test 6, nursing 227

cerebral palsy complications due to immobility

contracture seizures aspiration pneunomia

3. A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved? Select all that apply. A) Impulsivity B) Inattention C) Distractibility D) Hyperactivity E) Defiance F) Anxiety

A, B, C, D

1. A school nurse is concerned that a 6-year-old may have attention deficit hyperactivity disorder by the behaviors that are observed. What behavioral characteristics would the nurse want to evaluate further? a. He reverses letters and words while reading b. He doesn't like to do math homework c. He gets into fights with other children He talks excessively

d. he talks excessively

Immunizations for 4 year old child

Dtap, IPV, MMR, varicella,

4. Which type of behavior demonstrated by a 6-year-old child would help a school nurse differentiate between attention deficit hyperactivity disorder (ADHD) and a learning disability? a. The child reverses letters and words while reading. b. The child is easily distracted and reacts impulsively. c. The child is always getting into fights during recess. d. The child has a difficult time reading a chapter book.

B. the child is easily distracted and reacts impulsively

1. Which instruction would be of highest priority for the mother of an infant receiving his first oral rotavirus vaccine? a. "Call the physician if he develops fever or cough." b. "Call the physician if he develops fever, redness, or swelling at the injection site." c. "Call the physician if he develops a bloody stool or diarrhea." d. "Call the physician if he develops constipation and irritability."

C

1. A baby, with a history of cystic fibrosis, is admitted to the emergency department. The baby is crying loudly and drawing up his legs toward his abdomen. A diagnosis of intussusception is made. Which of the following orders would the nurse expect to receive at this time? a. To administer a corticosteroid medication b. To prepare the baby for an air enema c. To administer an antispasmodic medication d. To prepare the baby for an air enema

D

1. The nurse is caring for a 5-month-old with a diagnosis of intussusception. The physician elects to give an enema to the child. The parents asked the purpose of the enema. Select the nurse's best response. a. "The enema will confirm the diagnosis and may temporarily correct the intussusception. If the Bell returns to normal, there is a strong likelihood that the intussusception will reoccur." b. "The enema will confirm the diagnosis although very unlikely, the enema may also help correct the intussusception so your child will not immediately need surgery." c. "The enema will confirm the diagnosis. If the test result is positive the child will need to have surgery to correct the intussusception." d. "The enema will confirm the diagnosis and has a good chance of correcting the intussusception."

D

2. What injury prevention instructions would be most important at a 2-month-old well-child visit? a. "Transport the infant in a front facing car seat when driving alone so you can see the child." b. "Play safety locks on all medicine cabinets and household cleaning supplies." c. "Place safety guards in front of any heating appliance, stove, or fireplace." d. "Never leave the baby unattended on a raised, unguarded surface."

D

1. During the preschool period, the emphasis of injury prevention should be placed on what? a. Limitation of physical activities b. Punishment for unsafe behaviors c. Constant vigilance and protection d. Teaching about safety and potential hazards

D.

3. Eight hours ago, an infant with Hirschsprung's disease had surgery to create a colostomy. Which finding should alert the nurse to notify the health care provider (HCP) immediately? a. 3-cm increase in abdominal circumference b. Periods of occasional fussiness c. Absence of bowel sounds since surgery d. Bright red stoma

a

1. The parents of a 5 week old have just been told that their child has CF. The mother had a sister who died of CF when she was 19. the parents are sad and ask the nurse about the current projected life expectancy. What is the nurse's best response? (Pediatric Success book) a. life expectancy for CF patients has improved over the years b. your child might not follow the same course that the mothers sisters did c. the physician will come to speak to you about treatment options d. the nurse answers their questions briefly, listens to their concerns and is available later after they've processed the information

d. the nurse answers their questions briefly, listens to their concerns and is available later after they have processed the information

If parents are worried about ostomy, what should you do?

get wound nurse

what is important for autistic children in the hospital setting?

keep schedule in the hospital

ready?

nope!

2. The public health nurse is teaching a group of parents about immunizations. The nurse tells the parents that after receiving the varicella virus vaccine, children should temporarily avoid close contact with whom? (Select all that apply.) a. Neonates b. Siblings c. Relatives older than 65 years d. Pregnant women e. Individuals infected with HIV

A, D, E

1. Which vaccine(s) should be given at 4-6 years? A) Varicella B) Rotavirus C) Hepatitis B D) DTaP E) Hib F) IPV G) MMR H) Pneumococcal I) Hepatitis A J) TDaP K) Meningococcal L) HPV M) Influenza

A, D, F, G

2. The nurse is caring for a 9-month-old with diarrhea secondary to rotavirus. The child has not vomited and is mildly dehydrated. Which is likely to be included in the discharge teaching? a. Administer Imodium as needed. b. Administer Kaopectate as needed. c. Continue breastfeeding per routine. d. The infant may return to daycare 24 hours after antibiotics have been started.

