a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority? - Assess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his
abdominal area and his urine is a pink color. Which of the following actions is the
nurse's priority? - Instruct the parent to avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority? - Check the Childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority? - Administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the
greatest risk for suicide? - Active psychiatric disorder (Mark, mental problems, patients
mind is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The
nurse should expect which of the following findings? - Tugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo
the initial surgery to treat Hirschsprung's disease (a ganglionic megacolon, part of the
colon isn't connected to the nerves or not functioning, so there will be an increase size
of the colon and stool gets stuck in there). Which of the following statements should
indicate to the nurse that the parent understanding the goal of surgery? - "I'm glad that
the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon,
and then apply temporary colostomy, after a couple of months they will suture it
together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take? - Apply an antibiotic
ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic
fibrosis. Which of the following statements by the parent indicates an understanding of
the teaching? - "I will make sure my child washes her hands before eating"
, A mnurse mworking mat ma mclinic mspeaks mon mthe mtelephone mwith ma mparent mof ma m2-
monthold
infant. mThe mparent mtells mthe mnurse mthat mthe minfant mhas mprojectile mvomiting
mfollowed mby
hunger mafter mmeals. mWhich mof mthe mfollowing mresponse mby mthe mnurse mis
mappropriate? m
m
"Bring myour minfant minto mthe mclinic mtoday mto mbe
mseen"
m
m
-
mm
A mnurse mis mcaring mfor ma m4 myear mold mchild mwho mis m2 mdays mpostoperative mfollowing mthe
minsertion mof ma mventriculoperitoneal mshunt. mWhich mof mthe mfollowing mfindings mshould mthe
mnurse midentify mas mthe mpriority m. m(causes micp mhydrocephalus) m- mlethargy m(high mpitched
mcry, mrespiratory mchanges, mbradycardia, mwide mpulse mpressure, mirritability m
m
a mnurse mis mcaring mfor ma mchild mfollowing man mopen mreduction mand minternal mfixation mof ma
mfractured mfemur mand mapplication mof ma mcast. mThe mcast mhas ma mwindow mcut min mit mfor
mviewing mof mthe mincision. mWhich mof mthe mfollowing mactions mshould mthe mnurse mtake mfirst?
m- mPerform mneurovascular mchecks mof mthe maffected mextremity m(check mfor minfection,
mcolor, mcapillary mrefill, mredness) m
m
A mnurse mis man murgent mcare mclinic mis massisting mwith mthe mcare mof ma mtoddler mwho
mingested m30 mtablets mof maspirin. mWhich mof mthe mfollowing msubstances mshould mthe mnurse
madminister mto mthe mtoddler? m- mActivated mcharcoal m(can mwork mwith mtoxin, mpoison. mGiven
mthrough mng mtube mabsorbs mtoxins) m
m
A mnurse mis mcaring mfor ma m3 myear mold mclient mwho mhas mpersistent motitis mmedia. mTo mhelp
midentify m
contributing mfactors, mthe mnurse mshould mask mthe mparents mwhich mof mthe mfollowing
mquestions? m
m
- mDoes manyone msmoke min mthe msame mhouse mas myour mdaughter? m(smoking mcan
mcause
irritation, mcause mmucus min mrespiratory mand mcauses motitis mmedia?) m(otitis mmedia mis
mpurulent
m
color)
m
A mnurse mis mcollecting mdata mfrom ma m2 myear mold mtoddler mwho mhas mAIDS. mThe mnurse
mshould m
m
inspect minside mthe mtoddler mmouth mfor mwhich mof mthe mfollowing mopportunistic
minfections
(fungus minfections mis musually mopportunistic minfections)? m- mCandidiasis m(also mcalled
moral
m
thrush)
m