N4431 questions with accurate answers
Ans✓✓✓Microorganisms are spread by contact (direct, indirect, or
droplet); vehicle (food, water, blood, or contaminated products);
airborne (dust particles in the air); or vector (mosquitoes, vermin) means
of transmission.
A 5-year-old child placed on transmission-based precautions has a
nursing diagnosis of "risk for loneliness" as part of the child's care plan.
Which of the following would best help the child cope with the
loneliness?
a. Talking to the child about how he or she feels being alone
b. Answering the call light over the intercom immediately
c.Encouraging the child to talk to friends on the telephone
d. Providing age-appropriate activities that can be played alone
Ans✓✓✓answer: c
Rationale: The 5-year-old child enjoys contact with friends and will feel
less lonely and isolated when given the opportunity to visit with friends.
Talking with the child about feelings would be appropriate, but it will
not decrease the feelings of loneliness. Answering the call light
immediately and providing age-appropriate activities for the child to do
alone will not decrease the child's feelings of loneliness
After burping an infant, position on the right side for how long in order
to prevent regurgitation and aspiration?
a) 30 min
b) 60 min
,c) 80 min
d) 25 min Ans✓✓✓answer: b
After giving instructions to the child's caregiver regarding methods used
to reduce an elevated temperature, the caregiver makes the following
statements. Which statement would require follow-up by the nurse?
a."The last time my child had immunizations, I gave her Tylenol."
b."When my older child had a fever, I always gave him a cold bath."
c."I have had trouble getting my child to drink juice."
d."My child does not like lots of blankets over her." Ans✓✓✓answer: b
Rationale: Giving a cold bath to a child with an elevated temperature is
ineffective, can be dangerous in too rapidly lowering the temperature,
and can cause discomfort. Encouraging fluid consumption (juice
specifically is not needed), administering antipyretic medications such as
Tylenol, and not overdressing or heavily covering the child are effective
in lowering an elevated temperature.
After the discharge of a preschool-aged child from the hospital, which of
the following behaviors by the child might indicate he or she is afraid of
another separation?
a. The child plays with siblings for long periods of time.
b. The child carries a favorite blanket around the house.
c. The child requests to go visit the nurses at the hospital.
d. The child wakes up very early in the morning. Ans✓✓✓answer: b
,Rationale: The preschool child may show attachment to a toy or blanket
and have clinging and demanding behavior upon returning home from
hospitalization, most likely not requesting to visit the nurses at the
hospital. Upon returning home from a hospitalization, a child may
awaken at night or, in the older child, may show anger or jealousy
toward siblings.
Although the child growth chart gives a good indication of the child's
health status; there are other indicators that must be considered. These
other indicators are? Select all the apply.
a) the size of other family members
b) the child's illnesses
c) general nutritional status
d) the child's sense of humor
e) developmental milestones Ans✓✓✓answer: a,b,c,e
Rationale: Although the charts are indicators, the size of other family
members, the child's illnesses, general nutri-tional status, and
developmental milestones also must be considered.
As the light is moved away, the pupil should ________, Ans✓✓✓As
the light is moved away, the pupil should dilate (expand.)
At what age is blood pressure monitoring a part of routine and ongoing
data collection.
a) 18 months
, b)6 yr
c)2 yr
d)3 yr Ans✓✓✓answer: d
Rationale: For children 3 years of age and older, blood pressure
monitoring is part of routine and ongoing data collection.
Before inflating the cuff, what must you locate and palpate
first?..hint..before the artery. Ans✓✓✓Locate the artery by palpating
the antecubital fossa (where the brachial artery is located) .Inate the cuff
until radial pulse disappears or about 30 mm Hg above expected systolic
reading.
Before the nurse can administer a gavage feeding, she must verify the
position of the tube by doing what? Select all that apply.
a)aspirating the stomach contents
b)check the pH of gastric contents
c)measure the stomach contents
d)empty the stomach contents into a test tube Ans✓✓✓answer: a, b, c
Rationale: gavage feedings Verify position of tube to ensure that the
tube is in the stomach by aspirating stomach contents.11.Check the pH
of the fluids aspirated. The pH of gastric contents is acidic, rather than
alkaline, which would be noted if the fluids were respiratory in
nature..Measure and REPLACE stomach contents that have been
aspirated. In a very small infant, subtract this amount from the amount
ordered for that particular feeding.