C

diet for cystic fibrosis

well balanced, high protein, high caloric diet with unrestricted fat

2. An infant diagnosed with Hirschsprung's disease undergoes surgery with the creation of a temporary colostomy. Which statement by the parent regarding the colostomy indicates the need for further teaching? a. "The colostomy should be temporary." b. "The colostomy will give time for the nerves to return to normal." c. "The colostomy may include two separate abdominal openings." d. "Right after the procedure the stoma may appear purple."

b

2. The nurse is facilitating a conference between the teachers and parents of a 7-year-old child newly diagnosed with attention deficit hyperactivity disorder (ADHD). What does the nurse stress? a. Academic subjects should be taught in the afternoon. b. Low-interest activities in the classroom should be minimized. c. Visual references should accompany verbal instruction. d. The child's environment should be visually stimulating.

c. visual reference should accompany verbal instruction

3. The parents of an infant with cystic fibrosis ask the nurse how to meet their child's increased nutritional needs. What is the nurse's best response? a. "You may need to increase your child's carbohydrate intake." b. "You may need to advance your child's diet to whole cow's milk because it is higher in fat than formula." c. "You may need to change your child to a higher calorie formula." d. "You may need to increase the number of fresh fruits and vegetables you give your child."

c. you may need to change your child to higher calorie formula

1. A child is admitted to the pediatric unit with spastic CP. Which would the nurse expect a child with spastic CP to demonstrate? Select all that apply. 1. Increased deep tendon reflexes. 2. Decreased muscle tone. 3. Scoliosis. 4. Contractures. 5. Scissoring. 6. Good control of posture. 7. Good fine motor skills

1,3,4,5 increased deep tendon reflexes scoliosis contractures scissoring

clinical manifestations of cerebral palsy

characterized by abnormal muscle tone and coordination delayed gross motor development abnormal motor performance alterations in muscle tone (rigid and unbending at the hip and knee)**** early sign abnormal postures reflex abnormalitilies altered learning and reasoning seizures

adhd select all that apply

child doesn't like to do homework child can't be quiet

5. The nurse is caring for an infant newly diagnosed with Hirschsprung's disease. What does the nurse understand about this infant's condition? a. There is a small bowel obstruction leading to ribbonlike stools b. There is lack of peristalsis in the large intestines an accumulation of bowel contents, leading to abdominal distention c. There is an excessive peristalsis throughout the intestine resulting in

B

5. Which statement is true about administering the rotavirus vaccination? a. The rotavirus vaccination is given as an injection in the vastus lateralis b. Do not re-administer the rotavirus vaccination if the child spits it out after receiving the vaccination c. The rotavirus vaccination cannot be administered to a child whose primary caregiver is immunosuppressed d. The rotavirus vaccination cannot be given if the child already had the virus

B

2. When obtaining the nursing history from the mother of an infant with suspected intussusception, which question would be most helpful? a. "What do the stools look like?" b. "When was the last time your child urinated?" c. "Is your child eating normally?" d. "Has your child had any episodes of vomiting?"

A

9. Twenty-four hours after birth, a neonate hasn't passed meconium. The nurse suspects which condition? a. Hirschsprung's disease b. Celiac disease c. Intussusception d. Abdominal wall defect

A

3. Which of the following immunizations are considered to be live attenuated vaccines? Select all. a. Varicella b. Tetanus c. Pertussis d. Rotavirus

A AND D

6. An infant was diagnosed with rotavirus. The nurse knows that the following should be included in patient education about the virus. Select all that apply. a. Treatment includes oral rehydration and supportive care b. Infants that have had rotavirus cannot receive the vaccination for the virus c. Rotavirus is passed through the fecal oral route d. Rotavirus is highly contagious and can be spread through indirect and direct contact e. The most common symptom is watery diarrhea lasting approximately 5 to 7 days

A, C, D, E

3. Parents in a daycare are attending a teaching session on age-appropriate safety topics for toddlers. The student nurse is teaching the parents should include which of the following in their presentation: Select all that apply. a. Keep pot handles on the stove turned inward when cooking b. Falls are not a high risk for this age group so there is no reason to use baby gates on stairways c. Toddlers can never be left alone for any reason d. Toddlers can safely use the middle lap belt in the back seat of the car e. To prevent drowning, parents should check their front and backyards for any standing pools of water that a toddler could fall into

