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Exam (elaborations)

COMPREHENSIVE RETAKE C WITH NGN COMPLETE EXAM WITH CORRECT ANSWERS GRADED A +

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COMPREHENSIVE RETAKE C WITH NGN COMPLETE EXAM WITH CORRECT ANSWERS GRADED A + A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include? a. Avoid palpating the abdomen when bathing the child before surgery. b. Refrain from auscultating the child's bowel sounds during the postoperative assessment. c. Encourage the child to play with other children on the unit prior to surgery. d. Explain to the child that their pain will be managed after the surgery. - ANS A A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? a. "I will offer my child small amounts of fruit juice frequently." b. "I will avoid giving my child solid foods until the diarrhea has stopped." c. "I will monitor my child's number of wet diapers." d. "I will give my child polyethylene glycol daily for 7 days." - ANS C A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the following statements should the nurse make? a. "Your baby might pull at their ears when they are teething." b. "Rub your baby's gums with an aspirin to decrease discomfort." c. "Place a beaded teething necklace around your baby's neck." d. "Your baby's upper middle teeth will erupt first. - ANS A A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? a. Until the adolescent is afebrile b. For 7 days following admission to the facility c. Until the adolescent has a negative blood culture d. For 24 hr following initiation of antimicrobial therapy - ANS D A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? a. Controls impulsive feelings b. Understands right from wrong c. Easily separates from parents for long periods of time d. Expresses likes and dislikes - ANS D A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is the nurses priority? a. Episodes of vomiting b. Formula consumption c. Weight d. Temperature - ANS A A nurse in an emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (Select all that apply.) i) Increased temperature ii) Gingival hyperplasia iii) Xerophthalmia iv)Bradycardia v) Cervical lymphadenopathy - ANS A,C,E A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus? a. Urine specific gravity 1.045 b. Sodium 155 mEq/L c. Blood glucose 45 mg/dL d. Urine output 35 mL/hr - ANS B A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? a. administer pancreatic enzymes 2 hours after meals b. discontinue the use of pancreatic enzymes if steatorrhea develops c. limit fluid intake to 750 mL per day d. increase fat content in the child's diet to 40% of total calories. - ANS D A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? a. Apply a cooling blanket to the toddler. b. Dress the toddler in minimal clothing. c. Give the toddler a tepid bath. d. Administer diphenhydramine to the toddler - ANS B A nurse is teaching a school age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include? a. "Stay home from school for 1 week following the procedure." b. "follow a diet that is low in fiber for 1 week." c. "wait 3 days before taking a tub bath." d. "apply a pressure dressing to the site for 3 days." - ANS C A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report the provider? a. nasal flaring b. WBC count 11,300/mm^3 c. diarrhea d. abdominal distension - ANS A A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching? a. "scold your child when they have toileting accident." b. "award your child with a sticker when they sit on the potty chair." c. "play your child's favorite song while teaching them to use the potty chair." d. "teach multiple steps of the skill at the same time." - ANS B A nurse is collecting data from a school-age child. The nurse should identify that which of the following findings is a manifestation of physical abuse? A. Multiple dental caries B. Malnutrition C. Recurrent urinary tract infections D. Bruises at various stages of healing - ANS D A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated appendix and is scheduled for a laparoscope assisted appendectomy. Which of the following instructions should the nurse include in the teaching? A. You can begin drinking fluids again 2 days after your surgery B. You will need to ask for pain medication for the first 24 hours after surgery C. You will have your vital signs monitored every 8 hours after surgery D. You will sit in your chair at least twice a day after surgery - ANS D A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the parent of a 1-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. I will let my baby sleep with me in bed at night B. I will allow my baby to have a pacifier while sleeping C. I will place my baby on a soft mattress to sleep D. I will cover my baby with a quilt while he is sleeping. - ANS B A nurse is assisting with the care of a child who is postoperative and received a transfusion during a surgical procedure. Which of the following findings indicates the child is having a hemolytic reaction? a) Chills and flank pain b) Pruritus and flushing c) Rales and cyanosis d) Bradycardia and diarrhea - ANS A Chills and flank pain are findings that indicate an incompatibility of the transfused blood product with the client's blood. The nurse should identify this finding as an indication that the child is having a hemolytic reaction.) . A nurse is collecting date from a child during a well-child visit. The nurse should recognize that which of the following findings places the child at a higher risk for abuse? a) The child is 6 years old. b) The child is male. c) The child was born at 30 weeks of gestation. d) The child was born via cesarean birth. - ANS C The nurse should identify that children who are born prematurely are at greater risk for abuse because of the potential for impaired bonding during early infancy. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I should not give my child aspirin for pain or fever." b) "My child will take antibiotic for 6 months." c) "My child might have a period of irregular movement of the extremities." d) "I should expect there to be blood in my child's urine." - ANS C The nurse should instruct the guardian that the child might experience chorea weeks or months after the initial diagnosis. Chorea is a temporary lack of coordination and the presence of sudden, irregular movements or periods of clumsiness. A nurse is collecting data from an infant during a well-child visit. Which of the following sites should the nurse use when obtaining the infant's heart rate? ) Apical b) Radial c) Carotid d) Femoral - ANS A (The nurse should use the apical pulse to obtain the infant's heart rate and count it for a full minute, because it gives a reliable rate and rhythm and provides accurate baseline assessment data. In an infant, the apical heart rate is auscultated at the fourth intercostal space lateral to the midclavicular line.) A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse should place the toddler in which of the following restraints? a) Mummy restraint b) Jacket restraint c) Elbow restraint d) Wrist restraint - ANS A The nurse should use a mummy wrap when a short-term restraint is needed for treatment of the toddler that involves the head and neck. The nurse should always use the least amount of restraint necessary.) A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler. Which of the following should the nurse include in the teaching? a) "It is recommended that the toddler consumes no more than 12 ounces of fruit juice each day." b) "An appropriate serving size is 1 tablespoon of food per year of age." c) "Introduce healthy finger foods like carrots and celery sticks." d) "Encourage 5 cups of low-fat milk each day. - ANS B The nurse should include that an appropriate serving size for a 2-year-old toddler is 1 tbsp of food per year of age. During a well-child visit, the parent of a toddler expresses concern to the nurse that the toddler takes several hours to fall asleep at night. Which of the following recommendations should the nurse make? a) Vary the time the toddler goes to bed each night b) Allow the toddler to watch television before bedtime c) Provide the toddler with a favorite toy at bedtime. d) Increase the toddler's activity prior to bedtime - ANS C The nurse should recommend to the parent that providing the toddler with a favorite toy at bedtime will help the toddler to feel more secure and facilitate sleep A nurse is assisting with the care for a 7-month-old infant who has a cleft palate. Which of the following actions should the nurse take to decrease the infant's risk for aspiration? a) Feed the infant in supine position. b) Encourage the mother to breastfeed the infant exclusively. c) Burp the infant frequently during feedings. d) Perform nasotracheal suctioning if coughing occurs - ANS C Infants with a cleft palate have difficulty creating a seal around a bottle. Burping the infant frequently, following every ounce of fluid consumed, dissipates swallowed air and helps to prevent aspiration.) . A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect? a) Hgb 9.0 g/dL b) Hct 37% c) Iron 100 mcg/dL d) Total iron binding capacity 325 mcg/dL - ANS A The nurse should expect a child who has iron deficiency anemia to have an Hgb level below the expected reference range of 9.5 to 15.5 g/dL. An Hgb of 9.0 g/dL is below the expected reference range.) A nurse is reinforcing teaching about vital signs with the guardian of a 1-year-old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? a) "My child's pulse could increase to 150 beats a minute with activity." b) "My child's temperature should be 96.8 degrees Fahrenheit." c) "My child should take 40 breaths a minute." d) "My child's pulse could get as low as 60 beats a minute while asleep." - ANS A A pulse rate of 150/min is within the expected reference range for a toddler during physical activity . A nurse is caring for an adolescent who has acne and anew prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? a) Hypersalivation b) Depression c) Bradycardia d) Hyperreflexia - ANS B Clients taking isotretinoin can experience mental status changes, such as suicidal thoughts, aggression, emotional lability, and depression. The nurse should monitor the adolescent's mental status while taking isotretinoin. A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective? a) "I