NUR2633/NURSING NUR2633: MCH exam 3 things to study. for the coming exam

NUR2633/NURSING NUR2633: MCH exam 3 things to study. for the coming exam  Question 1 1 out of 1 points The pediatric nurse carefully monitors a patient’s status by assessing the child’s level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to: .  Question 2 1 out of 1 points When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as?  Question 3 1 out of 1 points The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action?  Question 4 1 out of 1 points The pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.)  Question 5 1 out of 1 points A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child?  Question 6 1 out of 1 points What is the priority nursing intervention when a child is unconscious after a fall?  Question 7 1 out of 1 points Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child’s self- esteem. Which discipline is appropriate? (select all that apply)  Question 8 1 out of 1 points When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate?  Question 9 1 out of 1 points What is probably the single most important influence on growth at all stages of childhood development?  Question 10 1 out of 1 points On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what compication?  Question 11 1 out of 1 points A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines?  Question 12 1 out of 1 points A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering?  Question 13 1 out of 1 points After the acute stage and during the healing process the primary complication from burn injury is which of the following?  Question 14 1 out of 1 points A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take?  Question 15 1 out of 1 points A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation?  Question 16 1 out of 1 points Nursing care of a child during a seizure includes which of the following interventions? Select all that apply  Question 17 1 out of 1 points A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth?  Question 18 1 out of 1 points Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure?  Question 19 1 out of 1 points The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury?  Question 20 1 out of 1 points A infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1 year of age?  Question 21 1 out of 1 points 4-year-old girl is brought to the emergency department. She has a “frog-like” croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. What does the nurse recognize as the first action?  Question 22 1 out of 1 points The nurse is caring for a hospitalized 4-year-old child, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his parents are coming, what is the nurse's best response?  Question 23 1 out of 1 points A toddler is diagnosed with iron defiecency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development?  Question 24 out of 1 points The pediatric nurse is aware that the following is true of pain management in pediatrics.  Question 25 out of 1 points A new mother expresses concern to a nurse regarding sudden infant death syndrome. (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed in what position?  Question 26 1 out of 1 points A mother brings her infant to the pediatrician for a check-up. She tells the pediatric nurse that almost every afternoon her infant fusses generally occurring at the same time each day, usually during the late afternoon or evening. The infant pulls both legs and arms into a flexed position. Based on this description, the nurse suspects that the infant has:  Question 27 1 out of 1 points Sara , age 6 months, was born at 35 weeks gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was born at term. How does the nurse explain this?  Question 28 1 out of 1 points Which strategy would be the least appropriate for a child to use to  Question 29 out of 1 points A child undergoes an appendectomy. Which of the following nursing interventions would not be considered acceptable? Selected Answer: Give oral laxatives pre operative Answers:  Pain management Give oral laxatives pre operative Monitor intake and output Wound care?  Question 30 out of 1 points At what age do most infants begin to fear strangers? Selected Answer: 6 months  Question 31 1 out of 1 points The signs that can be used to indicate increased intracranial pressure in the infant but not in the older child is? Selected Answer: Bulging fontanel  Question 32 1 out of 1 points Which drug is usually the best choice for patient-controlled analgesia (PCA) for a child in the immediate postoperative period? Selected Answer: C. Morphine  Question 33 1 out of 1 points The nurse should expect the anterior fontanel to close at what age? Answers: 12 to 18 months  Question 34 1 out of 1 points What is an important consideration for the nurse who is communicating with a very young child? Selected Answer: B. Use transition objects such as a doll.  Question 35 1 out of 1 points What actions can a nurse do that is most likely to encourage the parents to talk about their feelings related to their child's injuries? Selected Answer: Ask open ended questions  Question 36 1 out of 1 points Fentanyl and midazolam (Versed) are given before debridement of a child’s burn wounds. These drugs are important for what purpose? Selected Answer: C. Provide pain relief.  Question 37 1 out of 1 points The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play? Selected Answer: B. Brian playing with his truck next to Kristina playing with her truck  Question 38 1 out of 1 points In what type of play are children engaged in similar or identical activity without organization, division of labor, or mutual goal? Selected Answer: C. Associative  Question 39 1 out of 1 points Which factor predisposes the urinary tract to infection? Selected Answer: C. Short urethra in young girls  Question 40 1 out of 1 points What are the advantages of the ventral gluteal muscle as an injection site? Choose all that apply. Free of important nerves and vascular structures Easily identified by major landmarks Less painful than vastus lateralis  Question 41 out of 1 points After infancy growth is not as rapid until adolescence where puberty becomes the primary focus. In comparison the onset of that growth is noted to be which of the following? Selected Answer: Earlier in girls  Question 42 out of 1 points An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to: Selected Answer: B. Encourage parents to room in.  Question 43 1 out of 1 points A pediatric nurse listens while a mother describes her toddler's eating habits. The mother states that her daughter “refuses to eat vegetables at mealtime” and “wants peanut butter sandwiches for every meal.” The nurse's best advice to the mother is: Selected Answer: B. reassure her that food fads are normal and the tendency will pass.  Question 44 1 out of 1 points The pediatric nurse explains to the parents of a child with type 1 diabetes that there are several major components of treatment for their child, including: (Select all answers that apply.) Selected Answers: A. insulin C. exercise D. Diet  Question 45 1 out of 1 points The pediatric nurse teaches a patient that following a sprain to an extremity, it is important to take the following measures: (Select all answers that apply.) Selected Answer: C. apply an ace wrap to apply pressure and reduce swelling of the joint.  Question 46 1 out of 1 points The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is where? Selected Answer: Rear facing in the back seat  Question 47 1 out of 1 points In providing care ot a child with immunosuppression, the pediatric nurse is vigilant about which assessment? Selected Answer: Fever  Question 48 1 out of 1 points The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease. The nurse would include which of the following statements?: (Select all answers that apply.) Selected Answers: A. cystic fibrosis causes the production of thick mucus that blocks exocrine glands and affects several body systems. B. the increased mucus production in the airways causes obstruction and stasis of fluid, providing a rich habitat for bacterial growth C. in later childhood, the reproductive system is affected as ovarian ducts and the vas deferens may be occluded leading to infertility.  Question 49 1 out of 1 points Nurses must be alert for increased fluid requirement when a child has which of the following medical issue? Selected Answer: Fever  Question 50 1 out of 1 points By the time children reach their twelfth birthday, they should have learned to trust others and should have developed a sense of what?