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A BUNDLE OF RN NURSING OF CHILDREN EXAM 2024
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RN
A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse ... [Show More] plan to include? - ANSWERSEnsure the oxygen source is functioning in the childs room the nurse should recognize that maintaining the childs airway is important during a seizure. the nurse should ensure the oxygen source is functioning bc the child might require supplemental oxygen following a seizure A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? - ANSWERS"You should offer your child high-protein meals and snacks throughout the day." children who have cf require a higher percentage of the recommended dietary allowances of all nutrients to meet their energy requirements. children who have good nutritional intake have improved lung function and decrease risk of infection A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? - ANSWERS"Allow the stent to drain into your infants diaper." this is to prevent kinking or twisting that can interfere with urine flow A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? - ANSWERSDecreased edema a child who has nephrotic syndrome can experience edema d/t the increase glomerular permeability, which increases protein loss. prednisone decreases glomerular permeability, which causes fluid to shift from the extracellular spaces, resulting in decreased edema A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? - ANSWERSA toddler who has a concussion and an episode of forceful vomiting. when using urgent vs. nonurgent approach to pt care, the nurse should assess this child first. an episode of forceful vomiting is an indication of increased ICP in a toddler who has a concussion A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? - ANSWERSRestricted ability to move the toes. this is an indication of neurovascular compromise and requires immediate notification of the provider. permanent muscle and tissue damage can occur in just a few hours A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? - ANSWERSWheezes wheezes are high-pitched, musical or whistling-like sounds heard primarily on expiration as air passes through and vibrate narrowed airways A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? - ANSWERSPotassium Chloride the nurse should identify that a child who has a chf can develop e imbalances such as hyper hypokalemia. the nurse should identify that the child is exhibiting manifestations of hyperkalemia and contact the MD about the admin of this which can increase the severity of hyperkalemia A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? - ANSWERSThe child should be able to stand on the balls of their feet when sitting on the bike. to decrease the risk of injury, parents should ensure that the bike is the correct size for the child. when seated on the bike, the child should be able to stand with the ball of each foot touching the ground and should be able to stand with each foot flat on the ground when straddling the bikes center A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? - ANSWERSGreat Toe the nurse should secure the sensor to the great toe of the infant and then place a snug-fitting sock on the foot to hold the sensor in place. the nurse should also check the skin under the sensor site frequently for temp, color, and the presence of a pulse A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? - ANSWERSMonitor the childs oxygen saturation b/c the child is experiencing acute resp distress and it is necessary to determine if the child is responding to tx A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take? - ANSWERSApply an antimicrobial ointment to the affected area. to prevent infection A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? - ANSWERS"When your childs lesions are crusted, usually 6 days after they appear." the nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include? - ANSWERS"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." the nurse should include this to evaluate the presence of lung disease and how the child is responding to the current tx regimen. as children grow, sometimes their manifestations can improve or decline, and tx needs to change accordingly A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) - ANSWERS-Vomiting -Lethargy the nurse should expect an infant who has intussusception to exhibit vomiting d/t the obstruction that occurs when a segment of the bowel telescopes within another segment of the bowel the nurse should expect lethargy d/t episode of severe pain during which the infant cries inconsolably, leading to exhaustion and decrease nutritional intake A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? - ANSWERSErythrocyte sedimentation rate 18 mm/hr this is above the expected range of up to 10 mm/hr and is an indication of osteomyelitis A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include? - ANSWERS"Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days." the nurse should instruct the parents to apply a thin layer of abx ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? - ANSWERSExplore the parents feelings and wishes regarding organ donation. the first action should be assessment using the nursing process. the nurse should first explore the parents' feelings and wishes regarding the organ donation to assist in determining if organ donation is the right choice for the family A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain? - ANSWERSAllow the mother to breastfeed while the sample is being obtained. [Show Less]
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A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has current blood glucose level of 250mg/dL. Which of the following ... [Show More] actions should the nurse take? - ANSWERSAdminister D5NS by continuous IV infusion A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take? - ANSWERSApply continuous pressure to the child's nose for at least 10 minutes A nurse is teaching the parents of a 3-year-old who has persistent otitis media about prevention. Which of the following statements by the parents indicates and understanding of the teaching? - ANSWERSWe should not smoke around our child A nurse is assessing the pain level of a 3-year-old who is postoperative following abdominal surgery. Which of the following pain scales should the nurse use? - ANSWERSFACES pain rating scale A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions should the nurse take? - ANSWERSCheck the child's blood pressure every 4 hours A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? - ANSWERSA child who has sickle cell anemia