PN 3003 MAT PED Comprehensive Nursing Exam Questions and Verified Answers | Graded A+|New Version!

To determine appropriate nursing diagnosis related to parenting, coping skills, and unmet developmental needs. - Answer Analysis and NSG Diagnosis Ineffective breastfeeding, related to the inability of the infant to nurse properly. Caregiver role strain, related to inexperience. Family coping comprised, related to infants' medical diagnosis. - Answer Example of Appropriate Nursing Diagnosis Nurses should offer guidance and teaching to family, school personnel and child to meet developmental needs. - Answer Planning Should focus interventions that foster growth and development in the hospital setting can include- encourage age-appropriate self-care (ex, encourage the child to brush their teeth). - Answer Implementation May be given to parents so they understand changes in behaviours, eating habits and playing for the growing child. - Answer Anticipatory Guidance A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (Select all that apply) A. Presence of nits on the hair shaft B. Pencil-like marks on hands C. Blisters on the soles of the feet D. Small, red bumps on the scalp E. Pimples on the trunk - Answer B, C, E A, D= pediculosis capitis A nurse is teaching a group parents about preventing insect bites. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Wear perfumes when outside B. Avoid areas of tall grass C. Wear bright-colored clothing D. Wear insect repellent E. Check house pets frequently - Answer B, D, E A, C= attracts insects A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night B. Treat all household pets C. Use an over-the-counter medication containing 1% permethrin D. Discard the child's stuffed animals - Answer C A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take? A. Administer oral antibiotics B. Cleanse area using Burrow solution C. Prepare for cyrotherapy D. Apply a topical anti fungal medication - Answer A A nurse is planning care for a child who has tinea capitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply) A. Treat infected house pets B. Use selenium sulfide shampoo C. Cleanse the area with Burrow solution D. Administer antiviral medication E. Use moist, warm compresses - Answer A, B A nurse is teaching the parent of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include in the teaching? A. "You can use petrolatum to help soften and remove patches from your infant's scalp" B. "When patches are present, you should keep your infant away from others" C. "You should avoid washing your infant's hair while patches are present on the scalp" D. "When patches are present, it indicates that your infant has a systemic infection" - Answer A A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (Select all that apply) A. Remove the clothing over the rash B. Initiate contact isolation precautions while the rash is present C. Expose the rash to a heat lamp for 15 minutes D. Cleanse the affected skin with hydrogen peroxide solution E. Apply calamine lotion to the skin - Answer A, E A nurse is caring for an adolescent who has acne and a prescription for isotretinoin from the dermatologist. Which of the following laboratory findings should the nurse plan to monitor? A. Cholesterol and triglycerides B. BUN and creatinine C. Serum potassium D. Serum sodium - Answer A A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse include in the plan of care? (Select all that apply) A. Apply talcum powder with every diaper change B. Allow the buttocks to air dry C. Use commercial baby wipes to cleanse the area D. Use cloth diapers until the rash is gone E. Apply zinc oxide ointment to the affected area - Answer B, E A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pilaris - Answer A, B, D While you are preparing for her examination, Lynn expresses feeling of strength and vitality. You note she is flushed. She feels warm and dry to the touch. You recall from your training that this problem is called: Cardiac tamponade Sensitivity hypertension Kernicterus Supine hypotension - Answer C. Kernicterus Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the LPN working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit. You escort her to the examining room, where you assist her in laying on her back on the exam table. From your experience working in the prenatal clinic, you recall that this syndrome is caused by what? Clots forming in the lower legs The first indication Lynn is starting labour Pressure of the uterus and fetus on the minor blood vessels Consuming alcohol - Answer D. Consuming alcohol You recognize Lynn's symptoms and know exactly how to alleviate them. You assist Lynn to do which of the following? Remove her restrictive clothing Remain in a lying position with her legs raised Remove pillows from under her head To lay in the left lateral position - Answer B. Remain in a lying position with her legs raised Even after repositioning Lynn, she only feels significantly better. She states, "Now I feel okay, and I have no complaints" As her condition improves, you decide to do what? Give her some water to help hydrate her Take away her call bell since she's feeling better, and you have other duties Have a co-worker stay with her as you consult with her physician. Remove the low-flow O2 at 3 