Test
68. Surgery is preformed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what? a. "prevent damage to the undescended testicle" * b. "prevent prostate cancer" c. "prevent urinary tract infections" d. "prevent an inguinal hernia"
A
A 12 year old child is injured in a bicycle accident. When considering the possibility of renal trauma, the nurse should consider what factor? a. The amount of hematuria is not a reliable indicator of the seriousness of renal injury b. Flank pain rarely occurs in children with renal injuries c. Kidneys are immobile, well protected, and rarely injured in children d. Few nonpenetrating injuries cause renal trauma in children
A
A 15-year-old girl tells a school nurse that she has not started to menstruate. On set of secondary sexual characteristics was about 2 1/2 years ago the nurse should take which action? A. Refer to adolescent for an evaluation B. explain that this is not usual C. suggest that the adolescents stop exercising until menarche occurs D. make an assumption that the adolescent is pregnant
A
A 16-year-old patient is being immediate weight Gullian bare syndrome. You would expect the physician to order what medication for the patient's treatment? A. Immunoglobulin (IVIG) B. Prostaglandin E1 C. Gentamycin D. Indomethacin
A
A hospitalized child with minimal change nephrotic syndrome is receiving high doses of prednisone. What nursing goal is appropriate for the child? a. Minimize risk of infection b. Stimulate appetite c. Promote adherence to the antibiotic regimen d. Detect evidence of edema
A
A parent of a school age child tells the school nurse that the parents are going though a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what? a. A common reaction to divorce b. Suggestive of a lack of adequate parenting c. Indicative of maladjustment d. An unusual response that indicates a need for referral
A
As part of the diagnostic evaluation of a child with cancer, biopsies are important for staging. What statement explains what staging means? a. Extent of the disease at the time of diagnosis b. Biologic characteristics of the tumor or lymph nodes c. Rate normal cells are being replaced by cancer cells d. Abnormal, unrestricted growth of cancer cells producing organ damage
A
During a routine health assessment, the nurse notes that an 8 month old infant has a significant head lag. Which is the most appropriate action? a. Schedule the child for further evaluation b. Teach the parents appropriate exercises c. Recheck head control at the next visit d. Refer the child for further evaluation if the anterior fontanel is still open
A
Nurse is providing guidance to families or children who are entering elementary school. What is essential information to include? A. Encourage a sense of responsibility in children B. Meet wait teachers only at scheduled conferences C. homework should be done as soon as a child comes home from school D. provide tutoring for children to ensure mastery of material
A
The clinical manifestations of sicle cell anemia are primarily the result of which physiologic alteration? a. Increased red blood cell (RBC) destruction b. Deficiency in coagulation c. Decreased blood viscosity d. Greater affinity for oxygen
A
The nurse is administering Prilosec to a 3-year-old with gastroesophageal reflux (GER). The child's parents ask the nurse how the medication works select the best response. A. Prilosec decreases stomach acid, so it will not be as irritating when your child spits up B. Prilosec relaxes the pressure of the lower esophageal splinter C. Prilosec is a proton pump inhibitor that is commonly used for reflux in infants only D. Prilosec helps food move through the stomach quicker, soul there will be less chance of reflux
A
The nurse is administering the first hepatitis A vaccine to an 18 month old child. When should the child return to the clinic for the second dose of hepatitis A vaccination? a. After 6 months b. After 2 months c. After 3 months d. After 4 months
A
The nurse is preparing an airborne infection isolation room for a patient. Which communicable disease does the patient likely have? A. Varicella B. influenza C. scarlet fever D. pertussis
A
The nurse needs to assess a 15 month old child who is sitting quietly on his father's lap. What initial action by the nurse would be most appropriate? a. Begin the assessment while the child is in his father's lap b. Undress the child while he is still sitting on his father's lap c. Talk softly to the child while taking him from his father d. Ask the father to place the child on the exam table
A
The nurse suspects shock in a child 1 day after surgery. What should be the initial nursing action? a. Provide supplemental oxygen b. Put the child in the Trendelenburg position c. Obtain arterial blood gases d. Place the child on a cardiac monitor
A
The parents of a child hospitalized with acute glomerulonephritis asks the nurse why blood pressure readings are being taken so often. What knowledge should influence the nurse's reply? a. Acute hypertension is a concern that requires monitoring b. Blood pressure fluctuations indicate that the condition has become chronic c. The antibiotic therapy contributes to liable blood pressure values d. Hypotension leading to sudden shock can develop at any time.
