NURS 116 Exam 3
A 5-year-old diagnosed with viral pneumonia is being discharged home with a prescription for acetaminophen to help manage the fever. What would be important for the nurse to cover prior to discharge?
"Be cautious using over-the-counter cold medicines because they often include acetaminophen"
The nurse providing client education on tetralogy of fallot knows that which of the following statements provide the bestexplanation of what a "tet spell" is? "Cyanosis that occurs while the client is sleeping and resting" "Cyanosis that occurs when the client's oxygen needs are greater than their blood supply" "Jaundice that occurs secondary to the lysis of red blood cells" "Cyanosis that occurs when the client's oxygen needs are less than their blood supply"
"Cyanosis that occurs when the client's oxygen needs are greater than their blood supply"
An 8-year-old who has just been diagnosed with asthma wants to know why it is important to take the medication fluticasone on a daily basis. Which of the following statements by the nurse should be included? "Fluticasone is a steroid that provides quick relief for when you are having bronchospasms" "Fluticasone is a pill that you need to take daily to help alleviate allergies" "Fluticasone is an inhaled steroid that helps prevent inflammation in your lungs" "Fluticasone is an inhaled B-Adrenergic agonist that is a rescue medication for when you can't breath"
"Fluticasone is an inhaled steroid that helps prevent inflammation in your lungs"
A nurse is discharging a mother and baby to home and providing education on sudden infant death syndrome (SIDS). The nurse knows that the parents need more education when they make which of the following statements? "We need to make sure the baby is sleeping on his back at night" "I'm bummed that I have to take out all the stuffed animals from his crib" "We got him a puppy to grow up with, it's going to be the cutest pictures and they are going to be best friends" "I cannot wait to take this little guy home and snuggle with him all night in bed"
"I cannot wait to take this little guy home and snuggle with him all night in bed"
The parents of a newborn are concerned about placing their baby on it's back to sleep for fear of choking on spit up. The nurse addresses their concern by making which of the following statements? "I understand your concern, but research shows there is no increased risk for choking when placed on their back" "I understand your concern. Perhaps you should place a pillow under their head to prevent choking" "I understand your concern. You can place them on their stomach if you want to" "I understand your concern, but you should be more worried about SIDS than choking"
"I understand your concern, but research shows there is no increased risk for choking when placed on their back"
The nurse caring for a newborn who has just been diagnosed with cystic fibrosis knows that which of the following statements would bestexplain this diagnosis to the parents? "It is an inherited disease that causes bronchospasms secondary to exposure to allergens" "It is an inherited disease that causes digestive problems and bronchospasms which affects breathing" "It is an acquired disease that causes fluid to move into the alveoli secondary to severe hypertension" "It is an inherited disease that causes your child's mucus to be very thick, which affects their breathing and digestion"
"It is an inherited disease that causes your child's mucus to be very thick, which affects their breathing and digestion"
A 3-month-old is awaiting surgery to repair a truncus arteriosus. The nurse educating the parents on managing symptoms at home includes which of the following in the teaching? (Select all that apply.) "Provide chest physiotherapy twice a day" "Limit feeding to 30 minutes to avoid over-tiring" "Administer prophylactic antibiotics daily" "Restrict feedings to only 3 times a day to avoid fluid overload" "Weight your child daily on the same scale"
"Limit feeding to 30 minutes to avoid over-tiring" "Weight your child daily on the same scale"
The nurse caring for a 6-year-old diagnosed with acute rheumatic fever knows the parents understand the treatment plan by making which of the following statements about taking medication? "Daily steroids until he is 21-years-old" "Diuretics daily until he is 21-years-old" "Ibuprofen daily to until he is 21-years-old" "Prophylactic antibiotics until he is 21-years-old"
"Prophylactic antibiotics until he is 21-years-old"
The nurse educating on sudden infant death syndrome gives which of the following explanations to parents regarding what this diagnosis means? "The sudden, unexplained death of infants less than 6 months old" "The sudden, unexplained death of infants less than 12 months old" "The sudden death of an infant caused by suffocation in soft bedding" "The sudden death of an infant caused by neglect"
"The sudden, unexplained death of infants less than 12 months old"
The nurse is assessing a mother's understanding of SIDS prevention and knows that teaching has been successful when which of the following statements are made? (Select all that apply.) "We have soft bumpers to keep his legs from getting stuck" "This little guy is going to love his crib at night" "There won't be anyone who smokes around our peanut" "I'm bummed that I have to take out all the stuffed animals from his crib" "We need to place pillows around him to keep him laying on his back at night"
"This little guy is going to love his crib at night" "There won't be anyone who smokes around our peanut" "I'm bummed that I have to take out all the stuffed animals from his crib"
The mother of a 10-year-old diagnosed with bronchitis asks the nurse about treatment options. Which of the following is the best response? "Treatment is focused on managing your child's symptoms" "Your child will need to start oral antibiotics" "Treatment is focused on managing your child's allergies" "Your child will need one dose of steroids"
"Treatment is focused on managing your child's symptoms"
The nurse providing care for a client suspected to have a diagnosis of sudden infant death syndrome knows which of the following statements would be mostappropriate to make when speaking with the parents? "Was your baby wrapped in a lot of blankets? "Could you not hear your baby crying?" "Why did you wait so long to check on your baby?" "Was your baby born prematurely?"
