F.A. Davis

A patient asks the nurse why non-Hodgkin's lymphoma (NHL) is more difficult to treat compared to Hodgkin's lymphoma. What is the nurse's best response? "The NHL cell type may be highly differentiated and spreads slowly." "NHL occurs in the peripheral lymph nodes and spreads to tissues throughout the body, while Hodgkin's lymphoma develops in a single lymph node." "Hodgkin's disease develops in a single lymph node, and NHL occurs in every organ throughout the body." "NHL and Hodgkin's lymphoma are malignant diseases of the bone marrow and lymphatic system."

"NHL occurs in the peripheral lymph nodes and spreads to tissues throughout the body, while Hodgkin's lymphoma develops in a single lymph node."

The parent shares with the nurse that her mother had pain with cancer and is wondering why her child is not experiencing pain with a newly diagnosed lymphoma. What is the nurse's best response? "All cancers have or will have pain." "Pain occurs when the neoplasm directly or indirectly affects nerve receptors." "The child's cancer is different, and treatment is based on the type and stage of cancer." "Children do not experience pain like adults."

"Pain occurs when the neoplasm directly or indirectly affects nerve receptors."

A 10-year-old child is admitted to the hospital with a suspected brain tumor and is scheduled for a magnetic resonance imaging (MRI) in the morning. What should the nurse include in the child's teaching? "The MRI will explain the type of abnormal growth." "The MRI will locate the exact place that is causing you to be sick." "The MRI room is hot and noisy during the study." "The next test will differentiate the cells and help with future treatments."

"The MRI will locate the exact place that is causing you to be sick."

An adolescent asks the nurse what a biopsy will do for a new growth in the abdomen. What is the nurse's best response? "The biopsy will help confirm the type of cancer cells and treatment needed." "The biopsy will determine the type of benign or malignant tumor." "The biopsy will identify if a central IV line is needed." "The biopsy will determine if antibiotics are needed."

"The biopsy will determine the type of benign or malignant tumor."

The nurse is caring for a 7-year-old in the pediatrician's office who has been diagnosed with ADHD. Which medications does the nurse recognize as being candidates for pharmacological therapy? Select all that apply. Methylphenidate (Ritalin) Lithium Atomoxetine HCl (Strattera) Lisdexamfetamine dimesylate (Vyvanse) Risperidone (Risperdal) Haloperidol (Haldol) Fluoxetine (Prozac) Lamotrigine (Lamictal)

Atomoxetine HCl (Strattera) Lisdexamfetamine dimesylate (Vyvanse) Methylphenidate (Ritalin)

The parent asks what can be applied to a superficial burn on the forearm of a toddler who is allergic to sulfa drugs. Which application should the nurse direct the parent to use? Alginate Bacitracin Hydrocolloid Silver sulfadiazine

Bacitracin

The nurse suspects that a preadolescent client is experiencing migraine headaches. Which finding caused the nurse to make this clinical determination? Select all that apply. Begins to vomit Reports dizziness Asks for the lights to be turned off Turns up the volume on the TV Asks for something to stop their head pounding

Begins to vomit Reports dizziness Asks for the lights to be turned off Asks for something to stop their head pounding

A child is suspected of having Lyme disease. Which of the following findings are consistent with this diagnosis? Select all that apply. Bull's-eye rash Cough Erythema migrans Satellite rash Fever

Bull's-eye rash Erythema migrans Satellite rash Fever

The nurse knows that which risk factor is linked to mental illness in children? Family history of mental illness Exposure to stress in school Increased stress regarding getting good grades Living in an intact family

Family history of mental illness

A child with idiopathic thrombocytopenia (ITP) is receiving IV immunoglobulin. For what adverse effect will the nurse monitor the child during the start of the infusion? Renal failure Bruising Fever Hypertension

Fever

Which of the following symptoms would you expect the mother to report in a child with a suspected cancer diagnosis? Select all that apply. Anorexia Unusual weight gain Muscle rigidity General weakness Hematuria

