What is the primary treatment for hemophilia?
• Question 2
2 out of 2 points
The health care provider has prescribed dantrolene
... [Show More] sodium (Dantrium) 0.5 mg/kg PO once a day for a child with cerebral palsy.
The child weighs 55 lb.
Calculate the dose the nurse should administer in milligrams.
Record your answer below using one decimal place.
• Question 3
2 out of 2 points
The nurse is caring for an infant with hydrocephalus who has just undergone surgical placement of a ventriculoperitoneal (VP) shunt.
What is the nurse's priority of care during the postoperative period?
• Question 4
2 out of 2 points
What are the cardinal signs of diabetes insipidus?
• Question 5
2 out of 2 points
The nurse on a home visit finds that a person has sustained a severe sprain. What suggestions are appropriate for providing first aid for sprain?
• Question 6
2 out of 2 points
The nurse in a pediatric hematology unit admits a patient with sickle cell anemia, transferred from the emergency department.
Which finding warrants immediate additional assessment by the nurse?
• Question 7
2 out of 2 points
The nurse is assessing the cerebrospinal fluid (CSF) analysis for a child. Which laboratory finding helps the nurse to distinguish bacterial meningitis from viral meningitis?
• Question 8
2 out of 2 points
Which medication is contraindicated with patients with sickle cell disease?
• Question 9
2 out of 2 points
What does the nurse recognize as the most important nursing consideration in the care of a child with sickle cell anemia?
• Question 10
0 out of 2 points
The nurse receives a shift report on four assigned patients with iron deficiency anemia (IDA).
After a review of each patient’s history, combined with the shift report information, which patient should the nurse see first?
• Question 11
2 out of 2 points
• Question 12
2 out of 2 points
The health care provider has prescribed carbamazepine (Tegretol) 20 mg/kg/day divided bid for a child with cerebral palsy having seizures.
The child weighs 44 lb.
The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams.
Record your answer below in a whole number.
• Question 13
0 out of 2 points
The nurse is caring for two patients, one with a fracture that has not broken the skin and one with a fracture that has pierced the skin. The nurse will need to monitor for which complication that can occur with both fractures?
• Question 14
0 out of 2 points
A patient with Type 1 diabetes mellitus is admitted to the emergency department in DKA. Which action should the nurse take first?
• Question 15
0 out of 2 points
The emergency room nurse is caring for a 5-year-old child who fell off his bike and sustained a closed-head injury.
The child is currently awake and alert, but his mother states that he “passed out” for approximately 2 minutes.
The mother appears highly anxious and is very tearful.
The child was not wearing a helmet.
Which of the following statements is a priority for the nurse at this time?
• Question 16
1 out of 2 points
A young patient newly diagnosed with diabetes is admitted with a BP of 85/58 mm Hg, pulse of 120 bpm, respirations 42, blood glucose level of 450 mg/dL, pH of 7.07 and bicarbonate level of 13 mEq/L. The patient is lethargic and slow to respond to touch.
Which conditions will the nurse need to monitor?
Select all that apply.
• Question 17
2 out of 2 points
How is the treatment environment related to the anxiety levels of an infant going through casting for clubfoot?
• Question 18
0 out of 2 points
What should be the first nursing intervention for a child who develops a severe vasoocclusive crisis?
• Question 19
2 out of 2 points
While meeting with an adolescent to address diabetes management, which statement by the adolescent regarding compliance with insulin usage would be concerning to the nurse?
• Question 20
2 out of 2 points
The school nurse is caring for a boy with hemophilia who fell on his arm during recess.
What supportive measures should the nurse use until factor replacement therapy can be instituted?
• Question 21
0 out of 2 points
What are the clinical manifestations of juvenile hypothyroidism?
• Question 22
2 out of 2 points
What is a priority nursing consideration for a child with suspected bacterial meningitis?
• Question 23
2 out of 2 points
Why does the nurse immediately place a child having a seizure episode into a side-lying position on a flat bed?
• Question 24
2 out of 2 points
What effect does immobilization have on the cardiovascular system?
• Question 25
2 out of 2 points
What acquired neuromuscular disorder is characterized by progressive, usually ascending flaccid paralysis?
