120 sum questions

A nurse is collecting data from a 24-month-old toddler who has a new diagnosis of autism spectrum disorder (ASD). Which of the following findings should the nurse expect?

Impaired language skills

A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to recommend?

Monitor the child's oxygen saturation level- correct Increase child's fluid intake- incorrect

A nurse in an acute care unit is caring for an adolescent who has an exacerbation of cystic fibrosis. The adolescent has 5 younger siblings at home and reports to the nurse that his parents have not brought the siblings to visit. Which of the following responses should the nurse make?

"Are you concerned because your parents haven't brought your siblings to visit you?"

A nurse is collecting data from a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask?

"Does anyone smoke around or in the same house as your child?"

A nurse is reinforcing teaching with the parent of an 8-year old child who has AIDS. Which of the following instructions should the nurse highlight?

"Everyone in the home should practice good hand hygiene."

A nurse is reinforcing teaching with the parent of an 8-year-old child who has AIDS. Which of the following instructions should the nurse highlight?

"Everyone in the home should practice good hand hygiene."

A nurse is reinforcing teaching with the family of a child about hospice care. Which of the following statements should the nurse include in the teaching?

"Hospice staff members consider the family's needs to be just as important as those of the child."

A nurse is reinforcing teaching with a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following statements should the nurse provide?

"Toddlers do not have well developed abdominal muscles."

A nurse is reinforcing teaching with an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Which of the following statements should the nurse include in the teaching?

"You should drink 4 oz of orange juice if you experience hypoglycemia."

A nurse is reinforcing teaching about disease management strategies with a 9-year old client who has cystic fibrosis. Which of the following statements should the nurse include?

"Your mucus is thick because cystic fibrosis interferes with how your glands work."

A nurse is reinforcing preoperative education with an 8-year old child prior to cardiac surgery. Which of the following actions should the nurse take?

. Play involving visual and interactive approaches is appropriate for a school-aged child's level of understanding.

A nurse is reinforcing teaching with a 17-year-old client about managing manifestations of polycystic ovary syndrome (PCOS). Which of the following client statements indicates an understanding of the teaching?

. Weight loss and diet modications improve the body's insulin use and normalize hormone levels. A reduced-carbohydrate diet and exercise increase the cells' sensitivity to insulin and helps normalize testosterone secretions, ultimately reducing PCOS manifestations.

A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following food choices due to the highest protein content?

1/2 cup of peanut butter with apple slices

A nurse is collecting developmental data from a 4-year-old child. The nurse should expect the child to be able to perform which of the following activities?

A. The nurse should expect a 4-year-old child to be able to fasten simple buttons on a shirt; however, the child may have difculty if the buttons are complicated.

A nurse in the emergency department is assisting with the care of a child who accidentally ingested an overdose of acetaminophen. Which of the following medications should the nurse expect to administer?

Acetylcysteine

A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C (101°F). Which of the following medications should the nurse administer?

Amoxicillin

A school nurse is caring for a school-aged child who has hemophilia and fell on the playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the following actions should the nurse take?

Apply an ice pack to the joint

A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?

Apply continuous pressure to the lower part of the child's nose

A school nurse is assisting a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select all that apply.)

B. Nausea D. Urticaria E. Stridor

A nurse in an urgent care clinic is collecting data from a preschooler who has indications of child maltreatment. The nurse should identify that which of the following findings is a manifestation of physical abuse?

Bruises at various stages of healing

A nurse is reinforcing dietary teaching with the parent of a toddler who has phenylketonuria. Which of the following foods should the nurse recommend?

Cooked carrots

A nurse is reinforcing discharge teaching with the guardian of an adolescent who is postoperative following a tonsillectomy. Which of the following manifestations should the guardian report to the provider?

Constant clearing of the throat

A nurse is planning to reinforce education with the parents of a school-aged child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following instructions should the nurse include?

Develop a daily morning task chart for child

A nurse is reinforcing teaching with the parents of an infant who has a cleft palate. The parents ask the nurse how long they Questio should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes?

Difficulty with language acquisition

A nurse at a clinic is preparing to administer highlight immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give?

Diphtheria, tetanus, and pertussis (DTaP)

A nurse is planning care for a preschool-aged child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take?

Encouraging parents to bring a child's stuffed animal helps lessen the disruptiveness of hospitalization

A nurse is reinforcing teaching with the family of a 6 month-old infant about ways to stimulate language development. Which of the following instructions should the nurse include?