A
Well baby checkup, what response by the mother to the nurse indicates that an infant has developed objective permanence? A. Actively searches for hidden object B. recognizes familiar object, such as bottle C. recognize familiar face, such as father D. secures objects by pulling on a string
A
What Is a significant common side effect that occurs with opioid administration? A. Constipation B. Diuresis C. Allergic reaction D. Euphoria
A
What is the description of a parent who is an abuser? A. Is likely a single parent or from a single parent home B. usually is well educated C. has a good support system D. often has good knowledge of parenting skills
A
What urine test result is considered abnormal? a. pH 4.0 b. protein level absent c. WBC 1 or 2 cells/mL d. Specific gravity 1.020
A
The nurse is preparing to admit a 5-year-old with spinal bifida cystica there was below the second lumbar vertebrae. What clinical manifestation of spinal bifida cystica below the second lumbar vertebrae should the nurse expect to observe? Select all that apply A. Lack of bowel control B. Flaccid, partial paralysis of lower extremities C. Overflow incontinence with constant dribbling of urine D. No motor impairment E. Soft, subcutaneous lipomas
ABC
What guidelines should the nurse follow when handling chemotherapeutic agents? (select all that apply) a. Wear gloves designed for handling chemotherapy b. Discard gloves and protective clothing in a special container c. Wear face and eye protection when splashing is possible d. Use clean technique e. Prepare medications in a safety cabinet
ABCE
Chance of a child who will need hemodialysis ask the nurse, "what are the advantages of fistula over graft or external access device for hemodialysis?" what response should the nurse give? select all that apply A. There is less restriction of activity with fistula B. there are fewer complications with a fistula C. the fistula does not require needle insertion at each dialysis D. it produces dilation in thickening of the superficial vessels E. it is ready to be used immediately
ABD
Is conducting a teaching session for appearance or nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? Select all that apply A. Lower income B. Migrant status C. Working parents D. Homelessness E. Single parent status
ABD
A child is hospitalized in acute renal failure and has a serum potassium greater than 7 meq/L. What temporary measures that will produce a rapid but transient effect to reduce the potassium should the nurse expect to be prescribed? Select all that apply A. Calcium gluconate * B. sodium bicarbonate * C. dialysis D. sodium polystyrene sulfonate (kayexalate) E. glucose 50% and insulin *
ABE
Clinic nurse completed a teaching session with a 12-year-old who is in the 85th percentile on weight. Which of the following indicate an understanding of the teaching points regarding the risk of obesity? Select all that apply A. I should have at least 60 minutes of physical activity every day B. I will lift weights with my older brother every day to increase my muscle strength C. I shall focus on eating foods that are good for me D. I will work on changing my habit of watching television and eating sugary snacks
ACD
Is preparing to admit a one-year-old child with pertussis (whooping cough). Which clinicals manifestations of pertussis should the nurse expect to observe? Select all that apply A. Coryza B. epistaxis C. low-grade fever D. dry hacking cough E. ear pain F. conjunctivitis
ACD
Signs and symptoms are indicative of a urinary tract disorder in the embassy. 1 to 24 months? Select all that apply A. Poor feeding B. Hypothermia C. Pallor D. frequent urination E. Excessive thirst
ACDE
The nurse is providing nursing care for a patient with acute kidney failure for whom volume overload has been identified. Which actions should the nurse delegate to an experienced unlicensed assistive personnel (UAP) a. Reminding the patient to save all urine for intake and output measurement b. Assessing breath sounds every 4 hours c. Ensuring that the patient's urinal is within reach d. Measuring and recording vital sign values every 4 hours e. Weighing the patient every morning using a standing scale f. Administering furosemide 40 mg orally twice a day
ACDE
The nurse is caring for a child with a urinary tract infection who is on intravenous gentamicin (Garamycin). What interventions should the nurse plan for this child with regard to this medication? (Select all that apply) a. Encourage fluids b. Monitor sodium serum levels c. Monitor urinary output. d. Monitory potassium serum levels e. Monitor serum peak and trough levels
ACE
The nurse is caring for a child with hypokalemia. The nurse evaluates the child for which signs and symptoms of hypokalemia? Select all that apply A. Cardiac arrhythmias B. Hyperreflexia C. Hypotension D. Twitching E. Muscle weakness.