General weakness Hematuria Anorexia

When caring for a child with hemophilia, which of the following clinical manifestations do you expect to find in the patient's history? Select all that apply. Lymphadenopathy Acute chest syndrome Hematuria Nosebleeds Weight loss

Hematuria Nosebleeds

Layla is being evaluated for dissociative disorder. The nurse knows which of the following are associated with the disorder. Select all that apply. History of abuse Detailed recall of previous memories Flashbacks Overuse of a defense mechanism Sense of doom

History of abuse Overuse of a defense mechanism

The nurse is caring for a school-age child who has several areas of second-degree burns over the arms and legs. Which type of dressing should the nurse use to cover these wounds? Foam Transparent Hydrocolloid Hydrogel sheet

Hydrogel sheet

Which medications are prescribed for sickle cell disease in vaso-occlusive crisis? DDVAP Calcium disodium edetate Immunosuppresant Iron supplement Hydroxyurea Morphine Penicillin VK

Hydroxyurea Morphine Penicillin VK

The nurse is assessing a full-term newborn infant and notes the lack of a Moro reflex. What should this finding represent to the nurse?

Impairment of the CNS

The nurse is educating a client and family about the goals of therapy. The nurse knows to include which goals of therapy? Select all that apply. Improve communication skills . Enable attachment to an emotional experience. Assist the client to build self-esteem. Provide the client with an opportunity to grow and develop. Assist the client to build their emotional vocabulary.

Improve communication skills Assist the client to build self-esteem. Provide the client with an opportunity to grow and develop. Assist the client to build their emotional vocabulary.

A student nurse is learning about the signs and symptoms of depression. They correctly identify anhedonia as: Chronic fatigue Fear of abandonment Inability to experience pleasure Impaired cognitive function

Inability to experience pleasure

Which of the following therapies would you include for a child with sickle cell disease? Select all that apply. Increased hydration Hydroxyurea Morphine to help with pain crises Acyclovir to prevent viral infection IV therapy

Increased hydration Hydroxyurea Morphine to help with pain crises IV therapy

A nurse is providing end-of-life education to the family of a terminally ill child. What should the nurse include? Select all that apply. Information about available treatment options Time frame of disease outcomes Signs and symptoms that may be seen during the dying process Warnings that the process is not peaceful since the child is young Explanation of how the disease will cause death

Information about available treatment options Time frame of disease outcomes Signs and symptoms that may be seen during the dying process Explanation of how the disease will cause death

The nurse is assessing a client admitted to an inpatient facility. The nurse knows to assess for which medical conditions that produce symptoms similar to those seen in mental health disorders? Select all that apply. Influenza Intellectual disabilities Medication-induced toxicities Lead poisoning Alteration in thyroid function

Intellectual disabilities Medication-induced toxicities Lead poisoning Alteration in thyroid function

The nurse is screening children and parents for lead exposure. What is an appropriate question for the nurse to detect lead exposure? Do you use stainless steel pots to cook? Is your house plumbed with copper pipes? How often do you snack on potato chips?

Is your house plumbed with copper pipes?

All of the following are true about pediatric palliative care (PPC) except: It offers bereavement support. It promotes patient comfort and family involvement. It is available during any time of a terminal illness. It focuses on reliving symptoms of a terminal condition.

It promotes patient comfort and family involvement.

A child with a vegan diet is diagnosed with iron deficiency anemia. What iron-rich foods will the nurse suggest the parents add to child's diet? Dark leafy vegetables, fish, lean beef Poultry, fortified cereals, fish Organ meat, shellfish, legumes Legumes, fortified cereals, molasses

Legumes, fortified cereals, molasses

A school-age client is experiencing bilateral lower extremity weakness that is spreading to the hands and arms. Which diagnostic test should the nurse expect to prepare this client for? MRI Lumbar puncture CT EEG

Lumbar puncture

The nurse is assessing for mental illness in children. What statement about the assessment of mental illness in children is accurate? Select all that apply. Mental illness in children is characterized by thought or behavior patterns that impair functioning and cause the individual distress. Mental illness in children is able to be detected through the presence of physical findings. Mental illness in children often impacts the child's ability to maintain personal relationships. Mental illness in children presents as a distorted view of the self. Mental illness in children is characterized by a lower IQ.