and a urine specific gravity of 1.030 A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take? - ANSWERSInstruct the child to use a soft sponge toothbrush when brushing her teeth A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? - ANSWERSTransposition of great arteries A nurse is teaching a school-age child who has a new diagnosis of T1DM. which of the following statements should the nurse make? - ANSWERSYou can use a vial of insulin for up to 30 days A nurse is teaching to a group of parents of adolescents about developmental needs. Which of the following statements by a parent should the nurse investigate further? - ANSWERSMy child spends 4 hours per day in internet chat rooms A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values? - ANSWERSThe infant might be dehydrated A school nurse is assessing an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal? - ANSWERSPotential for sustaining abdominal trauma A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWERSI will add 1 teaspoon of rice cereal per ounce to my baby's formula A nurse is caring for a child who has suspected nephrotic syndrome. Which of the following laboratory values should the nurse expect? - ANSWERSSerum cholesterol 700mg/dL A nurse is preparing to administer acetaminophen 240mg PO daily to a child who has a temperature of 38.9 C (102 F). The amount available is acetaminophen oral solution 160mg/5ml. How many ml should the nurse administer per dose? - ANSWERS7.5 ml A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take? - ANSWERSPrepare the child for a barium enema A nurse is caring for a school-age child who has glomerulonephritis. The child has decreased urinary output, a blood pressure of 160/78 mmHg, and is receiving hydralazine. Which of the following lunch choices should the nurse recommend? - ANSWERS3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple juice A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by a parent indicates an understanding of the teaching? - ANSWERSMy child may take aspirin for his joint pain A nurse at a clinic is preparing to administer immunizations to a 5-year-old child. Which of the following immunizations should the nurse plan to give? - ANSWERSDiphtheria, tetanus, and pertussis (DTaP) A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the following finding sis the nurse's priority? - ANSWERSInability to clear secretions A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWERSI need to apply paste to the back of the wafer of my child's appliance A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take? - ANSWERSSchedule the child for a preoperative visit to the facility A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make? - ANSWERSI will place a pressure dressing over the area following the procedure A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over 50% of his body. When planning for the nutritional needs of the child, which of the following actions should the nurse plan to take? - ANSWERSSupplement the child's feedings with enteral feedings A nurse is caring for a child who has a vesicular rash. The parents of the child ask the nurse what illness can cause this rash for 6 days. The nurse should expect that the child has which of the following conditions? - ANSWERSVaricella A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications? - ANSWERSCheck for pulses in the affected leg every 4 hours A nurse is caring for a child who is in the emergency department after ingestion a bottle of acetaminophen. Which of the following medications should the nurse plan to administer? - ANSWERSAcetylcysteine A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In which of the following sties should the nurse plan to administer the injection? - ANSWERSVastus lateralis A nurse is teaching the parents of an infant who has congenital hypothyroidism. Which of the following statements should the nurse make? - ANSWERSYour child will need to take thyroid hormone replacement for her entire life A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "Why does my child's abdomen stick out?" Which of the following statements should the nurse make? - ANSWERSToddlers don't have well developed abdominal muscles A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest? - ANSWERS3 oz of baked chicken on a whole wheat roll A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first? - ANSWERSAssess for manifestations of circulatory impairment A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally every 8 hours to a school-age child who weighs 50 lb. Available is diphenhydramine oral solution 12.5mg/5ml. How many ml should the nurse administer per dose? - ANSWERS15 ml A nurse is caring for a child who adheres to a vegetarian diet and has sustained superficial partial-thickness burns. The nurse should recommend which of the following food choices as having the highest protein content? - ANSWERS½ cup of peanut butter with apple slices A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect? - ANSWERSInactive and thumb sucking A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take first? - ANSWERSGive the child flavored popsicles A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? - ANSWERSYour child will need a botulinum toxin A injection to help with muscle spasticity A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care? - ANSWERSEncourage quiet play A nurse is caring for a 4-month old child who has acute otitis media and a fever of 38.3 C (101 F). Which of the following medications should the nurse administer? - ANSWERSAmoxicillin A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? Select all that apply? - ANSWERSNausea, urticaria, stridor A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the following actions should the nurse take? - ANSWERSMonitor the infant's head circumference A nurse is caring for a child who has Tetralogy of Fallot. Which of the following laboratory values should the nurse expect to find? - ANSWERSRBC 6.8 million/uL A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is recovering from an umbilical hernia repair. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWERSI will fold my baby's diaper away from the incision A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? - ANSWERSOxygen saturation 85% A nurse is teaching about poisoning prevention to a group of parents who have toddlers. Which of the following statements should the nurse make? - ANSWERSPut all cleaning supplies in a locked cabinet A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take? - ANSWERSEncourage the parents to bring in the child's stuffed animal A nurse is caring for a toddler who has asthma. The parents care concerned about the toddler's reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety? - ANSWERSEncourage rooming-in A nurse is caring for a 2-year old child who has frequent highlight urinary tract infections. When educating the parents about the prevention of urinary tract infections, which of the following instructions should the nurse include in the teaching? - ANSWERSTeach the child to wipe from front to back A nurse is admitting a child who has a cute lymphocyte leukemia. Which of the following laboratory values should the nurse expect? - ANSWERSRBC 2.5 million/uL A nurse is teaching parents of a 10-year-old child who has iron-deficiency anemia. Which of the following statements by a parent indicates an understanding of the teaching? - ANSWERSI will administer the iron tablet with orange juice [Show Less]
