2024) | Questions and Verified Answers|
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QUESTION
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
Answer:
c. Male gender
QUESTION
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."
Answer:
c. "Injury by a corrosive liquid is more extensive than by a corrosive solid."
QUESTION
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."
,Answer:
a. "The PICC line will last several weeks with proper care."
QUESTION
A nurse is caring for a 2 y/o child who has cystic fibrosis. The nurse is planning to take the child
to the playroom. Which of the following activities would be appropriate for the child?
A. Cutting figures from colored paper
B. Drawing stick figures using crayons
C. Riding a tricycle
D. Building towers of blocks
Answer:
D. Building towers of blocks
QUESTION
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
Answer:
c. Birth weight is tripled
QUESTION
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-coloredurine
, Answer:
a. A toddler who has a concussion and an episode of forceful vomiting
QUESTION
A nurse is providing dietary teaching to the guardian of a school-age child whohas cystic
fibrosis. Which of the following statements should the nurse make?
"You should offer your child high-protein meals and snacks throughout the day."
"You should decrease your child's dietary fat intake to less than 10% of their caloric intake."
"You should restrict your child's calorie intake to 1,200 per day."
"You should give your child a multivitamin once weekly."
Answer:
"You should offer your child high-protein meals and snacks throughout the day."
QUESTION
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?
Capillary refill time less than 2 seconds
Restricted ability to move the toes
Swelling of the casted foot when the leg is dependent
Pedal pulse +3 bilateral
Answer:
Restricted ability to move the toes
QUESTION
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?
Wheezes
Crackles
Pleural friction rub
Rhonchi
Answer:
Wheezes