Mental illness in children is characterized by thought or behavior patterns that impair functioning and cause the individual distress. Mental illness in children is able to be detected through the presence of physical findings. Mental illness in children often impacts the child's ability to maintain personal relationships. Mental illness in children presents as a distorted view of the self.

Billy is 5 years old and is showing signs of skeletal muscle weakness. The nurse knows that, based on his age and complaints, assessment should check for other signs associated with what diagnosis? Cerebral palsy Muscular Dystrophy Seizure disorder Meningitis

Muscular Dystrophy

A nurse working with a group of students is asked why infants are more susceptible to skin infections. The nurse explains which characteristics contribute to this phenomenon? Newborns and infants have thinner and weaker skin. Newborns and infants have more hair, which holds bacteria. Newborns and infants have more sweat. Infants are not at a higher risk than any other age for skin conditions.

Newborns and infants have thinner and weaker skin.

A school nurse is teaching a group about lice. Which of the following should be included in the teaching? Select all that apply. Nits might initially be mistaken for dandruff. Prescription shampoos are necessary for quick treatment. Family members living in the same household of a child diagnosed with lice should also be treated. Lice can hop from one person to another. Linens should be washed in warm water.

Nits might initially be mistaken for dandruff. Family members living in the same household of a child diagnosed with lice should also be treated.

The nurse is preparing a school-age child for magnetic resonance imaging (MRI). What considerations should the nurse identify as important when preparing a pediatric client for an MRI? Select all that apply. The child is often given age-appropriate sedation for the MRI. Children should be encouraged to eat and drink prior to going into the MRI due to the long length of time they may be in the test. Nursing care is aimed at alleviating anxiety and complications. Any metallic piercings or jewelry must be removed from the child prior to the procedure. Intake and output must be monitored.

Nursing care is aimed at alleviating anxiety and complications. Any metallic piercings or jewelry must be removed from the child prior to the procedure. Intake and output must be monitored. The child is often given age-appropriate sedation for the MRI.

The nurse is assessing the motor skills of a preschool-age child. What method would best accomplish this goal? Ask the parent what the child is able to do. Offer age-appropriate toys to see if the child manipulates the toy appropriately. Ask the child questions to determine the level of capability. Give the child a physical examination.

Offer age-appropriate toys to see if the child manipulates the toy appropriately.

The nurse is working with a child receiving cancer treatments. What is the most important nursing intervention to promote hydration? Limit fluid intake to 1 L per day Keep the water cup filled with fresh ice and water Weigh the child weekly Offer fluids of choice frequently

Offer fluids of choice frequently

A nurse is caring for a terminally ill child who has a do not resuscitate (DNR) order in place. Which statements are true regarding a DNR order? Select all that apply. Only legal guardians can determine a child's DNR status. A DNR order can be reversed at any time. Pediatric patients are not eligible for DNR orders. A DNR order means no life-sustaining interventions will be provided. A physician can override a DNR order for a child if the physician feels there is a greater than 50% likelihood the child can successfully be resuscitated.

Only legal guardians can determine a child's DNR status. A DNR order can be reversed at any time.

The nurse is planning care for a child admitted into the psychiatric facility. Which statement reflects a priority nursing action for this client? Orient the child to the milieu and allow the child to remain comfortable in clothing from home. Refer to clients by first name only. Orient the client to the unit and the milieu rules. Check clients hourly to assess for safety.

Orient the client to the unit and the milieu rules.