ACE
The client with chronic renal failure underwent a left kidney transplant two months ago. The patient has been immediate due to a possible rejection of the donor organ. You know that this patient is truly showing signs of rejection if the client exhibits the following signs and symptoms? Select all that apply A. Tenderness over graft area B. decrease serum creatinine C. increase urinary output D. fever E. decrease blood pressure
AD
4-month-old infant with RSV bronchiolitis is in the respiratory distress. The baby has a respiratory rate of 74, copious secretions, increased work of breathing, and cyanosis. What is the most appropriate initial nursing intervention? A. Physician or nurse practitioner to the situation in ask for an order for a stat chest radiograph B. suction secretions, provide 100% accident via mass, inadequate respiratory failure C. bring the emergency equipment to the room in begin bag valve mask ventilation D. attempt to calm the infant by placing him in the mother's lap and offering him a bottle
B
According to Erikson's stages, what is the primary task of development in infancy? a. Industry b. Trust c. Autonomy d. Initiative
B
An infant has been diagnosed with bladder obstruction. What do symptoms of this disorder include a. Urinary tract infections b. Post-urination dribbling c. Renal colic d. Strong urinary stream
B
Are frustrated by the toddler asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation? A. Explain to the child why the tantrum is wrong B. remain close by the child but ignore the behaviors C. punish the child by putting them in a time out for 10 minutes D. leave child nor into the tension is over
B
Descriptions of young people with anorexia nervosa often include which criteria? a. Extroverted b. Obsessive-compulsive c. Low achieving d. Impulsive
B
For information with the nurse give a mother regarding the introduction of solid foods during infancy. A. Fruits and grains should be introduced into the diet first B. full should be introduced one at a time at intervals of five to seven days to assess the hypersensitivity C. solid foods should not be introduced until the infant is 8 to 10 months when the exclusion reflex disappears D. Sally foods can be mixed in a bottle to make the transition easier for the infant
B
The mother of a child 2 1/2 years of age has arranged a playdate with the neighbor and her 21-month-old daughter. During the play date the two mothers should expect the children will do which of the following? A. Their children will share in trade their toys while playing B. the children will play alongside one another but not actively with one another C. the children will play with one or more items, ignoring most of the other toys D. the children will play with one another with little or no conflict
B
The nurse is obtaining the history and physical information for a child who is recovering for Kawasaki disease and receives aspirin therapy. Which information concerns the nurse the most? a. The child's fingers have areas of peeling skin. b. The child has not received any immunizations. c. The child is very irritable and cries frequently. d. The child attends a day-care center 5 days a week.