• Question 26
0 out of 2 points
The blood glucose of a patient newly diagnosed with Type 1 diabetes mellitus has a blood glucose level of 310 mg/dL.
Which type of insulin would the nurse expect to be ordered at this time?
• Question 27
2 out of 2 points
What changes in the management of the child with type 1 diabetes mellitus should be expected as a result of more exercise?
• Question 28
0 out of 2 points
What clinical manifestations suggest increased intracranial pressure in an infant?
Select all that apply.
• Question 29
2 out of 2 points
What is a neural tube defect that is not visible externally in the lumbosacral area called?
• Question 30
0 out of 2 points
What is the best method for assessing control of diabetes?
• Question 31
2 out of 2 points
The nurse is caring for a toddler who has undergone surgery for a brain tumor.
During an assessment the nurse notes that the child is becoming irritable and the pupils are unequal and sluggish.
What is the most appropriate nursing action?
• Question 32
2 out of 2 points
What is true for both sickle cell disease and hemophilia?
• Question 33
2 out of 2 points
The nurse is preparing a care plan for a patient who has developed diabetes insipidus (DI) following a head trauma.
What treatment is included in the care plan?
• Question 34
2 out of 2 points
What information should the nurse include when discussing a child's precocious puberty with the parents?
• Question 35
2 out of 2 points
A child is receiving a blood transfusion and begins having dyspnea, hypertension, and precordial pain.
What is the priority action of the nurse?
• Question 36
0 out of 2 points
A 5-year-old female has been diagnosed with a midline brain tumor.
In addition to showing signs of increased ICP, she has been voiding large amounts of very dilute urine.
Which of the following medications does the nurse expect to administer?
• Question 37
2 out of 2 points
A child in halo traction reports severe and unrelenting pain, is very pale, and reports a tingling feeling.
Which should be the nurse’s response to these findings?
• Question 38
2 out of 2 points
The health care provider has prescribed gabapentin (Neurontin) 30 mg/kg/day divided q 8 hours for a child with cerebral palsy having seizures. The child weighs 110 lb.
The nurse is preparing to administer the 1200 dose.
Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
• Question 39
2 out of 2 points
A 2-month-old formula-fed baby is brought in for a routine checkup. The parent of the baby tells the nurse that a friend has advised her to give fresh cow's milk to the baby instead of formula milk because it has high nutritional value. What is the nurse’s best response?
• Question 40
2 out of 2 points
A nurse is caring for a 5-year-old with sickle cell vaso-occlusive crisis.
Which of the following orders should the nurse question? Select all that apply.
• Question 41
2 out of 2 points
What are considered major goals of the therapeutic management of juvenile rheumatoid arthritis?
• Question 42
2 out of 2 points
The nurse is caring for an infant with a myelomeningocele.
The parents ask the nurse why the nurse keeps measuring the baby’s head circumference.
Select the nurse’s best response:
• Question 43
2 out of 2 points
An 8-year-old child is hospitalized with infectious polyneuritis (Guillain-Barré syndrome [GBS]). When explaining this disease process to the parents, what should the nurse consider?
• Question 44
2 out of 2 points
A school-age child is admitted for treatment of osteomyelitis.
Which complication would the nurse expect to see in this patient?
• Question 45
2 out of 2 points
The nurse would expect a patient with hypothyroidism to report which health concern?
• Question 46
2 out of 2 points
What nursing intervention is used to prevent increased intracranial pressure in an unconscious child?
• Question 47
2 out of 2 points
A child with hemophilia A fell and injured a knee while playing outside.
The knee is swollen and painful.
Which of the following measures should be taken to stop the bleeding? Select all that apply.
• Question 48
2 out of 2 points
A child with spina bifida has developed a latex allergy as a result of numerous bladder catheterizations and surgeries. What is the priority nursing intervention?
• Question 49
0 out of 2 points
A patient with type 2 diabetes mellitus complains of nausea, vomiting, diaphoresis and headache.
Which of the following nursing actions should the nurse perform first?
• Question 50
0 out of 2 points
The provider writes orders for a patient with Type 1 DM admitted with elevated blood glucose levels.
Which order should the nurse question? [Show Less]