A nurse is assessing an infant who has a suspected UTI. Which of the following are
expected findings? SATA
a. Increase in hunger
b. Irritability
c. Decrease in urination
d. Vomiting
e. Fever
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Answers: B, D, E
A nurse is assessing a child who has rotavirus infection. Which of the following are
expected findings? SATA
a. Fever
b. Vomiting
c. Watery stools
,d. Bloody stools
e. Confusion
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Answers: A, B, C
What is the best method of assessing dehydration in a toddler?
a. Assessing the fontanels
b. Weighing the child daily at different times
c. Checking the intravenous infusion site for signs of infiltration
d. Accurate measurements of fluid intake and output
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Answer: D
Rationale: The priority nursing intervention for assessing dehydration in a
child is recording of accurate measurements of fluid intake and output,
including oral and parenteral intake and losses from urine, stools, vomiting,
fistulas, nasogastric suction, sweat, and wound drainage. Assessing
fontanels for bulging is an indicator of dehydration in infants, not toddlers.
Weighing the child at the same time each day is more helpful than weighing
the child at varying times. Monitoring the intravenous infusion site does not
provide the nurse with assessment data that will reveal dehydration.
A 6-year-old child with Nephrotic Syndrome is being transferred out of the
intensive care unit. Which child, in light of this diagnosis, is the most appropriate
roommate for this child?
a. 5-year-old child with a fractured femur
b. 6-year-old child with pneumonia
c. 4-year-old child with gastroenteritis
d. 7-year-old child who has undergone surgery for a ruptured appendix
Give this one a try later!
, Answer: A
Rationale: The 5-year-old orthopedic patient is the best choice of
roommate. This child does not have an illness of viral or bacterial origin. A
child with pneumonia or gastroenteritis has an illness of viral or bacterial
origin and should not be placed in the same room as a child with
Nephrotic Syndrome. A child who has had surgery for a ruptured appendix
may have an illness of viral or bacterial origin and should not be placed in
the same room as a child with Nephrotic Syndrome.
What is an important part of establishing therapeutic communication with
adolescents?
a. Explaining procedures using short sentences and simple words
b. Building a foundation for a trusting relationship
c. Communicating through transition objects
d. Using nonverbal techniques
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Answer: B
Rationale: Building a foundation for a trusting relationship is an important
part of establishing therapeutic communications with adolescents. Many
adolescents have a difficult time understanding nonverbal cues; therefore
this is not an important part of therapeutic communication with
adolescents. Communicating through transition objects, such as dolls or
toys, and using short sentences with simple words are both helpful
strategies for use with younger children.
A nurse is caring for an infant who has obstructive uropathy. Which of the following
findings should thee nurse expect? SATA
a. Decreased urine flow
b. UTI
c. Intrauterine polyhydramnios
d. Concentrated urine
, e. Hydronephrosis
Give this one a try later!
Answers: B, E
The nurse should instruct parents to administer a daily proton pump inhibitor to
their child with gastroesophageal reflux at which time?
a. 30 minutes before breakfast
b. Midmorning
c. Bedtime
d. With a meal
Give this one a try later!
Answer: A
Rationale: Proton pump inhibitors are most effective when administered 30
minutes before breakfast so that the peak plasma concentrations occur
with mealtime. If they are given twice a day, the second best time for
administration is 30 minutes before the evening meal.
The nurse should explain to the parents that their child is receiving furosemide for
severe congestive heart failure because of which effect?
a. An ACE inhibitor
b. A diuretic
c. A form of digitalis
d. A β-blocker
Give this one a try later!
Answer: B
Rationale: Furosemide is a diuretic used to eliminate excess water and salt
to prevent the accumulation of fluid associated with congestive heart
expected findings? SATA
a. Increase in hunger
b. Irritability
c. Decrease in urination
d. Vomiting
e. Fever
Give this one a try later!
Answers: B, D, E
A nurse is assessing a child who has rotavirus infection. Which of the following are
expected findings? SATA
a. Fever
b. Vomiting
c. Watery stools
,d. Bloody stools
e. Confusion
Give this one a try later!
Answers: A, B, C
What is the best method of assessing dehydration in a toddler?
a. Assessing the fontanels
b. Weighing the child daily at different times
c. Checking the intravenous infusion site for signs of infiltration
d. Accurate measurements of fluid intake and output
Give this one a try later!
Answer: D
Rationale: The priority nursing intervention for assessing dehydration in a
child is recording of accurate measurements of fluid intake and output,
including oral and parenteral intake and losses from urine, stools, vomiting,
fistulas, nasogastric suction, sweat, and wound drainage. Assessing
fontanels for bulging is an indicator of dehydration in infants, not toddlers.
Weighing the child at the same time each day is more helpful than weighing
the child at varying times. Monitoring the intravenous infusion site does not
provide the nurse with assessment data that will reveal dehydration.
A 6-year-old child with Nephrotic Syndrome is being transferred out of the
intensive care unit. Which child, in light of this diagnosis, is the most appropriate
roommate for this child?
a. 5-year-old child with a fractured femur
b. 6-year-old child with pneumonia
c. 4-year-old child with gastroenteritis
d. 7-year-old child who has undergone surgery for a ruptured appendix
Give this one a try later!
, Answer: A
Rationale: The 5-year-old orthopedic patient is the best choice of
roommate. This child does not have an illness of viral or bacterial origin. A
child with pneumonia or gastroenteritis has an illness of viral or bacterial
origin and should not be placed in the same room as a child with
Nephrotic Syndrome. A child who has had surgery for a ruptured appendix
may have an illness of viral or bacterial origin and should not be placed in
the same room as a child with Nephrotic Syndrome.
What is an important part of establishing therapeutic communication with
adolescents?
a. Explaining procedures using short sentences and simple words
b. Building a foundation for a trusting relationship
c. Communicating through transition objects
d. Using nonverbal techniques
Give this one a try later!
Answer: B
Rationale: Building a foundation for a trusting relationship is an important
part of establishing therapeutic communications with adolescents. Many
adolescents have a difficult time understanding nonverbal cues; therefore
this is not an important part of therapeutic communication with
adolescents. Communicating through transition objects, such as dolls or
toys, and using short sentences with simple words are both helpful
strategies for use with younger children.
A nurse is caring for an infant who has obstructive uropathy. Which of the following
findings should thee nurse expect? SATA
a. Decreased urine flow
b. UTI
c. Intrauterine polyhydramnios
d. Concentrated urine
, e. Hydronephrosis
Give this one a try later!
Answers: B, E
The nurse should instruct parents to administer a daily proton pump inhibitor to
their child with gastroesophageal reflux at which time?
a. 30 minutes before breakfast
b. Midmorning
c. Bedtime
d. With a meal
Give this one a try later!
Answer: A
Rationale: Proton pump inhibitors are most effective when administered 30
minutes before breakfast so that the peak plasma concentrations occur
with mealtime. If they are given twice a day, the second best time for
administration is 30 minutes before the evening meal.
The nurse should explain to the parents that their child is receiving furosemide for
severe congestive heart failure because of which effect?
a. An ACE inhibitor
b. A diuretic
c. A form of digitalis
d. A β-blocker
Give this one a try later!
Answer: B
Rationale: Furosemide is a diuretic used to eliminate excess water and salt
to prevent the accumulation of fluid associated with congestive heart