"Was your baby born prematurely?"
A nurse is providing education to pregnant couples at a newborn basics class. Which of the following statements by one of the clients would require further teaching? "This little guy is going to love his crib at night" "I am so glad my husband quit smoking" "He needs to be placed on his back at night in the crib" "We got him a little stuffed bear for his crib and not a big one"
"We got him a little stuffed bear for his crib and not a big one"
a nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. which of the following instruction should the nurse include? "do not offer your baby fluids after giving the medication" "digoxin increases your baby's heart rate" "give the correct dose of medication at regularly scheduled times" "if your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received"
"give the correct dose of medication at regularly scheduled times"
The nurse is assessing the heart rate on a 6-year-old admitted to the hospital for a syncopal episode. The nurse knows that which of the following heart rates would be considered tachycardia? 140 110 90 100
140
The nurse providing care to a 9-month-old admitted with bacterial pneumonia is counting the client's respiratory rate and charts which of the following breaths per minute as normal? 20 45 18 70
45
The nurse caring for a client diagnosed with asthma knows that spirometry is not a reliable treatment option until a child reaches which of the following ages? 9-10 years 7-8 years 5-6 years 3-4 years
5-6 years
When assessing the respiratory rate of a 6-month-old who has been admitted with bronchitis, the nurse knows to count breath sounds for how long to ensure accuracy?
60 seconds
The nurse receives the following client assignment. Which client should the nurse see first? A 50-year-old with chest pain A 13-year-old with an asthma attack A 2-month-old that is fussy A 90-year-old with cyclical vomiting
A 13-year-old with an asthma attack
The nurse providing care to a 10-year-old that presented to the ER with an asthma exacerbation knows to be most concerned by which of the following assessment findings? A hacking, non-productive cough Hyperresonance on percussion A silent chest Prolonged expiration
A silent chest
A nurse is caring for a 3-year-old client who is recovering from heart surgery. Which of the following bestdescribes deep hypothermic circulatory arrest (DHCA)? The process of cooling the body to stop blood circulation during surgery The process of shivering in order to warm the body after becoming too cold during surgery A systemic inflammatory response as a result of too cold of body temperature The slowing of muscle activity after administration of certain anesthetics that causes a profound drop in temperature
A systemic inflammatory response as a result of too cold of body temperature
Who sets the Standards of Practice?
ANA
The nurse educating a group of parents on sudden infant death syndrome knows that which of the following are considered to be protective factors? (Select all that apply.) Using crib bumper pad Breastfeeding Placing the baby on their stomach to sleep Placing the baby on its back to sleep Dressing the baby warmly
Breastfeeding Placing the baby on its back to sleep
The nurse caring for a newborn diagnosed with transposition of the great vessels knows that which of the following interventions is a priority? Record intake and output Daily weights at the same time Administer IV prostaglandin E1 Administer IV furosemide
Administer IV prostaglandin E1
The nurse knows to expect which of the following diagnostic tests for a client with suspected Acute Rheumatic Fever? Monospot test Indirect coombs test Antinuclear antibody titer Antistreptolysin O titre
Antistreptolysin O titre
A nurse is caring for a 13-year-old client with rheumatic fever. The child complains of burning pain in the chest and states "I feel like my heart is going to beat out of my chest". Based on the vitals in the chart, what should the nurse do first? Assess the client's heart and lung sounds Reassess the vital signs in 10 minutes Notify the physician of the vital signs Administer pain medication as ordered
Assess the client's heart and lung sounds
The nurse caring for a 6-month-old is assessing the child's heart rate. The nurse knows that which of the following is the mostaccurate way to accomplish this? Auscultate the apical pulse for 30 seconds Auscultate the apical pulse for a full minute Palpate the radial pulse for a full minute Palpate the brachial pulse for 30 seconds
Auscultate the apical pulse for a full minute
The nurse caring for an infant diagnosed with coarctation of the aorta knows to expect which of the following on assessment. Bounding peripheral pulses and weak or absent central pulses Bounding pulses in the upper extremities and weak or absent pulses in the lower extremities Bounding pulses in the lower extremities and weak or absent pulses in the upper extremities Bounding central pulses and weak or absent peripheral pulses
Bounding pulses in the upper extremities and weak or absent pulses in the lower extremities
The nurse is assessing a client and recognizes that this client is having a bronchospasm. Which treatments should the nurse anticipate? (Select all that apply.) Bronchodilators Suctioning Steroids Chest tube Diuretics
Bronchodilators Steroids
Who sets the Scope of Practice?
