Nur 311 Exam 2 Study Guide/Practice
Questions With Complete Solutions
*School-age children with cancer often have a body
image disturbance related to hair loss, moon face,
or debilitation. Which of the following interventions
is (are) most appropriate? Select all that apply.
1. Encourage them to wear a wig similar to their
own hairstyle.
2. Emphasize the benefits of the therapy they are
receiving.
3. Have them play only with other children with
cancer.
4. Use diversional techniques to avoid discussing
changes in the body because of the
chemotherapy.
5. Help them find a "special friend" who
understands what they are experiencing. Correct
Answers 1. Encourage them to wear a wig similar
to their own hairstyle.
5. Help them find a "special friend" who
understands what they are experiencing.
3 things associated with HUS Correct Answers
hemolytic anemia
thrombocytopenia
acute renal failure. Decreased red blood cells with
a high reticulocyte count, decreased platelet count,
and renal failure.
,A 10-year-old with renal failure is scheduled to
undergo renal transplantation.
The nurse knows that this treatment option is
which of the following?
1. A curative procedure that will free the patient
from any more treatment
modalities.
2. An ideal treatment option for families with a
history of dialysis noncompliance.
3. A treatment option that will free the patient from
dialysis.
4. A treatment option that is very new to the
pediatric population. Correct Answers 3. Renal
transplantation frees the patient
from dialysis
TEST-TAKING HINT: The test taker should
eliminate answer 1 because transplantation
is a treatment, not a cure.
A 10-year-old with severe factor VIII deficiency
falls, injures an elbow, and is brought to the ED.
The nurse should prepare which of the following?
1. An IM injection of factor VIII.
2. An IV infusion of factor VIII.
3. An injection of desmopressin.
4. An IV infusion of platelets. Correct Answers 2.
The child is treated with an IV infusion
of factor VIII to replace the missing
factor and help stop the bleeding.
,A 12-year-old comes to the clinic with a diagnosis
of Graves disease. What information should the
nurse discuss with the child?
1. Suggest weight loss.
2. Encourage attending school.
3. Emphasize that the disease will go into
remission.
4. Encourage the child to take responsibility for
daily medications. Correct Answers 4. Encourage
the child to take responsibility for daily
medications. Because the child is 12 years old,
encouraging responsibility for health care is
important. The child still needs family involvement
and ongoing supervision but should not be
completely dependent on family for care.
A 12-year-old with hyperthyroidism is being treated
with standard antithyroid drug therapy. A parent
calls the office stating that the child has a sore
throat and fever. Which is the nurse's best
response?
1. "Bring your child to the office or emergency
department immediately."
2. "Slight fever and sore throat are normal side
effects of the medication."
3. "Give your child the appropriate dose of
ibuprofen and call back if symptoms
worsen."
4. "Give your child at least 8 oz of clear fluids and
call back if symptoms worsen." Answer the next
, three questions with reference to the following
figure: Correct Answers 1. A complication of
antithyroid drug therapy is leukopenia. Fever and
sore throat, therefore, need to be evaluated
immediately. This is an essential component of
discharge teaching for patients with Graves
disease.
A 12-year-old with type 2 diabetes mellitus
presents with a fever and a 2-day history of
vomiting. The nurse observes that the child's
breath has a fruity odor and breathing is deep and
rapid. Which should the nurse do first?
1. Offer the child 8 oz of clear noncaloric fluid.
2. Test the child's urine for ketones.
3. Prepare the child for an IV infusion.
4. Offer the child 25 g of carbohydrates. Correct
Answers 3. This patient needs fluid and electrolyte
therapy to restore tissue perfusion prior to
beginning IV insulin therapy.
A 13-month-old is being discharged following the
repair of his epispadias. Which of the following
statements made by the parents indicate that they
understand the discharge teaching?
1. "If a mucous plug forms in the urinary drainage
tube, we will irrigate it gently to prevent a
blockage."
