RN Nursing Care of Children Online Practice 2019 A

A nurse is reviewing the lab report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? A. hct 28% B. hgb 12.5 C. WBC 8,000 D. plts 250,000

A. hct 28%

A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? A. purulent nasogastric drainage B. absence of peristalsis C. passage of dark red stool with mucus D. WBC 6,000

B. absence of peristalsis

A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (select all that apply) A. neg. babinski reflex B. ankle clonus C. exaggerated stretch reflex D. uncontrollable movements of the face E. contractures

B. ankle clonus C. exaggerated stretch reflex E. contractures

A nurse is caring for a school-aged child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After d/c the med infusion, which of the following medications should the nurse admin first? A. prednisone B. epinephrine C. diphenhydramine D. albuterol

B. epinephrine

A nurse is caring for a school-age child is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? A. laryngeal edema B. flank pain C. distended neck veins D. muscular weakness

B. flank pain

A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure? A. apply topical antimicrobial ointment to the childs wound B. place a mesh gauze dressing over the childs wound C. admin an analgesic to the child D. initiate prophylactic antibiotic therapy for the child

C. admin an analgesic to the child

A nurse is assessing a 4 yo child at a well child visit. Which of the following developmental milestones should the nurse expect to observe? A. identifies right from left hand B. uses a utensil to spread butter C. cuts an outlined shape using scissors D. draws a stick figure with seven body parts

C. cuts an outlined shape using scissors

A nurse is teaching the guardian of a 6 month old infant about car seat use. Which of the following statements by the guardian indicates an understanding of the teaching? A. I should secure the car seat using lower anchors and tethers instead of a seat belt B. I should position the car seat harness 1 inch above my baby's shoulders C. I will make sure the car seat is placed at a 90 degree angle D. I will pad my babys car seat with a blanket for traveling long distances

A. I should secure the car seat using lower anchors and tethers instead of a seat belt

A nurse in an urgent care clinic is assessing an adolescent who has an upper resp tract infection. Which of the following findings should the nurse ID as a manifestation of pertussis? A. inflamed throat with exudate B. purulent eye drainage C. dry, hacking cough D. koplik spots on buccal mucosa

C. dry, hacking cough

A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should ID that which of the following statements by the parent indicates an understanding of the teaching? A. I should remove the harness at night to allow my infant to stretch her legs B. I will need to adjust the straps on the harness once each week C. I should apply baby powder to my infants skin twice daily D. I will place my infants diapers under the harness straps

D. I will place my infants diapers under the harness straps

A nurse is planning care for school-age child who is in the oliguric phase of AKI and has a sodium level of 129. Which of the following interventions should the nurse include in the plan? A. admin ibuprofen to the child for temp greater than 100.4 B. assess the child BP every 8 hr C. weigh the child weekly at various times of the day D. initiate seizures precautions for the child

D. initiate seizures precautions for the child

A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take? A. instruct the parents to decrease the calcium in their toddlers diet B. prepare the toddler for chelation therapy C. refer the fam to child protective services D. schedule the toddler for a yearly rescreening

D. schedule the toddler for a yearly rescreening