Correct Answers| Updated
QUESTION
A nurse is caring for an infant who receives intermittent enteral feeding through a gastrostomy
tube. Which of the following actions should the nurse take when administering a feeding? Select
all that apply
a. offer the infant a pacifier during readings
b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration
c. check the for residual volume by aspirating stomach contents
d. instill the formula over a period Of 30 and 45 minutes
Answer:
a. offer the infant a pacifier during readings
c. check the for residual volume by aspirating stomach contents
MAYBE: d. instill the formula over a period Of 30 and 45 minutes
QUESTION
A nurse is planning care for a child who has osteomyelitis. Which of the following interventions
should the nurse include in the plan of care?
a. Encourage frequent physical activity to increase bone mass
b. maintain patent intravenous catheter
c. initiate contact precaution for the child
d. provide a high calorie low protein diet
Answer:
b. maintain patent intravenous catheter
QUESTION
A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease
about management of the illness. Which of the following instructions should the nurse include?
a. Apply cold compress to painful areas
b. but I shall wear a surgical mask to school
c. encourage physical activity as tolerated
d. offer fluids of bedtime
,Answer:
c. encourage physical activity as tolerated
QUESTION
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse
report to the provider?
a. Unable to hold a bottle
b. exhibits head lag when pulled a sitting position
c. absent grasp reflex
d. unable to roll from back to abdomen
Answer:
b. exhibits head lag when pulled a sitting position
QUESTION
A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which
of the following findings should the nurse identify as an indication of hemorrhage?
a. Flushing of the face
b. continuous swallowing
c. blood pressure 99/ 56 mmhg
d. heart rate 54/ minutes
Answer:
b. continuous swallowing
QUESTION
A nurse is discussing coping mechanisms with a parent of a three-month- old infant which of the
following therapeutic questions should the nurse ask the parent?
a. What do you do when your infant is fussy?
b. Are you willing to take new parenting classes?
c. Does parenting cause you stress?
d. Is it overwhelming when your infant is having a bad day?
Answer:
a. What do you do when your infant is fussy?
, QUESTION
A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. which of
the following responses by the parent indicates an understanding of the teaching?
a. my child should wear a wide-brimmed hat
b. my child should remain under a beach umbrella during morning hours
c. I should apply 10 SPF sunscreen to my child's entire body
d. I should dress my child in loose active clothing
Answer:
d. I should dress my child in loose weave clothing
or
a. my child should wear a wide-brimmed hat
QUESTION
A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving chest
physiotherapy treatment. The nurse should identify which of the following findings as an
indication of the therapy has been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate
Answer:
b. increase expectoration
QUESTION
A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of the
following interventions should the nurse include in the plan of care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and shoulders
Answer:
c. Pad the side rails of the crib