RN VATI NURSING CARE OF CHILDREN 2019 FORM A,B & C /VATI RN NURSING CARE OF CHILDREN REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE

RN VATI NURSING CARE OF CHILDREN 2019 FORM A,B & C /VATI RN NURSING CARE OF CHILDREN REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE FORM A A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? - ANSWER- Hot dogs Rationale: -Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit foods high in sodium because of the edema and HTN. (Hot dogs, or other processed meats) A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the following manifestations should the nurse identify as an early indication of ICP? - ANSWER- Nausea Rationale: -Early findings of ICP A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? - ANSWER- Maintain aseptic technique during the child dressing changes. Rationale: -To prevent infection. Delayed wound healing can occur due to infection, which can also cause partial thickness wounds to develop into full thickness wounds. A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian? - ANSWER- A 15-year-old client who requires an open reduction of a fracture. Rationale: -Sign consent prior to surgical procedures for a minor. A nurse is caring for a child who has terminal leukemia. The parents asks the nurse, "When will we know that our child is nearing the end of their life?" Which of the following statements should the nurse make? - ANSWER- Your child will lose movement in their legs. Rationale: -Lose movement in the lower extremities. This progressive loss of movement will move up the body as death nears. A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? - ANSWER- Provide quite activities for the child. Rationale: -Provide quite activities, such as reading and coloring, during edema phase of nephritis to minimize oxygen consumption and preserve energy. A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? - ANSWER- Face, Legs, Activity, Cry Consolability (FLACC) scale. Rationale: -The FLACC scale is used for infants and children from 2 months to 7 years. A nurse is providing discharge teaching to the parents of a school age child who has epilepsy and a new prescription for phenytoin extended release capsules. Which of the following instructions should the nurse include in the teaching? - ANSWER- Encourage the child to brush their teeth after each meal. Rationale: - Dental hygiene, this medications can cause gingival hyperplasia, and good oral hygiene reduces the risk of this occurring. A nurse is caring for a 6 month old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia? - ANSWER- Tachypnea Rationale: -A hypovolemia worsens, breathing becomes hyperpneic. A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? - ANSWER- Lethargic mood. Rationale: -Will be irritable and have a labile mood. A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER- I will make sure to inspect my son's mouth every day for sores. Rationale: -Increase risk for mucositis, therefore, the parent should inspect the mouth daily for lesions or ulcerations and report these to the provider. Open lesions can become infected in the child who is immunocompromised. A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include? - ANSWER- Place knee pads on the child. Rationale: -Take measures to make the environment safe. This can include measures such as installing carpet over ceramic tiled floors or placing knee and elbow pads on the child to protect the Childs joints form injury and bleeding. A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? - ANSWER- Baclofen Rationale: -Centrally acting skeletal muscle relaxant that will decrease muscle spasm and sever spasticity. A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make? - ANSWER- Keep your infant restrained when they are in a highchair. Rationale: -Restrain infant while sitting in a highchair using the included straps with a closure. This will prevent the infant from falling out of the chair and decrease the risk of injury. Avoid leaving their infant in a highchair unattended because of the risk of slipping down in the chair and strangling on the safety straps. A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse's priority? - ANSWER- Lethargy Rationale: -This can indicate a decrease level of consciousness or increased intracranial pressure, both of which requires immediate intervention. A nurse on a pediatric unit is admitting a 5-year-old child who has submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make? - ANSWER- We need to observe your child for cerebral swelling. Rationale: -Still at risk for a complication from the submersion injury. Complications can include respiratory compromise and cerebral edema during the first 24hrs after the submersion. A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following finding should the nurse expect? - ANSWER- Nuchal rigidity Rationale: -Which is caused by meningeal irritation. The child also might have fever and photophobia. A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? SATA - ANSWER- I should eat extra food on busy days when I am more active. I should increase my intake of sugar free fluids when I am sick. I should eat a snack 30mins before my baseball game states. Rationale: -Food intake should be adjusted to compensate for the release of insulin into the circulatory system and prevent episodes of hypoglycemia. The recommended increase of carbs is 10-15g per hr. of moderate play or activity. -Fluids flush out ketones to prevent dehydrations. Recommend sugar free liquids, such as water, broth, and tea to the child. Continue with usual intake of mealtimes and follow their recommended meal plan as much as possible. -If the game is prolonged they should have a snack every 45mins to an hour. If they cannot tolerate the extra food, the next intervention is to decrease the insulin dose before the game. A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? - ANSWER- I will record the highest reading of the three attempts. Rationale: -The child should forcefully exhale for 1sec as quickly as possible to measure the amount of air exhaled and repeat this process 3 times. The child should wait 30secs between attempts and record the highest of the the three readings. A nurse is providing a presentation for parents of a toddler about preventing childhood burns. Which of the following statements by a parent indicates and understanding of the teaching? - ANSWER- I will plug protective guards into my electrical outlets. -Plug protective guards into electrical outlets or place furniture in front of the outlets to protect the toddler from electrical shock or burns. A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? - ANSWER- I will add rice cereal to my baby's feedings. -Add rice cereal to formula or expressed breast milk to thicken the feeding. Thickened feeding can decrease the number of vomiting episodes the infant experiences. A nurse is planning care for a school age child who is experiencing a vasoocclusive crisis. Which of the following actions should the nurse take first? - ANSWER- Encourage the child to increase their fluid intake. -The first action the nurse should take is to promote hydration through the use of oral and IV flu