Board of Nursing
The nurse caring for a child diagnosed with acute rheumatic fever knows that which of the following are clinical manifestations of carditis? (Select all that apply.) Irregular movements of extremities Chest pain The development of a new murmur Pericardial friction rub Arthralgia
Chest pain The development of a new murmur Pericardial friction rub
The nurse caring for a child diagnosed with acute rheumatic fever (ARF) knows that which of the following is considered to be the mostsignificant complication of ARF? Cardiac valve damage Systemic vasculitis Hyperlipidemia Infective endocarditis
Cardiac valve damage
A nurse is caring for a 5-year-old child who has been diagnosed with bronchiectasis. Based on the nurse's understanding of this condition, the nurse knows to expect signs and symptoms of which of the following? Chronic cough that produces green sputum Wheezing and a barrel chest Sharp chest pain with each breath Absence of respiratory effort
Chronic cough that produces green sputum
The nurse caring for a client diagnosed with cystic fibrosis knows that which of the following is a clinical manifestation of long term respiratory problems? (Select all that apply.) Clubbing of fingers and toes Epistaxis Barrel-shaped chest Retractions Nasal polyps
Clubbing of fingers and toes Barrel-shaped chest Nasal polyps
A 2-week-old infant was admitted with difficulty feeding and weight loss. During the assessment, the nurse assesses absent femoral pulses and knows this is a sign of which of the following congenital heart defects? Tetralogy of fallot Ventricular septal defect Tricuspid atresia Coarctation of the aorta
Coarctation of the aorta
As the nurse caring for a 9-month-old with bronchiolitis, which of the following do you expect to be a part of their care while in hospital? (Select all that apply.) Continuous pulse oximetry monitoring Antibiotics Oxygen administration Regular nasal suctioning Chest percussion and postural drainage
Continuous pulse oximetry monitoring Oxygen administration Regular nasal suctioning
The nurse caring for a 4-month-old with bronchiolitis knows that which of the following complications commonly occurs with this respiratory illness? Retinopathy Malnutrition Dehydration Peritonsillar abscess
Dehydration
The nurse caring for a client diagnosed with hypoplastic left heart syndrome knows that which of the following are signs of heart failure? (Select all that apply.) Gallop rhythm Periorbital edema Hypertension Grunting Prolonged capillary refill
Gallop rhythm Periorbital edema Grunting Prolonged capillary refill
The nurse caring for a newborn diagnosed with a ventricular septal defect knows that which of the following are common symptoms of heart failure in infants? (Select all that apply) Gallop rhythm Periorbital edema Sweating Weight gain Arthralgia
Gallop rhythm Periorbital edema Sweating Weight gain
The nurse is caring for a client with cystic fibrosis. Which of the following is an appropriate nursing intervention? (Select all that apply.) Give pancreatic enzyme replacement Feed a high protein diet Provide a high calorie diet Feed a low calorie diet Avoid carbohydrates in the diet
Give pancreatic enzyme replacement Feed a high protein diet Provide a high calorie diet
A client with a cough is has been ordered a cough suppressant. The nurse knows that which of the following medications is appropriate for this client's condition? Guaifenesin Glipizide Gentamicin Gabapentin
Guaifenesin
The nurse caring for a 4-year-old who has been admitted with the diagnosis of epiglottitis asks the mother about which of the following childhood immunizations? Measles, Mumps & Rubella Haemophilus Influenzae type B Diphtheria, Tetanus and Pertussis Pneumococcal
Haemophilus Influenzae type B
A nurse is working as part of a multidisciplinary team to help a 16-year-old client with cystic fibrosis. In addition to physical care, which activity is mostimportant for a client of this age with cystic fibrosis? Helping the teen to transition to adult care services by promoting independence in decision making Reminding the teen that despite the condition, he or she will still be able to stay in school Assisting the client to play games with peers of the same age Explaining and educating the client on facts surrounding the condition
Helping the teen to transition to adult care services by promoting independence in decision making
The parents of a 6-year-old are seeking treatment for the child's cardiac condition. The child will need surgery to correct coarctation of the aorta. During the history and physical, the parents tell the nurse that the child was adopted from another country last year. The parents are planning to sign informed consent for the procedure. Which of the following responses from the nurse is mostappropriate? You do not have authority to sign paperwork until the child has been legally adopted I'm sorry, I must have the parent or legal guardian sign the consent form I will get the paperwork for you to sign as the parent I will need a copy of your legal adoption paperwork before we can sign this consent
