NRS 374- Exam #2

You are preparing to give Tylenol 160 mg to a child with a fever. Your supply is 160mg/5mL. How many mL will you give?

5 mL

A nurse is preparing to administer amoxicillin 30mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200mg/5mL suspension. How many mL should the nurse administer. (round to the nearest tenth)

5.6mL

You are caring for a child that needs penicillin 14mg/kg per dose. Child weighs 26.4 lb. Your supply on hand is 250mg/10mL. How many mL will you administer? Round to the nearest 10th

6.7 mL

You are caring for a newborn in the delivery room. You need to assign an APGAR score to a baby who presents with some muscle tone, heart rate above 100, strong cry, coughs, and blue hands and feet. What is the score?

8

If a baby presents at birth with a heart rate above 100, strong cry, active motion, blue hands and feet, what APGAR do you assign

9

You are caring for a child that needs a 300ml bolus to be infused over 20 minutes. How fast do you set the pump to infuse?

900ml/hr

You are assisting with care of a newborn in the delivery room. The baby presents with HR 98, has some muscle tone, you note some grimacing, hands and feet are blue, respirations are slow. What APGAR score do you assign to the baby?

5

A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hrs. Available is cefuroxime sodium oral solution 125mg/5ml. How many mL should the nurse administer per dose? (round to the nearest tenth).

3.3mL

A nurse is preparing to administer digoxin 12mcg/kg/day PO to divide equally every 12 hr to a school age child who weights 66 lb. available is digoxin elixir 0.05mg/mL. How many mL should the nurse administer per dose? (round to the nearest tenth)

3.6mL

A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborns birth weight is 1,100 g. Which of the following are expected findings in this newborn. select all that apply A. translucent skin B. long nails C. weak grasp reflex D. lanugo E. plump face

A, C, D

What is scored when preforming an assessment for APGAR? select all that apply A. muscle tone B. cap refill C. skin color D. breathing E. Reflex\ grimace F. Heart rate

A, C, D, E, F

A nurse is conducting a well-baby visit with a 4 month old. Which of the following immunizations should the nurse plan to administer? A. pneumococcal vaccine B. MMR C. rotavirus D. varicella E. polio

A, C, E

A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for newborn? A. 48 B. 100 C. 110 D. 22

A. 48

What age group has Eriksons: Identity vs. role confusion A. Adolescents (12-20 years) B. Preschoolers (3-6 years) C. Toddlers (1-3 years_ D. School age children (6-12 years)

A. Adolescents (12-20 years)

A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? A. evaporation B. radiation C. conduction D. convection

A. Evaporation

A nurse is providing teaching about dental care and teething to parents of a 9 month old infant. Which of the following statements by the parents indicate understanding of teaching? A. i should clean my babys teeth with a cool wet washcloth B. I can give my baby advil for up to 5 days while teething C. I should place diluted juice in the bottle my baby drinks while falling asleep D. I can give my baby a warm teething ring to relieve discomfort

A. I should clean my babys teeth with a cool wet washcloth

A nurse is caring for a newborn immediately following a circumcision using a gomco procedure. Which of the following actions should the nurse implement A. apply petroleum gauze to the site B. place the newborn in the prone position C. avoid changing the diaper until the first voiding D. apply gelfoam powder to the site

A. apply petroleum gauze to the site

What stage of Eriksons psychosocial development contains these findings? Independence is paramount for toddlers, who are attempting to do everything for themselves. Toddlers often use negativism, or negative responses, as they begin to express their independence A. autonomy vs. shame and doubt B. industry vs. inferiority C. trust vs. mistrust D. initiative vs. guilt

A. autonomy vs. shame and doubt

A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? A. back seat, rear-facing B. Front seat, rear- facing C. Front seat, forward- facing D. Back seat, Forward-facing

A. back seat, rear facing

A nurse is assessing a 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. birth weight doubled. B. birth length increased by 50% C. eruption of six teeth D. closed anterior fontanel

A. birth weight doubled

A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn? A. sunken fontanels B. maculopapular skin rash C. conjunctivitis D. bronze skin discoloration

A. sunken fontanels

A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching? A. the newborn will have continuous high pitched cry B. the newborn will sleep for 2 to 3 hours after a feeding C. the newborn will have decreased muscle tone D. the newborn will have mild tremors when disturbed.

A. the newborn will have a continuous high pitched cry

A nurse is speaking with the mother of a 6 year old child. Which of the following statements by the mother should concern the nurse? A. the teacher says my child has to squint to see the board B. sometimes my child acts bossy with his friends C. My child has recently lost both front top teeth D. my child often cheats when we play board games

A. the teacher says my child has to squint to see the board

A nurse is evaluating the developmental level of a 2 year old. Which of the following does the nurse expect to observe in this child? A. uses a cup to drink B. uses a fork to eat C. uses a knife for cutting food D. pours own milk into a cup

A. uses a cup to drink

A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is postmature. Which of the following statements should the nurse make? A. your babys skin will have a leathery apperance B. your baby will have excess body fat C. your babys heels will easily move to his ears D. Your baby will have flat areola without breast buds.

