1. The nurse teaches parents that the anticholinergic drug oxybutynin is used to treat enuresis. The best response when the parents ask why the drug is
... [Show More] being used is:
a. It’s an antidepressant that is used to help the child relax
b. It will help decrease the spasms sometimes associated with enuresis
c. It has an antidiuretic effect, so your child can attend sleepovers
d. It will slow the production of urine, so your child does not have to urinate as frequently
2. A nurse is caring for a child who requires intravenous maintenance fluid. The child weighs 30 kg. Calculate the child’s daily maintenance fluid requirements in milliliters. Record you answer using a whole number. Enter numeric value only
a. **1700
3. A nurse is admitting a 6-month-old infant who has dehydration. When she tracks the client’s urinary output, which of the following amounts should indicate to the nurse that the treatment has corrected the fluid imbalance?
a. 0.5 mL/kg/hr
b. 7.5 mL/kg/hr
c. 15 mL/kg/hr d. 2 mL/kg/hr
4. A 4-year-old boy is diagnosed with pin worms (enterobius). The parents should be instructed to: (select all that apply)
a. Have all children in the household treated at the same time
b. Wash and cook all vegetables before eating
c. Wash all toys and clothing in hot soapy water
d. Have children wear shoes when outdoors
5. The nurse is teaching the parents of a newborn who was born with a high type of imperforate anus the care the newborn will need at home after surgery. The parents need to be aware that the newborn will require which measure temporarily?
a. Colostomy
b. Intravenous fluids
c. Nasal cannula for oxygen
d. Nasogastric tube
6. A nurse is caring for a 2 onth old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
a. Encourage the parents to rock the infant
b. Offer the infant a pacifier
c. Administer ibuprofen as needed for pain
d. Position the infant on her abdomen
7. The nurse is calculating the urinary output for the infant. The infant’s diaper weighed 40 grams prior to placing the diaper on the infant. After removal of the wet diaper, the diaper weighed 75 grams. How many milliliters of urine can the nurse document as urinary output? Record your answer using a whole number.
a. 35
b. 30
c. 3500
d. 350
8. A 5-year-old child, a known diabetic, has been admitted with ketoacidosis secondarily to an infection. Which of the physician’s orders should the nurse question?
a. Add 4 units NPH insulin to the IV for every 100 cc of IV fluid
b. IV DS ½ NS at 80 cc/hr
c. Add 100,000 units aqueous penicillin to the IV every hours
d. Monitor blood glucose levels q4 hours and prn
9. A nurse is caring for a 7-year-old client who has a diagnosis of upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instructions?
a. I will continue to check his blood sugar two times a day
b. I will encourage drinking a half a cup of water or sugar-free fluids every 30 minutes
c. I will report a change in breathing or any signs of confusion
d. I will notify the doctor if the temperature is not controlled with acetaminophen
10. The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the doctor to order initially to replace fluids?
a. D5W
b. 0.9 percent Normal Saline (NS)
c. Albumin
d. D5 0.2 percent (1/2) Normal Saline
11. The mother of an infant who underwent surgery to repair hypospadias asks the nurse why the infant is double-diapered. The nurse would respond that this method of diapering:
a. Protects the urinary stent that has been put in place
b. Adequately measures the urinary output
c. Provides for maximum absorption of urine
d. Provides optimal protection of perineal skin from infected urine
12. The nurse is preparing to remove an IV device from the arm of a 6-year-old girl. Which approach is best for minimizing fear and anxiety?
a. This won’t be painful, you’ll just feel a tug and a pinch
b. The first is for you to help me remove this dressing from your IV
c. Be sure to keep your hands clear of the scissors so I don’t cut you
d. Please be a big girl and don’t cry when I remove this
13. The nurse is caring for a 2-year-old boy with an umbilical hernia and is teaching the mother about this condition. Which response from the mother indicates a need for further teaching?
a. I can tape a quarter over the hernia to reduce it
b. Incarceration is rare, but it can occur
c. I need to watch for pain, tenderness, or redness
d. My son could have some appearance related self-esteem issues
14. A child with nephrotic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. An important nursing intervention for this child would be to: [Show Less]