phase of the burn injury? * A. Decreased heart rate B. Increased urinary output C. Increased blood pressure D. Elevated hematocrit levels
D
To slow the progression of the curvature, the adolescent with scoliosis is fitted with a brace. ow should the nurse respond to the parents' questions about when the brace will no longer be needed? * a. After the cessation of bone growth b. After the curvature has straightened c. When the iliac crests are equal levels d. When pain-free after prolonged standing
D
What should a nurse use to feed an infant born with unilateral cleft lip and palate? * a. Plastic spoon b. Cross-cut nipple c. Parenteral infusion d. Rubber-tipped syringe
D
When teaching the parent of a school-age child about signs and symptoms of fever that require immediate notification of the physician, which of the following descriptions should the nurse include? * a. Burning or pain with urination b. Complaints of a stiff neck c. Fever disappearing for longer than 24 hours, then returning d. History of febrile seizures
D
Which assessment finding would the nurse find in a child with Hirschsprung's Disease? * a. Currant jelly stool b. Diarrhea c. Constipation d. Foul-smelling, fatty stool
D