Exposing the infant to expressive speech is the foundation for the development of expressive skills (the ability to make others understand needs and thoughts) and receptive skills (the ability to understand spoken words).

A nurse is collecting data from an 18-month-old child who is postoperative. Which of the following pain scales should the nurse Question Feedback use?

FLACC

A nurse in a provider's office is collecting data from a client. The nurse determines the client's body mass index (BMI) is 21.2. This finding is classified as which of the following?

Healthy weight

A nurse is collecting data from an infant who is at risk for increased intracranial pressure (ICP). Which of the following findings should indicate to the nurse that this complication is developing?

High pitched cry

A nurse is reinforcing teaching with the parents of a 10-year-old child who has iron-deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching?

I will administer the iron tablet with orange juice

A nurse is caring for a 4-year-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?

Inactive and thumb sucking

A nurse is collecting data during a well-child assessment of a 7-year-old child who takes great pride in bringing school papers home. This behavior demonstrates which of the following of Erikson's stages of psychosocial development?

Industry vs. inferiority

A nurse is caring for an infant who has neonatal abstinence syndrome (NAS). Which of the following interventions should the nurse perform?

Infants with NAS should be snugly swaddled with their arms in a exed position to place the hands near the mouth. This position allows self-soothing behaviors and decreases irritability

A nurse is obtaining a temperature reading from an 18-month- old infant. Which of the following methods should the nurse use?

Insert the lubricated tip of the thermometer 2.5 cm (1 in) into the toddler's rectum

A nurse is collecting data from a toddler who has a history of asthma. Which of the following findings should the nurse report to Question the provider?

Intercostal retractions

A nurse is reinforcing teaching with the family of a child who has autism spectrum disorder. Which of the following statements indicates that the family understands the instructions?

It will help our child if we structure our daily routine

The clinic nurse is collecting data from a 6-week-old infant whose guardian states, "I'm concerned about my baby's hearing." Which of the following manifestations should the nurse report to the provider?

Lack of startle reflex to a loud noise

A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?

Lanugo over the back

A nurse is collecting data from an adolescent who is receiving fentanyl via epidural. Which of the following assessments should the nurse identify as the priority?

Oxygen saturation

A nurse is caring for a preschool-aged child who has an intussusception of the bowel. Which of the following findings should the nurse report to the physician?

Passage of a formed brown stool

A nurse is assisting with the care of an infant who has a tracheoesophageal fistula. Which of the following actions should the nurse take?

Perform oropharyngeal suctioning

A nurse is assisting with the care of a school-aged child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

Periorbital edema

A nurse is caring for a preschool-aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to perform?

Place resuscitation equipment at the child's bedside

A nurse is caring for a 5-year-old child who has a fever and begins to have a seizure. Which of the following actions should the nurse take?

Place the child in a side-lying position

A nurse is reinforcing teaching with the guardian of an infant who has tetralogy of Fallot. Which of the following guardian responses indicates an understanding of the teaching?

Placing the infant in a knee-chest position during hypercyanotic spells traps blood in the lower extremities and reduces manifestations by diverting more blood pressure into the pulmonary artery.

A nurse is contributing to the plan of care for a preschooler who was admitted for the treatment of measles. Which of the following activities should the nurse recommend for the child?

Putting together a puzzle with large pieces

A nurse is collecting data from a 9-month-old infant. Which of the following findings should the nurse report to the provider as a delay in development?

Requiring support to sit for prolonged periods

A nurse is preparing to administer acetaminophen 240 mg PO daily to a child who has a temperature of 38.9°C (102°F). The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only. Round the answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.)

STEP 1: What is the unit of measurement to calculate? mL STEP 2: What is the dose needed? 240 mg STEP 3: What is the dose available? 160 mg STEP 4: Should the nurse convert the units of measurement? No

A nurse is reviewing the laboratory values for a 6-month-old infant who has acute renal failure. Which of the following findings should the nurse expect?

Sodium 125 mEq/L

A nurse is collecting data from a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child's nose. Which of the following actions should the nurse take?

Test the nasal secretions for glucose

A nurse is caring for a 4-month-old child who is hospitalized. Which of the following playtime objects should the nurse provide for the child?

The 4-month-old infant can recognize himself/herself and will also try to play with "the baby in the mirror." A mirror is a bright object that provides appropriate visual stimulation for this age group. For the infant's safety, however, the mirror must be unbreakable.