Questions With Complete Solutions
*School-age children with cancer often have a body
image disturbance related to hair loss, moon face,
or debilitation. Which of the following interventions
is (are) most appropriate? Select all that apply.
1. Encourage them to wear a wig similar to their
own hairstyle.
2. Emphasize the benefits of the therapy they are
receiving.
3. Have them play only with other children with
cancer.
4. Use diversional techniques to avoid discussing
changes in the body because of the
chemotherapy.
5. Help them find a "special friend" who
understands what they are experiencing. Correct
Answers 1. Encourage them to wear a wig similar
to their own hairstyle.
5. Help them find a "special friend" who
understands what they are experiencing.
3 things associated with HUS Correct Answers
hemolytic anemia
thrombocytopenia
acute renal failure. Decreased red blood cells with
a high reticulocyte count, decreased platelet count,
and renal failure.
,A 10-year-old with renal failure is scheduled to
undergo renal transplantation.
The nurse knows that this treatment option is
which of the following?
1. A curative procedure that will free the patient
from any more treatment
modalities.
2. An ideal treatment option for families with a
history of dialysis noncompliance.
3. A treatment option that will free the patient from
dialysis.
4. A treatment option that is very new to the
pediatric population. Correct Answers 3. Renal
transplantation frees the patient
from dialysis
TEST-TAKING HINT: The test taker should
eliminate answer 1 because transplantation
is a treatment, not a cure.
A 10-year-old with severe factor VIII deficiency
falls, injures an elbow, and is brought to the ED.
The nurse should prepare which of the following?
1. An IM injection of factor VIII.
2. An IV infusion of factor VIII.
3. An injection of desmopressin.
4. An IV infusion of platelets. Correct Answers 2.
The child is treated with an IV infusion
of factor VIII to replace the missing
factor and help stop the bleeding.
,A 12-year-old comes to the clinic with a diagnosis
of Graves disease. What information should the
nurse discuss with the child?
1. Suggest weight loss.
2. Encourage attending school.
3. Emphasize that the disease will go into
remission.
4. Encourage the child to take responsibility for
daily medications. Correct Answers 4. Encourage
the child to take responsibility for daily
medications. Because the child is 12 years old,
encouraging responsibility for health care is
important. The child still needs family involvement
and ongoing supervision but should not be
completely dependent on family for care.
A 12-year-old with hyperthyroidism is being treated
with standard antithyroid drug therapy. A parent
calls the office stating that the child has a sore
throat and fever. Which is the nurse's best
response?
1. "Bring your child to the office or emergency
department immediately."
2. "Slight fever and sore throat are normal side
effects of the medication."
3. "Give your child the appropriate dose of
ibuprofen and call back if symptoms
worsen."
4. "Give your child at least 8 oz of clear fluids and
call back if symptoms worsen." Answer the next
, three questions with reference to the following
figure: Correct Answers 1. A complication of
antithyroid drug therapy is leukopenia. Fever and
sore throat, therefore, need to be evaluated
immediately. This is an essential component of
discharge teaching for patients with Graves
disease.
A 12-year-old with type 2 diabetes mellitus
presents with a fever and a 2-day history of
vomiting. The nurse observes that the child's
breath has a fruity odor and breathing is deep and
rapid. Which should the nurse do first?
1. Offer the child 8 oz of clear noncaloric fluid.
2. Test the child's urine for ketones.
3. Prepare the child for an IV infusion.
4. Offer the child 25 g of carbohydrates. Correct
Answers 3. This patient needs fluid and electrolyte
therapy to restore tissue perfusion prior to
beginning IV insulin therapy.
A 13-month-old is being discharged following the
repair of his epispadias. Which of the following
statements made by the parents indicate that they
understand the discharge teaching?
1. "If a mucous plug forms in the urinary drainage
tube, we will irrigate it gently to prevent a
blockage."