L/min per mask - Answer B. Take away her call bell since she's feeling better, and you have other duties Case Study # 2 Questions 5-8 refer to this study Julie Bangay, a primigravida at 30 weeks gestation, is admitted to the birthing suite in active labour. A few hours after being admitted, Julie becomes very restless, flushed, irritable and perspires profusely. She states that she is going to vomit. Which stage of labour is Julie in? Late stage Third stage Second stage Transition stage - Answer A. Late stage Which of the following signs would be NOT be displayed by Julie when she is close to the delivery of her infant? She would become irritable and not follow instructions. Her perineum would begin to bulge with each contraction. There would be an decrease in the amount of bloody discharge from the vagina. The contractions would occur every 2 - 3 minutes and last 60 seconds. - Answer C. There would be an decrease in the amount of bloody discharge from the vagina. Julie delivers a healthy infant. Four hours after a vaginal delivery, she still has not voided. What would be the nurse's initial action? Palpate her suprapubic area for distension. Encourage voiding by placing her on a bedpan frequently. Place her hands in cold water to discourage micturition. Inform the physician of her inability to void and await orders - Answer D. Inform the physician of her inability to void and await orders Which nursing intervention would the nurse perform during the fourth stage of labour? Administer pain medication and monitor vital signs. Assess uterine contractions every 30 minutes. Coach for effective maternal pushing. Promote parent-newborn interactions - Answer A. Administer pain medication and monitor vital signs. Isabelle tells the nurse, "This is the fourth time I have been pregnant. I had an abortion when I was a teenager and then delivered a baby girl when I was 20. Last year, I had a miscarriage when I was 8 weeks pregnant." How would the nurse record Isabelle's pregnancy status? G.3, P.1, A.1 G.3, P.0, A.2 G.4, P.1, A.2 G.4, P.1, A.1 - Answer B. G.3, P.0, A.2 A woman's pregnancy weight is average for her height. The nurse would advise the woman that her recommended weight gain during pregnancy would be pounds. 10 to 20 15 to 25 25 to 35 28 to 40 - Answer A. 10 to 20 A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse should include what information? Exercise lowers the mother's temperature and hinders fetal circulation Exercise decreases catecholamines, which can encourage preterm labour A regular schedule of moderate exercise during pregnancy is beneficial Pregnant women should increase water intake during exercise - Answer D. Pregnant women should increase water intake during exercise The nurse assesses a pregnant woman for pregnancy-induced hypertension. The first sign of fluid retention suggestive of this complication is: Abdominal enlargement Hand numbness Sudden weight gain Swelling of the feet and ankles - Answer D. Swelling of the feet and ankles Case Study # 4 Questions 13-17 refer to this study Andrea is a 20-year-old multipara who is on the late discharge program. The nurse advises Andrea that her colostrum is the first nutrient the newborn will receive. Why is colostrum very important to the newborn? It contains large amounts of fat needed to help the newborn gain weight It contains high levels of antibodies for the newborn's protection It contains hormones that will help the mother's uterus return to normal It contains laxatives to remove bacteria from the newborn's G.I. system - Answer C. It contains hormones that will help the mother's uterus return to normal Andrea is discharged 24 hours after the delivery of her first child. She will be followed by the community care nurses at home. For her safety, the LPN must ensure that Andrea is aware of how to monitor for various signs and symptoms before the community nurses visit. Andrea is directed to contact her care provider immediately about all of the following signs and symptoms except which one? Fever above 38' C Foul-smelling vaginal discharge Leaking of yellowish fluid from her breasts Bright red heavy lochia - Answer A. Fever above 38' C The LPN is hindering Andrea unpack up her belongings before admission when her boyfriend Larry arrives to leave her home. He looks at the baby and states, "You better keep that kid quiet at night." What immediate safety concerns does the nurse think of for the baby? Poor social development Lack of love and attention Delayed physical development Shaken baby syndrome - Answer C. Delayed physical development You are concerned about Andrea leaving with Larry and her new baby, a cautious nurse would do which of the following? Contact the police immediately and insist they arrest Larry Ignore the situation as the patient is discharged Contact the community care nurse and advise her of the situation Discuss your concerns with the RN on duty. - Answer The nurse's initial action when Julie has not voided after vaginal delivery. By palpating the suprapubic area, the nurse assesses for any bladder distension, which can be a sign of urinary retention. Two days later, you see Andrea with her newborn baby girl standing beside the road crying. The weather is warm, and it is sunny. You approach her; she states she must leave the