Evolve Pediatric/maternatiy quiz 3

2 4

What psychosocial clues should be explored to confirm substance abuse in an adolescent? Select all that apply. 1 Overly polite behavior 2 Increased school absenteeism 3 Presence of drug-oriented magazines 4 Changes in interpersonal relationships 5 Wearing light clothes despite cold weather

4

What teaching must the nurse emphasize to the family when preparing a school-aged child with persistent asthma for discharge? 1 A cold, dry environment is desirable. 2 Limits should not be placed on the child's behavior. 3 The health problem is gone when symptoms subside. 4 Medications must be continued even when the child is asymptomatic.

1

Which pain scale should a nurse use to measure the intensity of pain in toddlers? 1 FACES scale 2 Visual analogue scale 3 Numerical rating scale 4 Verbal descriptor scale

3 5

Which should the nurse anticipate for a 5-year-old client related to play? Select all that apply. 1 Solitary play 2 Parallel play 3 Dress-up play 4 Team sport play 5 Cooperative play

1 2 3 5

Which techniques would the nurse use when assessing a preschool-age child? Select all that apply. 1 Asking questions directly to the child 2 Asking the child to sit on the examination table 3 Having the child undress leaving on the undergarments 4 Having the parent of the child leave the room for the duration of the assessment 5 Asking the child when he or she would like to have the head, eye, and ear assessment done

4

The nurse is caring for a child with spasmodic croup. The nurse knows that which symptom requires immediate nursing intervention? 1 Irritability 2 Hoarseness 3 Barking cough 4 Rapid respiration

2

Which is the priority topic when teaching the parents of a toddler-age client regarding the selection of toys? 1 Cost 2 Safety 3 Creativity 4 Appropriateness

2 4 5

Which statements are related to teratogenicity? Select all that apply. 1 Negative animal studies indicate that the drug is safe to use in pregnant clients. 2 Counseling must be provided to a sexually active client while using a known teratogen. 3 Pregnant clients can continue to take anticancer drugs if they cannot be avoided. 4 Functional defects in the newborn are the result of exposure of the fetus to teratogens in the later stages of pregnancy. 5 To wean a neonate from drug dependency, he or she should be given smaller doses of the drug.

2

A nurse is studying Erikson's theory of psychosocial development in preschoolers. Which task does the nurse identify as the chief psychosocial task of this age group? 1 Control over bodily functions 2 Development of a sense of initiative 3 Toleration of separation from parents 4 Ability to interact with others in a less egocentric manner

1

A nurse is caring for a 4-year-old child with just-diagnosed cystic fibrosis. The child has been passing loose, bulky, foul-smelling stools and is in the third percentile for weight. What is the best explanation of the growth failure? 1 Impaired digestion and absorption because of the lack of pancreatic enzymes 2 Dyspnea and shortness of breath, which cause anorexia and disinterest in food 3 Increased bowel motility and diarrhea, which lead to inadequate absorption of nutrients 4 Pulmonary obstruction, which causes an oxygen deficit and inadequate tissue nourishment

4

A nurse is educating the mother of a one-year-old baby about an adequate child's diet plan. Which statement made by the mother indicates the need for further education? 1 "I should limit the intake of milk to two to three cups per day." 2 "I should serve finger foods in small and reasonable amounts." 3 "I can start supplementing milk with solid food items such as vegetables and fruits." 4 "I should give low-fat or skimmed milk to the child until he or she is two years old."

1

A nurse is teaching a class of new parents how to position their infants during the first few weeks of life. Which position should the nurse tell the parents is the safest? 1 On the back, lying flat 2 On either side, head lying flat 3 On the left side, head slightly elevated 4 On the right side, head slightly elevated

4

A nurse is teaching parents about treating their infant's recurrent attacks of spasmodic croup at home. What is the desired effect of the actions that the nurse teaches the parents? 1 Dilation of the bronchi 2 Reduction of the fever 3 Depression of the cough 4 Interruption of the spasm

a

A nurse prepares a chart listing the methods of treatment of different types of poisoning in preschool children. Which preschooler's entry needs to be corrected? 1 Preschooler A 2 Preschooler B 3 Preschooler C 4 Preschooler D