A nurse is discussing the effects of sun exposure with some teenage girls. Which would not be important to include in this discussion of sun damage prevention? Sun exposure is best to limit between the hours of 10 a.m. and 4 p.m. Sun exposure contributes to melanoma formation. Sunscreens mixed with DEET should be avoided. Darker complexions are less vulnerable to sunburn.

Sun exposure is best to limit between the hours of 10 a.m. and 4 p.m.

Which of the following statements is true regarding the Faces Scale? Select all that apply. The child must choose a face representative of their pain. It is for patient's under age 3 years. The child should understand facial expressions. It assesses a child's facial expression. The child must have a developmental ability to understand number value.

The child must choose a face representative of their pain. The child should understand facial expressions.

A school-age child is prescribed griseofulvin as treatment for tinea capitis. Which observation indicates that teaching about this medication was effective? The client takes medication while eating a piece of fruit. The client applies a sunscreen before going outdoors. The client skips a dose of the medication because of nausea. The client schedules an evaluation appointment in 3 months.

The client applies a sunscreen before going outdoors.

A nurse is planning care for a child with obsessive-compulsive disorder (OCD). Which nursing intervention for a child with OCD demonstrating a ritual is most appropriate? Recommend the child be admitted to an inpatient psychiatric facility. Use cue cards to prompt the child to stop the thoughts. Prompt the child to interrupt the performed ritual. Encourage isolation of the child.

Use cue cards to prompt the child to stop the thoughts.

A nurse is caring for a client in an inpatient psychiatric facility. The nurse knows which types of activities are considered therapeutic when caring for children with mental health disorders? Select all that apply. Use of toys Coloring or painting Group therapy Playing instruments Isolation therapy Learning games Group games

Use of toys Coloring or painting Group therapy Playing instruments Learning games Group games

The parent of a preschool-age child asks what can be done for a spider bite that is draining clear fluid with a black center. Which response should the nurse make first? "Squeeze the area to remove the stinger." "When was the last tetanus toxoid vaccination given?" "Have the area evaluated to make sure it is a spider bite." "Wash the area with soap and water and apply ice to the site."

"Have the area evaluated to make sure it is a spider bite."

The nurse provides teaching to a preadolescent client with acne. Which client statement indicates that teaching has been effective? "I need to keep my hair off of my face." "I should apply makeup that contains oil." "I should wash my face with a strong soap." "I can squeeze the smaller pimples after washing my hands."

"I need to keep my hair off of my face."

Abby is a 4-year-old girl being seen for her well-child exam. Her mother reports that she often appears as if she is daydreaming. What diagnosis is suspected? Guillain-Barre syndrome Spinal muscle atrophy Cerebral palsy Absence seizures

Absence seizures

The nurse suspects a child with bone and joint pain has leukemia after past chemotherapy treatments. What type of leukemia has most likely occurred? Acute lymphocytic leukemia (ALL) Acute myeloblastic leukemia (AML) Chronic myeloid leukemia (CML) Chronic lymphocytic leukemia (CLL)

Acute lymphocytic leukemia (ALL)

An 11-year-old describes their pain as sharp, stabbing lower leg pain. The nurse correctly identifies this type of pain as which of the following? Neuropathic Acute somatic Visceral Chronic

Acute somatic

The nurse is admitting a child with a history of acquired thrombocytopenia (ATP) after a trauma. What nursing care is important to prevent further bleeding? Encourage mouth care with a firm toothbrush to prevent plaque buildup. Perform suctioning of the oral airway. Administer prescribed steroids. Maintain bedrest.

Administer prescribed steroids.

Which of the following are part of the multidisciplinary care team of a pediatric patient on hospice? Select all that apply. Physician Child life specialist Nurse Chaplain Pharmacy

All of the above

Which of the following statements is true regarding absolute neutrophil count (ANC)? ANC is diagnostic to diagnose leukemia. An ANC less than 500 indicates a high risk for infection. Patients with aplastic anemia will show high ANC level. Chemotherapy selection is based on the ANC.

An ANC less than 500 indicates a high risk for infection.

