NSG6435 Final Exam 2 Solved 100% Correct
A 3-month-old infant dies shortly after arrival to the emergency department. The infant
has subdural and retinal hemorrhages but no external signs of trauma. The nurse
should suspect: - ANSWER-Shaken-baby syndrome.
A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her
hands, but she will not voluntarily grasp it. The nurse should interpret this as: -
ANSWER-Normal development.
A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that
he is sick because he was "bad." The nurse's best interpretation of this comment is that
it is: - ANSWER-Common at this age.
A beneficial effect of administering digoxin (Lanoxin) is that it: - ANSWER-Decreases
edema.
A chest x-ray film is ordered for a child with suspected cardiac problems. The child's
parent asks the nurse, "What will the radiograph show about the heart?" The nurse's
response should be based on knowledge that the x-ray film will: - ANSWER-Provide a
permanent record of heart size and configuration.
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests: - ANSWER-asthma
A child is brought to the emergency department experiencing an anaphylactic reaction
to a bee sting. Place in correct sequence what the nurse should do after the airway has
been established. Place in correct order. - ANSWER-Obtain vascular access.
Administer epinephrine
Keep child warm and calm.
A child is brought to the emergency department experiencing an anaphylactic reaction
to a bee sting. While an airway is being established, what medication should the nurse
prepare for immediate administration? - ANSWER-Epinephrine
A child is diagnosed with influenza, probably type A disease. Management includes: -
ANSWER-Amantadine hydrochloride to reduce symptoms.
A child with cystic fibrosis is receiving recombinant human deoxyribonuclease
(rhDNase). This drug: - ANSWER-May cause voice alterations.
A clinical manifestation of the systemic venous congestion that can occur with
congestive heart failure is: - ANSWER-Peripheral edema.
A common characteristic of those who sexually abuse children is that they: - ANSWER-
Pressure the victim into secrecy.
,A common sign of digoxin toxicity is: - ANSWER-vomiting
A common, serious complication of rheumatic fever is: - ANSWER-Cardiac valve
damage.
A complication that may occur after a cardiac catheterization is: - ANSWER-Cardiac
arrhythmia.
A father tells the nurse that his daughter wants the same plate and cup used at every
meal, even if they go to a restaurant. The nurse should explain that this is: - ANSWER-
Ritualism, common at this age.
A major clinical manifestation of rheumatic fever is: - ANSWER-Polyarthritis, is swollen,
hot, red, and painful joints. The affected joints will change every 1 to 2 days. Primarily
the large joints are affected
A mother tells the nurse that she doesn't want her infant immunized because of the
discomfort associated with injections. The nurse should explain that: - ANSWER-A
topical anesthetic, eutectic mixture of local anesthetic (EMLA), can be applied before
injections are given.
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.
The nurse should recommend that the infant be given: - ANSWER-Commercial iron-
fortified formula.
A normal characteristic of the language development of a preschool-age child is: -
ANSWER-Stammering.
A parent asks the nurse about negativism in toddlers. The most appropriate
recommendation is to: - ANSWER-Reduce the opportunities for a "no" answer.
A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has
rapid mood swings. If he is scolded, he shows anger and then immediately wants to be
held. The nurse's best interpretation of this behavior is that: - ANSWER-This is normal
behavior for his age.
A parent whose two school-age children have asthma asks the nurse in what sports, if
any, they can participate. The nurse should recommend: - ANSWER-swimming
A school-age child has had an upper respiratory tract infection for several days and then
began having a persistent dry, hacking cough that was worse at night. The cough has
become productive in the past 24 hours. This is most suggestive of: - ANSWER-
Bronchitis.
, A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. The
most appropriate recommendation is to: - ANSWER-Ignore the behavior, provided that it
is not injurious.
A useful skill that the nurse should expect a 5-year-old child to be able to master is to: -
ANSWER-tie shoelaces
According to Piaget, the 6-month-old infant would be in what stage of the sensorimotor
phase - ANSWER-Secondary circular reactions
Acyclovir (Zovirax) is given to children with chickenpox to: - ANSWER-Decrease the
number of lesions
Although a 14-month-old girl received a shock from an electrical outlet recently, her
parents find her about to place a paper clip in another outlet. The best interpretation of
this behavior is: - ANSWER-This is typical behavior because of inability to transfer
knowledge to new situations.
An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse's
first action should be to - ANSWER-Place the child in the knee-chest position
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is to: - ANSWER-Explain in simple terms how it works.
An appropriate approach to performing a physical assessment on a toddler is to: -
ANSWER-Use minimal physical contact initially.
An appropriate nursing intervention when caring for a child with pneumonia is to: -
ANSWER-encourage rest
An appropriate play activity for a 7-month-old infant to encourage visual stimulation is: -
ANSWER-Playing peek-a-boo.
An appropriate recommendation in preventing tooth decay in young children is to: -
ANSWER-Serve sweets after a meal.
An important nursing consideration when chest tubes will be removed from a child is to:
- ANSWER-Administer analgesics before procedure.
An important nursing consideration when suctioning a young child who has had heart
surgery is to: - ANSWER-Administer supplemental oxygen before and after suctioning
An infant has developed staphylococcal pneumonia. Nursing care of the child with
pneumonia includes (choose all that apply): - ANSWER-Cluster care to conserve
energy
Administration of antibiotics.