B
The nurse understands that which occurs soon after birth can indicate cystic fibrosis? A. Hypoglycemia B. Meconium ileus C. Muscle weakness D. Murmur
B
When assessing language development in a 3 year old, which of the following activities would the nurse expect to find? a. Knows simple songs b. Uses complete sentences of three or four words c. Names one or more colors d. Questioning is at its peak
B
When the nurse interviews an adolescent, which is especially important? a. Focus the discussion on the peer group b. Allow an opportunity to express feelings c. Use the same type of language as the adolescent d. Emphasize that confidentiality will always be maintained
B
Which of the following would the nurse teach the adolescent is a complication of corticosteroids used in the treatment of Juvenile rheumatoid arthritis (JRA) a. Hypoglycemia b. Immune suppression c. Fat loss d. Adrenal stimulation
B
You are the nurse caring for a 7-year-old client diagnosed with acute asthma exacerbation. During your assessment, which finding would indicate that the client's condition is declining? A. Warm, dry skin B. Diffused wheezing C. Heart rate of 90 beats per minute D. Constant headaches
B
what is expected fine motor function of a 3-year-old child? A. Tie shoelaces B. Scribble drawings and name what was drawn C. Draw a person with seven to eight body parts D. Use scissors or pencil very well
B
what major complication is associated with Chronic renal failure? A. Hypokalemia B. Water and sodium retention C. Excessive excretion of blood urea nitrogen D. Metabolic alkalosis
B
Urinary stasis * 56. You are teaching the mother of a 7 month old about introducing solids to the baby's diet. You know she understands teaching when she states her baby is ready for solid food when the baby: a. Infant's birth weight had tripled, with infant at least 10 pounds. b. Infant able to reach and maintain balance. c. Infant able to stand up d. Infants moves food to back of mouth and swallows. e. Extrusion reflex is present
B D
This is teaching parents about the effects of media on childhood obesity. The nurse realizes the parents understand the teaching if they make which they make? Select all that apply A. Increase screen time can lead to better knowledge on nutrition B. increased screen time may be related to unhealthy sleep C. advertising of unhealthy foods can increase snacking D. there is a link between the amount of screen time in obesity E. physical activity increases the children increase the amount of screen time
BCD
The nurse is admitting a 9 year old child with hemolytic uremic syndrome. What clinical manifestations should the nurse expect to observe? (select all that apply) a. Periorbital edema b. Hypertension c. Proteinuria d. Hematuria e. Purpura f. Anorexia
BEF
A 6 year old child has a patient controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should the nurse's explanation to the parents include? a. There is a high risk of overdose, therefore monitoring is done every 15 mins b. The child will continue to sleep and remain pain free c. The pump can deliver baseline and bolus dosages. d. Parents can administer additional pain medication for the child with the button
C
A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication scheduled. When should this medication be administered? a. After chest physiotherapy (CPT) b. After receiving 100% humidified oxygen c. Before chest physiotherapy (CPT) d. Before receiving 100% oxygen via mask
C
A girl, age 5 ½ years, has been sent to the school nurse for urinary incontinence three times in the past two days. The nurse should recommend to her parent that the first action is to have the child evaluated for what condition? a. Glomerulonephritis b. School phobia c. Urinary trat infection (UTI) d. Attention deficient disorder (ADHD)
C
A toddler is being Sent to the operating room for surgery at 9:00 AM. As the nurse prepares the child, what is the priority intervention? A. Administering preoperative antibodies B. Verifying that the child and procedure are correct C. Ensuring that the Toddler has been NPO since midnight D. Informing the parents where they can wait during the procedure
C
Has been admitted to the unit with acute glomerulonephritis. What test does the nurse anticipate will be ordered to confirm this diagnosis? A. Blood cultures B. White blood cell (wbc) count. C. Antistreprolysin-o (ASO) titer D. Urinalysis
C
Nurse is teaching the family of a child, age eight years, with moderate hemophilia about home care period what should the nurse tell the family to do to minimize joint injury? A. Administer ddavp (synthetic vasopressin) B. administer non-steroidal anti-inflammatory drugs NSAIDs C. provide intravenous (IV) infusion of factor 8 concentrates D. encourage elevation in application of ice to improve the joint
C
The nurse is assessing a 9-month-old infant during a well-baby exam. What does the nurse anticipate for fine motor development in this infant? a. Release cubes into a cup b. Hold a crayon and make a mark on paper c. Use of thumb and index finger in crude pincer grasp d. Transfer objects from one hand to the other
C
The nurse is assessing a neonate who was born one hour ago two healthy parents in their early 40s. which finding should be most suggestive of Down syndrome? A. long, thin fingers in toes B. hypertonia C. low set ears D. micrognathia