should administer a glucagon injection to my child." b) "I should give my child 5 grams of a simple carbohydrate." c) "I should give my child 4 ounces of orange juice followed by cheese and crackers." d) "I should give my child a snack that is 10 percent of his daily caloric intake." - ANS C The parent should treat mild hypoglycemia with 10 to 15 g of a simple carbohydrate, such as 4 oz. of orange juice, and follow it with a starch-protein snack.) A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider? a) Pulls self to standing position b) Moves by creeping on hands and knees c) Takes intentional steps when standing d) Sits with support by leaning on hands - ANS D The nurse should identify that sitting with support can indicate a developmental delay, because an infant should be able to sit unsupported by 8 months of age. Therefore, the nurse should report this finding to the provider.) . A nurse is caring for a child who has type 1 diabetes mellitus and has been receiving insulin via subcutaneous infusion pump. Which of the following laboratory tests would verify the average blood glucose level over the past 2 months? a) Postprandial blood glucose b) Fasting blood glucose c) Glycosylated hemoglobin d) Mean corpuscular hemoglobin - ANS C A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following actions should the nurse take? a. Ask the child to hold his breath and then blow it out slowly. b. Ask the child to describe a pleasurable event. c. Bounce the child gently while holding him upright. d. Rock the child in long rhythmic movements. - ANS D Rationale: The nurse can implement relaxation strategies by sitting with the child in a wellsupported position such as against the chest, and then rocking or swaying back and forth in long, wide movements. . A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings requires further assessment by the nurse? a. Presence of sparse, fine pubic hair b. Decreased head circumference compared to full height c. Increased leg length related to height d. Presence of a loose, central incisor - ANS A Rationale: The development of sexual characteristics prior to the age of 9 years in boys, and 8 years in girls, is an indication of precocious puberty and requires further evaluation. A nurse is caring for a preschool-age child who is dying. Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply.) a. The child views death as similar to sleep. b. The child is interested in what happens to his body after death. c. The child recognizes that death is permanent. d. The child believes his thoughts can cause death. e. The child thinks death is a punishment - ANS ABE Rationale: The child views death as similar to sleep is correct. Preschool-age children might make this comparison. The child is interested in what happens to his body after death is not correct. A school-age child is interested in post-death services and what happens to the body after death due to an improved ability to comprehend what is happening. The child recognizes that death is permanent is not correct. Preschool-age children have difficulty understanding the concept of time and are therefore not likely to believe that death is permanent. They perceive death as reversible. The child believes his thoughts can cause death is correct. Preschool-age children believe that their thoughts and wishes can make things happen since they are egocentric. This is one reason why the death of a family member can be very difficult for a child at this age. The child thinks death is a punishment is correct. Preschool-age children sometimes believe that death is the result of guilt or punishment due to something they have done, said, or thought. . A nurse is teaching the parent of an infant about home safety. Which of the following information should the nurse include? a. Use a wheeled infant walker. b. Place soft pillows around the edge of the infant's crib. c. Position the car seat so it is rear-facing. d. Secure a safety gate at the top and bottom of the stairs. e. Maintain the water heater temperature at 49° C (120° F). - ANS CDE Rationale: Using a wheeled infant walker is incorrect. A stationary infant walker is recommended. Wheeled infant walkers can quickly move across uneven surfaces and result in injury. Placing soft pillows and cushions around the edge of the infant's crib is incorrect. Soft pillows and cushions should not be used in cribs due to the increased risk of suffocation. Positioning the car seat so it is rear-facing is correct. Infants and children should remain in the rear-facing position when in a car seat until the age of 2 years or until they reach the recommended height and weight per the manufacturer's guidelines. Securing a safety gate at the top and bottom of the stairs is correct. As the infant begins to crawl and becomes more mobile, the risk of falls increases. Maintaining the water heater temperature at 49° C (120° F) is correct. To prevent a burn injury, the temperature of the water heater should not exceed 49° C (120° F). . A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When the nurse assess the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. At 100, the client describes the pain as a 5. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. Which of the following actions should the nurse take? a. Ask the provider to discontinue the PCA so the nurse can administer PRN pain medication. b. Suggest the client's parent push the button for the client if the parent thinks the adolescent is having pain. c. Reevaluate the client in 1 hr since a pain level of 5 is acceptable on a scale of 1 to 10. d. Reinforce teaching with the client about how to push the button to deliver the med. - ANS D Rationale: The appropriate action at this time is to reinforce client teaching about the PCA. The nurse should remind the client about the availability of the medication, verify that the client knows how to use the equipment, and emphasize the importance of using it regularly to manage pain effectively. A nurse is assessing a 12-month-old male infant's vital signs during a well-child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? a. Heart rate 175/min b. Respiratory rate 26/min c. Blood pressure 88/40 mm Hg) d. Temperature 37.6° C (99.7° F - ANS A Rationale: A heart rate of 175/min is above the expected reference range for a 12-month-old infant; therefore, the nurse should report this finding to the provider. A nurse is teaching the parent of a 12-month-old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? a. "I can give my baby 4 ounces of juice to drink each day." b. "I will offer my baby dry cereal and chilled banana slices as snacks." c. "I am introducing my baby to the same foods the family eats." d. "My infant drinks at least 2 quarts of skim milk each day." - ANS D Rationale: As the infant transitions into toddlerhood, whole milk intake should average 24 to 30 oz per day. Too much milk can affect intake of solid foods and result in iron deficiency anemia. Skim milk is not recommended until after age 2 since it lacks essential fatty acids which are needed for growth and development. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? a. Side-lying b. Semi-recumbent c. Flexed sitting d. Supine - ANS D Rationale: The client is placed in the supine position, with the client's legs in a frog position. A nurse is assessing a 9-month-old infant during a well-child visit. Which of the following findings indicates that the infant has a developmental delay? a. Creeps on hands and knees b. Inability to vocalize vowel sounds c. Uses crude pincer grasp d. Stands by holding onto support - ANS B Rationale: The infant should begin vocalizing vowel sounds at the age of 7 months, and by the age of 10 months, be able to say at least one word . A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take? a. Administer the medication while the infant is supine. b. Give the medication at the side of the infant's mouth. c. Add the medication to a full bottle of the infant's formula. d. Administer the medication slowly while holding the nares closed. - ANS B Rationale: When administering medications to an infant, a needleless oral syringe or medicine dropper is placed in the side of the mouth (buccal cavity alongside the tongue) to prevent gagging and aspiration. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? a. Age 10 b. First hospitalization c. Male gender d. Calm, quiet demeanor - ANS C Rationale: Male clients are at increased risk for hospitalization-related stress compared to female clients. A nurse in the emergency department is caring for a 12-year-old child who has ingested bleach. Which of the following statements by the nurse indicated an understanding of this ingestion? a. "The absence of oral burns excludes the possibility of esophageal burns." b. "Treatment focuses on neutralization of the chemical." c. "Injury by a corrosive liquid is more extensive than by a corrosive solid." d. "Immediate administration of activated charcoal is warranted." - ANS C Rationale: The coating action of liquids permits larger areas of contact with tissues and results in more extensive injury. A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent? a. "The PICC line will last several weeks with proper care." b. "The public health nurse will rotate the insertion site every 3 days." c. "You will need to make certain the arm board is in place at all times." d. "Your child will go to the operating room to have the line placed." - ANS A rationale: PICC lines are the preferred venous access device for short to moderate term IV therapy. The can remain in place for long periods with proper care. A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. Which of the following is an appropriate reaching point for the nurse to give the parents? A. Give the toddler milk B. Get to an emergency center c. Call poison control d. induce vomiting - ANS C A nurse is caring for a 2yo child with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be the most appropriate for the child? a. cutting and gluing b. blowing soap bubbles c. riding a tricycle d. building block towers - ANS D A nurse is assessing a 30-month-old toddler during a well-child visit. Which of the following findings requires further assessment by the nurse? a. Primary dentition is complete b. Unable to hop on one foot