apartment whenever Larry is sleeping for fear he will be angry at the baby. What action do you take? Tell her she should leave Larry Walk away. She is no longer your patient, and this is not your business As she was discharged into the care of community care nurses, offer to leave her at their office. Take her to the community center and show her the list of safe houses for mothers - Answer D. Take her to the community center and show her the list of safe houses for mothers Sperm can fertilize an ovum up to 7 days after ejaculation. The ovum remains fertile for 24 hours after ovulation. What is the fertile period where intercourse can result in conception? For two weeks after ovulation 60 days after menses 5 days before until 1 day after ovulation The same day as ovulation occurs. - Answer D. The same day as ovulation occurs. The pregnant woman is monitored for signs and symptoms of preeclampsia during pregnancy. The following are signs of preeclampsia, except: Sluggish reflexes Protein in the urine Edema of hands or face Visual enhancements - Answer B. Protein in the urine Maggie conceived 9 weeks ago. This 'developing human' in her uterus is now correctly referred to as what? Embryo Zygote Fetus Fertilized ovum - Answer B. Zygote When does a 'developing human' meet the criteria to be referred to as a fetus? The time the fetal heart is heard The beginning of the ninth week to the time of birth Implantation of the fertilized ovum End of the third week to the onset of labour - Answer A. The time the fetal heart is heard Implantation bleeding can occur in some women when the blastocyst burrows into the endometrium. This scant bleeding can be mistaken for small menses. What safety problem(s) could this create? Avoidance of teratogens because the mother does not know she is pregnant Accurate of expected fetal age Swimming her usual 35 laps of the pool, not realizing she is pregnant Disappointing relatives because she is not expecting the grandchild they want None of the above C and D only - Answer E. None of the above A fetus is virtually incapable of living outside the uterus (without medical intervention) before________ weeks gestation due to immaturity of the respiratory system. 20 weeks 24 weeks 28 weeks 32 weeks - Answer D. 32 weeks In the past, the length of pregnancy was calculated on the solar cycle or a 9month cycle. Today, physicians use a daily cycle to calculate gestational age. A 'full term' fetus is considered to be________ old. 15 weeks 32 weeks 40 weeks 27 weeks - Answer D. 27 weeks The umbilical cord extends from the umbilicus of the fetus to which structure? the uterus the fallopian tubes the fetal surface of the placenta the maternal surface of the placenta - Answer B. the fallopian tubes What is the definition of a teratogen? A substance that prevents birth defects Medication used to assist in preventing nausea in pregnancy An illegal street drug A warning sign of a possible measles infection - Answer B. Medication used to assist in preventing nausea in pregnancy The nurse is caring for a new mom who is 2-days postpartum. Upon assessment of the uterus, the nurse finds the fundus firm, at the umbilicus and slightly to the left. What question by the nurse is the most important given her assessment data? "Have you been avoiding your abdominal exercises?" "What have you eaten today?" "When was your last bowel movement?" "When is the last time you voided?" - Answer A. "Have you been avoiding your abdominal exercises?" Leslie is attending her first physician appointment. She has missed her period and is hoping that she is pregnant. While waiting in the clinic, a child with measles is sitting close to her. At what stage is the unborn child most in danger of developing birth defects from viral infections? Post-embryonic stage Embryonic 25 weeks gestation Full-term - Answer C. 25 weeks gestation One complaint of many women as they progress in their pregnancy is back pain. What is the probable cause of this discomfort? Relaxation of pelvic joints and altered center of gravity Pressure on the pelvic joints as the baby descends into the pelvis "Back labour" causing pressure on the sacrum Poor posture related to the weight of the baby in the abdomen - Answer D. Poor posture related to the weight of the baby in the abdomen Three pregnancy categories are Presumptive (Possible), Probable, & Positive. What would be a positive sign of pregnancy? Nausea in the morning Hegar's sign Abdominal ultrasound at 8 weeks Stomach acid reflux - Answer B. Hegar's sign An 18-year-old pregnant patient is hospitalized with hyperemesis gravidarum. The patient reveals that she wanted to have an abortion when she discovered her pregnancy, but her own and the father's cultural background forbade it. She is very unhappy about being pregnant and even expresses a wish that the fetus will develop a condition that will cause it to abort spontaneously. What is the best action the LPN can take to respond to the patient's distress? Reassure the patient that her conversation with the LPN is confidential and encourage her to continue to share her feelings Contact the hospital's psychiatry department to have someone see the patient Consult with the inter-collaborative team about offering the patient a chance to speak with a psychiatrist or social worker