C
The nurse is explaining to adolescents the rationale for administering Tdap (tetanus, diphtheria, acellular pertussis vaccine 3 years after the last td (tetanus) booster. What should the nurse tell the adolescent? A. It is time for a booster vaccine B. it is past the time for a booster vaccine C. the vaccine will provide pertussis immunity D. the vaccine will be the last booster you will need
C
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. The child's environment should be visually stimulating b. Low-interest activities in the classroom should be minimized c. Visual references should accompany verbal instruction d. Academic subjects should be taught in the afternoon
C
The nurse is planning care for a hospitalized preschool age child. Which should the nurse plan to ensure atraumatic care? A. limit explanation of procedures because a child is preschool age B. Explain that the EMLA cream cannot be used for the morning lab job because there is no time for it to be effective C. allow the child to choose the type of juice to drink with the administration of oral medications D. asks that all family members leave the room when performing person
C
The school nurse is teaching a class on injury prevention. What should be included when discussing firearms? a. Nonpowder guns (air rifles, BB guns) are a relatively safe alternative to poweder guns. b. Adolescents are too young to use guns properly for hunting c. Adolescence is the peak age for being a victim or offender in the case of injury involving a firearm. d. Gun carrying among adolescents is on the rise, primarily among inner-city youth.
C
What is an important consideration when using the FACES pain rating scale with children? a. Children color the face with the color they choose to best describe their pain b. The FACES scale is useful in the assessment of the pain but is not as accurate as physiologic responses c. The scale can be used with most children as young as 3 years old d. The scale is not appropriate for use with adolescents
C
What is one indication that a toddler is ready to begin toilet training? A. Child removes his or her own diaper when it becomes soiled B. the child is able to dress and undress self C. child recognizes the urge to void in is able to communicate this appearance D. the child is able to stay dry overnight
C
What postoperative intervention would be questioned for a child after a cardiac catheterization? a. Assess peripheral circulation on the affected extremity b. Check the dressing for bleeding c. Keep the affected leg flexed and elevated d. Continue IV fluids until the infant is tolerating oral fluids
C
You are educating the mother of an 8 month old patient that has been placed on digoxin. The mother asks, "what is the beneficial effect of administering digoxin (Lanoxin)?" As the student nurse you understand the medication's effect is to: a. Increase edema b. Increases heart size c. Increase cardiac output d. Increases venous pressure
C
You are the nurse caring for a 7 year old client in the emergency department (ED) with acute inflammation of the meninges and acute inflammation of the cerebral spinal fluid. As the admitting nurse what is your initial intervention? a. Obtain vital signs every 4 hours as ordered b. Administer intravenous antibiotics once labs are resulted c. Initiate isolation precautions as ordered d. Obtain bleed cultures as ordered
C
You are the nurse caring for a client admitted for a liver biopsy and a radical nephrectomy due to nephroblastoma. You have reviewed your preoperative orders. As the admitting nurse, which physician's order would you question? a. Obtain an abdominal girth. b. Assessment of the abdominal skin integrity c. Palpate abdomen/liber to identify areas of pain. d. Place two large bore intravenous access devices
C
You are the student nurse caring for a 7 month old female. You understand which reflexes appear at this age? a. Moro b. Neck righting c. Landau d. Parachute
C
r * 53. You are the nurse of a 13 year old male who presents with massive proteinuria, hypoalbuminemia, hyperlipidemia and edema. Which physician's order would you question? a. Place patient on a low salt diet b. Administer prednisone 2mg/kg daily c. Administer Nitrofurantoin 100mg oral twice a day d. Strict intake and output
C
the nurse will place highest priority on which nursing activity and managing a young child diagnosed with a urinary tract infection? A. Restrict fluids to provide kidney rest B. Provide adequate nutrition to prevent dehydration C. Administer ordered antibiotics on schedule D. Prevent enuresis
C
what strategy is considered one of the best for preventing cigarette smoking in teenager? A. Threatening the social norms of groups most likely to smoke B. emphasis on the long-term effects of smoking on health C. peer led programs emphasizing the social consequences of smoking D. large scale printing information campaigns
C
What dietary instruction should the nurse give the parents of a child in oliguria phase of acute glomerulonephritis with edema and hypertension? Select all that apply A. Encouragement of fluids B. high fat C. limit foods high in potassium D. low protein E. moderate sodium restriction
C E