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A nurse is assessing a 4-year-old child at a well visit. Which of the following developmental milestones should the nurse expect to observe? - ANSWERSCuts ... [Show More] a shape using scissors A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply) - ANSWERSThe correct answers - increased temperature, xerophthalmia, & cervical lymphadenopathy A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by a child as understanding the teaching - ANSWERS"I will give myself a shot of regular insulin 30 minutes before I eat breakfast" A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect - ANSWERSa unilateral rib hump A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis - ANSWERSincreased protein concentration A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan - ANSWERSIncrease fat content in the child's diet to 40% of total calories A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first - ANSWERStachypnea A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first - ANSWERSExplore the parents' feelings and wishes regarding organ donation A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take - ANSWERSGive morphine 0.05mg/kg IV A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant - ANSWERSgreat toe A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication - ANSWERSErythrocyte sedimentation rate 18 mm/hr A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect - ANSWERSFacial rash A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make - ANSWERS"Let's talk about some of the ways you have handled previous stressors in your life" A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify as understanding the teaching - ANSWERS"Mononucleosis is caused by an infection with the Epstein-Barr virus" A nurse in an emergency department suspects that a toddler has epiglottitis. Which of the following actions should the nurse take - ANSWERSPrepare the toddler for nasotracheal intubation A nurse is caring for a toddler who has acute otitis media and a temperature of 40 degrees C (104 degrees C). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddlers temperature - ANSWERSDress the toddler in minimal clothing A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect - ANSWERSloud harsh murmur A nurse is providing discharge teaching to a parent of a school-age child who has undergone tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching - ANSWERS"I will notify the doctor if I notice that my child is swallowing frequently" A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next - ANSWERSInitiate IV access A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take - ANSWERSInitiate droplet precautions for the child A nurse is caring for a 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain - ANSWERSAdminister sucrose to the infant prior to the procedure A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include - ANSWERS"Wait 3 days before taking a tub bath" A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority when making a room assignment - ANSWERSDisease process A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider - ANSWERSUrticaria A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching - ANSWERSCovering the sleeping infant with a blanket A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period - ANSWERSPlace the child in a lateral position A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include - ANSWERSThe child should be able to stand on the balls of her feet when sitting on the bike A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make - ANSWERS"Your baby should be able to sit unsupported" A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take - ANSWERSPlace the infant in a knee-chest position A nurse is proving teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area - ANSWERSZinc oxide A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss - ANSWERSThe toddler received tobramycin during a hospitalization 2 weeks ago A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take - ANSWERSSuction for 5 seconds or less A nurse is teaching the mother of a 6-month-old infant about teething. Which of the following statements should the nurse make - ANSWERS"Your baby may pull at her ears when she is teething" A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney - ANSWERSSerum creatinine 3.0 mg/dt A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction - ANSWERSflank pain A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect - ANSWERSPoor personal hygiene A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take - ANSWERSScreen the child's visitors for indications of infection A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching - ANSWERSUse a second dose if the first dose of epinephrine does not completely reverse the symptom A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of perionitis - ANSWERSAbdominal distention The nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider - ANSWERSHgb A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin an angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first - ANSWERSEpinephrine A nurse is caring for a school-age child who has diabetes Mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect - ANSWERSDeep respirations of 32/min A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child's condition - ANSWERSrecombinant growth hormone A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler - ANSWERSoral rehydration solution A nurse is teaching the parent of an infant who has Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching - ANSWERS"I will place my infant's diapers under the harness straps" A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse is priority - ANSWERSEpisodes of vomit A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching - ANSWERS"Allow the stent to drain directly into your infant's diaper" A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding the teaching - ANSWERS"I should keep my child indoors when I mow the yard" A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (select all that apply - ANSWERSvomiting, lethargy A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider - ANSWERSRestricted ability to move the toe A nurse in the emergency department is auscultating the Lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? (click on the audio button to listen to the clip - ANSWERSWheezes A nurse is planning care for a school-age child who is in the oliguric phase of Acute kidney injury (akI) and has a sodium level of 129 mEq/l. Which of the following interventions should the nurse include in the plan - ANSWERSInitiate seizure precautions for the child A nurse is assessing a 6-month-old infant at a well-infant visit. Which of the following findings should the nurse report to the provider - ANSWERSPresence of strabismus A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan - ANSWERSUse a semipermeable transparent dressing to cover the site A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take - ANSWERSUse an antimicrobial ointment on the affected area A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure which of the following interventions should the nurse include in the plan - ANSWERSProvide small, frequent meals to the child A nurse is caring for a school age child who has acute rheumatic fever. Which of the following actions should the nurse take - ANSWERSMaintain the child on bed rest A nurse is assessing a school age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure - ANSWERSdecreased attention span A nurse is preparing to administer a hep b vaccine to a 1-month-old. The nurse should plan to inject the medication at which location - ANSWERSthigh [Show Less]
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Nurse Tammy is assessing Derek for other manifestations of diabetes mellitus. For which of the following manifestations should Nurse Tammy assess? (select ... [Show More] all that apply) - ANSWERSBlurred vision, Increased thirst, excessive hunger, slow wound healing Nurse Tammy is preparing to review the results of Derek's urine dipstick. Which of the following results should Nurse Tammy expect as an indication of DM? - ANSWERSPositive ketones Nurse Tammy is preparing to preform a fingerstick to check Derek's blood glucose level. Identify the order in which Nurse Tammy should perform the following steps. (reorder the steps by dragoon them into the desired sequence.) - ANSWERS1.Turn on glucometer 2.Cleanse the puncture site 3.Puncture the skin w/lancet 4.lightly squeeze the site 5.apply drop of blood to test strip 6.apply gentle pressure to the puncture site w/ gauze Nurse Chris is determining the insulin to administer to Derek. Prescribed is insulin 0.4units/kg/day subq in four divided doses. Derek weighs 88 lb. Which of the following dosages should nurse Chris plan to administer - ANSWERS4 Nurse Chris is teaching Deborah and Derek about the hemoglobin A1c. Which of the following statements by Deborah indicates an understanding of the teaching? - ANSWERSis A1C is 7, it means his BS are well controlled Nurse Chris is selecting a snack for Derek. Which of the following snacks should Nurse Chris choose? - ANSWERSSix whole grain crackers w/ 2oz mild cheddar cheese Nurse Chris is teaching Deborah about a fasting blood glucose test. Which of the following statements indicates Deborah's understanding of the teaching - ANSWERSFasting glucose should be between 70 - 110mg/dl Nurse Chris is responding to Deborah's report that Derek is tearful, irritable, and not acting like himself. Nurse Chris observes that Derek is diaphoretic. Which of the following actions should Nurse Chris take? - ANSWERSGive 4oz OJ Chris is teaching Deb and Derek about insulin onset and peak times. - ANSWERSRegular insulin start working within 30 minutes after injection Chris is teaching Derek and Deb about injection site rotation and insulin injection techniques. Which of the following statements by Derek indicates an understanding of the teaching? - ANSWERSI should inject the insulin straight in at a 90* angle Nurse Chris is teaching Deb and Derek about insulin pens - ANSWERSDerek should store the pen at room temp once its been opened Nurse teaching Derek and Deb about insulin pumps. - ANSWERSI would need to change the insulin pump needle about every 2 days Chris is teaching Derek and Deborah about DM during illness. - ANSWERSDerek should check his blood level every 3 hours when he's sick Teaching about exercise and DM. - ANSWERSI should eat a complex carb snack before i exercise addressing derek concerns about his peers making fun of him - ANSWERSSometime a person who has diabetes feels embarrassed when they hate to check their sugar in from of others. Have you ever felt that way? Addressing Derek's concerns about finger sticks - ANSWERSUse a cotton ball to wipe away the first drop of blood from the puncture site [Show Less]
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RN
A nurse is assessing a 4-year-old child at a well visit. Which of the following developmental milestones should the nurse expect to observe? - ANSWERSCuts ... [Show More] a shape using scissors A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply) - ANSWERSThe correct answers - increased temperature, xerophthalmia, & cervical lymphadenopathy A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse should identify which of the following statements by a child as understanding the teaching - ANSWERS"I will give myself a shot of regular insulin 30 minutes before I eat breakfast" A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect - ANSWERSa unilateral rib hump A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis - ANSWERSincreased protein concentration A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan - ANSWERSIncrease fat content in the child's diet to 40% of total calories A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first - ANSWERStachypnea A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first - ANSWERSExplore the parents' feelings and wishes regarding organ donation A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain at 7 on a 0 to 10 scale. Which of the following actions should the nurse take - ANSWERSGive morphine 0.05mg/kg IV A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant - ANSWERSgreat toe A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication - ANSWERSErythrocyte sedimentation rate 18 mm/hr A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease). Which of the following findings should the nurse expect - ANSWERSFacial rash A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make - ANSWERS"Let's talk about some of the ways you have handled previous stressors in your life" A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent should the nurse identify as understanding the teaching - ANSWERS"Mononucleosis is caused by an infection with the Epstein-Barr virus" A nurse in an emergency department suspects that a toddler has epiglottitis. Which of the following actions should the nurse take - ANSWERSPrepare the toddler for nasotracheal intubation A nurse is caring for a toddler who has acute otitis media and a temperature of 40 degrees C (104 degrees C). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddlers temperature - ANSWERSDress the toddler in minimal clothing A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect - ANSWERSloud harsh murmur A nurse is providing discharge teaching to a parent of a school-age child who has undergone tonsillectomy. Which of the following statements by the parent should the nurse identify as understanding the teaching - ANSWERS"I will notify the doctor if I notice that my child is swallowing frequently" A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next - ANSWERSInitiate IV access A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take - ANSWERSInitiate droplet precautions for the child A nurse is caring for a 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain - ANSWERSAdminister sucrose to the infant prior to the procedure A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include - ANSWERS"Wait 3 days before taking a tub bath" A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority when making a room assignment - ANSWERSDisease process A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider - ANSWERSUrticaria A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching - ANSWERSCovering the sleeping infant with a blanket A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period - ANSWERSPlace the child in a lateral position A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include - ANSWERSThe child should be able to stand on the balls of her feet when sitting on the bike A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make - ANSWERS"Your baby should be able to sit unsupported" A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of fallot and begins to have a hypercyanotic spell. Which of the following actions should the nurse take - ANSWERSPlace the infant in a knee-chest position A nurse is proving teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area - ANSWERSZinc oxide A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss - ANSWERSThe toddler received tobramycin during a hospitalization 2 weeks ago A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take - ANSWERSSuction for 5 seconds or less A nurse is teaching the mother of a 6-month-old infant about teething. Which of the following statements should the nurse make - ANSWERS"Your baby may pull at her ears when she is teething" A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney - ANSWERSSerum creatinine 3.0 mg/dt A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction - ANSWERSflank pain A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect - ANSWERSPoor personal hygiene A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take - ANSWERSScreen the child's visitors for indications of infection A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching - ANSWERSUse a second dose if the first dose of epinephrine does not completely reverse the symptom A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of perionitis - ANSWERSAbdominal distention The nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider - ANSWERSHgb A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin an angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first - ANSWERSEpinephrine A nurse is caring for a school-age child who has diabetes Mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect - ANSWERSDeep respirations of 32/min A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child's condition - ANSWERSrecombinant growth hormone A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler - ANSWERSoral rehydration solution A nurse is teaching the parent of an infant who has Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching - ANSWERS"I will place my infant's diapers under the harness straps" A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurse is priority - ANSWERSEpisodes of vomit A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching - ANSWERS"Allow the stent to drain directly into your infant's diaper" A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent should the nurse identify as understanding the teaching - ANSWERS"I should keep my child indoors when I mow the yard" A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (select all that apply - ANSWERSvomiting, lethargy A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider - ANSWERSRestricted ability to move the toe A nurse in the emergency department is auscultating the Lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? (click on the audio button to listen to the clip - ANSWERSWheezes A nurse is planning care for a school-age child who is in the oliguric phase of Acute kidney injury (akI) and has a sodium level of 129 mEq/l. Which of the following interventions should the nurse include in the plan - ANSWERSInitiate seizure precautions for the child A nurse is assessing a 6-month-old infant at a well-infant visit. Which of the following findings should the nurse report to the provider - ANSWERSPresence of strabismus A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan - ANSWERSUse a semipermeable transparent dressing to cover the site A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which of the following actions should the nurse take - ANSWERSUse an antimicrobial ointment on the affected area A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure which of the following interventions should the nurse include in the plan - ANSWERSProvide small, frequent meals to the child A nurse is caring for a school age child who has acute rheumatic fever. Which of the following actions should the nurse take - ANSWERSMaintain the child on bed rest A nurse is assessing a school age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure - ANSWERSdecreased attention span A nurse is preparing to administer a hep b vaccine to a 1-month-old. The nurse should plan to inject the medication at which location - ANSWERSthigh [Show Less]
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