Ati Rn Nursing Care Of Children Final Exam. Questions And Answers.

36. A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take? Encourage the parents to bring in the child's stuffed animal. Give the child choices when planning daily activities. Administer phenytoin three times per day. Provide a shared room with another child his age. 37. A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values should the nurse expect? Platelet count 500,000 mm3 RBC 2.5 million/uL WBC 4,000/mm3 Hct 60% 38. A nurse is teaching about poisoning prevention to a group of parents who have toddlers. Which of the following statements should the nurse make? "Keep medications on a counter that is out of reach of the toddler." "Do not allow live plants in the house." "Put all cleaning supplies in a locked cabinet." "Allow your child to eat from his favorite ceramic bowls." 39. A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the following menu choices should the nurse suggest? A hot dog on a whole wheat bun 3 oz of baked chicken on a whole wheat roll 1/2 cup diced potatoes with scrambled eggs A medium blueberry muffin 40. A nurse is caring for a preschool-age child who has mucosal ulceration after receiving chemotherapy. Which of the following actions should the nurse take? Place viscous lidocaine on the child's oral lesions. Instruct the child to use a soft sponge toothbrush when brushing her teeth. Encourage the child to mouth rinse with hydrogen peroxide every 2 to 4 hr. Give the child lemon glycerin swabs to use after each meal. 41. A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of the following interventions should the nurse include in the plan of care? Provide foods high in iron. Avoid people who have infections. Administer PRN oxygen. Encourage quiet play. 42. A nurse on the pediatric unit is caring for a group of clients. Which of the following findings should be the nurse's priority? A child who has asthma and a pulse oximetry of 94% A child who has nephrotic syndrome and 1+ protein on the urine dipstick A child who has sickle cell anemia and a urine specific gravity of 1.030 A child who has insulin-dependent diabetes mellitus and a fingerstick glucose reading of 110 mg/dL 43. A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements should the nurse make? "If you take too much insulin, drink a sugar-free cola." "You will need to decrease your insulin dosage when you become a teenager." "You can use a vial of insulin for up to 30 days." "Stop taking your insulin if you are vomiting." 44. A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal reflux. Which of the following statements by the parents indicates an understanding of the teaching? "I will add 1 teaspoon of rice cereal per ounce to my baby's formula." "I will place my baby on her side when sleeping." "I will decrease the number of feedings my baby receives per day." "I will give my baby loperamide with each feeding." 45. A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In which of the following sites should the nurse plan to administer the injection? Vastus lateralis Dorsogluteal Deltoid Abdomen 5 cm (2 in) from the umbilicus 46. A nurse is teaching a group of parents of toddlers about growth and development. A parent asks, "why does my child's abdomen stick out?" Which of the following statements should the nurse make? "You should give your child a stool softener daily." "Toddlers gain weight at a rapid pace." "You should have your child assessed for a spinal deformity." "Toddlers do not have well-developed abdominal muscles." 47. A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? "Your child will be unable to eat by mouth." "Your child will be unable to participate in recreational activities." "Your child will need a botulinum toxin A injection to help with muscle spasticity." "Your child will need throw rugs placed over non-carpeted areas." 48. A school nurse is assessing an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal? Potential for sustaining abdominal trauma Deficient dietary intake Exposing peers to the illness Straining sore joints 49. A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? Blood glucose 140 mg/dL Oxygen saturation 85% RBC 3.2 million/uL Serum sodium 156 mEq/L 50. A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis? Transposition of great arteries Ventricular-septal defect Coarctation of the aorta Patent-ductus arteriosus