Rn Nursing Care Of Children Proctored Exam. Questions And Answers.

55. A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions should the nurse initiate? A. Airborne - is any bacteria small enough to warrant airborne percautions? B. Contact C. Protective D. Droplet 56. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for lead levels. D. Perform development testing for delays. 57. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take? (Click on the Exhibit button for additional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa - this can paralyze the gag reflex= asphyxiation C. Place the child in knee-chest position. D. Initiate bleeding precautions. 58. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees 59. A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. 60. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? A. Don't allow your child to have orange juice while taking this medication. -oj is good B. Administer this medication to your child with a dropper. - avoid staining teeth C. Give your child this medication with a glass of milk. - no milk, bran, tea, coffee or oxalates D. Stop this medication if you child's stools are a tarry green color. - expected 61. A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episode after crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. 62. A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." - definitely not C. Apply scented baby powder to absorb residual moisture."- definitely not D. Apply a warm, moist compress three times per day." - 63. A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication D. We will repeat the dose if our child vomits shortly after administration." 64. A nurse is planning on in-service for parents of school- age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? A. Soak the child's hair brushes in vinegar between uses. - Boil in water 10 minutes B. Applied medication to the child's scalp twice daily until the symptoms subside -not daily C. Remove nits from the child's hair using a fine-tooth comb D. Discard the child's nonwashable items. - no, bag for 14 days 65. A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy B. Strawberry tongue - Kawasaki disease C. Koplik spots - measles (Rubeola) D. Uncontrolled drooling 66. A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes 67. A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take? A. Position the child 4.6 meters (15 feet) from the chart B. Use a trumbling E chart for the assessment. C. Test the child without glasses before testing with glasses. D. Assess both eyes together first, then each eye separately. 68. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer? A. Phytonadione - aka Vitamin K B. Midazolam C. Naloxone D. Flumazenil 69. A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate? A. Tell her she is having her favorite sandwich for lunch." B. Ask her if she would like to have her favorite sandwich for lunch." C. Ask her if she is ready to eat her sandwich for lunch." D. Tell her that she may have a sandwich or soup for lunch." 70. A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 Ib) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take? A. Prepare to give oral N-acetylcysteine. B. send a child home on increased fluid intake. C. Begin hemodialysis within the next 24 hr. D. Perform gastric lavage with activated charcoal