I will get the paperwork for you to sign as the parent
The nurse admitting a client with cystic fibrosis that has a cough, fever, and is tachypneic knows that which of the following medication orders should you give top priority? IV antibiotics Vitamins ADEK Nebulized hypertonic saline Pancreatic enzymes
IV antibiotics
The nurse providing care for a 3-year-old diagnosed with epiglottitis expects orders for which of the following medications? (Select all that apply.) IV diuretics Nebulized bronchodilators IV antibiotics IV corticosteroids Nebulized epinephrine
IV antibiotics IV corticosteroids
The nurse providing care for a client with cystic fibrosis receives orders for albuterol nebulizers as well as chest percussion and postural drainage every 4 hours. Which of the following is the correct order to administer albuterol? During chest percussion and postural drainage 30 minutes after chest percussion and postural drainage 1 hour before chest percussion postural drainage Immediately before chest percussion and postural drainage
Immediately before chest percussion and postural drainage
A nurse caring for a 10-year-old with pneumonia, that will be discharged home with oral antibiotics, knows that which of the following should be included in the discharge instructions? How to use a bulb suction syringe Increase fluid intake to prevent dehydration How to properly apply a warm compress Properly administration of nebulized medications at home
Increase fluid intake to prevent dehydration
The nurse caring for a newborn knows that which of the following medications are teratogenic and can cause congenital heart defects to a fetus? (Select all that apply.) Clindamycin Ibuprofen Aspirin Isotretinoin Phenytoin
Isotretinoin Phenytoin
The parents of a 4-week old infant tell the nurse that they want to start using a pacifier with their baby but they are afraid that the baby will become dependent on it. Which of the following have been shown to be benefits of using a pacifier in a baby this age? (Select all that apply.) It can be soothing if the baby is fussy It decreases the risk of middle ear infections It promotes healthy tooth development It promotes eating and breastfeeding It has been shown to reduce the risk of SIDS
It can be soothing if the baby is fussy It has been shown to reduce the risk of SIDS
The nurse caring for a 2-year-old who presented to an urgent care center with stridor and excessive drooling knows that which of the following interventions should be given top priority? Keep the child calm until emergency airway equipment is available Place an IV in preparation for giving IV antibiotics Assess the throat for signs of a cherry red epiglottis Place the child on 2L via NC and prepare for intubation
Keep the child calm until emergency airway equipment is available
An infant in the pediatrics unit has been diagnosed with respiratory syncytial virus (RSV). The nurse should include which of the following precautions in caring for this infant? (Select all that apply.) Keep the client in a private room Wear a surgical mask for close contact with the client Ensure the client's room has negative-pressure ventilation Have staff wear an N95 respirator when providing care for the client Wear goggles if there is potential for splashing of body fluids
Keep the client in a private room Wear a surgical mask for close contact with the client Wear goggles if there is potential for splashing of body fluids
The nurse caring for a 6-year-old with atypical community acquired pneumonia knows that which of the following pathogens is the mostcommon cause of this? S. pneumoniae H. influenzae C. trachomatis M. pneumoniae
M. pneumoniae
The nurse caring for a newborn is educating the parents on risk factors for sudden infant death syndrome. Which of the following should be included as risk factors? (Select all that apply.) Male gender Female gender Maternal smoking Prone sleeping Co-sleeping
Male gender Maternal smoking Prone sleeping Co-sleeping
A nurse is expecting an 18-month-old with bronchiolitis from the emergency department, Which of the following protective gear should be worn when entering the child's room? (Select all that apply.) Respirator Mask Mask Shoe covers Gloves Gown
Mask Gloves Gown
The nurse caring for a newborn knows that which of the following is often the earliest clinical manifestation of cystic fibrosis? Meconium Ileus Steatorrhea Pneumonia Azotorrhea
Meconium Ileus
The nursing providing care to an infant with tricuspid atresia knows that which of the following nursing interventions would be appropriate to decrease cardiac demands? (Select all that apply.) Monitor the client's temperature closely Coordinate care to minimize disturbing the infant Wait until the child is very hungry and crying for a feed Provide smaller feedings every 3 hours Keep the client in the prone position
Monitor the client's temperature closely Coordinate care to minimize disturbing the infant Provide smaller feedings every 3 hours
