FINAL EXAM GUIDE WITH 100% CORRECT ANSWERS
Which assessment finding in a child with meningitis should be reported immediately?
Irregular respirations
What assessment made by the school nurse would lead to the suspicion of strabismus?
Child covers one eye to read the chalkboard
What does the nurse explain to parents of a child who experienced a febrile seizure?
They occur when the temperature rises quickly.
A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing
assessment suggests the child has a concussion?
Cannot remember what happened to him
A parent reports that her child has begun to do poorly at school and experiences episodes where he appears
to be staring into space. Of which type of seizure is this behavior a characteristic?
Absence
Which situation would cause the nurse to suspect a hearing impairment?
24-month-old toddler who communicates by pointing
,What would the nurse include when planning postoperative teaching for a child who has had a
tympanostomy with insertion of tubes?
Avoiding getting water in the ears
What is the best way to give an oral medication to an infant?
Per a small oral syringe
What is the best pulse location for the nurse to use when assessing the pulse rate on a 10-month-old infant?
Apical
Gentamicin ear drops are prescribed for a 4-year-old child. How would the nurse position the auricle when
administering the ear drops?
Up and back
What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?"
"Rub baby oil on the infant's head and brush the hair out carefully."
What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.)
-Use disposable diapers.
Avoid plastic bloomer or pants.
, Change diapers frequently.
What should the nurse stress to the mother of a child with impetigo?
Small cuts and bites should be treated promptly.
What risk is increased with children who have been diagnosed with infantile eczema?
-Asthma
What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?
Wear the brace over a T-shirt 23 hours a day.
What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?
Ask the child to bend forward at the waist and observe the child's back for asymmetry.
The nurse is performing a neurovascular check on a limb in traction. Which findings would be indicative of
altered circulation? (Select all the apply.)
-Limb is cool to the touch
Capillary refill is 5 seconds
What characteristic manifestation would the nurse assessing a child with Duchenne's Muscular Dystrophy
document?