. In teaching the parent of a newly diagnoses 2 year old child with pyelonephritis related to vesicoureteral reflux (VUR), the nurse should include which information? a. Give cranberry juice twice a day b. Limit fluids to reduce reflux c. Surgery is indicated to reverse scarring d. Have siblings examined for VUR
D
A 10-year-old girl needs to have another intravenous line started. She keeps telling the nurse, "wait a minute", and "I'm not ready." What should the nurse interpret this behavior? A. Protesting like this is usually not seen past the preschool years B. Ivy insertions are viewed as punishment C. the child has successfully manipulated the nurse in the past D. this is an expected behavior for school age child
D
A 2 year old child who has abdominal pain is diagnoses with intussusception. A hydrostatic reduction has been performed. Which finding should be reported immediately before surgery proceeds? a. Passage of current jelly-like stools b. Frequent nausea and vomiting c. Palpable sausage shaped abdominal mass d. Passage of normal brown stool *
D
A pediatric client is admitted with acute glomerulonephritis. As the nurse you would expect the urinalysis during the acute phase to show: a. Bacteriuria, hematuria b. Proteinuria, decreased specific gravity c. Bacteriuria, increased specific gravity d. Hematuria, proteinuria
D
Congenital adrenal hyperplasia is expected in a newborn because ambiguous genitalia. The parents are appropriately upset and concerned about their child's gender. In teaching the parents about CAH, what should the nurse explain? A. Prenatal masculinization will strongly influence the child's development B. Reconstructive surgery as a female is preferred C. the child should be raised as a boy because of the presence of a penis and scrotum D. sexual assignment should wait until genetic sex is determined
D
Just came for a 5-year-old child and knows that the child displays vigorous, intrusive behavior; Enterprise; In strong imagination what stage of psychosocial development does this represent? A. Trust versus mistrust B. identity versus role of confusion C. industry versus inferiority D. initiative versus guilt
D
Speaker cast was put on a 6-month-old infant after an unfortunate incident so immobilized her hips and thighs; Which of the following is a priority nursing action immediately after application? A. Elevate the infant's legs B. Keep the cast dry and clean C. Remove every 8 hours D. Perform neurovascular checks
D
The health care provider prescribes that a urine culture be obtained on an infant who is not toilet trained. The nurse implements which of the following as the best means of collecting this urine specimen? a. Use diaper analysis b. Perform foley catherization c. Apply a urine collection bag d. Perform a straight catherization
D
The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. What clinical manifestation is the most essential part of the nursing assessment to detect early signs of a worsening condition? a. Vital signs b. Focal neurologic signs c. Posturing d. Level of consciousness
D
The nurse is describing one of the benefits of imaginary playmates to the parents of a preschool child. What statement is most accurate? a. Accomplish what the child has already successfully accomplished b. Take the place of social interactions c. Take the place of pets and other toys d. Become friends in times of loneliness
D
The nurse is providing support to parents adapting to the hospitalization of their child so the pediatric intensive care unit. The nurse knows is that the parents keep asking the same questions period what should the nurse do? A. Kindly refer them to someone else for answering their questions B. suggested the ask their questions when they are not upset C. recognize that some parents cannot understand explanations D. patiently continued to answer questions, trying different approaches
D
The nurse is taking care of a child who had a thyroidectomy. The nurse recognizes what as a positive Chvostek sign? a. Paresthesia occurring in feet and toes b. Carpal spasm elicited by pressure applied to nerves for the upper arm c. Frequent sharp flexion of wrist and ankle joints d. Facial muscle spasm elicited by tapping the facial nerve in the region of the parotid gland
D
The nurse is teaching a client to prevent future urinary tract infections (UTIs). What factor is most important to emphasizes the potential cause? a. Poor hygiene b. Congenital anomalies c. Constipation d. Urinary stasis
D
The parent of a child diagnosed with chronic renal failure asks the nurse why Peritoneal dialysis was selected instead of hemodialysis. Which is the nurse's best response? A. Hemodialysis is not used in the pediatric population B. Peritoneal dialysis is much more efficient than hemodialysis C. Peritoneal dialysis has no complications, so it is a treatment used without hesitation D. Peritoneal dialysis removes fluid at a slower rate than hemodialysis, so many complications are avoided
D
The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse applies based on what knowledge? A. most boys and the united states can be toilet trained at age 3 YEARS. B. Training can begin when he has sufficient bladder capacity C. They should begin now because he will require additional time D. Additional surgery may be necessary to achieve continence.