The nurse administering digoxin to a 1-year-old knows which of the following is a sign of toxicity? Diarrhea Nausea and vomiting Widespread rash Tachycardia
Nausea and vomiting
The nurse providing care to an infant diagnosed with aortic stenosis knows to expect which of the following symptoms? (Select all that apply.) Poor feeding Faint pulses Exercise intolerance Hypotension Hypertension
Poor feeding Faint pulses Hypotension
A nurse is educating students about a diagnosis of atrial septal defect. The nurse knows that which of the following statements is the mostaccurate way to describe the normal physiology and hemodynamic function of the heart? Resistance in pulmonary circulation is greater than resistance in systemic circulation Cyanosis occurs when blood is shunted from the left side of the heart to the right side of the heart Pressure on the left side of the heart is greater than pressure on the right side of the heart Increased resistance in the heart causes an increase in the rate of blood flow
Pressure on the left side of the heart is greater than pressure on the right side of the heart
The nurse caring for a child diagnosed with coarctation of the aorta is demonstrating signs of respiratory distress. The nurse suspects this is a sign of which of the following? Aspiration pneumonia Pulmonary congestion Systemic congestion Digoxin toxicity
Pulmonary congestion
A nurse is providing discharge teaching to a family who is taking a new infant home. The nurse reviews the principles of how to prevent sudden unexpected infant death (SUID) at home. Which of the following principles should be included as part of this teaching? Remove all fluffy or heavy bedding or pillows from the baby's bed Always place the baby on his back or side to sleep Keep the baby very warm while he is sleeping The baby should only be allowed to share a bed with a sibling, never a parent
Remove all fluffy or heavy bedding or pillows from the baby's bed
The nurse caring for a 6-month-old diagnosed with bronchiolitis knows what is mostlikely the cause?
Respiratory Syncytial Virus
A nurse is caring for a newborn infant who needs a chest tube. What is the mostcommon reason why a newborn infant would need a chest tube? Respiratory distress syndrome Post-op thoracotomy Cystic fibrosis Pertussis
Respiratory distress syndrome
A community health nurse provides screening for a family whose child has a likelihood of developing cystic fibrosis because of their genetic background. Which of the following community health interventions does this describe? Risk identification Health screening Health system referral Community consultation
Risk identification
The nurse knows that which of the following medications is commonly used to help prevent Exercise-induced bronchospasm? Ipratropium Salmeterol Montelukast sodium Omalizumab
Salmeterol ** note: ATI recommends albuterol prior to exercise
The nurse is caring for a client with cystic fibrosis (CF). Which diagnosis is the mostconcerning for them? Sinusitis UTI Cellulitis Blood clots
Sinusitis
The nurse is teaching parents of a child with croup on home treatments. Which of the following does the nurse recommend? (Select all that apply.) Sleep with cool humidified air Placement in a whirlpool bath Place the child near a steamy shower Expose the child to cool, night air A cool bath for fever reduction
Sleep with cool humidified air Place the child near a steamy shower Expose the child to cool, night air
The nursing providing care to a 5-year-old admitted for treatment of bacterial pneumonia knows that which of the following complications are associated with pneumonia? (Select all that apply.) Splenomegaly Tension Pneumothorax Acute otitis media Pleural effusion Nasal Polyps
Tension Pneumothorax Acute otitis media Pleural effusion
The nurse caring for a newborn diagnosed with a heart defect knows that which of the following is the mostcommon cyanotic lesion? Truncus arteriosus Hypoplastic left heart Tetralogy of fallot Tricuspid atresia
Tetralogy of fallot
The nurse is caring for a pregnant client. After genetic testing, the fetus is found to have cystic fibrosis (CF). Which of the following is accurate information for the nurse to tell the client about the disorder? Males are more often affected than females The couple has a 1 in 4 chance of having another child with CF Children with cystic fibrosis rarely live past seven years of age This disorder is an autosomal dominant disorder
The couple has a 1 in 4 chance of having another child with CF
A nurse is caring for a newborn infant who has just undergone open-heart surgery for a congenital heart condition. The nurse is assessing the infant's pain in order to ensure his pain is controlled. Which signs or symptoms would the nurse look for that would indicate that the infant needs a dose of prn pain medication? (Select all that apply.) The infant has a furrowed brow The infant is rapidly kicking his legs The infant has floppy muscle tone The infant's chin is quivering The infant is crying