3

After abdominal surgery, a 5-year-old child is experiencing pain, and an opioid analgesic is prescribed. What should the nurse consider about children in pain and their response to opioid analgesics when an opioid analgesic is prescribed? 1 Addiction to opioids is more of a risk for children than adults. 2 Analgesics are not needed as frequently because pain is not as strongly felt by children as it is by adults. 3 Even though children do not like taking medicines, analgesics will make them more comfortable. 4 Children do not need analgesics because they are easily distracted and will quickly return to play or sleep.

1 2 5

In what ways can a nurse prevent medication errors? Select all that apply. 1 Avoid using abbreviations and acronyms 2 Minimize the use of verbal and telephone orders 3 Try to guess what the client is saying if the language is not understood 4 Document each dose of the drug using trailing zeros when recording the dose 5 Check three times before giving a drug by comparing the drug order and medication profile

1 3 4 5

Which nursing care interventions are beneficial for medication administration in toddlers? Select all that apply. 1 Providing comfort measures to the child 2 Encouraging self-expression and self-care 3 Helping the child understand the treatment 4 Holding the child securely while administering the medication 5 Accepting aggressive behavior as a healthy response to medication administration

1 2 4 5

Which nursing interventions may promote safe drug administration in a child diagnosed with heart failure who is receiving digoxin? Select all that apply. 1 Checking for compliance with the client's drug regimen 2 Monitoring the client's serum potassium and magnesium levels regularly 3 Administering digoxin only through the intramuscular route 4 Calculating the correct dosage form, prescribed amounts, and the prescriber's order 5 Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and respiration rate regularly

2

Which vaccine is administrated through the intranasal route? 1 Rotavirus vaccine 2 Influenza (live) vaccine 3 Varicella virus vaccine 4 Human papillomavirus vaccine

2 4 5

A 2-year-old child is admitted to the hospital with severe pain. Which factors should be considered when administering opioids to this child? Select all that apply. 1 Diet modification 2 Dosing calculations 3 Body mass index 4 Presence of other symptoms 5 Appropriate dosage form

4

A 2-year-old child is brought to the emergency department with fever, drooling, and agitation. The child is not coughing and is sitting upright and leaning forward. Which of the following interventions is the priority? 1 Intravenous fluids and antibiotics 2 Immediate removal of the parents from the room to keep the child calm 3 Maintenance of the child in a prone position during transport to radiology 4 Procurement of a crash cart and emergency airway management tools to be kept on hand during examination of the throat

2

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care? 1 Place in a warm, dry environment. 2 Maintain standard and contact precautions. 3 Administer prescribed antibiotic immediately. 4 Allow parents and siblings to room in with the infant.

1

A child being treated with cardiac drugs developed vomiting, bradycardia, anorexia, and dysrhythmias. Which drug toxicity is responsible for these symptoms? 1 Digoxin 2 Nesiritide 3 Dobutamine 4 Spironolactone

4

A nurse educates a mother about the proper administration of oral medication to her 4-year-old child. What statement made by the mother indicates effective learning? 1 "I should administer the medication with a cup or spoon." 2 "I should mix the medicine in a large amount of food." 3 "I should avoid giving a straw to my child to take pills." 4 "I should use a disposable oral syringe to prepare liquid doses."

1 5 6

What are the greatest risks for injury among adolescents? Select all that apply. 1 Suicide 2 Poisoning 3 Child abduction 4 Home accidents 5 Substance abuse 6 Automobile accidents

1

What assessment finding should a nurse expect to note in a child with chronic hypoxia? 1 Clubbing of fingers 2 Decreased red cell count 3 Slow, irregular respirations 4 Subcutaneous hemorrhages

4

What gross motor skill is found in children between two to four months of age? 1 The child can creep on its hands and knees. 2 The child has predominant inborn reflexes. 3 The child can sit alone without any kind of support. 4 The child can bear weight on forearms when prone.

