AND ANSWERS
Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the
child's history, the nurse considers which information to be most important?
A. A fever that started 3 days ago
B. Lack of interest in food
C. A recent episode of pharyngitis
D. Vomiting for 2 days - ANS C. A recent episode of pharyngitis
Rationale:
A recent episode of pharyngitis is the most important factor in establishing the diagnosis of
rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in
food, these findings are not specific to rheumatic fever.
When administering an I.M. injection to an infant, the nurse in charge should use which site?
A. Deltoid
B. Dorsogluteal
C. Ventrogluteal
D. Vastus lateralis - ANS D. Vastus lateralis
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance.
To help diagnose this problem, the nurse in charge anticipates that the doctor will order which
laboratory test?
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, A. Total iron-binding capacity
B. Hemoglobin
C. Total protein
D. Serum transferrin - ANS C. Total protein
When developing a plan of care for a male adolescent, the nurse considers the child's
psychosocial needs. During adolescence, psychosocial development focuses on:
A. Becoming industrious
B. Establishing an identity
C. Achieving intimacy
D. Developing initiative - ANS B. Establishing an identity
When developing a plan care for a hospitalized child, nurse Mica knows that children in which
age group is most likely to view illness as a punishment for misdeeds? - ANS B. Preschool age
Nurse Sunshine suspects that a child, age 4, is being neglected physically. To best assess the
child's nutritional status, the nurse should ask the parents which question?
A. "Has your child always been so thin?"
B. "Is your child a picky eater?"
C. "What did your child eat for breakfast?"
D. "Do you think your child eats enough?" - ANS C. "What did your child eat for breakfast?"
A female child, age 2, is brought to the emergency department after ingesting an unknown
number of aspirin tablets about 30 minutes earlier. On entering the examination room, the
child is crying and clinging to the mother. Which data should the nurse obtain first?
A. Heart rate, respiratory rate, and blood pressure
B. Recent exposure to communicable diseases
C. Number of immunizations received
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