D
The student nurse has administered her type one diabetic patient 30 units of Lantus with her morning medication following a bedside blood glucose of 185 mg/DL. The student nurse should expect the duration of the medication to be: A. 6 hours B. 18 hours C. 12 hours D. 24 hours
D
What information should the nurse include when teaching the mother of a 9 month old infant about administering liquid iron preparations? a. Give with meals b. Allow preparation to mix with saliva and bathe the teeth before swallowing c. Stop immediately if nausea and vomiting occur d. Adequate dosage will turn the stools a tarry green color
D
What is important to incorporate in the plan of care for a child who is experiencing a seizure? A. Suction the child during a seizure to prevent aspiration B. restrain a child when seizures occur to prevent bodily harm C. place at tongue blade between the teeth if they become clenched D. describe in record the seizure activity observed
D
What is the most important factor in determining the rate of fluid replacement in the dehydrated child? a. Urine output b. Serum potassium level c. The child's weight d. The type of dehydration
D
What is the recommended first line treatment for attention deficit hyperactivity disorder (ADHD)? A. Psychotherapy B. Medications regimen C. Family counseling D. Behavioral therapy
D
Where is the most frequent source of symptomatic lead poisoning in children? A. Uncleaned fruit B. Unglazed pottery C. Folk remedies D. Lead-based paint E. Cigarette butts and ashes
D
You are the nurse caring for a 16 year old male admitted with asthma.. he is able to think in abstract terms. As the student nurse, you understand that this is what stage of cognitive development? a. Postconventional thought b. Conventional thought c. Concrete operations d. Formal operational thought
D
You are the nurse caring for a 7 year old patient during their routine dialysis treatment from chronic renal failure (CRF). You notice the dialysate draining from the child is cloudy in color, your immediate intervention is to? a. Obtain a urinalysis b. Continue the dialysis treatment c. This is a normal finding d. Notify the physician
D
You are the nurse on the pediatric surgical unit for the 7A-7P shift. You have just received report on the following patients . which patient would you plan to see first? a. A 4 year old female admitted with asthma exacerbation, a respiratory rate of 24 and pulse oximetry of 97%. b. An infant admitted with enterobiasis that has a dose of mebendazole ordered for 9AM c. An infant that has been having episodes of vomiting and diarrhea for 3 days. d. An adolescent admitted with severe right lower quadrant pain with a morning temperature of 101.4 and pain score of 0/10 on the verbal pain scale.
D
the nurse should suspect a child has cerebral palsy if the parent says what? A. My 10-month-old is not walking B. my 8-month-old can sit without support C. my 6-month-old baby is rolling from back to prone now D. my 4-month-old doesn't lift his head when on his tummy
D
what is the primary cause of kwashiorkor? A. Result from inadequate calories but adequate protein B. Can occur primarily in formula fed infants C. Results from excessive Vitamin K D. Can occur from infants being weaned from the breast after another child is born
D
Your child is a meeting with a fractured femur in a diagnosis of osteogenesis imperfecta. On physical examination the nurse also assess is this child to have which of the following clinical manifestations? Select all that apply A. Open posterior fontanelle B. chronic anemia C. bowed legs D. dental deformities E. hyperlaxity of ligaments
DE