2

What is the maximum recommended dose of an intramuscular injection in a toddler? 1 0.5 mL 2 1 mL 3 1.5 mL 4 2 mL

1 4 5

Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine motor skills? Select all that apply. 1 Using scissors 2 Riding a bicycle 3 Throwing a ball 4 Tying shoe laces 5 Playing with clay

2

Which activity, related to family relationships, should the nurse anticipate when assessing a 5-year-old female client? 1 Having a rivalry with an older brother 2 Exploring cooking activities with the mother 3 Wanting to conform to the expectations of parents 4 Tolerating separation from parents for a short period of time

1

Which antihypertensive drug is contraindicated in lactating women? 1 Atenolol 2 Labetalol 3 Metoprolol 4 Propranolol

4

Which assessment data would cause the nurse to suspect that a toddler-age client is experiencing physical abuse? 1 Abdominal distention 2 Bloody underclothing 3 Recurrent urinary tract infections 4 Bruises in various stages of healing

1

Which assessment finding should the nurse identify as a physical readiness cue for a toddler-age client related to toilet training? 1 Having regular bowel movements 2 Willing to invest the time needed 3 Telling a parent that the diaper is wet 4 Expressing a willingness to please parents

4

Which fine motor skill should the nurse anticipate when assessing a 15-month-old client during a health maintenance visit? 1 Kneeling without support 2 Standing without support 3 Creeping up stairs without assistance 4 Holding cubes in one hand without assistance

1

Which hormone causes skin discoloration? 1 Estrogen 2 Progesterone 3 Pituitary hormone 4 Follicle-stimulating hormone

2 3 4

Which iron-rich foods should the nurse recommend for a toddler-age client who is diagnosed with iron deficiency anemia? Select all that apply. 1 Carrots 2 Raisins 3 Oatmeal 4 Lean steak 5 Whole milk

1

Which tocolytic agent can be used safely without combining with other agents to inhibit labor and maintain a pregnancy? 1 Nifedipine 2 Terbutaline 3 Indomethacin 4 Magnesium sulfate

ID with same sex parent

conflicting thoughts that arise during an Electra complex?

1 2 4 6

The nurse is caring for a 12-month-old infant with a diagnosis of failure to thrive. The infant's weight is below the third percentile, and development is delayed. Which behaviors of the child suggest to the nurse the possibility of parental neglect? Select all that apply. 1 Stiff 2 Withdrawn 3 Easily satisfied 4 Minimal smiling 5 Responsive to touch 6 Little interest in the environment

3

The nurse is preparing to administer an intramuscular injection to a preschool-age client. Which is the most appropriate statement by the nurse prior to this procedure? 1 "We will give you your shot when your mommy comes back." 2 "This is a magic sword that will give you your medicine and male you all better." 3 "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker." 4 "I will wipe your skin with a magic wipe and then hold the needle like this and say 'one, two, three, go' and give you your shot. Are you ready?"

2

What is the priority nursing action when a 3-month-old infant is receiving intravenous (IV) fluids by way of an antecubital vein? 1 Monitoring for infiltration behind the infant's elbow 2 Applying arm boards to prevent bending at the elbows 3 Checking both of the infant's pupils for dilation every hour 4 Telling the parents why they cannot hold the infant during IV therapy

1

A specimen for arterial blood gases is obtained from a severely dehydrated 3-month-old infant with a history of diarrhea. The pH is 7.30, Pco2 is 35 mm Hg, and HCO3- is 17 mEq/L (17 mmol/L). What complication does the nurse conclude has developed? 1 Metabolic acidosis 2 Metabolic alkalosis 3 Respiratory acidosis 4 Respiratory alkalosis

1 3 4

A tocolytic was administered to a woman to inhibit labor and maintain pregnancy. Which nursing interventions would be beneficial to this client? Select all that apply. 1 The drug should not be administered on a long term basis. 2 The drug should be continued after the contractions subside. 3 The client's vital signs and fetal heart rate should be monitored regularly. 4 The dose and route of administration should be determined. 5 The client should be placed in the right lateral recumbent position