Share the information with the physician and the R.N. - Answer A. Reassure the patient that her conversation with the LPN is confidential and encourage her to continue to share her feelings A woman is 9 weeks gestation and admitted to the obstetrical unit for hyperemesis gravidarum. The lowest priority intervention the nurse should anticipate is which of the following? Physical activity with bathroom privileges NPO for 24 hours with IV rehydration Intravenous rehydration Administration of oral anti-emetic medications - Answer C. Intravenous rehydration When educating a gestational diabetic patient on how to control her blood sugar, the nurse knows there are three main components to glycemic control: diet, exercise and . Which of the following is the third controlling factor? Folic acid Niacin Insulin Glucose tablets - Answer D. Glucose tablets The nurse is providing education to women who are diabetic. The nurse is discussing pregnancy-related complications from diabetes. Which of the following is a potential complication? Large for gestation age infant Polyhydramnios Post-term delivery Hypotension in pregnancy - Answer A. Large for gestation age infant A woman is 8 weeks pregnant. At this stage of pregnancy, it would be common to be experiencing all of the following, except? Nausea & vomiting More frequent urination Excessive fatigue Stretchmarks - Answer C. Excessive fatigue Which of the following are true concerning Braxton-Hicks contractions? Always indicate labour will start in the next few hours The uterus 'avoiding' itself for contractions Cause cervical dilation Are continuous B, C, and D None of the above - Answer F. None of the above Up to 70% of neural tube defects, such as spina bifida, can be prevented by the use of which vitamin? Vitamin A Vitamin D Vitamin C Vitamin B-9 - Answer B. Vitamin D Between her regularly scheduled visits, a woman in her first trimester of pregnancy who is taking iron supplements for anemia calls the nurse at her obstetrician's office complaining of constipation. She reports that she has never had this problem before and asks for some advice about getting relief. What is the best advice the nurse can give her? Stop taking iron supplements for a few days, exercise more, drink more fluids, eat high-fiber, low-iron foods until the constipation is relieved, then resume the iron supplement. Continue taking iron supplements but increase fluids and high-fiber foods, and exercise more. Increase her iron supplements, fluid intake, and consumption of high-fiber foods, exercise more Take her iron supplement every other day, increase fluid intake and consumption of high-fiber foods, and exercise more. - Answer A. Stop taking iron supplements for a few days, exercise more, drink more fluids, eat high-fiber, lowiron foods until the constipation is relieved, then resume the iron supplement. The nurse explains to a pregnant client that she will need to take iron supplements during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse informs her that absorption of supplemental iron can be increased by taking it with which of the following? Meals high in iron Coffee Legumes Did you study for your exam? Orange juice - Answer A. Meals high in iron TORCH is a term for several diseases that may cause harm to the fetus if the mother becomes infected. What does the R in TORCH stand for? Rh-positive Reye syndrome Rubella Rheumatic fever - Answer A. Rh-positive Which of the following is not considered a goal in pre-conception care? Reducing maternal health risks Reducing fetal health risks Identifying possible the sex of the baby Identifying possible genetic concerns - Answer D. Identifying possible genetic concerns May Ling has two children. What medical term describes her? Nullipara Multipara Primigravida Primipara - Answer C. Primigravida Lisa presents to the doctor, stating that she has mild discomfort in her left lower quadrant. She is 10 weeks pregnant. Upon pelvic examination, Lisa states she has severe pain when the doctor moves her cervix. What is the suspected cause of Lisa's pain? Hydatidiform Mole Placenta Previa Abruptio Placenta Ectopic Pregnancy - Answer B. Placenta Previa Which of the following is correct concerning changes observed in the cervix due to pregnancy? It decreases in size and shape towards the end of the pregnancy term It secretes a thin mucous at the end of the pregnancy term It produces a mucous plug early in pregnancy to prevent infection transmission It takes over the production of progesterone to prevent infections - Answer D. It takes over the production of progesterone to prevent infections The LPN working at a perinatal clinic is aware of the usual screening tests that are routinely done on urine samples. Which of these elevated results in urine tests could indicate pre- eclampsia? Leukotrienes Glucose Protein Ketones - Answer A. Leukotrienes Hypertension in pregnancy can cause tissue damage to major organs. To what degree does the blood pressure have to be elevated before it is cause for concern? 