#1

A nurse is reinforcing teaching with a 17-yr old client about managing manifestations of polycystic over syndrome (PCOS). Which of the following client statements indicates an understanding of the teaching? a. "eating more lean meats and vegetables can help me lose weight." b. "I should try to get at least 11 hours of sleep each night and take a nap during the day if I feel tired." c. "I will avoid using tampons for the next 6 months to help reduce my discomfort and decrease my risk of complications." d. "I understand there are currently no medications to treat my symptoms."

a. "eating more lean meats and vegetables can help me lose weight."

A nurse is caring for a preschooler who has a vesicular, honey-colored, crusty region around the nose and mouth and has been diagnosed with impetigo contagious. Which of the following instructions should the nurse plan to reinforce with the parents? Select all that apply. a. apply a topical antibacterial ointment to the lesions b. wash the child's bed linens daily with hot water c. administer acyclovir oral suspension to prevent recurrence d. allow the crust covering the infected lesions to remain intact e. wash hands before and after contact with the affected area

a. apply a topical antibacterial ointment to the lesions b. wash the child's bed linens daily with hot water e. wash hands before and after contact with the affected area

A nurse is collecting data from a child who has bilateral pheochromocytoma. Which of the following findings should the nurse expect? a. hypertension b. abdominal obesity c. bradycardia d. loose stools

a. hypertension

A nurse is caring for a child who has acute glomerulonephritis. which of the following actions should the nurse take? a. maintain the child on strict bed rest b. check the child's blood pressure every 4 hrs c. administer albumin to the child every 8 hrs d. provide the child with a low-carbohydrate diet.

b. check the child's blood pressure every 4 hrs

A nurse is caring for a 4-yr old child who has pneumonia. The child's mother left 2 hr ago, and he is currently experiencing the despair stage of separation anxiety. Which of the following findings should the nurse expect? a. crying and screaming b. inactivity and thumb-sucking c. showing interest in toys d. attempting to escape and find the parent

b. inactivity and thumb-sucking

A nurse is caring for a child who has cystic fibrosis and pulmonary infection. Which of the following findings is the nurse's priority? a. blood streaking of the sputum b. dry mucus membranes c. constipation d. inability to clear secretions

d. inability to clear secretions a. common finding b/c.due to malabsorption of sodium and chloride, which results in dehydration; not nurse's priority

A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids? a. dilated pupils b. tremors c. yawning d. pruritus

d. pruritus - constipation, respiratory depression, n/v, agitation, orthostatic hypotension and hallucinations a/b/c: all manifestations of withdrawal from opioids

A nurse is assisting with the admission of a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After the child's admission history is complete, which of the following actions should the nurse recommend? a. attach a latex allergy alert identification band b. initiate contact precautions c. post signs in the client's bathroom to strain the client's urine d. administer folic acid with meals

a. attach a latex allergy alert identification band - clients who have neural tube defects are at risk for latex allergy b./c. not for this condition d. folic acid should be taken during pregnancy

A nurse is assisting with the immediate postoperative care of an 8-month-old infant who had a cleft palate repair. Which of the following actions should the nurse perform? a. maintain the infant in a side-lying position b. provide non-pharmacological pain relief with a pacifier c. offer pureed solid foods once the infant is awake and alert d. assess the infant's pain level using the FACES Pain Rating Scale

a. maintain the infant in a side-lying position

A nurse is reinforcing teaching with a 10-year-old child who requires crutches for a 2-point gait. which of the following instructions should the nurse reinforce? a. "In the tripod position, all your weight should be on a leg." b. "advance the left crutch and the right leg at the same time." c. "the crutches should be about 3 inches to the side of the foot when walking." d. "You should maintain a half inch of space between the crutch pad and your armpit."

b. "advance the left crutch and the right leg at the same time." a. equally on both legs c. placed about 15.2 cm (6in) d. 2.5 to 3.8 cm (1 to 1.5)

A school nurse is providing care to a child who has a nosebleed. Which of the following actions should the nurse take? (Select all that apply.) a. place the child in supine position b. apply pressure to the child's nose using the thumb and forefinger c. have the child tilt his head back d. apply a warm cloth to the bridge of the child's nose e. keep the child calm

b. apply pressure to the child's nose using the thumb and forefinger e. keep the child calm d. cold cloth

A nurse is collecting data about the fine motor skills of a 3-year old preschooler. Which of the following findings should the nurse expect? a. the preschooler can draw a stick figure that has 7 parts b. the preschooler can print her first name c. the preschooler can cut out a picture using scissors d. the preschooler builds a tower of 9 cubes

d. the preschooler builds a tower of 9 cubes a. 5-yr old b. 5-yr old c. 4-yr old

A nurse is collecting data from an infant who has pyloric stenosis. Which of the following manifestations should the nurse expect? a. projectile vomiting b. rigid board-like abdomen c. mucus in the stools d. jaundice

a. projectile vomiting - results in hypertrophy and hyperperistalsis; includes dehydration, and irritability b. paralytic intestinal obstruction c. pus, mucus and blood in the stools are characteristic of a child who has an inflammatory bowel disease causing ulceration of the colon such as ulcerative colitis. d. hepatitis or biliary atresia

