ANSWERS HIGHLIGHTED
1. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the
... [Show More] nurse include in the plan of care?
A. Maintain an NG tube for decompression
2. A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?
A. Check oxygen saturation every four hours
3. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take?
A. Initiate bleeding precautions
4. A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan?
A. Recommend the adolescent use a wheelchair to prevent stress on the lower extremities
5. A nurse caring for a 3-month-old infant who has heart failure and is receiving Furosemide. Which of the following findings is the nurse's priority?
A. Sunken anterior fontanelle
6. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan?
A. pneumococcal conjugate (PCV13)
7. A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (select all that apply)
B. Ensure the crate mattress is in the lowest position
C. Place gates at the top and bottom of the stairs
8. A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
A. I will ensure that my child is tested for tuberculosis every vear.
**9. A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider?
A. Increased restlessness ?
10. A nurse is assessing a client who has Hodgkin's lymphoma which of the following findings should the nurse expect?
A. Night sweat
11. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include?
A. Place the diaper under the straps of the hardness
12. A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?
A. Avoid foods containing milk products
13. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?
A. 24 G needle
14. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findingsis the nurse's priority
A. HbA1c 11.5%
15. A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?
A. Bilateral cool extremities
16. A nurse is caring for an infant who has patent ductus arteriosus, the nurse should identify that the
defect is at which of the following locations of the heart? Answer: B
17. A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old child. Which of the following actions should the nurse take?
A. Ensure the puncture is made at the outer aspect of the heel (make sure if the answer is correct)
18. A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching?
A. I will elevate my broken arm on pillows a tonight
19. A nurse is evaluating a 4-year -old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following finding as an indication that the therapy has been effective?
A. Increase expectoration [Show Less]