130/80 128/76 140/80 140/90 - Answer B. 128/76 A woman who is 31 weeks pregnant presents at the emergency room with bright red vaginal bleeding. She says the onset of the bleeding was sudden, and she has no pain. The nurse is most likely to assist the physician or technician with which exam? A digital cervical exam A blood donation An abdominal ultrasound Abdominal x-ray - Answer B. A blood donation During week 12 of pregnancy, a patient experiences a miscarriage. After hearing her physician has ordered a D&C, she becomes anxious. She stated that she miscarried last year in week 5 of her pregnancy, and this procedure was not needed. She asks why she needs it this time. What would be the best response? "This is the procedure ordered by the doctor." "You have the option to refuse the surgery." "At this stage of the pregnancy, this procedure is needed to adequately remove all the fetal tissue." "Having the D&C will make it easier to get pregnant next time." - Answer D. "Having the D&C will make it easier to get pregnant next time." A woman has an Rh-negative blood type. Following the birth of her infant, the nurse administers Rho(D) (D immune globulin). What is the purpose of administering this medication? Promote maternal D antibody formation Prevent maternal D antibody formation Stimulate maternal D immune antigens Prevent fetal RH blood formation - Answer C. Stimulate maternal D immune antigens Joan, a multipara, has been admitted to the labour and delivery area. She is 32 weeks pregnant. While the nurse is settling her into bed, she complains that she was unaware that labour would be so painful and sudden. The nurse's assessment reveals a hard 'board-like abdomen' and dark red vaginal bleeding. Based on the assessment data, which of the following does the nurse suspect? Placenta previa Possible miscarriage Placental abruption Prepartum hemorrhage - Answer A. Placenta previa The nurse is working the triage area of OB when a client calls to ask about vaginal discharge. The patient is 25 weeks gestation and had been in her OB office that morning, where the provider did a vaginal exam. She reports to the nurse that she noticed a clear mucus discharge in the toilet after using the restroom. What is the appropriate explanation to the patient? "It might be nothing; if it happens again, call the provider who is on-call." "If the provider did an exam, it might be just normal vaginal secretions, don't worry about it." "A one-time discharge of clear mucus in the toilet might have been your mucus plug." "Clear mucus is a sure sign of labour; come to the hospital right away." - Answer D. "Clear mucus is a sure sign of labour; come to the hospital right away." Upon arriving at the labour and delivery unit, a pregnant woman advises the LPN that she is 42 weeks pregnant. She is not sure if she is in true labour or false labour. The nurse would explain that true labour can be differentiated from false labour by which of the following? True labour occurs immediately after the membranes rupture. True labour stops when the client walks around. True labour is less uncomfortable in a side-lying position. True labour brings about progressive cervical dilation. - Answer B. True labour stops when the client walks around. What psychological changes contribute to pain in the first stage of labour? Stretching the perineum Contracting the cervix Postpartum depression Pelvicbonemovement - Answer C. Postpartum depression A nurse is caring for a client who has a superficial partial-thickness burn. Which of the following actions should the nurse take? A. Administer IV infusion of 0.9% sodium chloride B. Apply cool, wet compresses to the affected area C. Clean the affected area using a soft-bristle brush D. Administer morphine sulfate - Answer B A nurse is caring for a client who has major burns and suspected septic shock. Which of the following findings are consistent with septic shock? (Select all that apply) A. Increased body temperature B. Altered sensorium C. Decreased capillary refill D. Decreased urine output E. Increased bowel sounds - Answer A, B, D A nurse is caring for a client who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement to manage this client's pain? A. Administer morphine sulfate IV via continuous infusion B. Administer meperidine IM as needed C. Administer acetaminophen PO every 4 hours D. Administer hydrocodone PO every 6 hours - Answer A A nurse is caring for a client who has a skin graft. Which of the following manifestations indicate infection? (Select all that apply) A. Pink color to subcutaneous fat B. Unstable body temperature C. Generation of granulation tissue D. Subeschar hemorrhage E. Change in skin color around the affected area - Answer B, D, E The nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse take? A. Maintain immobilization of the affected area B. Expose affected area to the air C. Initiate a high-protein, high-calorie diet D. Implement contact isolation - Answer C A nurse is reviewing sick-day management with a parent of a child who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? (Select all that apply) A. Monitor blood glucose levels every 3 hours B. Discontinue taking insulin until feeling better C. Drink 8 oz of fruit juice every hour D. Test urine for ketones E. Call the provider if blood glucose is greater than 240 mg/dL - Answer A, D, E A nurse teaching a child who has type 1 diabetes mellitus about self-care. Which of the following statements by the child indicates understanding of the teaching? A. "I should skip breakfast when I am not hungry" B. "I