c. Birth weight is tripled d. Able to state first and last name - ANS C Rationale: The birth weight should triple by 12 months of age. By 30 months of age, the birth weight should be quadrupled. A nurse in the emergency department is caring for a 2-year-ols child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse? a. Remove the child's contaminated clothing b. Check the child's respiratory status c. Administer an antidote to the child d. Establish IV access for the child - ANS B A nurse is teaching a parent of a 12-month old child about development during the toddles years. Which of the following statements should the nurse include? a. "Your child should be referring to himself using the appropriate pronoun by 18 months of age." b. "A toddler's interest in looking at pictures occurs at 20 months of age." c. "A toddler should have daytime control of his bowel and bladder by 24 months of age." d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." - ANS D A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent replacement. Which of the following instructions should the nurse include in the teaching? a. "You may bathe your infant in an infant bathtub when you go home." B. Apply hydrocortisone cream to your infant's penis daily." C."You should clamp your infant's stent twice daily." D. "Allow the stent to drain directly into your infant's diaper" - ANS D A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a. wrist b. great toe c. index finger d. heel - ANS B A nurse is caring for a school age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? a. decreased edema b. increased abdominal girth c. decreased appetite d. increased protein in the urine - ANS A A nurse is planning care for a newly admitted school age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? a. ensure that a padded tongue blade is at the child's bedside b. allow the child to play video games on a tablet computer c. allow the child to take a tub bath independently d. ensure the oxygen source is functioning in the child's room - ANS D A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? a. A toddler who has a concussion and an episode of forceful vomiting b. An adolescent who has infective endocarditis and reports having a headache c. An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 d. A school-age child who has acute glomerulonephritis and brown-colored urine - ANS A A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? a. "You should offer your child high-protein meals and snacks throughout the day." b. "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." c. "You should restrict your child's calorie intake to 1,200 per day." d. "You should give your child a multivitamin once weekly. - ANS A A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? a. Capillary refill time less than 2 seconds b. Restricted ability to move the toes c. Swelling of the casted foot when the leg is dependent d. Pedal pulse +3 bilateral - ANS B A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? a. Wheezes b. Crackles c. Pleural friction rub d. Rhonchi - ANS A 9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? a. Furosemide b. Captopril c. Regular insulin d. Potassium chloride - ANS D A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? a. The child should be able to stand on the balls of their feet when sitting on the bike. b. The child should ride their bike 2 feet to the side of other bike riders. c. The child should wear dark-colored clothing with a fluorescent stripe when riding at night. d. The child should ride the bike facing traffic when it is necessary to ride in the street. - ANS A 11) A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? a. Obtain a throat culture from the child. b. Monitor the child's oxygen saturation. c. Put a warm mist humidifier in the child's room. d. Place the child in the supine position - ANS B ) A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take? a. Administer the tetanus toxoid vaccine if more than 1 year since the prior dose. b. Apply an antimicrobial ointment to the affected area. c. Leave the burn area open to air. d. Place an ice pack on the affected area. - ANS B A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? a. "When your child no longer has an increased temperature." b. "Three days after you first noticed the rash appear on your child." c. "When your child's lesions are crusted, usually 6 days after they appear." d. "Two to three weeks, when your child's lesions completely disappear." - ANS C A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include? a. "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." b. "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." c. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." d. "When using the peak expiratory flow meter, record your child's average of three readings." - ANS C A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) a. Steatorrhea b. Vomiting c. Lethargy d. Constipation e. Weight gain - ANS B,C A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? a. Erythrocyte sedimentation rate 18 mm/hr b. WBC count 6,200/mm3 c. C-reactive protein 1.4 mg/L d. RBC count 4.7 million/mm - ANS A

