The nurse is teaching parents of a toddler who has diabetes mellitus (type 1) about ways to a. Choose which finger to use for a fingerstick.
include their child in the plan of care. Which of the following actions should the parents have
the toddler perform? Page 667
a. Choose which finger to use for a fingerstick. Toddlers pick which finger and can clean the finger
b. Draw up insulin, then the parents check if the dosage is correct. School Age can perform glucose test and ketone tests and start to learn s/s of hypoglycemia
c. Pick correct food and snacks at social gatherings. and hyperglycemia
d. Perform insulin injection on a doll. Adolescents can do everything
The nurse is presenting information about attention-deficit/hyperactivity disorder (ADHD) c. Diflculty taking turns
with a schoolparent association. Which of the following clinical manifestations should the
nurse include in the presentation? Page 855
a. Prefers detailed tasks. ADHD s/s include:
b. Socially introverted. Inattention: daydreaming, forgetfulness
c. Diflculty taking turns. Hyperactivity: constantly on the go, fidgety
d. Completes projects quickly. Impulsivity: can't wait their turn, leads to bad decisions
The nurse is teaching a teenager who has been diagnosed with diabetes mellitus (type 2)
d. "I should check my urine for protein prior to exercising."
about exercise. Which of the following statements by the teenager indicates a need for further
teaching?
Page 675
a. "I need to check my blood glucose levels before and after exercise."
Question refers to Type 2 DM, Incorrect answer refers to Type 1 DM
b. "I will need to adjust my carbohydrate intake based on my exercise pattern."
Type 1DM check ketones Q3H or every void. Monitor blood glucose by checking before meals
c. "I will engage in some type of physical activity every day."
and before exercise for T1DM
d. "I should check my urine for protein prior to exercising."
The nurse is caring for the following assigned children who have diabetes mellitus. The nurse b. Who has not eaten since receiving regular insulin 1 hour ago.
should first see the child
Page 608
a. whose scheduled insulin has not arrived from the pharmacy.
Regular insulin is a rapid acting insulin, which is also clear, and begins to act quickly. It merely
b. who has not eaten since receiving regular insulin 1 hour ago.
takes slightly longer to reach its peak than humalog or novolog.
c. whose urine is negative for ketones and reports feeling hungry.
d. who has a morning blood glucose level of 68 mg/dL. You're not supposed to give insulin anyways until the tray is in the room.
The mother of a 6-year-old child who has diabetes mellitus (type 1) calls the clinic nurse
reporting that her child is sick and is concerned about the ettect this may have on the child's
c. "Encourage rest and sleep while at home."
glucose levels. Which of the following instructions should the nurse provide to the mother?
Remember Sick Day Rules for DM:
a. "You should schedule an appointment with your primary health care provider (PHCP)."
b. "Refrain from giving your child the next regularly scheduled dose of regular insulin."
Only needs to go to the doctor if he is spilling ketones in his urine.
c. "Encourage rest and sleep while at home."
d. "Administer an additional dose of regular insulin the next time your child eats a meal."
b. Impaired communication.
The nurse is assessing a 6-year-old child for manifestations of autism spectrum disorder
ASD s/s include:
(ASD). Which of the following manifestations should the nurse expect to observe in this
Impaired social reciprocity (can't hold a converstation).
child?
Inability to maintain eye contact (1st thing to look for in infantcy).
Impaired communication (main thing you will see) [Not able to talk].
a. Continuous eye contact.
b. Impaired communication.
ALARM
c. Interest in various activities.
A: Autism is prevalent
d. Early development of grammar.
L: Listen to parents (they know their child best)
A: Act early
, R: Refer (ditterent resources/advocate for programs)
M: Monitor (assess their needs)
d. Early development of secondary sexual characteristics.
Education:
A nurse is providing discharge instructions to the parents of a child who has precocious
Psychological: body image (especially in girls).
puberty. Which of the following should the nurse include in the teaching?
Therapies
Wear lose clothes
a. Consideration of homeschooling for the child.
In boys, bone plates close when they start puberty --> it is important to stop treatment (Lupron
b. Importance of following up with the dietician referral.
GnRH Agonist) when they are young so they can grow.
c. The need for lifelong gonadotropin-releasing agonist treatment.
d. Early development of secondary sexual characteristics.
Play with kids their age, not older. (Their is an assumption that because their body is
"developed" or looks older, that the child is older or has a greater menatl maturity level, which
usually is NOT the case)
c. A Hispanic American who has a weight in the 90th percentile for height and a sister who
was recently diagnosed with diabetes mellitus (type 2).
The nurse is reviewing the medical records of pediatric clients. Which of the following children
is at greatest risk for diabetes mellitus (type 2)?
