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Exam (elaborations)

Nur 418 - Exam 1 Study guide

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This is a comprehensive and detailed study guide on Exam 1 for Nur 418. Quality stuff!! You'll need it!!

Institution
Barry University
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NUR 418










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Uploaded on
June 22, 2024
Number of pages
19
Written in
2021/2022
Type
Exam (elaborations)
Contains
Questions & answers

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1- A child diagnosed with a soft tissue tumor is being treated with chemotherapy. Prior to

administering the chemotherapy, which laboratory test should the nurse monitor to

determine if the child has any capability of fighting infections?

A. Hemoglobin

B. Red blood cell count

C. Platelets

D. Absolute neutrophile count (ANC) (quizlet)



2- A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the

nurse know regarding the treatment plan?

A. Amputation to the affected extremity is rarely necessary.

B. Intensive radiation is the primary treatment.

C. Treatment usually consists of surgery and chemotherapy.

D. Bone marrow transplantation offers the best chance for long term survival.



3- The nurse is assessing a child with type 2 diabetes. The child is awake and alert with a

serum glucose of 60 mg/dL. What action should the nurse take?

A. Administer Insulin.

B. Administer Epinephrine.

C. Give 15 grams of carbohydrates.

D. Give glucagon by injection. ?

, 4- The nurse is caring for a child with sickle cell anemia with the following order: Morphine

Sulfate 2 mg IV every 24 hours. Morphine Sulfate is available in 10 mg/1mL. How many

mL should the nurse administer? FILL IN THE BLANK. PUT NUMBERS ONLY

__________________________0.2___________



5- A four-year-old boy is admitted in the hospital with leg pain and fever. He is pale looking

and has bruises over various areas of his body. The physician suspects acute

lymphoblastic leukemia (ALL). Which test would be used to confirm the diagnosis?

A. Bone marrow aspirate.

B. Red blood cell count.

C. Lumbar puncture.

D. Bone scan.



6- When assessing a child with leukemia which clinical manifestations should the nurse

anticipate?

A. Petechiae, fever, fatigue.

B. Headache, papilledema, irritability.

C. Muscle wasting, weight loss, fatigue.

D. Decreased intracranial pressure, psychosis, confusion.

, 7- In a child with Hemophilia which measures would be used to manage hemarthrosis

(bleeding into a joint space)? Select all that apply.

A. Immobilize the joint.

B. Factor replacement.

C. Apply warm compress.

D. Apply ice packs.

E. Range of movement exercises.



8- The parents of a school-age child ask the nurse if she thinks that their child has attention

deficit hyperactivity disorder (ADHD). Which statement regarding the child’s behavior at

school is most indicative of ADHD?

A. “He finishes his work on time in order to go to recess.”

B. “He occasionally gets into trouble for talking.”

C. “He enjoys math but does not like reading.”

D. “He cannot sit still in his seat and constantly moves his legs.”



9- A child is admitted to hospital with acute renal failure. The parents ask about the

prognosis for acute renal failure. The nurse’s response should be based on which

statement about acute renal failure?

A. Children with acute renal failure will have to take prophylactic antibiotics for life.

B. ACute renal failure always leads to chronic renal failure.

C. Acute renal failure may be reversible.

D. All children with acute renal failure will eventually need a kidney transplant.

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