NURS 405 Quiz 1 UPDATED ACTUAL Questions and CORRECT
Answers
The nurse notes tachycardia on the cardiac monitor of A, B, D, E
the pediatric client. What would the nurse further assess
for this child? Select all that apply.
a) Pain
b) Body temperature
c) Constipation
d) Oxygen saturation
e) Fluid volume status
The nurse is assessing a 10-year-old child with tachypnea hypotension and capillary refill time greater than 5 seconds
and increased work of breathing. Which finding 3 multiple choice options
demonstrates the child is in the late stages of shock?
Administration of which medication reverses the epinephrine
histamine release and hypotension that are seen in
3 multiple choice options
anaphylaxis?
The nurse is assessing an infant who was a passenger in a increased intracranial pressure
car involved in a motor vehicle accident. During the
3 multiple choice options
assessment, the child's anterior fontanel (fontanelle) is
bulging. What may cause this assessment finding?
After receiving shift report, which client will the nurse The child whose lips are blue in color and head is wet with perspiration.
assess first?
3 multiple choice options
Which vital sign change is the earliest indicator of shock Tachycardia
in pediatric patients? 3 multiple choice options
A 10-year-old child has just arrived by ambulance at the Respiratory, cardiovascular, and neurologic
emergency room following a motor vehicle accident, and
3 multiple choice options
a nurse is assessing them. Which three body systems
should the nurse evaluate first?
A child in the pediatric intensive care unit is receiving Respiratory rate
thiopental and midazolam in addition to morphine. Which
3 multiple choice options
assessment is priority for the nurse to perform?
, A child with a seizure disorder is being admitted to the A, B, C
inpatient unit. When preparing the room for the child,
3 multiple choice options
what should be included? Select all that apply.
a) oxygen gauge and tubing
b) suction at bedside
c) padding for side rails
d) tongue blade
e) smelling salts
The nurse is interviewing the parents of a child brought to The child is in status epilepticus.
the emergency unit. The parent states, "They have a 3 multiple choice options
history of seizures but this time it lasted more than 30
minutes and they just keep having them." The most
accurate description of this child's condition would be:
A 4-year-old child is brought to the emergency change in level of consciousness
department after being in a motor vehicle accident. The
3 multiple choice options
child experienced head trauma in the accident. When
assessing the child, which will be the first change noted
in the presence of increasing intercranial pressure?
The nurse is taking care of a patient with a new change in A, C, D
level of consciousness and is on high alert for Cushing's
3 multiple choice options
triad, which is characterized by (select all that apply):
a) Widened pulse pressure
b) Hypotension
c) Bradycardia
d) Abnormal respirations
e) Hyperthermia
The nurse is providing education to the parents of a 2- "Watch for changes in their behavior or eating patterns."
year-old child with hydrocephalus who has just had a
3 multiple choice options
ventriculoperitoneal shunt placed. Which information is
most important for the parents to be taught?
A group of nursing students are reviewing cerebral arteriovenous malformations (AVMs)
vascular disorders and risk factors in children. The
3 multiple choice options
students demonstrate understanding of the material
when they identify which as a risk factor for hemorrhagic
stroke?
The nurse is caring for a child who has suffered a head Initiate an IV of 0.9% NS to run at 500 ml/hr.
injury and has had an ICP monitor placed. Which
3 multiple choice options
prescription by the health care provider would the nurse
question?
Answers
The nurse notes tachycardia on the cardiac monitor of A, B, D, E
the pediatric client. What would the nurse further assess
for this child? Select all that apply.
a) Pain
b) Body temperature
c) Constipation
d) Oxygen saturation
e) Fluid volume status
The nurse is assessing a 10-year-old child with tachypnea hypotension and capillary refill time greater than 5 seconds
and increased work of breathing. Which finding 3 multiple choice options
demonstrates the child is in the late stages of shock?
Administration of which medication reverses the epinephrine
histamine release and hypotension that are seen in
3 multiple choice options
anaphylaxis?
The nurse is assessing an infant who was a passenger in a increased intracranial pressure
car involved in a motor vehicle accident. During the
3 multiple choice options
assessment, the child's anterior fontanel (fontanelle) is
bulging. What may cause this assessment finding?
After receiving shift report, which client will the nurse The child whose lips are blue in color and head is wet with perspiration.
assess first?
3 multiple choice options
Which vital sign change is the earliest indicator of shock Tachycardia
in pediatric patients? 3 multiple choice options
A 10-year-old child has just arrived by ambulance at the Respiratory, cardiovascular, and neurologic
emergency room following a motor vehicle accident, and
3 multiple choice options
a nurse is assessing them. Which three body systems
should the nurse evaluate first?
A child in the pediatric intensive care unit is receiving Respiratory rate
thiopental and midazolam in addition to morphine. Which
3 multiple choice options
assessment is priority for the nurse to perform?
, A child with a seizure disorder is being admitted to the A, B, C
inpatient unit. When preparing the room for the child,
3 multiple choice options
what should be included? Select all that apply.
a) oxygen gauge and tubing
b) suction at bedside
c) padding for side rails
d) tongue blade
e) smelling salts
The nurse is interviewing the parents of a child brought to The child is in status epilepticus.
the emergency unit. The parent states, "They have a 3 multiple choice options
history of seizures but this time it lasted more than 30
minutes and they just keep having them." The most
accurate description of this child's condition would be:
A 4-year-old child is brought to the emergency change in level of consciousness
department after being in a motor vehicle accident. The
3 multiple choice options
child experienced head trauma in the accident. When
assessing the child, which will be the first change noted
in the presence of increasing intercranial pressure?
The nurse is taking care of a patient with a new change in A, C, D
level of consciousness and is on high alert for Cushing's
3 multiple choice options
triad, which is characterized by (select all that apply):
a) Widened pulse pressure
b) Hypotension
c) Bradycardia
d) Abnormal respirations
e) Hyperthermia
The nurse is providing education to the parents of a 2- "Watch for changes in their behavior or eating patterns."
year-old child with hydrocephalus who has just had a
3 multiple choice options
ventriculoperitoneal shunt placed. Which information is
most important for the parents to be taught?
A group of nursing students are reviewing cerebral arteriovenous malformations (AVMs)
vascular disorders and risk factors in children. The
3 multiple choice options
students demonstrate understanding of the material
when they identify which as a risk factor for hemorrhagic
stroke?
The nurse is caring for a child who has suffered a head Initiate an IV of 0.9% NS to run at 500 ml/hr.
injury and has had an ICP monitor placed. Which
3 multiple choice options
prescription by the health care provider would the nurse
question?