Page 672
a. An African American who has a body mass index (BMI) in the 75th percentile and a
Diagnosis of T2DM:
grandmother who has diabetes mellitus (type 2).
Obesity (BMI >85th percentile for age and sex. Or weight greater than 120% of the ideal
b. A Caucasian who has a weight greater than 90% of ideal weight for height and whose
weight for height.
mother had gestational diabetes mellitus.
PLUS 2 RISK FACTORS...
c. A Hispanic American who has a weight in the 90th percentile for height and a sister who
Family history of T2DM (1st or 2nd degree relative).
was recently diagnosed with diabetes mellitus (type 2).
Race/Ethnicity (Native American, African American, Latino, Asian, and Pacific Islander).
d. A Native American who has a BMI in the 75th percentile and an aunt who has diabetes
Insulin Resistance (Acanthosis Nigerians), hypertention, dyslipidemia, PCOS, LGA (small for
mellitus (type 2).
gestational age).
Maternal history or gestational diabetes.
c. Enlarged orbital sockets and thin lip
Down's s/s include:
Hyperflexibility of joints.
The nurse preceptor is observing a newly hired nurse care for a child who has Down Protruding tongue.
syndrome. Which of the following manifestations documented by the newly hired nurse Depressed/flat nasal bridge (sleep apnea, snores).
requires follow-up by the nurse preceptor? Between eyes is flat and makes eyes appear further apart.
Low set ears (top of ear is lower than eyes).
a. Hyperflexibility.
Poor muscle tone (hypotonia/floppy newborn).
b. Protruding tongue.
Epicanthal folds (slanting eyes with folds of skin at inner folds).
c. Enlarged orbital sockets and thin lip
Short neck with extra folds.
d. Depressed nasal bridge
Simian crease (crease that goes across hand, one line across instead of the normal "M"
shape).
Protruding tongue.
Short, high pitched cries in infancy (refered to as a neuro cry).
b. "Give the crushed medication (if applicable) in a small amount of water before giving a
The nurse is teaching the mother of a 2-month-old infant about newly prescribed levothy- bottle."
roxine. Which of the following instructions should the nurse include in the teaching?
Page 655
a. "Dissolve the medication and put in a full bottle of formula to disguise the taste."
b. "Give the crushed medication (if applicable) in a small amount of water before giving a Iron is best absorbed when taken on and EMPTY stomach with water or fruit juice about 1 hour
bottle." before meals or 2 hours after meals when the stomach is empty again.
Mix dose with water, fruit juice, or tomato juice.
include their child in the plan of care. Which of the following actions should the parents have
the toddler perform? Page 667
a. Choose which finger to use for a fingerstick. Toddlers pick which finger and can clean the finger
b. Draw up insulin, then the parents check if the dosage is correct. School Age can perform glucose test and ketone tests and start to learn s/s of hypoglycemia
c. Pick correct food and snacks at social gatherings. and hyperglycemia
d. Perform insulin injection on a doll. Adolescents can do everything
The nurse is presenting information about attention-deficit/hyperactivity disorder (ADHD) c. Diflculty taking turns
with a schoolparent association. Which of the following clinical manifestations should the
nurse include in the presentation? Page 855
a. Prefers detailed tasks. ADHD s/s include:
b. Socially introverted. Inattention: daydreaming, forgetfulness
c. Diflculty taking turns. Hyperactivity: constantly on the go, fidgety
d. Completes projects quickly. Impulsivity: can't wait their turn, leads to bad decisions
The nurse is teaching a teenager who has been diagnosed with diabetes mellitus (type 2)
d. "I should check my urine for protein prior to exercising."
about exercise. Which of the following statements by the teenager indicates a need for further
teaching?
Page 675
a. "I need to check my blood glucose levels before and after exercise."
Question refers to Type 2 DM, Incorrect answer refers to Type 1 DM
b. "I will need to adjust my carbohydrate intake based on my exercise pattern."
Type 1DM check ketones Q3H or every void. Monitor blood glucose by checking before meals
c. "I will engage in some type of physical activity every day."
and before exercise for T1DM
d. "I should check my urine for protein prior to exercising."
The nurse is caring for the following assigned children who have diabetes mellitus. The nurse b. Who has not eaten since receiving regular insulin 1 hour ago.
should first see the child
Page 608
a. whose scheduled insulin has not arrived from the pharmacy.
Regular insulin is a rapid acting insulin, which is also clear, and begins to act quickly. It merely
b. who has not eaten since receiving regular insulin 1 hour ago.
takes slightly longer to reach its peak than humalog or novolog.
c. whose urine is negative for ketones and reports feeling hungry.
d. who has a morning blood glucose level of 68 mg/dL. You're not supposed to give insulin anyways until the tray is in the room.
