AND CORRECT ANSWERS
◉ a nurse is planning care for a child who has severe diarrhea. which
of the following actions is the nurse priority? Answer: 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? Answer: 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? Answer: 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?
Answer: Administer antibiotics when available
◉ A nurse is collecting data from an adolescent. Which of the
following represents the greatest risk for suicide? Answer: 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? Answer: 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? Answer: "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? Answer: 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? Answer: "I will
make sure my child washes her hands before eating"
◉ A nurse working at a clinic speaks on the telephone with a parent of
a 2-monthold infant. The parent tells the nurse that the infant has
projectile vomiting followed by hunger after meals. Which of the
following response by the nurse is appropriate? Answer: "Bring your
infant into the clinic today to be seen"
, ◉ A nurse is caring for a 4 year old child who is 2 days postoperative
following the insertion of a ventriculoperitoneal shunt. Which of the
following findings should the nurse identify as the priority . (causes
icp hydrocephalus) Answer: lethargy (high pitched cry, respiratory
changes, bradycardia, wide pulse pressure, irritability
◉ a nurse is caring for a child following an open reduction and
internal fixation of a fractured femur and application of a cast. The
cast has a window cut in it for viewing of the incision. Which of the
following actions should the nurse take first? Answer: Perform
neurovascular checks of the affected extremity (check for infection,
color, capillary refill, redness)
◉ A nurse is an urgent care clinic is assisting with the care of a
toddler who ingested 30 tablets of aspirin. Which of the following
substances should the nurse administer to the toddler? Answer:
Activated charcoal (can work with toxin, poison. Given through ng
tube absorbs toxins)
◉ A nurse is caring for a 3 year old client who has persistent otitis
media. To help identify contributing factors, the nurse should ask the
parents which of the following questions? Answer: Does anyone
smoke in the same house as your daughter? (smoking can cause
irritation, cause mucus in respiratory and causes otitis media?) (otitis
media is purulent color)
◉ A nurse is collecting data from a 2 year old toddler who has AIDS.
The nurse should inspect inside the toddler mouth for which of the