The infant has a furrowed brow The infant is rapidly kicking his legs The infant's chin is quivering The infant is crying
A nurse is caring for a 5-day-old child with respiratory distress and pneumonia who requires a mechanical ventilator. The provider has ordered nitric oxide to be administered with the ventilator breaths. Which bestdescribes the purpose of nitric oxide in this situation? The nitric oxide reduces the risk of hemorrhage The nitric oxide will make the child more comfortable The nitric oxide prevents atelectasis The nitric oxide works as a vasodilator
The nitric oxide works as a vasodilator
A nurse has been assigned to float to the pediatrics unit for a shift. The nurse has been assigned three clients, including an infant with rotavirus, a child recovering from an appendectomy, and a baby with respiratory syncytial virus. Which practices should be implemented that would bestprotect the nurse from contracting an infectious disease? (Select all that apply.) The nurse keeps one set of vital sign equipment in each client room to avoid cross-contamination The nurse asks for a different assignment than the infant because the nurse has not been vaccinated against rotavirus The nurse considers every client to be infected with transmittable disease whether their diagnosis is known or not The nurse does not recap needles after use The nurse practices hand hygiene before and after providing client care
The nurse keeps one set of vital sign equipment in each client room to avoid cross-contamination The nurse considers every client to be infected with transmittable disease whether their diagnosis is known or not The nurse does not recap needles after use The nurse practices hand hygiene before and after providing client care
A newborn is in the OR for surgery to correct a VSD. There is confusion about the extent of the defect on the echocardiogram, so the nurse calls a time out. Surgery can continue when which of the following happens? (Select all that apply.) The surgical team identifies the client through two sources of identification The surgeon verifies the correct surgical site The surgeon verifies the correct procedure Another echocardiogram is ordered The nurse re-establishes a sterile field
The surgical team identifies the client through two sources of identification The surgeon verifies the correct surgical site The surgeon verifies the correct procedure
The nurse caring for a child diagnosed with rheumatic fever knows that which of the following positive cultures are part of the child's medical history? Blood for staphylococcus aureus Throat for group A strep Throat for staphylococcus aureus Urine for escherichia coli
Throat for group A strep
The nurse working on a pediatric ward knows that which of the following diagnosis is associated with an increasedrisk for congenital heart defects? Cystic fibrosis Bronchopulmonary dysplasia Trisomy 21 Erb's palsy
Trisomy 21
A three-year-old child has been brought in to the hospital with a diagnosis of Haemophilus influenza B. After testing, the provider determines that the child has epiglottitis and treatment is started. Which information would the nurse provide to the parents of this child about caring for this condition? (Select all that apply.) Gently use a tongue depressor to keep the mouth open Encourage the child to eat plenty of cold foods Use a cool mist humidifier in the room Encourage the child not to cry The child should not lie flat
Use a cool mist humidifier in the room Encourage the child not to cry The child should not lie flat
A three-month-old infant needs an IM injection of palivizumab for prevention of RSV. Which site is mostappropriate for the nurse to administer this medication? Deltoid site Dorsogluteal site Vastus lateralis site Ventrogluteal site
Vastus lateralis site
a nurse is caring for a child in the postoperative period following a tonsillectomy. which of the actions should the nurse take? encourage the child to blow her nose gently administer analgesics on a schedule offer orange juice position the child supine
administer analgesics on a schedule
a nurse is caring for a child who has bronchiolitis. which of the following actions should the nurse take? (select all that apply) administer oral prednisone initiate chest percussion and postural drainage administer humidified oxygen suction the nasopharynx as needed administer oral penicillin
administer humidified oxygen suction the nasopharynx as needed
a nurse is providing discharge teaching for a child who has CF. which of the following instructions should the nurse include? provide a low-calorie, low-protein diet administer pancreatic enzymes with meals and snacks implement a fluid restriction during times of infection restrict physical activity
administer pancreatic enzymes with meals and snacks
a nurse is teaching an adolescent about the appropriate use of his asthma medications. which medication should the nurse instruct the client to use as needed before exercise?