A, C, E

4. A 5-year-old is admitted to the pediatric unit with diagnosis of possible intussusception. Which assessment data supports this diagnosis? Select all that apply. a. Currant jelly stools b. Diarrhea c. Abdominal pain d. Tarry, black stools e. Abdominal distention

A, C, E

6. A child has been diagnosed with Hirschsprung's Disease. Which of the following findings would the nurse expect the parents to report in the child's history. Select all. a. Delayed meconium passage b. Black tarry stools c. Distended abdomen d. Fever e. Chronic constipation

A, C, E

1. A nurse is teaching a course about safety during the school age years to a group of parents. What information should the nurse include in the course? Select all that apply. a. Wearing seat belts at all times b. Riding safely in the bed of a pickup truck c. Putting gates at the top and bottom of the stairs d. Wearing helmets when riding a bicycle or skateboard e. Implementing firearm safety

A, D, E

1. A 9 yr old child with Autistic Spectrum Disorder is admitted to the hospital. Which of the following interventions is important for the nurse to perform during the child's stay? A. Take the child to the playroom at least twice a day B. Keep all room lights on throughout the night C. Provide the child with sugar-free juice at snack time D. Follow a strict schedule for all medicines and treatments

d. follow a strict schedule for all medicines and treatments

3. When assessing a 4-month-old infant diagnosed with possible intussusception, the nurse should expect the parent to relate what information about the infant's crying and episodes of pain? a. Constant, accompanied by leg extension b. Intermittent, with knees drawn to the chest c. Shrill, during ingestion of solids d. Intermittent, while being held in the parent's arms

B

3. Which child will the nurse avoid immunizing with a live virus vaccine? a. School age patient with fractured arm b. Preschooler receiving chemotherapy c. 2-month-old infant d. Toddler with a low-grade fever

B

4. A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which of the following instructions is of the highest priority to provide to the mother by the nurse? a. Teach the toddler about fire safety b. Keep coffee cups on the counter out of sight and above the child's reach c. Cool hot liquids before giving them to the child d. Instruct the toddler about the consequences of burns

B

1. The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply. a. The child has symptoms of a cold. b. The child had a previous anaphylactic reaction to the vaccine. c. The mother reports that the child is having intermittent episodes of diarrhea. d. The mother reports that the child has not had an appetite and has been fussy. e. The child has a disorder that caused a severely deficient immune system. f. The mother reports that the child has recently been exposed to an infectious disease.

B, E Rationale: The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction to a vaccine or a component of a vaccine. In addition, live virus vaccines generally are not administered to individuals with a severely deficient immune system, individuals with a severe sensitivity to gelatin, or pregnant women. A vaccine is administered with caution to an individual with a moderate or severe acute illness, with or without fever.

7. A 7-month-old female infant is admitted to the hospital with a tentative diagnosis of Hirschsprung's disease. When obtaining the infant's initial health history from the parents, which statement made by the mother would be most important? a. "She gets constipated often." b "Sometimes she gets colds." c. "She spits up occasionally." d. "Her rectal temperature is 99.4° F (37.4 °C)."

C

8. After teaching the parents of an infant diagnosed with Hirschsprung's disease, the nurse determines that the parents understand the diagnosis when the parent makes which statement? a. "There is no rectal opening for stool to pass." b. "There is a tube between the trachea and esophagus." c. "The nerves at the end of the large colon are missing." d. "The muscle below the stomach is too tight."

C

4. An infant was diagnosed with Rotavirus. The nurse knows that the following should be included in patient education about the virus. Select all. a. Treatment includes oral rehydration and antibiotics b. The most common symptom is watery diarrhea that last at least 2 weeks c. Rotavirus is passed through the fecal-oral route d. Rotavirus is highly contagious and can bet spread through indirect contact

C AND D

3. A baby is admitted with a diagnosis of intussusception. Which of the following would the nurse expect to see? Select all. a. Acute constipation b. Frequent urination c. A mass in the right upper quadrant d. Currant jelly like stools e. Severe abdominal pain f. Projectile vomiting