should increase my insulin with exercise" C. "I should drink a glass of milk when I am feeling irritable" D. "I should draw up the NPH insulin into the syringe before the regular insulin - Answer C A nurse is caring for a child who has type 1 diabetes. Which of the following are manifestations of diabetic ketoacidosis? (Select all that apply) A. Blood glucose 58 mg/dL B. Weight gain C. Dehydration D. Mental confusion E. Fruity breath - Answer C, D, E A nurse is teaching a school-age child who has diabetes mellitus about insulin administration. which of the following should the nurse include in the teaching? A. You should inject the needle at a 30-degree angle B. You should combine your glargine and regular insulin in the same syringe C. You should aspirate for blood before injecting the insulin D. You should give four or five injections in one area before switching sites - Answer D A nurse is teaching an adolescent who has diabetes mellitus about manifestations of hypoglycemia. Which of the following findings should the nurse include in the teaching? (Select all that apply) A. Increased urination B. Hunger C. Signs of dehydration D. Irritability E. Sweating and pallor F. Kussmaul respirations - Answer B, D, E A nurse is caring for child who has short stature. Which of the following diagnostic tests should be completed to confirm growth hormone deficiency? (Select all that apply) A. CT scan of the head B. Bone age scan C. GH stimulation test D. Serum IGF-1 E. DNA testing - Answer A, B, C, D A nurse is teaching the parent of a child who has a growth hormone deficiency. Which of the following are complications of untreated growth hormone deficiency? (Select all that apply) A. Delayed sexual development B. Premature aging C. Advanced bone age D. Short stature E. Increased epiphyseal closure - Answer A, B, D A parent of a school age child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following responses should the nurse make? A. Injections are usually continued until age 10 for girls and age 12 for boys B. Injections continue until your child reaches the 5th percentile on the growth chart. C. Injections should be continued until there is evidence of epiphyseal closure D. The injections will need to be administered throughout your child's entire life - Answer C A nurse is assessing a child who has short stature. Which of the following findings would indicate a growth hormone deficiency? A. Proportional height to weight B. Height proportionally greater than weight C. Weight proportionally greater than height D. BMI greater than height/weight ratio - Answer A A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth B. Initiate oral rehydration therapy C. Start hypertonic IV solution D. Keep NPO until the diarrhea subsides - Answer B A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take? A. Perform a tape test B. Collect stool specimen for culture C. Test the stool for occult blood D. Initiate IV fluids - Answer A A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion - Answer A, B, C A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Incubation period is nonspecific B. It is a bacterial infection C. Bloody diarrhea is common D. Transmission can be from house pets E. Antibiotics are used for treatment - Answer B, C, D A nurse is teaching a group of parents about E. coli. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Severe abdominal cramping occurs B. Watery diarrhea is present for more than 5 days C. It can lead to hemolytic uremic syndrome D. It is a food borne pathogen E. Antibiotics are given for treatment - Answer A, C, D A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select al that apply) A. Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage- shaped abdominal mass E. Constant hunger - Answer A, B, E A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take? A. Encourage a high-fiber, low-protein, low-calorie diet B. Prepare the family for surgery C. Place an NG tube for decompression D. Initiate bed rest - Answer B A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take? A. Remove the packing in the mouth B. Place the infant in an upright position C. Offer a pacifier with sucrose D. Assess the mouth with a tongue blade - Answer B A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing - Answer A, C A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply) A. Offer frequent feedings B. Thicken formula with rice cereal C. Use a bottle with a one-way valve D. Position baby upright after feedings E. Use a wide-based nipple for feedings - Answer A, B, D A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply) A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely with each void D. Provide information about manifestations of infection E. Wipe perineal area back to front - Answer B, C, D A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include? A. Administer an antidiuretic B. Restrict fluids C. Evaluate the child's self-esteem D. Encourage frequent voiding - Answer D A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis? A. Urinary tract infections B. Emotional problems C. Urosepsis D. Progressive kidney disease - Answer B A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever - Answer B, D, E A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply) A. Night sweats ...