A nurse is providing education about risk factors for mental health disorders to a group of parents. Which statements are indicative of risks for mental health disorders in children? Select all that apply. Children who demonstrate self-mutilating behavior are at risk for developing mental health disorders. Children who experience multigenerational poverty are at risk for developing mental health disorders. Children who have a family history of mental illness are at risk for developing mental health disorders. Children who have been victims of physical abuse are at risk for developing mental health disorders. Children who were born with low birth weight are at risk for developing mental health disorders.

Children who experience multigenerational poverty are at risk for developing mental health disorders. Children who have a family history of mental illness are at risk for developing mental health disorders. Children who have been victims of physical abuse are at risk for developing mental health disorders. Children who were born with low birth weight are at risk for developing mental health disorders.

The nurse is caring for a child in the hospital setting and is using the Braden Q Scale to measure potential for skin breakdown. Which statement is true about the Braden Q Scale? Children with a low-caloric, low-nutrient diet will score high on the Braden Q Scale. Children with a high-caloric, high-nutrient diet will score high on the Braden Q Scale. Children with impaired mobility will score high on the Braden Q Scale. A total score of 9 on the Braden Q Scale is indicative of low risk for skin breakdown.

Children with a high-caloric, high-nutrient diet will score high on the Braden Q Scale.

The nurse is instructing a caregiver about the effects of chronic anxiety on children. Which statement about chronic anxiety in children is accurate? Chronic anxiety in children is associated with diabetes. Chronic anxiety in children causes anemia later on in life. Chronic anxiety in children is not associated with any long-term health issues. Chronic anxiety in children will require medication at the time of diagnosis.

Chronic anxiety in children is associated with diabetes.

A nurse is teaching a class to new parents. What items should the nurse include regarding the prevention of diaper dermatitis? Select all that apply. Plastic diaper covers can be used to prevent leaks and irritation of the skin surrounding the diaper. Clean the diaper area with warm water each time the diaper is changed. Clean the diaper area each time with soap and water. Allow the baby to be out of the diaper several times per day. Use baby powder or cornstarch to keep the skin dry.

Clean the diaper area with warm water each time the diaper is changed. Allow the baby to be out of the diaper several times per day.

The nurse instructs the family of a school-age child with methicillin-resistant Staphylococcus aureus (MRSA). Which observation indicates that additional teaching is required? Clothes drying on a line outside Surfaces cleansed with a disinfectant Hands washed with soap and water for 30 seconds Individual towels identified for each family member

Clothes drying on a line outside

Which of the following is not a leading cause of death for children ages 10 to 14 years old? Accidents Cancer Congenital malformations Suicide

Congenital malformations

A nurse caring for an adolescent who has just been prescribed a selective serotonin reuptake inhibitor (SSRI) for depression should explain which of the following in teaching about the side effects of the medication? Select all that apply. Hypertension Weight gain Constipation GI distress Sexual dysfunction

Constipation GI distress Sexual dysfunction

A 9-month-old infant is being examined by a nurse. The infant is being seen for a newly developed red, raised rash on the buttock area. The caregiver reports using a new brand of diapers for the last couple of days. The nurse suspects which of the following? Atopic dermatitis Contact dermatitis Seborrheic dermatitis Eczema

Contact dermatitis

A nurse is calculating the safe dosage for sertraline (Zoloft) for a client weighing 59.4 lb. A reliable reference indicates that the safe dose range for Sertraline is 1.5 to 3 mg/kg/day. What is the maximum daily dose for this client? Round your answer to the nearest whole number.

Correct Answer: 81 Rationale: First convert the client's weight in lb to kg: 59.4 lb = 26.94 kg. The maximum daily dose for sertraline is 3 mg/kg/day. So, 27 kg × 3 mg = 81 mg per day.