C, D, E

1. The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for our son's ostomy." Which intervention would be most helpful for the parents? a. Explaining to them about the diagnosis and surgery b. Having a wound, ostomy, and continence nurse meet with them c. Reinforcing that the ostomy will be temporary d. Teaching them about the medications used to slow stool output

b

1. What signs and symptoms are indicative of a urinary tract disorder in the infancy period (1 to 24 months)? (Select all that apply.) a. Pallor b. Poor feeding c. Hypothermia d. Excessive thirst e. Frequent urination

a, b, d, e

1. What does the therapeutic management of CF patients include? Select all that apply. A. Encouraging exercise B. Providing a high fat, high carb diet C. Minimizing pulmonary complications D. Encouraging medication compliance E. Providing a high protein, high calorie diet

a, c, d, e

5. The nurse is discussing treatment of a child with ADHD with a group of school nurses. What would be an appropriate learning setting for a child with ADHD? A. A classroom where children self-select their activities B. A classroom with a plan of study that is followed each day C. A classroom with tables and chairs rather than individual desks D. A classroom with windows facing a playground

b. a classroom with a plan of study that is followed each day

2. A child's diagnosis of CF was made 13 yrs. ago and he has been hospitalized several times. On the latest admission, the child has labored respirations, fatigue, malnutrition, and poor weight gain. Which nursing actions are most important initially? A. Starting a high calorie, high protein diet B. Applying a pulse oximeter C. Inserting an IV line to start antibiotics D. Placing the child on bed rest

b. applying a pulse oximeter

2. The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond? A) "There is a good chance that you will be able to breastfeed almost immediately." B) "Breastfeeding is likely to be possible, but check with the surgeon." C) "After the suture line heals, breastfeeding can resume." D) "We will have to wait and see what happens after the surgery."

b. breastfeeding is likely to be possible, but check wit the surgeon

2. The nurse is providing education related to the use of a brace that was ordered for an adolescent girl with idiopathic scoliosis. Which statement by the teen means further teaching is needed? A. I will take my brace off 1 hr a day for showering B. I may take my brace off for special occasions C. I may wear a t-shirt under the brace for comfort D. Wearing the brace every day is required to prevent further curving of my spine

b. i may take my brace off for special occasions

6. A nurse is explaining ADHD to a community parents group. What characteristics of this disorder are exhibited by an affected child? A) Daydreams, math difficulties, speech problems B) Inattention, impulsiveness, hyperactivity C) Enuresis, shyness, scoliosis D) Separation anxiety, reading difficulties, boredom

b. inattention, impulsiveness, hyperactivity

1. The nurse is caring for a newborn with a cleft lip and palate. The mother states, "I will not be able to breastfeed my baby." Select the nurse's best response. a. "It sounds like you are feeling discouraged. Would you like to talk about it?" b. "Sometimes breastfeeding is still an option for babies with a cleft lip and palate. Would you like more information?" c. "Although breastfeeding is not an option, you have the option of pumping your milk and then feeding it to your baby with a special nipple." d. "We usually discourage breastfeeding babies with cleft lip and palate as it puts them at an increased risk for aspiration."

b. sometimes breastfeeding is still an option for babies with a cleft lip and palate. would you like more information?

2. A nurse is teaching parents of children about recurrent urinary tract infections (UTIs). Which goal should be recognized as having the highest priority? a. Detection b. Education c. Prevention d. Treatment

c

1. A pediatric nurse is reviewing nutrition with a mom at her child's 7 month well visit. What foods should the nurse tell the mom to avoid during her child's infant and toddler years? a. All dairy products b. Bananas and plain yogurt c. Honey and popcorn d. Cheerios and pureed meats

c. honey and popcorn

1. An adolescent with scoliosis is fitted for a Milwaukee brace. Which statement made by the client indicates successful teaching? a. "I'll only have to wear the brace for a few months." b. "I can take the brace off only for special occasions like the prom." c. "I can take the brace off for 1 hour per day while I bathe." d. "The brace will correct the curve if I wear it all the time."

c. i can take the brace off for 1 hour per day while i bathe

3. Which intervention is essential in the nursing care of an infant with cleft lip or palate? a. Discourage breastfeeding. b. Hold the infant flat while feeding. c. Involve the parents as soon as possible. d. Use a normal nursery nipple for feedings

c. involve the parents as soon as possible

2. A 9 month old child with CF does not like taking pancreatic enzymes with meals and snacks. The mother does not like to force the child to take the supplement. The most important reason for the child to take the pancreatic enzyme supplement with meals and snacks is: A. The child will experience severe diarrhea if the supplement is not taken as prescribed B. The child will become dehydrated if the supplement is not taken with meals and snacks. C. The child needs the pancreatic enzymes to help the digestive system absorb fats, carbs, and proteins D. The child needs the pancreatic enzymes to aid in liquefying mucus to keep the lungs clear

c. the child needs the pancreatic enzymes to help the digestive system absorb fats, carbs, and proteins

Parents are tearful when they find out their unborn child has down syndrome but nurse is aware they know about down syndrome when the parents say

there's a broad spectrum of physical/mental abilities