The mother of a 6-year-old child who has diabetes mellitus (type 1) calls the clinic nurse
reporting that her child is sick and is concerned about the ettect this may have on the child's
c. "Encourage rest and sleep while at home."
glucose levels. Which of the following instructions should the nurse provide to the mother?
Remember Sick Day Rules for DM:
a. "You should schedule an appointment with your primary health care provider (PHCP)."
b. "Refrain from giving your child the next regularly scheduled dose of regular insulin."
Only needs to go to the doctor if he is spilling ketones in his urine.
c. "Encourage rest and sleep while at home."
d. "Administer an additional dose of regular insulin the next time your child eats a meal."
b. Impaired communication.
The nurse is assessing a 6-year-old child for manifestations of autism spectrum disorder
ASD s/s include:
(ASD). Which of the following manifestations should the nurse expect to observe in this
Impaired social reciprocity (can't hold a converstation).
child?
Inability to maintain eye contact (1st thing to look for in infantcy).
Impaired communication (main thing you will see) [Not able to talk].
a. Continuous eye contact.
b. Impaired communication.
ALARM
c. Interest in various activities.
A: Autism is prevalent
d. Early development of grammar.
L: Listen to parents (they know their child best)
A: Act early
, R: Refer (ditterent resources/advocate for programs)
M: Monitor (assess their needs)
d. Early development of secondary sexual characteristics.
Education:
A nurse is providing discharge instructions to the parents of a child who has precocious
Psychological: body image (especially in girls).
puberty. Which of the following should the nurse include in the teaching?
Therapies
Wear lose clothes
a. Consideration of homeschooling for the child.
In boys, bone plates close when they start puberty --> it is important to stop treatment (Lupron
b. Importance of following up with the dietician referral.
GnRH Agonist) when they are young so they can grow.
c. The need for lifelong gonadotropin-releasing agonist treatment.
d. Early development of secondary sexual characteristics.
Play with kids their age, not older. (Their is an assumption that because their body is
"developed" or looks older, that the child is older or has a greater menatl maturity level, which
usually is NOT the case)
c. A Hispanic American who has a weight in the 90th percentile for height and a sister who
was recently diagnosed with diabetes mellitus (type 2).
The nurse is reviewing the medical records of pediatric clients. Which of the following children
is at greatest risk for diabetes mellitus (type 2)?
Page 672
a. An African American who has a body mass index (BMI) in the 75th percentile and a
Diagnosis of T2DM:
grandmother who has diabetes mellitus (type 2).
Obesity (BMI >85th percentile for age and sex. Or weight greater than 120% of the ideal
b. A Caucasian who has a weight greater than 90% of ideal weight for height and whose
weight for height.
mother had gestational diabetes mellitus.
PLUS 2 RISK FACTORS...
c. A Hispanic American who has a weight in the 90th percentile for height and a sister who
Family history of T2DM (1st or 2nd degree relative).
was recently diagnosed with diabetes mellitus (type 2).
Race/Ethnicity (Native American, African American, Latino, Asian, and Pacific Islander).
d. A Native American who has a BMI in the 75th percentile and an aunt who has diabetes
Insulin Resistance (Acanthosis Nigerians), hypertention, dyslipidemia, PCOS, LGA (small for
mellitus (type 2).
gestational age).
Maternal history or gestational diabetes.
c. Enlarged orbital sockets and thin lip
Down's s/s include:
Hyperflexibility of joints.
The nurse preceptor is observing a newly hired nurse care for a child who has Down Protruding tongue.
syndrome. Which of the following manifestations documented by the newly hired nurse Depressed/flat nasal bridge (sleep apnea, snores).
requires follow-up by the nurse preceptor? Between eyes is flat and makes eyes appear further apart.
Low set ears (top of ear is lower than eyes).
a. Hyperflexibility.
Poor muscle tone (hypotonia/floppy newborn).
b. Protruding tongue.
Epicanthal folds (slanting eyes with folds of skin at inner folds).
c. Enlarged orbital sockets and thin lip
Short neck with extra folds.
d. Depressed nasal bridge
Simian crease (crease that goes across hand, one line across instead of the normal "M"
shape).
Protruding tongue.
Short, high pitched cries in infancy (refered to as a neuro cry).
b. "Give the crushed medication (if applicable) in a small amount of water before giving a
The nurse is teaching the mother of a 2-month-old infant about newly prescribed levothy- bottle."
roxine. Which of the following instructions should the nurse include in the teaching?
Page 655
a. "Dissolve the medication and put in a full bottle of formula to disguise the taste."
b. "Give the crushed medication (if applicable) in a small amount of water before giving a Iron is best absorbed when taken on and EMPTY stomach with water or fruit juice about 1 hour
bottle." before meals or 2 hours after meals when the stomach is empty again.
Mix dose with water, fruit juice, or tomato juice.