The nurse is caring for a newborn after delivery and recognizes that the child was born with a myelomeningocele. What action should the nurse take? Clean the area and leave it open to air. Clean the defect and cover it with impregnated gauze. Cover the defect with a sterile dressing moistened with warm and sterile normal saline. Cover the defect with a simple dressing until the infant can go directly into surgery.

Cover the defect with a sterile dressing moistened with warm and sterile normal saline.

Which of the following are social influences that may contribute to mental health disorders? Select all that apply. Personality Culture Religion Socioeconomic status Genetics

Culture Religion Socioeconomic status

A nurse caring for a child with impaired mobility is assessing the skin integrity. The nurse knows which is considered a risk factor for skin breakdown in children? High protein, nutrient rich diet Decreased tissue perfusion Ability to change one's own position Clean, dry, intact skin

Decreased tissue perfusion

When communicating with the family of a child receiving end-of-life care, the nurse conducts assessments to: Select all that apply. Determine the family's understanding of the child's diagnosis Establish who cannot legally receive information about the child Determine the cognitive level of family members Give detailed information to the family Determine how the family unit functions

Determine the cognitive level of family members Determine the family's understanding of the child's diagnosis Determine how the family unit functions

A nurse is providing end-of-life care for a 9-year-old patient and their family. The nurse's communication should be which of the following? Select all that apply. Developmentally appropriate Subjective Detailed Honest Focused on palliative care

Developmentally appropriate Honest

Family-centered care at the end of life requires communication that is: Select all that apply. Developmentally appropriate Informative Immediate Culturally appropriate Sympathetic

Developmentally appropriate Informative Culturally appropriate

The nurse is visiting the home of a school-age child who is recovering from shunt placement for hydrocephalus. Which assessment finding is least indicative of shunt malfunction? Fever Lethargy Diarrhea Severe headache

Diarrhea

A 5-year-old client has been experiencing seizure activity for the last 20 minutes. What medication should the nurse prepare to administer to this client? Diazepam Clonazepam Ethosuximide Carbamazepine

Diazepam

Which of the following are leading causes of death in the pediatric population? Select all that apply. Cancer Abuse Drowning Accidents Heart disease

Drowning, accidents

The major goal of therapy for children with cerebral palsy is which of the following? Cure underlying defect causing the disorder Reverse degenerative processes that have occurred Prevention of spread to individuals in close contact with child Early and aggressive intervention to maximize independence

Early and aggressive intervention to maximize independence

The nurse is asked to prepare a teaching tool about acquired hydrocephalus in pediatric clients. Which type should the nurse include? Select all that apply. Ex vacuo Incomplete Communicating Normal pressure Noncommunicating

Ex vacuo Communicating Noncommunicating

The nurse knows that child and adolescent mental health care is available in which setting? Select all that apply. Group homes Churches, synagogues, mosques, and places of worship Partial hospitalization programs (PHPs) Intensive outpatient programs (IOPs) Inpatient psychiatric facilities

Partial hospitalization programs (PHPs) Intensive outpatient programs (IOPs) Inpatient psychiatric facilities Group homes

Which of the following assessment findings of a newborn would indicate that your patient has spina bifida? Select all that apply. Meconium ileus Exposed spinal nerves and meninges Transverse palmar crease Bulging fontanel Partial or complete paralysis below spinal opening

Partial or complete paralysis below spinal opening Exposed spinal nerves and meninges

You are caring for a 6-year-old boy with suspected meningitis. Which clinical manifestations would you expect? Select all that apply. Afebrile Photosensitivity Stiff neck Altered mental status Spastic leg movements

Photosensitivity Stiff neck Altered mental status

A 12-year-old male child is diagnosed with acquired thrombocytopenia (ATP) after an infection with Rocky Mountain spotted fever. The nurse understands that which diagnostic examination will identify ATP? Partial thromboplastin time: 28 seconds Total iron-binding capacity values: 280 mg/dL Platelet count: 80 × 103/mcL Hemoglobin: 13.5 g/dL