albuterol
The nurse caring for a 5-year-old assesses the following assessment findings: stridor, drooling, high fever, toxic appearance, increasedheart rate, and respiratory rate. Which of the following should be avoided during the assessment? Checking the child's capillary refill time Applying a continuous pulse ox monitor Assessing the throat Auscultating the lung sound
assessing the throat
The nurse is assessing a 10-month-old child who was brought to the ER by parents because is having a difficult time breathing. Upon examination, the child is in no distress, airway is intact and skin is pink, warm, dry. The provider orders a breathing treatment and some steroids. When the nurse enters the room to administer the medications, the child is drooling and red in the face. What is the firstaction the nurse should take? Give the breathing treatment Tell the child to stop drooling Reposition the child by sitting the child up Call a rapid response
call a rapid response
a nurse is caring for a 2-year-old child who has a heart defect and is scheduled for cardiac catheterization. which of the following actions should the nurse take? place on NPO status for 12 hr prior to procedure check for iodine or shellfish allergies prior to procedure elevate the affected extremity following the procedure limit fluid intake following the procedure
check for iodine or shellfish allergies prior to procedure
a nurse is assessing an infant who has heart failure. which of the following findings should the nurse expect? (select all that apply) bradycardia cool extremities peripheral edema increased urinary output nasal flaring
cool extremities peripheral edema nasal flaring
The nurse caring for a 6-year-old with bronchitis knows which of the following symptoms are commonly associated with this diagnosis? cough that worsens with exercise caught that sounds like a seal barking dry, hacking cough that worsens at night cough spasms followed by a "whooping" sound
dry, hacking cough that worsens at night
Upon performing an initialexam after the birth of an infant, the provider hears a murmur when auscultating the baby's heart. The provider suspects that the baby has an atrial septal defect. Which of the following tests would be performed to diagnose this condition? Echocardiogram Isotope test Nuclear imaging Chemical stress test
echocardiogram
a nurse is caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. which of the following actions should the nurse take first? increase the oxygen flow rate encourage the child to take deep breaths ensure proper placement of the sensor probe place the child in the Fowler's position
ensure proper placement of the sensor probe
A nurse is triaging a 5-year-old that has difficulty breathing and is rapidly getting worse. On assessment, loud croaking sounds on inspiration are noted. The nurse also assesses drooling and a preference to sit in a tripod position. Which of the following diagnoses do you suspect? Acute laryngotracheobronchitis Bronchiolitis Acute Nasopharyngitis Epiglottitis
epiglottitis
a nurse is caring for a child who is suspected of having rheumatic fever. which of the following findings should the nurse expect? (select all that apply) erythema marginatum (rash) continuous joint pain of the digits tender, subcutaneous nodules decreased erythrocyte sedimentation rate elevated C-reactive protein
erythema marginatum (rash) elevated C-reactive protein
What is negligence?
failure to take proper care in doing something
a nurse is discussing risk factors for asthma with a group of newly licensed nurses. which of the following conditions should the nurse include in the teaching? (select all that apply) family history of asthma family history of allergies exposure to smoke low birth weight being underweight
family history of asthma family history of allergies exposure to smoke low birth weight
a nurse is caring for a child who is in the postoperative period following a tonsillectomy. which of the following is a clinical finding of postoperative bleeding? Hgb 11.6 and Hct 37% inflamed and reddened throat frequent swallowing and clearing the throat blood-tinged mucus
frequent swallowing and clearing the throat
a nurse is assessing a child who has epiglottitis. which of the following findings should the nurse expect? (select all that apply) hoarseness and difficulty speaking difficulty swallowing low grade fever drooling dry, barking cough stridor
hoarseness and difficulty speaking difficulty swallowing drooling stridor
What is a major barrier to teamwork and unit functioning?
lateral violence
A student nurse caring for a 6-year-old diagnosed with bronchitis asks what this means. Which of the following is the bestexplanation of the diagnosis related to where inflammation and infection occur? upper airways lower airways trachea bronchioles
lower airways
What is the Nurse of the Future responsible for in terms of patient harm?