Ans✓✓✓Microorganisms are spread by contact (direct, indirect, or
droplet); vehicle (food, water, blood, or contaminated products);
airborne (dust particles in the air); or vector (mosquitoes, vermin) means
of transmission.
A 5-year-old child placed on transmission-based precautions has a
nursing diagnosis of "risk for loneliness" as part of the child's care plan.
Which of the following would best help the child cope with the
loneliness?
a. Talking to the child about how he or she feels being alone
b. Answering the call light over the intercom immediately
c.Encouraging the child to talk to friends on the telephone
d. Providing age-appropriate activities that can be played alone
Ans✓✓✓answer: c
Rationale: The 5-year-old child enjoys contact with friends and will feel
less lonely and isolated when given the opportunity to visit with friends.
Talking with the child about feelings would be appropriate, but it will
not decrease the feelings of loneliness. Answering the call light
immediately and providing age-appropriate activities for the child to do
alone will not decrease the child's feelings of loneliness
After burping an infant, position on the right side for how long in order
to prevent regurgitation and aspiration?
a) 30 min
b) 60 min
,c) 80 min
d) 25 min Ans✓✓✓answer: b
After giving instructions to the child's caregiver regarding methods used
to reduce an elevated temperature, the caregiver makes the following
statements. Which statement would require follow-up by the nurse?
a."The last time my child had immunizations, I gave her Tylenol."
b."When my older child had a fever, I always gave him a cold bath."
c."I have had trouble getting my child to drink juice."
d."My child does not like lots of blankets over her." Ans✓✓✓answer: b
Rationale: Giving a cold bath to a child with an elevated temperature is
ineffective, can be dangerous in too rapidly lowering the temperature,
and can cause discomfort. Encouraging fluid consumption (juice
specifically is not needed), administering antipyretic medications such as
Tylenol, and not overdressing or heavily covering the child are effective
in lowering an elevated temperature.
After the discharge of a preschool-aged child from the hospital, which of
the following behaviors by the child might indicate he or she is afraid of
another separation?
a. The child plays with siblings for long periods of time.
b. The child carries a favorite blanket around the house.
c. The child requests to go visit the nurses at the hospital.
d. The child wakes up very early in the morning. Ans✓✓✓answer: b
,Rationale: The preschool child may show attachment to a toy or blanket
and have clinging and demanding behavior upon returning home from
hospitalization, most likely not requesting to visit the nurses at the
hospital. Upon returning home from a hospitalization, a child may
awaken at night or, in the older child, may show anger or jealousy
toward siblings.
Although the child growth chart gives a good indication of the child's
health status; there are other indicators that must be considered. These
other indicators are? Select all the apply.
a) the size of other family members
b) the child's illnesses
c) general nutritional status
d) the child's sense of humor
e) developmental milestones Ans✓✓✓answer: a,b,c,e
Rationale: Although the charts are indicators, the size of other family
members, the child's illnesses, general nutri-tional status, and
developmental milestones also must be considered.
As the light is moved away, the pupil should ________, Ans✓✓✓As
the light is moved away, the pupil should dilate (expand.)
At what age is blood pressure monitoring a part of routine and ongoing
data collection.
a) 18 months
, b)6 yr
c)2 yr
d)3 yr Ans✓✓✓answer: d
Rationale: For children 3 years of age and older, blood pressure
monitoring is part of routine and ongoing data collection.
Before inflating the cuff, what must you locate and palpate
first?..hint..before the artery. Ans✓✓✓Locate the artery by palpating
the antecubital fossa (where the brachial artery is located) .Inate the cuff
until radial pulse disappears or about 30 mm Hg above expected systolic
reading.
Before the nurse can administer a gavage feeding, she must verify the
position of the tube by doing what? Select all that apply.
a)aspirating the stomach contents
b)check the pH of gastric contents
c)measure the stomach contents
d)empty the stomach contents into a test tube Ans✓✓✓answer: a, b, c
Rationale: gavage feedings Verify position of tube to ensure that the
tube is in the stomach by aspirating stomach contents.11.Check the pH
of the fluids aspirated. The pH of gastric contents is acidic, rather than
alkaline, which would be noted if the fluids were respiratory in
nature..Measure and REPLACE stomach contents that have been
aspirated. In a very small infant, subtract this amount from the amount
ordered for that particular feeding.
