PSYC 4613 Final Exam Test Questions with Answers Correct Latest Update 2023 | 2024

PSYC 4613 Final Exam Test Questions with Answers Correct Latest Update 2023 | 2024. Which of the following will be an important assessment finding in an eight-month-old with the diarrhea? a. A normal bowel sounds. b. B. Clear yellow urine. c. Depressed anterior fontanelle. d. D. a normal skin turgor.  Which of the following is an appropriate nursing action during the preoperative. Of an infant with pyloric stenosis a. A. Assessment of bradycardia every two hours. b. B. Position supine while asleep. c. C. Monitor intake and output every one hour. d. D. Clamp nasogastric tube every four hours.  A child with Hirschsprung’s has had the first stage of repair. She returns to her room after surgery with an NG tube. The mother asked about the purpose of the tube. Which of the following is an appropriate response by the nurse? a. The NG tube is to aid with the anesthesia and will be pulled by the nurse once to child is settled. b. The NG tube is to prevent infections and aid healing of the abdominal incision. c. The NG tube is to maintain an accurate record of output and aid in electrolyte balance. d. The NG tube is to prevent abdominal distention and aid in healing of the abdominal incision.  Your patient is a four month old admitted with diarrhea and dehydration. Which nursing action will accurately determine the patient’s percent of total body fluid loss? a. A. vital sign measurements Q4H. b. B. Assess presence or absence of Edema. c. C. Daily intake and output Q8H. d. Measurement of daily weights.  Eddie Smith is an eight month old boy with a diagnosis of Hirschsprung’s disease. He scheduled for surgery in two days. The nurse is aware of complications during the preop and postop period. Which of the following is an important postop assessment related to a major complication of Hirschsprung’s disease? a. A. report stool changes immediately. b. B. Assess for incontinence of stool. c. C. Assess for nausea and vomiting. d. D. Report pain as soon as possible  Mrs. Kelly brings her two week old baby to the clinic. Mrs. Kelly states that she’s worried that her baby is not getting enough to eat because he hasn’t had a bowel movement. The nurse reviews the newborn nursery records of this infant and notes that there was no documentation of meconium. The nurse suspects imperforate anus. Which of the following would support a diagnosis of imperforate anus? a. A. Project alimony and anorexia. b. B. Enlarged abdomen and absence of bowel sounds. c. C. Blood tests and chest x-ray. d. D. Digital exam and anal observation  Prednisolone is ordered in the treatment of a child diagnosed with Nephrosis. All of the following will be taught by the nurse to the parents about administration of prednisone except: a. Complete the prescribed amount. b. Do not stop drug abruptly. c. Report fever, sore throat or fatigue. d. Take medication in the morning after breakfast.  Which of the following is the priority nursing intervention in caring for a child with diarrhea? a. Monitoring nutritional status. b. Monitoring hydration status. c. Obtaining stool specimen. d. Placing child in isolation room.  Parents of an infant newly diagnosed with club foot should be informed about which of the following? a. Manual manipulation and serial casting has been very successful. b. Corrective shoes with splints may be required after casting. c. Corrected shoes will need to be worn at all times for several years. d. Manual manipulation and snug fitting shoes are not effective therapy.  The nurse is caring for 8-year-old Andrew following the insertion of skeletal traction. When checking the kardex for this client, the nurse should question which of the following interventions? a. Release the traction when repositioning the child in the bed. b. Assess for alterations in neurovascular status c. Insert pin sites each shift for infection d. Gently message over pressure areas to stimulate circulation  Ten year old Justin reports to your pediatric office for the follow-up related to a fractured tibia he suffered during an automobile accident. Justin’s left leg is in a short cast. When assessing Justin’s left foot, you note his toes are cool to touch and edematous. Your priority intervention would be? a. Administer PO Morphine per MD orders b. Apply warm compress to left foot c. Elevate his left leg d. Administer IV antibiotics per MD orders  Fourteen year old Laverne, diagnosed with a 27 degree curvature of the spine. A body brace is prescribed for Laverne to treat her Scoliosis. You explain to the client and her family that the purpose of the brace is to: a. Prevent herniation of spinal disc b. Prevent torticollis c. Promote spine lengthening d. Prevent further curvature  After teaching a school age child range of motion exercises, how could the nurse best evaluate the child’s knowledge? a. Ask for the parent input b. Give the child a written test c. Ask the child to demonstrate the exercises d. Have the child explain the exercises to you  Twelve-year old Rita was struck by a car while on her way to the park. Xrays taken in the ER reveal that Rita has bilateral fractured tibias. You understand that she will need to increase the in her diet to promote bone healing a. Protein b. Carbohydrates c. Phosphate d. Glucose  Three months old Angela is admitted to your floor accompanied by her father and two older sisters. Her diagnosis is unilateral developmental dysplasia of the right hip. Which of the following would you not expect to find when assessing the affected side? a. Ability to rotate the hip fully b. Asymmetry of the gluteal fold c. Appearance of a shortened right femur d. Limited ROM  You are caring for an adolescent female with a diagnosis of scoliosis. Which of the following assessment techniques was most likely used to determine this diagnosis? a. Assessment of the patient’s spine when bent forward b. Assessment of the spin when the patient bent sideways c. Assessment of the angle of the chest when the patient sat down d. Assessment of the angle of the hips when the patient bent forward  Nine year old Butch suffered a fractured ulna skateboarding. You assisted the doctor in casting the arm and have given Butch and his mother discharge instructions. Which of the following comments come from Mrs. Johnson would indicate a need for further teaching? a. “He should elevate the casted on 2 pillows” b. “The fingers of the casted arm should be cooler than others” c. “Butch need to use a plastic bag over the cast while bathing” d. “We should keep the cast from getting wet”  Student nurse Nancy is assigned to care for a four year old Amy who is in traction following a motor vehicle accident. In deciding on an age appropriate activity for Amy, you suggest she take with her: a. a sewing kit b. Arts and crafts c. A mobile d. A music box  A child is upset because when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which of the following should the nurse suggest to remove this material? a. Soak in a bathtub.