minimizing harm
The nurse is caring for a client who has been taking erythromycin. For which of the following side effects should the nurse monitor? Constipation Nausea and vomiting Rash Increased urinary output
nausea and vomiting
common forms of lateral violence
nonverbal innuendo verbal affront undermining activities withholding information sabotage infighting scapegoating backstabbing failure to respect privacy broken confidences
a nurse is caring for a child who is receiving a bronchodilator medication by nebulizer aerosol therapy. which of the following actions should the nurse take? (select all that apply) instruct the child that the treatment will last 30 min obtain vital signs prior to the procedure tell the child to take slow deep breaths determine if the child should use a mask attach the device to an air source
obtain vital signs prior to the procedure tell the child to take slow deep breaths determine if the child should use a mask attach the device to an air source
a nurse is planning care for a child who has asthma. which of the following interventions should the nurse include in the plan of care? (select all that apply) perform chest percussion place the child in an upright position monitor oxygen saturation administer brochodilators administer dhrnase alfa daily
place the child in an upright position monitor oxygen saturation administer brochodilators
The nurse caring for an infant who is prescribed digitalis knows to monitor which of the following electrolytes when administering this medication? Sodium Potassium Magnesium Calcium
potassium
What is malpractice?
professional misconduct or unreasonable lack of skill
A baby is born at full term and is taken to the NICU for further observation for potential cardiac issues. After diagnostic testing, the provider determines that the infant has tetralogy of Fallot. The four components of this condition include a ventricular septal defect (VSD), overriding aorta, right ventricular hypertrophy, and which of the following? Atrial septal defect (ASD) Pulmonary stenosis Patent ductus arteriosus Patent foramen ovale (PFO)
pulmonary stenosis
The nurse administering digoxin to a 9-month-old knows to assess which of the following prior to administration? Respiratory rate Pulse rate Temperature Blood pressure
pulse rate
The nurse caring for a newborn diagnosed with transposition of the great arteries is speaking to the mother about the pregnancy. The nurse is aware that which of the following maternal infections increases the risk for the development of congenital heart defects? Mumps Varicella Influenza Rubella
rubella
A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply.) shake the device prior to use rinse and expectorate after administration inhale slowly with medication administration exhale quickly after medication administration wait 30 seconds between puffs
shake the device prior to use rinse and expectorate after administration inhale slowly with medication administration
a nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. which of the following findings should the nurse identify as an indication of cystic fibrosis? sweat chloride content 85 mEq/L increased blood levels of fat-soluble vitamins 72 hr stool analysis sample indicating hard, packed stools chest x-ray negative for atelectasis
sweat chloride content 85 mEq/L
a nurse in the emergency department is assessing a newly-admitted infant. which of the following findings is an early indication of hypoxemia? nonproductive cough hypoventilation tachypnea nasal stuffiness
tachypnea
The nurse caring for a 15-year-old with chronic bronchitis asks the client about which of the following? seasonal allergies exercise tolerance tobacco and marijuana use their immunization record
tobacco and marijuana use
a nurse is admitting a child who has CF. which of the following medications should the nurse expect to include in the plan of care? (select all that apply) tobramycin loperamide fat-soluble vitamins albuterol dornase alfa
tobramycin fat-soluble vitamins albuterol dornase alfa
a nurse is caring for a child who is receiving oxygen. which of the following indicates oxygen toxicity? increased blood pressure hyperventilation decreased PaCO2 unconsciousness
unconsciousness
a nurse is assessing an infant who has coarctation of the aorta. which of the following findings should the nurse expect? (select all that apply) weak femoral pulses cool skin of lower extremities severe cyanosis clubbing of the fingers low blood pressure
weak femoral pulses cool skin of lower extremities low blood pressure
a nurse is performing an admission assessment for a child who has CF. which of the following findings should the nurse expect? (select all that apply) wheezing clubbing of fingers and toes barrel-shaped chest thin, watery mucus rapid growth spurts
wheezing clubbing of fingers and toes barrel-shaped chest
a nurse is assessing a child who has asthma. which of the following are indications of deterioration in the child's respiratory status? (select all that apply) oxygen saturation 95% wheezing retraction of sternal muscles warm extremities nasal flaring
wheezing retraction of sternal muscles nasal flaring
What is lateral violence?
workplace bullying between colleagues; verbal or non-verbal aggression
a nurse is teaching a child who has asthma how to use a peak flow meter, which of the following information should the nurse include in the teaching? (select all that apply) zero the meter before each use record the average of the attempts perform three attempts deliver a long, slow breath into the meter sit in a chair with feet on the floor
zero the meter before each use perform three attempts