3

Several hours after admission of a child to the pediatric unit with laryngotracheobronchitis (viral croup), the nurse determines that tachypnea and tachycardia, accompanied by intercostal and substernal retractions and increased restlessness, have developed. What is the priority nursing action? 1 Suctioning secretions from the trachea 2 Dislodging mucus by striking the back 3 Reporting the respiratory status to the practitioner 4 Increasing the concentration of oxygen being delivered

2

During a vaccination drive at a well-child clinic, a nurse notes that a recently hired nurse is not wearing gloves while vaccinating an infant. What should the nurse advise the newly hired nurse to do? 1 Speak with the nurse manager regarding techniques. 2 Put on gloves, because standard precautions are required. 3 Continue with the immunizations, because gloves are not needed. 4 Evaluate the child's appearance to determine whether gloves are needed.

4

A pregnant woman is administered medication to treat preterm labor that requires a prescription for calcium gluconate to counter the effects of the drug. Which drug was administered? 1 Nifedipine 2 Indomethacin 3 Betamethasone 4 Magnesium sulfate

2

A school age child is expressing fear concerning an uncomfortable sterile dressing change. Which response by the nurse would be most therapeutic? 1 Do you want some medicine to keep it from hurting? 2 Will you help hold the package of bandages for me? 3 This won't hurt if you try to relax while closing your eyes. 4 Watch the television show while I change your bandage

2 3 4

A nurse in the pediatric clinic is advising the mother of a toddler who has a pinworm infestation. What should the nurse teach the mother about caring for her child during and after treatment? Select all that apply. 1 How to identify pinworm eggs 2 Strategies to prevent reinfestation 3 The need for medication for the entire family 4 The importance of hand washing before eating 5 The reason for obtaining stool specimens from the child

2

A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention? 1 Barrel chest 2 Audible wheezing 3 Heart rate of 105 beats/min 4 Respiratory rate of 30 breaths/min

3

A nurse in the pediatric unit is admitting an 8-year-old child with asthma after an exacerbation at home. The child is short of breath. In what position should the child be placed to facilitate breathing? 1 Supine 2 Left lateral 3 High-Fowler 4 Trendelenburg

3 4

After assessing a 5-year-old, a nurse suspects that the child is a victim of physical neglect. Which findings support the nurse's suspicion? Select all that apply. 1 The child has enuresis. 2 The child has lacerations. 3 The child has malnutrition. 4 The child has poor hygiene. 5 The child has sleep disorders.

2

An adolescent displaying low self-esteem complains of inflamed, red, and painful lesions on his forehead. What condition does he have? 1 Varicoceles 2 Acne vulgaris 3 Open comedones 4 Closed comedones

4

The nurse has taught newborn care and safety to a group of expectant mothers. Which statement by a mother indicates the need for additional teaching? 1 "I need to put my baby to bed on his back." 2 "I need to toddler-proof my house when the child starts crawling." 3 "My baby could choke on any small object that will fit in her mouth." 4 "I'll keep my baby in a backward-facing car seat until he's a year old."

1

The nurse manager of the pediatric unit is notified that four children are going to be admitted to the unit. Which of the following children should be placed nearest the nurse's station? 1 An infant with acute laryngotracheobronchitis 2 A child with comminuted fractures of both legs 3 An adolescent in sickle cell crisis who is using patient-controlled analgesia 4 A child with idiopathic thrombocytopenic purpura who requires transmission-based precautions

1

What situation would the nurse instruct the parents may possibly predispose a preschooler to feeling guilty? 1 The caregiver's responses are too harsh. 2 The individual is unable to establish companionship. 3 The parents try to control the child and limit choices. 4 The parents fail to establish a sense of trust in the child.

2

What would the student nurse claim is an acceptable respiratory rate range in a toddler of 2 years of age? 1 20 to 30 breaths/minute 2 25 to 32 breaths/minute 3 30 to 50 breaths/minute 4 35 to 40 breaths/minute

3

When does the anterior fontanel of an infant close? 1 At 4 to 10 months 2 At 8 to 12 months 3 At 12 to 18 months 4 At 18 to 26 months