1. A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the
... [Show More] child for which of the following complications during the first 24 hr after the injury occurred? - compartment syndrome
2. 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? - avoid foods containing milk products
3. A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? - keep staff visits with child brief
4. A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? - increase respiratory rate
5. A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include? - your child should walk the bicycle through intersections
6. A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure? - lateral
7. A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? - rbc count 5/mm
8. A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take? - report the diagnosis to the public health department
9. A nurse is assessing a week old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome? - excessive sucking
10. 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? - cover the insertion site with an opaque dressing
11. 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? - bilateral cool extremities
12. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? - apply calamine lotion to vesicles on the child's skin
13. A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? - initiate bed rest
14. A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching? - i will try to have my child defecate 15 mins after each meal
15. A charge nurses teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? - a toddler repeatedly refuses to let a nurse auscultate his lungs
16. A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene? - tachypnea
17. A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap? - listening to the child's heart and lung sounds
18. A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first? - ask the client if he is considering harming himself
19. A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse? - frequent swallowing
20. A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication. Which of the following actions should the nurse take first? - administer epinepherine [Show Less]