MHSM LEVEL 4: Med Surg Pediatric Prepu//Final Exam Predictor.

MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam
Predictor

,When performing a physical examination on a neonate, the nurse notes low-set ears. What action should
the nurse perform next?

You Selected:

 Assess the neonate to determine if other apparent abnormalities are present.

Correct response:

 Assess the neonate to determine if other apparent abnormalities are present.

Explanation:

Remediation:

Question 2 See full question

A nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by
the mother indicates that teaching has been effective?

You Selected:

 "My baby has been sick. A machine will help him breathe."

Correct response:

 "I know that this disease is serious and can lead to asthma."

Explanation:

Remediation:

Question 3 See full question

A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis.
Which statement by the parents indicates effective discharge teaching?

You Selected:

 "We're just so glad this is all behind us."

Correct response:

 "We'll go to the physician if our child pulls on the ears or won't lie down."

Explanation:

Remediation:

Question 4 See full question

A 2-year-old child is brought to the emergency department with suspected croup. Which assessment
finding reflects increasing respiratory distress?

You Selected:

,  Flushed skin

Correct response:

 Intercostal retractions

Explanation:

Remediation:

Question 5 See full question

A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't
enunciate words well and holds onto furniture when he walks. The nurse should ask the mother:

You Selected:

 if the child always drools.

Correct response:

 how the child's condition today differs from his normal condition.

Explanation:

Remediation:

Question 6 See full question

A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening
shift. Whose care should the RN assign to the LPN?

You Selected:

 A 12-month-old infant who has a white blood cell (WBC) count of 34/μl and a fever

Correct response:

 The 2-year-old child who has started eating soft, solid foods following a tonsillectomy

Explanation:

Question 7 See full question

Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness?

You Selected:

 Tragus, cochlea, and lobule

Correct response:

 Tragus, mastoid process, and helix

Explanation:

, Remediation:

Question 8 See full question

A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect:

You Selected:

 dysuria.

Correct response:

 an abdominal mass.

Explanation:

Remediation:

Question 9 See full question

A preschooler has vomiting, diarrhea, and a potassium level of 3 mEq/L (3 mmol/L). The physician orders
an I.V. infusion of 500 ml of dextrose 5% in water and half-normal saline solution with 20 mEq (20
mmol/L) of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids
and potassium chloride to:

You Selected:

 avoid hyperglycemia.

Correct response:

 meet physiologic needs.

Explanation:

Remediation:

Question 10 See full question

When telling a 4-year-old child about an upcoming procedure, the nurse's most important consideration
is to:

You Selected:

 speak loudly and clearly.

Correct response:

 use simple terms.

Explanation:

Remediation:

Question 11 See full question