Questions with Correct Answers
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A 1-year-old child with hypospadias is scheduled for surgery to correct this condition. The nurse is asked
to assist in preparing a plan of care for this child. During this developmental time period, which factor
should the nurse take into account?
1.
Sibling rivalry will cause regression to occur.
2.
Fears of separation and mutilation are present.
3.
Embarrassment of voiding irregularities is common.
4.
Concern over size and function of the penis is present. - Answer -2;A 13-year-old child is diagnosed
with osteogenic sarcoma of the femur. Following a course of chemotherapy, it is decided that leg
amputation is necessary. Following the amputation, the child becomes very frightened because of aching
and cramping felt in the missing limb. Which statement made by the nurse will best assist in alleviating
the child's fear?
1.
"The pain medication that I give you will take these feelings away."
2.
"This aching and cramping are normal and temporary and will subside."
3.
,"This pain is not real pain and relaxation exercises will help it go away."
4.
"This always occurs after the surgery, and we will teach you ways to deal with it." - Answer -2;A 4-
year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the
hospitalization. Which nursing intervention should the nurse suggest to alleviate the child's fears?
1.
Encourage the child's parents to stay with the child.
2.
Encourage play with other children of the same age.
3.
Advise the family to visit only during the scheduled visiting hours.
4.
Provide a private room, allowing the child to bring favorite toys from home. - Answer -1;A 4-year-
old child is hospitalized for severe gastroenteritis. The child is crying and clinging to the mother. The
mother becomes very upset and is afraid to leave the child. Which nursing intervention would be most
appropriate to alleviate the child's fears and the mother's anxiety?
1.
Reassure the mother that the child will be fine after she leaves.
2.
Ask the mother if she would like to stay overnight with the child.
3.
Give the mother the telephone number of the pediatric unit, and tell the mother to call at any time.
,4.
Tell the mother to bring the child's favorite toys the next time she comes to the hospital to visit. -
Answer -2;A client arrives in the emergency department in a crisis state. The client demonstrates
signs of profound anxiety and is unable to focus on anything but the object of the crisis and the impact
on self. The initial data collection would focus on which information?
1.
The object of the crisis
2.
The client's coping mechanisms
3.
The presence of support systems
4.
The physical condition of the client - Answer -4;A client at 32 weeks of gestation with a diagnosis
of severe preeclampsia is admitted to the maternity department. The client is alone and appears very
anxious. Which statement by the nurse is therapeutic?
1.
"Tell me about your concerns."
2.
"Your husband called to say he's coming to be with you."
3.
"Many women have this problem with no further complications."
, 4.
"You have an excellent primary health care provider; if anyone can save your baby, she can." -
Answer -1;A client becomes increasingly more anxious and hyperventilates during the transition
phase of labor. The nurse recognizes that the client needs what?
1.
General anesthesia
2.
To be left totally alone
3.
To push with her contractions
4.
To regain her breathing pattern - Answer -4;A client being discharged from the hospital to home
with a diagnosis of tuberculosis is worried about the possibility of infecting family members and others.
Which information should reassure the client that contaminating family members and others is not
likely?
1.
The family does not need therapy, and the client will not be contagious after 1 month of medication
therapy.
2.
The family does not need therapy, and the client will not be contagious after 6 consecutive weeks of
medication therapy.
3.
The family will receive prophylactic therapy, and the client will not be contagious after 1 continuous
week of medication therapy.