Platelet count: 80 × 103/mcL

Which of the following clinical manifestations is common in iron deficiency anemia? Select all that apply. Poor muscle tone Irritability Convex nailbeds Ashen color skin Nosebleeds

Poor muscle tone Irritability

The Neonatal and Infant Pain Scale for Newborns (NIPS) assesses which of the following when determining the infant's pain level? Select all that apply. Position Consolability Alertness Heart rate Cry

Position Alertness Cry

An infant is born with an open spinal cord defect. Which action should the nurse take when caring for this client? Select all that apply. Position the client prone Position the client supine Keep the defect open to air Place the client on an open diaper Cover the defect with a moist, sterile dressing

Position the client prone Place the client on an open diaper Cover the defect with a moist, sterile dressing

The nurse is providing care to a child post craniotomy for a brain tumor removal. What is the rationale to prevent the child from vomiting? Stabilize hydration status. Limit weight loss. Prevent oral candidiasis. Prevent increased intracranial pressure.

Prevent increased intracranial pressure.

A nurse is assessing a child diagnosed with atopic dermatitis. The nurse observes which of the following signs and symptoms associated with atopic dermatitis? Select all that apply. Honey-colored, crusted lesions Pruritus Increase in IgA antibodies in the blood Asthma Family history of skin conditions

Pruritus Asthma

A patient is diagnosed with a terminal brain tumor. What teaching should the nurse include with the recommended palliative treatments? The chemotherapy will shrink the brain tumor. The child will not have pain as therapy continues. Radiotherapy will shrink the brain tumor. There are no side effects with radiation therapy.

Radiotherapy will shrink the brain tumor.

A teen has been diagnosed with an eating disorder characterized by binging and purging. The nurse correctly identifies the disorder as bulimia. Which of the following are associated signs and symptoms of this disorder? Select all that apply. Increased risk for infection Russell's sign Loss of tooth enamel Average body weight Muscle wasting

Russell's sign Loss of tooth enamel Average body weight

Which of the following describes acute somatic pain? Burning and shooting Sharp and stabbing Dull and crampy Continues beyond time of healing

Sharp and stabbing

A school-age child is reported as having a seizure at school. Which finding should indicate to the nurse that the client is experiencing focal seizures? Select all that apply. Spasms Muscle rigidity Head turning Loss of muscle tone Jerking of the extremities

Spasms Muscle rigidity Head turning Jerking of the extremities

A preadolescent client with a history of Chiari malformation type II arrives for a sports physical. What information is essential for the nurse to collect before beginning the physical assessment? Type of sport Head circumference Grade level in school Height and weight

Type of sport

A nurse is concerned that the sibling of a child who dies due to a terminal illness is experiencing a traumatic grief response. Which of the following findings support the nurse's concern? Select all that apply. The sibling is having difficulty remembering positive memories of their deceased sibling. The sibling is having difficulty coping with changes. The sibling is having difficulty with daily functioning. The child seems to have adjusted quickly to the death of their sibling. This sibling has had changes in their sleep.

The sibling is having difficulty remembering positive memories of their deceased sibling. The sibling is having difficulty coping with changes. The sibling is having difficulty with daily functioning.

The nurse is concerned that a school-age child is at risk of developing a pressure ulcer. Which assessment finding caused the nurse to have this concern? The skin is warm and dry. There is minimal oral intake. The client moves independently in bed. The client removes socks before going to sleep.

There is minimal oral intake.

John is a 4-year-old boy brought in by his caregiver for concerns of circular, scaly, pruritic patches on his legs. These findings are consistent with which diagnosis? Tinea corporis Tinea capitis Seborrheic dermatitis Pediculosis capitis Question

Tinea corporis

An 18-month-old client is scheduled for an electroencephalogram (EEG). What should the nurse do to facilitate this diagnostic test? Wash the client's hair before the test. Provide a sedative 30 minutes prior to the test. Withhold food and fluids for 2 hours before the test. Transport the client to the testing site during naptime.

Transport the client to the testing site during naptime.