A 3-month-old infant dies shortly after arrival to the emergency department. The infant
has subdural and retinal hemorrhages but no external signs of trauma. The nurse
should suspect: - ANSWER-Shaken-baby syndrome.
A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her
hands, but she will not voluntarily grasp it. The nurse should interpret this as: -
ANSWER-Normal development.
A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that
he is sick because he was "bad." The nurse's best interpretation of this comment is that
it is: - ANSWER-Common at this age.
A beneficial effect of administering digoxin (Lanoxin) is that it: - ANSWER-Decreases
edema.
A chest x-ray film is ordered for a child with suspected cardiac problems. The child's
parent asks the nurse, "What will the radiograph show about the heart?" The nurse's
response should be based on knowledge that the x-ray film will: - ANSWER-Provide a
permanent record of heart size and configuration.
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests: - ANSWER-asthma
A child is brought to the emergency department experiencing an anaphylactic reaction
to a bee sting. Place in correct sequence what the nurse should do after the airway has
been established. Place in correct order. - ANSWER-Obtain vascular access.
Administer epinephrine
Keep child warm and calm.
A child is brought to the emergency department experiencing an anaphylactic reaction
to a bee sting. While an airway is being established, what medication should the nurse
prepare for immediate administration? - ANSWER-Epinephrine
A child is diagnosed with influenza, probably type A disease. Management includes: -
ANSWER-Amantadine hydrochloride to reduce symptoms.
A child with cystic fibrosis is receiving recombinant human deoxyribonuclease
(rhDNase). This drug: - ANSWER-May cause voice alterations.
A clinical manifestation of the systemic venous congestion that can occur with
congestive heart failure is: - ANSWER-Peripheral edema.
A common characteristic of those who sexually abuse children is that they: - ANSWER-
Pressure the victim into secrecy.
,A common sign of digoxin toxicity is: - ANSWER-vomiting
A common, serious complication of rheumatic fever is: - ANSWER-Cardiac valve
damage.
A complication that may occur after a cardiac catheterization is: - ANSWER-Cardiac
arrhythmia.
A father tells the nurse that his daughter wants the same plate and cup used at every
meal, even if they go to a restaurant. The nurse should explain that this is: - ANSWER-
Ritualism, common at this age.
A major clinical manifestation of rheumatic fever is: - ANSWER-Polyarthritis, is swollen,
hot, red, and painful joints. The affected joints will change every 1 to 2 days. Primarily
the large joints are affected
A mother tells the nurse that she doesn't want her infant immunized because of the
discomfort associated with injections. The nurse should explain that: - ANSWER-A
topical anesthetic, eutectic mixture of local anesthetic (EMLA), can be applied before
injections are given.
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.
The nurse should recommend that the infant be given: - ANSWER-Commercial iron-
fortified formula.
A normal characteristic of the language development of a preschool-age child is: -
ANSWER-Stammering.
A parent asks the nurse about negativism in toddlers. The most appropriate
recommendation is to: - ANSWER-Reduce the opportunities for a "no" answer.
A parent of an 18-month-old boy tells the nurse that he says "no" to everything and has
rapid mood swings. If he is scolded, he shows anger and then immediately wants to be
held. The nurse's best interpretation of this behavior is that: - ANSWER-This is normal
behavior for his age.
A parent whose two school-age children have asthma asks the nurse in what sports, if
any, they can participate. The nurse should recommend: - ANSWER-swimming
A school-age child has had an upper respiratory tract infection for several days and then
began having a persistent dry, hacking cough that was worse at night. The cough has
become productive in the past 24 hours. This is most suggestive of: - ANSWER-
Bronchitis.
, A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. The
most appropriate recommendation is to: - ANSWER-Ignore the behavior, provided that it
is not injurious.
A useful skill that the nurse should expect a 5-year-old child to be able to master is to: -
ANSWER-tie shoelaces
According to Piaget, the 6-month-old infant would be in what stage of the sensorimotor
phase - ANSWER-Secondary circular reactions
Acyclovir (Zovirax) is given to children with chickenpox to: - ANSWER-Decrease the
number of lesions
Although a 14-month-old girl received a shock from an electrical outlet recently, her
parents find her about to place a paper clip in another outlet. The best interpretation of
this behavior is: - ANSWER-This is typical behavior because of inability to transfer
knowledge to new situations.
An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse's
first action should be to - ANSWER-Place the child in the knee-chest position
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is to: - ANSWER-Explain in simple terms how it works.
An appropriate approach to performing a physical assessment on a toddler is to: -
ANSWER-Use minimal physical contact initially.
An appropriate nursing intervention when caring for a child with pneumonia is to: -
ANSWER-encourage rest
An appropriate play activity for a 7-month-old infant to encourage visual stimulation is: -
ANSWER-Playing peek-a-boo.
An appropriate recommendation in preventing tooth decay in young children is to: -
ANSWER-Serve sweets after a meal.
An important nursing consideration when chest tubes will be removed from a child is to:
- ANSWER-Administer analgesics before procedure.
An important nursing consideration when suctioning a young child who has had heart
surgery is to: - ANSWER-Administer supplemental oxygen before and after suctioning
An infant has developed staphylococcal pneumonia. Nursing care of the child with
pneumonia includes (choose all that apply): - ANSWER-Cluster care to conserve
energy
Administration of antibiotics.