A nurse is collecting data from a 3-yr-old preschooler. Which of the following developmental milestones should the nurse expect the preschooler to demonstrate? a. staking 10 blocks b. printing 1 letter c. tying shoelaces d. using 7-word sentences

a. staking 10 blocks

A nurse is reinforcing education with a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month-old toddler? a. ability to refer to self by name b. vocabulary of 10 or more words c. ability to follow simple directional commands d. ability to name a color

b. vocabulary of 10 or more words - toddler at 18 months a. 2-yr old c. 2 yr old d. 30 months of age

A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should recognize that chronic otitis media will affect which of the following? a. olfaction b. visual acuity c. speech patterns d. hand-eye coordination

c. speech patterns

A nurse is reinforcing teaching with the parents of an infant who is breastfeeding. When should the nurse instruct the parents to introduce solid foods into the infants diet? a. after the rooting reflex disappears b. at 2-3 months of age c. after the infants first tooth erupts d. at 4-6 months of age

d. at 4-6 months of age a. disappearance of the extrusion reflex b. still have extrusion reflex are not ready c. not appropriate indicator

A nurse is caring for a 5-year old child who has a fever and begins to have seizure. Which of the following actions should the nurse take? a. give acetaminophen 240 mg PO immediately following the seizure b. sponge the child's skin with a mixture of cold water and rubbing alcohol c. administer rectal diazepam if the seizure lasts longer than 2 mins d. place the child in a side-lying position

d. place the child in a side-lying position a. aspirate b. shivering; further increase temp c. administer if lasts longer than 5 mins

A nurse is reinforcing teaching with the parents of a 1-year old infant regarding appropriate play activities for this age group. Which of the following activities should the nurse include? a. push-pull toy with a cord b. simple craft project c. soft doll filled with dried beans d. strings of large beads

d. strings of large beads a. accidental strangulation c. aspiration

A nurse is teaching the parent of a child who has ADHD and a new prescription for methylphenidate sustained release tablets. Which of the following pieces of information should the nurse include in the teaching? a. crush the medication and mix it in your child's food b. administer the medication 1 hour before bedtime c. expect your child to have cloudy urine while he is taking this medication d. weight your child twice per week while he is taking this medication.

d. weight your child twice per week while he is taking this medication. - adverse effect is weight loss b. 30 mins before breakfast on an empty stomach; no later than 1800 to avoid insomnia c. common adverse effect: insomnia, weight loss, anorexia and tachycardia

A nurse is reinforcing teaching with a parent of a preschooler who has impetigo. Which of the following statements by the parent indicates an understanding of the teaching? a. "impetigo is caused by a virus." b. "impetigo is contagious for 48 hrs after vesicles rupture." c. "I will wash my child's clothes in hot water." d. "My child now has immunity against impetigo."

c. "I will wash my child's clothes in hot water."

A nurse is reinforcing teaching with the guardian of a school-aged child who has diabetes mellitus about how to recognize diabetic ketoacidosis (DKA). Which of the following findings should the nurse describe as a manifestation of this complication? a. slow heart rate b. protruding eyeballs c. deep, rapid respirations d. decreased urinary output

c. deep, rapid respirations - Kussmaul respirations; sweet-smelling breath

A nurse is contributing to the preoperative teaching plan for a school-aged child who is scheduled for cardiac surgery. Which of the following recommendations should the nurse make? a. limit education sessions to 10 mins b. use simple, concrete terms when giving explanations c. use photographs to help explain the procedure d. schedule education sessions 2 days prior to the procedure

c. use photographs to help explain the procedure a. 10-15 preschooler; 20 mins school-aged b. use correct med terms - increased language ability d. no more than a day

A nurse is caring for a preschooler who experienced a febrile seizure. Which of the following actions should the nurse take? a. place the child in a bathtub filled with cool water b. immediately administer an oral antipyretic medication c. prepare the child for a lumbar puncture d. apply alcohol soaks to the child's forehead and groin area

c. prepare the child for a lumbar puncture a. additional seizure and drown in the tub b. NPO d. can be inhaled in toxic amounts

A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of acute lymphoblastic leukemia (ALL). Which of the following statements from the child indicates an understanding of the teaching? a. "once treatment starts, I won't feel so tired." b. "This started because of that terrible illness I had last month." c. "my parents will do things for me so I don't get tired." d. "I have a good chance of surviving this cancer."

d. "I have a good chance of surviving this cancer." - expected to survive, with up to 95% remission a. manifestations: fatigue b. linked to genetic factors, radiation exposure, chemicals not bacteria or viruses c. should be encouraged to perform as many independent care activities as possible