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A school nurse is planning care for a school-age child recently diagnosed with
asthma. Whichitems will the school nurse include in the plan of care at the
school? Select all that apply.
✓ Conduct a support group for all children with asthma.
✓ Coordinate education of the child's teachers.
✓ Assess for symptoms of exercise-induced bronchospasm.
✓ Maintain a log of quick-relief medication administration.
Parents of a child admitted with respiratory distress are concerned because the
child won't liedown and wants to sit in a chair leaning forward. Which
response by the nurse is the most appropriate?
✓ "This position helps keep the airway open."
The nurse is teaching the parents of a newly diagnosed cystic fibrosis patient
how to administer the pancreatic enzymes. How often will the nurse teach the
parents to administerthe enzymes?
✓ With all meals and snacks
A mother brings her 4-month-old infant in for a routine checkup and
vaccinations. The mother reports that the infant was exposed to a brother who
has the flu. The infant is afebrile. Which action by the nurse is most
appropriate based on these assessment findings?
✓ Give the vaccinations as scheduled.
, A parent brings her school-age child to the clinic because the child has a
temperature of 100.2°F. The child remains active without other symptoms.
Which statement by the nurseto the parents is most appropriate?
✓ "Unless the fever bothers the child, it is best to let the natural body
defenses respondto the infection."
A parent reports that her school-age child, who has had all recommended
immunizations, hada mild fever one week ago and now has bright red cheeks
and a lacy red maculopapular rash on the trunk and arms. Which disease
process does the nurse suspect based on the parent's description?
✓ Fifth disease (erythema infectiosum)
A school nurse is planning care for a school-age child recently diagnosed with
asthma. Whichitems will the school nurse include in the plan of care at the
school? Select all that apply.
✓ Coordinate education of the child's teachers.
✓ Maintain a log of quick-relief medication administration.
✓ Assess for symptoms of exercise-induced bronchospasm.
✓ Conduct a support group for all children with asthma.
Concerned parents call the school nurse because of changes in their 15-year-
old adolescent's behavior. Which behavior would the nurse indicate as
indicative of adolescentsubstance abuse?
✓ Receiving numerous detentions lately from teachers for sleeping in class
The nurse is conducting a health promotion class for adolescents. In counseling
an adolescentabout lifestyle choices, what should the adolescent eliminate in
order to decrease the risk of the most preventable cause of adult death?
✓ Tobacco use
The nurse is providing care to a toddler-age child. Which assessment finding
is indicativeof abuse?
✓ Inconsistency of stories between caregivers
The nurse prepares the second diphtheria, tetanus toxoid, and acellular
pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization
injections for an infant who is 4
, months old. The nurse may also give which of immunizations during
the same well-child-care appointment?
✓ Haemophilus influenza type B (HIB)
The pediatric nurse is working with a parent who is suspected of
Münchausen Syndrome byProxy. Which action by the nurse is the
priority?
✓ Carefully document parent-child interactions.
The school nurse is planning a smoking-prevention program for
middle school students.Which intervention is most likely to be
effective in preventing middle school children from smoking?
✓ Having a local high school basketball star come to talk to
the students about theimportance of not smoking
The school nurse is implementing a program to decrease bullying.
Which interventionsare appropriate for the school nurse to
implement? Select all that apply.
✓ Teach children to report behaviors
✓ Ensure adult supervision in the hallways
✓ Train teachers about the behaviors
While the nurse is conducting the history of a school-age child, the
parents admit to owningfirearms. Which safety measures are
appropriate to include in the teaching plan for this family? Select all
that apply.
✓ Using a gun lock on all firearms in the house
✓ Storing the guns and ammunition in separate places
✓ Keeping all the guns in a locked cabinet
A parent brings a toddler to the pediatric clinic. The nurse observes a
number of bruises on the child in various stages of healing. The
parent claims the toddler bruises easily. The best action on the part
of the pediatrician and the nurse would be to:
✓ report this to child and family services and order a screening
battery of bleeding andclotting blood work
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Whichnursing intervention is appropriate for this child?
, A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The correct answer is A: Make certain the child is maintained in correct body
alignment.
The nurse is assessing a healthy child at the 2 year check up. Which of
the followingshould the nurse report immediately to the health care
provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles vary widely
A postpartum mother is unwilling to allow the father to participate in
the newborn's care, although he is interested in doing so. She states, "I am
afraid the baby will be confused about who the mother is. Baby raising is
for mothers, not fathers." The nurse'sinitial intervention should be what
focus?
A) Discuss with the mother sharing parenting responsibilities
B) Set time aside to get the mother to express her feelings and concerns
C) Arrange for the parents to attend infant care classes
D) Talk with the father and help him accept the wife's decision
The correct answer is B: Set time aside to get the mother to express her feelings
and concerns