A nurse is reviewing the dynamics of a family in which abuse is suspected. Which of the following findings should the nurse report to the provider?

The child has several unexplained scars and bruises.

A nurse is preparing to assist with the physical assessment of a 2-year-old toddler. Which of the following behaviors should the nurse expect during the examination?

The child prefers to sit on the parent's lap during the examination

A nurse is assisting with evaluating the outcome of surgery for an infant who had a bile duct obstruction. Which of the following findings should indicate to the nurse that the surgery was successful?

The color of the infant's stool is yellowish-brown

A nurse is assisting with the admission orders for a female adolescent who has anorexia nervosa. The nurse should identify that which of the following laboratory tests is the priority to obtain?

The greatest risk to an adolescent client who has anorexia nervosa is an alteration in electrolytes, which can lead to lifethreatening cardiac arrhythmias. Therefore, the priority laboratory test for the nurse to obtain is a CMP.

A nurse on a pediatric unit is assisting with the admission of 4 children. For which of the following children should the nurse initiate droplet precautions?

The nurse should initiate droplet precautions for a child who has pertussis to decrease the risk of transmitting the infection to other children on the unit. Pertussis is a bacterial infection that is transmitted via direct contact with or exposure to respiratory secretions from an infected child. Manifestations include a fever, sneezing, and a severe cough.

A nurse is reinforcing teaching with the guardian of a toddler about preventing burn injuries. Which of the following pieces of information should the nurse include?

The nurse should instruct the guardian to use a cool-mist vaporizer rather than a steam vaporizer in the home because the steam from a steam vaporizer can cause scalding.

A nurse is preparing to collect data from an 11-month-old infant during a well-child examination. Which of the following actions should the nurse take?

The nurse should perform noninvasive assessments rst to avoid causing the infant to cry, which can make the remainder of the examination difcult

A school nurse is checking the lunch tray of a school-aged child who has a new diagnosis of celiac disease. Which of the following foods should the nurse instruct the child to remove from the tray?

Wheat roll

A nurse is reinforcing teaching with the parents of a child who has cerebral palsy. Which of the following statements should the nurse make?

Your child will need a botulinum toxic A injection to help with muscle spasticity.

A nurse is preparing to administer an oral liquid medication to a 6-month old infant. Which of the following interventions should the nurse plan to perform?

administer medication into the side of the infants mouth

A nurse is preparing to administer an oral liquid medication to a 6-month-old infant. Which of the following interventions should the nurse plan to perform?

administer medication into the side of the infants mouth

A nurse is caring for a 7-year-old child who has Kawasaki disease. Which of the following interventions should the nurse perform?

monitor for signs of fluid retention

A nurse is planning to perform chest physiotherapy (CPT) for an infant who has cystic fibrosis. Which of the following techniques should the nurse plan to include?

repeatedly strike the infants chest using a cupped hand

nurse is preparing a 3-month-old infant for a wellness visit with the physician. Which of the following observations should the nurse expect?

the infant looks at his hands- correct crude pincer grasp- incorrect ( expected 8-9 months) infant has no head lag- incorrect (slight head lag expected at 3 months) infant can independently roll from back to abdomen- incorrect (expected at 6 months)

A nurse is collecting data for a developmental assessment on a 3-year-old client. Which of the following commands should the nurse expect the child to successfully complete?

to put on your shoes

A nurse is reinforcing teaching with the guardian of a 9 month-old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching?

use an oral syringe to measure your infant's medication accurately

A nurse is reinforcing teaching with the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine. Which of the following instructions should the nurse include?

you will need to increase the dose as your child gains weight

A nurse is reinforcing teaching with the parent of a toddler who is hospitalized and has varicella. Which of the following points should the nurse reinforce?

your toddler will be unable to leave the room unless absolutely necessary.

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?

Myelomeningocele, a serious complication of spina bida, is a neural tube defect in which the spinal cord and meninges are in a cerebrospinal uid-lled sac at birth. Clients who have neural tube defects are at risk for latex allergy; therefore, the nurse should avoid the use of common medical products containing latex when caring for this client.

A nurse is reinforcing teaching about prevention with the parents of a 3-year-old child who has persistent otitis media. Which of the following statements by the parents indicates an understanding of the teaching?

Preventing exposure to tobacco smoke at home can prevent further episodes of ear infections because tobacco smoke can cause inammation of the respiratory tract.

A nurse is collecting data from an infant who has pyloric stenosis. Which of the following manifestations should the nurse Browse Questions Search expect?

