NURS 211 / NURS211 LIFESPAN FINAL EXAM. QUESTIONS WITH 100% VERIFIED ANSWERS.

215. The nurse is caring for a child diagnosed with clubfoot. Which assessment findings does the nurse anticipate in the affected extremity? (Select all that apply.) A. Adducted forefoot B. Dorsiflexion C. Everted heel D. Plantar flexion E. Rigidity 216. A nurse assesses a 1-month old's Glasgow Coma Scale (GCS) and finds the following: opens eyes to pain, irritable cry, localizes pain. Your calculation indicates that this child's GCS is ____________________. 11 217. A nurse is completing a Pediatric Fall Risk Assessment on a child. The child has had no falls in the last 3 months, had surgery to repair a femur fracture on admission, is learning to use crutches, has a saline lock, is oriented to own ability, and is on narcotics. This child's fall risk score is ____________________. 12 -The child gets 3 points each for surgery, crutches, saline lock, and narcotics. 218. A mother-baby nurse is demonstrating swaddling a neonate as a method of keeping the baby warm. The mother asks why she needs to be so careful about the baby's temperature. Which response by the nurse is the most appropriate? A. "After being in your womb for 9 months, this is how the baby prefers to stay." B. "Babies' immune systems are immature; any cold breeze will make them sick." C. "Their skin is thin and they have little fat, so it's hard to control their temperature." D. "You need to keep their temperature above what we call normal to keep them well." 219. A toddler has a few vesicular lesions on his hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about? A. Azithromycin (Zithromax) B. Amoxicillin/clavulanate (Augmentin) C. Doxycycline (Vibramycin) D. Mupirocin (Bactroban) ointment 220. The clinic nurse is assessing a child who had a tick bite for tick-borne disease. What assessment finding indicates to the nurse the child may have Rocky Mountain Spotted Fever and not Lyme disease? A. Abdominal pain B. Clear skin C. Fever D. Headache 221. An infant appears dehydrated. Laboratory results indicate a serum sodium of 143 mEq/L. Which fluid would the nurse use for IV replacement? A. 0.45% normal saline B. 0.9% normal saline C. 3% normal saline D. D5W with 20 mEq KCL 222. A school-age child has renal disease and the parent wants to know how this could cause the child's hypertension. Which response by the nurse is the most appropriate? A. "The high blood pressure caused the kidney disease." B. "The kidneys regulate renin, which controls blood pressure." C. "The medication your child takes often raises blood pressure." D. "The renal diet includes a lot of sodium, which raises blood pressure." 223. A nurse is obtaining a bagged urine collection on an infant. Which action by the nurse is most important? A. Clean and powder the skin prior to bagging. B. Remove the bag as soon as it contains urine. C. Send the sample to the laboratory as soon as possible. D. Use universal precautions, including gloves. 224. A child is brought to the pediatric clinic, where the parent reports that the child has tea-colored urine and puffy eyes. Which diagnostic test does the nurse prepare the parent and child for based on the assessment findings? A. BUN and creatinine B. Intravenous pyelogram C. Suprapubic aspiration D. Voiding cystourethrogram 225. A practicing nurse explains to a nursing student that which is the most common cause of acute renal failure in children? A. Congenital renal problems B. Glomerulonephritis C. Hemolytic uremic syndrome D. Tylenol (acetaminophen) overdose 226. An infant is born with exstrophy of the bladder but otherwise appears healthy. Which nursing diagnosis is the priority for this infant? A. Altered family processes B. Fluid volume deficit C. Hypothermia D. Risk for infection 227. A nurse is caring for a child with acute kidney injury (AKI) at home. The child's laboratory work is as follows: serum albumen 2.8 g/dL and serum protein 4 g/dL. Which action by the nurse is the most appropriate? A. Assess the child for edema. B. Document findings in the chart. C. Facilitate a dietitian referral. D. Weigh and measure the child. 228. A nursing student asks the instructor why he was marked off on his care plan when explaining a low hemoglobin level as being caused by "anemia." What response by the instructor is best? A. Anemia is a symptom, not a disease. B. Anemia only refers to a low red blood cell count. C. Hemoglobin and anemia are unrelated. D. The hemoglobin must not be too low. 229. A nurse is assessing an infant for the most common type of anemia worldwide. What action by the nurse is most helpful? A. Assess if formula is iron-fortified. B. Determine family history of anemia. C. Look at mucous membranes for pallor. D. Perform range of motion on the hips. 230. A child presents to the emergency department with sickle cell crisis. Which intervention does the nurse perform first? A. Administer oxygen. B. Assess and treat pain. C. Provide warm blankets. D. Start IV fluids 231. A child is hospitalized with the following laboratory values: WBCs, 2,100 mm3; segs, 48%; and bands, 2%. What action by the nurse is best? A. Move the child to a laminar airflow room. B. Place the child on strict protective isolation. C. Use good hand hygiene measures consistently. D. Wear a mask when entering the child's room. 232. A child is receiving a dose of filgrastim (Neupogen). The parent asks the nurse what this medication is for. What response by the nurse is best? A. Causes bones that don't usually make blood cells to create them B. Results in white blood cells being able to live longer C. Stimulates bone marrow to make more red blood cells D. Stimulates bone marrow to make more white blood cells