A. your babys skin will have a leathery apperance

A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? select all that apply A. hydrocele B. hypospadias C. family history of hemophilia D. epispadias E. hyperbilirubinemia

B, C, D

A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? A. cover the cord with a small gauze square B. keep the diaper folded below the cord C. trickle clean water over the cord with each diaper change D. apply hydrogen peroxide to the cord twice a day

B. Keep the diaper folded below the cord

A nurse is preparing to assess a preschool age child. Which of the following is an appropriate action by the nurse to prepare the child? A. use medical terminology to describe what will happen B. allow the child to role-play using miniature equipment C. separate the child from her parent during the examination D. keep medical equipment visible to the child

B. allow the child to role play using miniature equipment

A nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to feed? A. spits up clear mucus B. attempts to place his hands in his mouth C. turns his head toward sounds D. lies quietly with is eyes open

B. attempts to place his hands in his mouth

A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? A. pubic hair growth B. testicular enlargement C. vocal changes D. facial hair gowths

B. testicular enlargement

A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to extrauterine life. A. crackles and wheezing B. expiratory grunting C. obligatory nose breathing D. inspiratory nasal flaring E. apnea for 10 second periods

C, E

A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? select all that apply. A. abundant lanugo B. vernix in the folds and creases C. positive moro reflex D. short, soft fingernails E. cracked peeling skin

C, E

A nurse is aware that the anterior fontanel usually closes by: A. 4-6 months B. 18-24 months C. 12-18 months D. 6-9 months

C. 12-18 months

A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn? A. dry the infant off and cover the head B. stimulate the infant to cry C. clear the respiratory tract D. cut the umbilical cord

C. clear the respiratory tract

A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority? A. giving a Vit K injection B. initiating breastfeeding C. covering the newborns head with a cap D. performing the initial bath

C. covering the newborns head with a cap

A nurse is teaching a newborns parent to care for the umbilical cord stump. Which of the following instructions should the nurse include? A. apply petroleum jelly to the cord stump B. wash the cord daily with mild soap and water C. give a sponge bath until the cord stump falls off D. cover the cord with a diaper

C. give a sponge bath until the cord stump falls off

A nurse is providing education about introducing new foods to the parents of a 4 month old infant. The nurse should recommend which of the following foods first? A. strained yellow vegetables B. pureed fruits C. iron fortified cereals D. whole milk

C. iron fortified cereal

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurses priority? A. hypothermia B. acrocyanosis C. respiratory distress D. accidental lacerations

C. respiratory distress

A clinic nurse assesses the communication patterns of a 5 month old infant. The nurse determines that the infant is demonstrating the highest level of development achievement expected if the infant: A. uses simple words such as "mama" B. Coos when comforted C. uses monosyllabic babbling D. links syllables together

C. uses monosyllabic babbling

A nurse is completing discharge instructions for a new mother and her 2 day old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make? A. your baby should sleep at least 6 hours between feedings B. your baby should burp after each feeding C. your baby should wet 6-8 diapers per day by one week old D. your baby should have a wake cycle of 30-60 minutes after each feeding

C. your baby should wet 6-8 diapers per day by one week old

A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make? A. preterm newborns have a smaller body surface area than normal newborns B. the added brown fat layer in a preterm newborn reduces his ability to generate heat C. the heat in the incubator rapidly dries the sweat of preterm newborns. D. Preterm newborns lack adequate temperature control mechanisms.

D preterm newborns lack adequate temperature control mechanisms

The nurse is aware that the age at which the posterior fontanel closes is by: A. 9-12 months B. 6-9 months C. 3-6 months D. 6-8 weeks

D. 6-8 weeks

A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborns condition following administration of synthetic surfactant? A. serum bilirubin B. heart rate C. body temperature D. oxygen saturation

D. oxygen saturation

A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborns mouth. This finding is a characteristic of which of the following conditions? A. milia spots B. erythema toxicum C. mongolian spots D. epsteins pearls

D. Epsteins pearls

A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering? A. ceftriaxone B. Ofloxacin C. Nystatin D. Erythromycin

D. Erythromycin

A mother of a 3 year old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to: A. punish the child every time the child says "no", to change the behavior B. allow the behavior because this is normal at the age period C. ignore the child when this behavior occurs D. set limits on the childs behavior

D. set limits on the childs behavior

A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make? A. you might want to offer water supplements between feedings. B. this might be related to your baby having 3 stools a day C. it is due to the newborns loss of the influence of the maternal hormones D. the cause might be too short or infrequent feedings

D. the cause might be too short or infrequent feedings

A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to: A. Avoid the newborn infant during the first 10 minutes of crying B. attend to the newborn infant immediately when crying C. anticipate all of the needs of the newborn infant D. allow the newborn infant to signal a need

D. allow the newborn infant to signal a need

A nurse is assessing the reflexes of a newborn. In checking for the moro reflex, the nurse should perform which of the following? A. stimulate the pads of a newborns hands with stroking or massage B. stimulate the soles of the newborns feet on the outer lateral surface of each foot C. hold the newborn vertically under arms and allow on foot to touch table D. hold the newborn in a semi-sitting position. then allow the newborns head and trunk to fall backwards

D. hold the newborn in a semi-sitting position, then allow the newborns head and trunk to fall backwards

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant? A. educate the parents about the defect B. provide age-appropriate stimulation C. promote maternal-infant bonding D. maintaining the integrity of the sac

D. maintaining the integrity of the sac