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Uploaded on
January 3, 2025
Number of pages
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Written in
2024/2025
Type
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COMPREHENSIVE RETAKE C WITH
NGN COMPLETE EXAM WITH
CORRECT ANSWERS GRADED A +

A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is
scheduled for surgery. Which of the following interventions should the nurse include?
a. Avoid palpating the abdomen when bathing the child before surgery.
b. Refrain from auscultating the child's bowel sounds during the
postoperative assessment.
c. Encourage the child to play with other children on the unit prior to surgery.
d. Explain to the child that their pain will be managed after the surgery. - ANS A


A nurse is providing discharge teaching to the parent of an 18-month-old toddler who
has dehydration due to acute diarrhea. Which of the following statements by the parent
indicates an understanding of the teaching?
a. "I will offer my child small amounts of fruit juice frequently."
b. "I will avoid giving my child solid foods until the diarrhea has stopped."
c. "I will monitor my child's number of wet diapers."
d. "I will give my child polyethylene glycol daily for 7 days." - ANS C


A nurse is teaching the guardian of a 6-month-old infant about teething. Which of the
following statements should the nurse make?
a. "Your baby might pull at their ears when they are teething."
b. "Rub your baby's gums with an aspirin to decrease discomfort."
c. "Place a beaded teething necklace around your baby's neck."
d. "Your baby's upper middle teeth will erupt first. - ANS A

,A nurse is creating a plan of care for a newly admitted adolescent who has bacterial
meningitis. How long should the nurse plan to maintain the adolescent in droplet
precautions?
a. Until the adolescent is afebrile
b. For 7 days following admission to the facility
c. Until the adolescent has a negative blood culture
d. For 24 hr following initiation of antimicrobial therapy - ANS D


A nurse is providing anticipatory guidance to the parent of a toddler. Which of the
following expected behavior characteristics of toddlers should the nurse include?
a. Controls impulsive feelings
b. Understands right from wrong
c. Easily separates from parents for long periods of time
d. Expresses likes and dislikes - ANS D


A nurse is admitting a 4-month-old infant who has heart failure. Which of
the following findings is the nurses priority?
a. Episodes of vomiting
b. Formula consumption
c. Weight
d. Temperature - ANS A


A nurse in an emergency department is assessing a toddler who has Kawasaki
disease. Which of the following findings should the nurse expect? (Select all that
apply.)
i) Increased temperature
ii) Gingival hyperplasia

,iii) Xerophthalmia
iv)Bradycardia
v) Cervical lymphadenopathy - ANS A,C,E


A nurse is caring for a 10-year-old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing diabetes insipidus?
a. Urine specific gravity 1.045
b. Sodium 155 mEq/L
c. Blood glucose 45 mg/dL
d. Urine output 35 mL/hr - ANS B


A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis.
Which of the following interventions should the nurse include in the plan?
a. administer pancreatic enzymes 2 hours after meals
b. discontinue the use of pancreatic enzymes if steatorrhea develops
c. limit fluid intake to 750 mL per day
d. increase fat content in the child's diet to 40% of total calories. - ANS D


A nurse is caring for a toddler who has acute otitis media and a temperature of 40
C (104 F). After administering acetaminophen, which of the following actions
should the nurse plan to take to reduce the toddler's temperature?
a. Apply a cooling blanket to the toddler.
b. Dress the toddler in minimal clothing.
c. Give the toddler a tepid bath.
d. Administer diphenhydramine to the toddler - ANS B


A nurse is teaching a school age child and their parent about postoperative care following
cardiac catheterization. Which of the following instructions should the nurse include?

, a. "Stay home from school for 1 week following the procedure."
b. "follow a diet that is low in fiber for 1 week."
c. "wait 3 days before taking a tub bath."
d. "apply a pressure dressing to the site for 3 days." - ANS C


A nurse is assessing an infant who has pneumonia. Which of the following findings is the
priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
c. diarrhea
d. abdominal distension - ANS A


A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training.
Which of the following instructions should the nurse include in the teaching?
a. "scold your child when they have toileting accident."
b. "award your child with a sticker when they sit on the potty chair."
c. "play your child's favorite song while teaching them to use the potty chair."
d. "teach multiple steps of the skill at the same time." - ANS B


A nurse is collecting data from a school-age child. The nurse should identify that which of the
following findings is a manifestation of physical abuse?
A. Multiple dental caries
B. Malnutrition
C. Recurrent urinary tract infections
D. Bruises at various stages of healing - ANS D


A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated appendix
and is scheduled for a laparoscope assisted appendectomy. Which of the following instructions
should the nurse include in the teaching?
A. You can begin drinking fluids again 2 days after your surgery
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