Projectile vomiting

A nurse is reinforcing teaching with the guardian of an adolescent. The guardian reports that the adolescent sleeps for about 10 hours on weekend nights. Which of the following responses should the nurse make?

"Adolescents need more sleep due to rapid growth."

A nurse is assisting with the care of a child who has epilepsy and just experienced a tonic-clonic seizure. Which of the following actions should the nurse take first?

Turn and maintain the child in a side-lying position

The nurse is preparing to administer an oral medication to an 8 month-old infant. Which of the following actions should the nurse take?

Use an oral syringe to place the medication alongside the infant's tongue

A hospice nurse is assisting with a support group for parents of toddlers who have a terminal illness. Which of the following pieces of information should the nurse reinforce in the teaching?

The nurse should identify that toddlers have very little understanding of death. Their reaction is related to changes in routine and parents' emotions.

A nurse is reinforcing teaching with the parents of a toddler who has enterobiasis about management of the parasitic disease. Which of the following instructions should the nurse include in the teaching?

The nurse should instruct the parents to keep their child's fingernails trimmed short to minimize the collection of ova under the nails

A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of information should the nurse include?

Toddlers can be given up to 120-180 mL (4-6 oz) of juice per day

A nurse is collecting data from a 4-year-old preschooler about his gross motor skills. The nurse should expect the preschooler to perform which of the following activities?

The nurse should expect to nd that a 4-year-old preschooler is able to hop on 1 foot

A nurse is reinforcing teaching with the parents of a toddler who has enterobiasis about management of the parasitic disease. Which of the following instructions should the nurse include in the teaching?

The nurse should instruct the parents to keep their child's ngernails trimmed short to minimize the collection of ova under the nails

A nurse in a pediatric clinic is preparing to administer an IM vaccine to a preschooler. Which of the following actions should the nurse take?

The nurse should provide opportunities for distraction during the injection such as holding real medical equipment. Other strategies include allowing the preschooler to hold a stuffed animal, small foam ball, bandages, or unopened alcohol swabs. The nurse should give the preschooler choices when possible but avoid excessive delays.

A nurse is caring for an adolescent client whose weight is in the 76th percentile on a growth chart. Which of the following recommendations should the nurse make?

The nurse should recommend having frequent group meals in which everyone in the adolescent's household sits and eats together as an important behavioral modication to prevent obesity

A nurse is collecting data from a child who sustained a head injury. During the assessment, the nurse observes clear drainage leaking from the child's nose. Which of the following actions should the nurse take?

The nurse should test the nasal secretions for glucose with a reagent strip to determine if the secretions are a leakage of cerebrospinal uid (CSF). The leakage of CSF is positive for glucose and occurs if the child has a skull fracture.

A nurse is collecting data from a school aged child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?

Thin, frail extremities

A nurse is reinforcing teaching about home care with the guardian of a school-aged child who has seizures. Which of the following statements by the guardian indicates an understanding of the teaching?

To reduce the risk of aspiration and to improve oxygenation, the guardian should place the child in a side-lying position.

A nurse is collecting data from a toddler who has Down syndrome. Which of the following findings should the nurse expect?

Transverse palmar crease

A nurse is admitting a child who has a history of tonic-clonic seizures. Which of the following items is the priority to have in the child's room?

Suction equipment

A nurse is caring for a school-aged child who has appendicitis. Which of the following findings should the nurse report to the physician?

Sudden decrease in pain levels

A nurse is caring for a preschooler who has acute leukemia and methicillin-resistant Staphylococcus aureus (MRSA). The parents are not allowed to take the client to the hospital playroom, and the child appears bored. Which of the following actions should the nurse take?

The nurse can recommend that the parents bring toys from home for the preschooler. Any toys will need to be cleaned thoroughly with soap and water before the preschooler plays with them and after the preschooler is discharged to remove any MRSA. This will protect the preschooler's depressed immune system as a result of leukemia.

A nurse is contributing to the preoperative teaching plan for a preschooler who is scheduled for a tonsillectomy. Which of the following interventions should the nurse plan to include?

The nurse should encourage the preschooler to bring a favorite toy or blanket to the hospital on the day of the procedure. A familiar object provides comfort and relieves fear.

A nurse is reinforcing education with the parent of a toddler who has an acute vomiting illness. Which of the following interventions should the nurse include in the teaching?

The parent should brush the child's teeth or rinse the child's mouth to dilute the amount of hydrochloric acid that contacts the child's teeth.