Solutions
A 2-year-old has been admitted with a diagnosis of encephalitis.
The nurse will monitor for all of the following risks of
encephalitis, EXCEPT: Correct Answers coagulation
abnormalities
A 6-year-old child has been diagnosed with knock-knees and
will need to have devices for correction. Which of the following
would be the correct device treatment for this deformity?
Correct Answers leg braces worn day and night
A 7-year-old has just been diagnosed with Duchenne muscular
dystrophy. All of the following systems may be affected over
time and will need close observations and interventions,
EXCEPT: Correct Answers live function
A child presents with an episode of epistaxis (nosebleed). What
are the appropriate nursing actions? SELECT ALL THAT
APPLY Correct Answers -Apply pressure to the lower nose
with thumb and forefinger.
-Apply ice across the bridge of the nose if bleeding continues.
-Have the child sit up with the head tiled slightly forward
A child with a history of seizures arrives in the emergency
department in status epilepticus. Which is the priority nursing
action? Correct Answers maintain patent airway
A newborn has been diagnosed with clubfoot. The mother is
very concerned and wants to know what caused it. What are
, some of the possible causes of this deformity? SELECT ALL
THAT APPLY Correct Answers -intrauterine position
-Neuromuscular problems
- Genetic component
A school-age child is admitted to the hospital in a sickle-cell
crisis. Which actions should the nurse include in the plan of care
to address the child's pain? Select all that apply. Correct
Answers -Maintaining bed rest
-Administering oxygen for comfort
-Encouraging oral fluid intake
-Administering opioid analgesics, per orders
A toddler pulled a pot of boiling water off the stove and suffered
partial- and full-thickness burns to the chest. The child is now in
the recovery-management phase of burn treatment. Which
common complication should the nurse assess this patient for
based on this stage of treatment Correct Answers wound
infection
All of the following are components of the Glasgow Coma Scale
used for assessment of coma in infants and children, EXCEPT:
Correct Answers babinski reflex
all of the following are ways to prevent infection for a child with
HIV, EXCEPT: Correct Answers Avoiding the yearly
influenza vaccine
All of the following could be subtle signs that a neonate is
having a seizure, EXCEPT: Correct Answers actively crying