NURSING NUR 254 Exam 4 Study Material
(GRADED A) Questions and Answers |
Galen College of Nursing 2024
1. The nurse is caring for a child who has increased intracranial pressure (ICP) and is
in stable condition. Which of the following interventions should the nurse
implement to decrease ICP in the child?
a. Limit number of visitors inside the child’s room.
b. Keep the child positioned on the left side.
c. Administer opioids for pain control.
d. Administer hypertonic intravenous (IV) fluids.
2. The nurse is caring for a child who has Reye’s syndrome. Which of the following
should the nurse include in the child’s plan of care?
a. Change the child’s body position every 2 hours.
b. Provide the child a quiet atmosphere with dimmed lighting.
c. Administer salicylates for increased temperature every 4 hours as needed (PRN).
d. Assess for diplopia in both of the child’s eyes.
3. The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of the
following actions by the nurse is the priority?
a. Decrease noxious olfactory stimuli.
b. Maintain a lighted environment.
c. Assessing neurological status every 2-4 hours.
d. Administer morphine sulfate
, 4. The nurse is screening infants for early warning signs of cerebral palsy. Which
of the following should the nurse recognize as 1 of the early warning signs of
cerebral palsy?
a. Evidence of head lag at age 1 month.
b. Failure to sit up without support by age 6 months.
c. Poor head control.
d. Smiling by age 3 months.
5. The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder.
Which of the following manifestations should the nurse expect to observe in this child?
a. Interest in various activities.
b. Continuous eye contact.
c. Monotone speech.
d. Good social interaction.
6. The nurse is developing a plan of care for a child diagnosed with attention-deficit
hyperactivity disorder (ADHD). Which of the following information should the nurse
include in the plan of care?
a. Antianxiety medications and home schooling.
b. Psychostimulant medications and behavior modification.
c. Anticonvulsant medications and cognitive therapy.
d. Antidepressant medications and family therapy.
7. The nurse preceptor is observing a newly hired nurse care for a child who has Down
syndrome. Which of the following manifestations, if documented by the newly hired
nurse, requires follow up by the nurse preceptor?
a. Depressed nasal bridge.
b. Protruding tongue.
c. Large stature for chronological age.
d. Hyper flexibility.
(GRADED A) Questions and Answers |
Galen College of Nursing 2024
1. The nurse is caring for a child who has increased intracranial pressure (ICP) and is
in stable condition. Which of the following interventions should the nurse
implement to decrease ICP in the child?
a. Limit number of visitors inside the child’s room.
b. Keep the child positioned on the left side.
c. Administer opioids for pain control.
d. Administer hypertonic intravenous (IV) fluids.
2. The nurse is caring for a child who has Reye’s syndrome. Which of the following
should the nurse include in the child’s plan of care?
a. Change the child’s body position every 2 hours.
b. Provide the child a quiet atmosphere with dimmed lighting.
c. Administer salicylates for increased temperature every 4 hours as needed (PRN).
d. Assess for diplopia in both of the child’s eyes.
3. The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of the
following actions by the nurse is the priority?
a. Decrease noxious olfactory stimuli.
b. Maintain a lighted environment.
c. Assessing neurological status every 2-4 hours.
d. Administer morphine sulfate
, 4. The nurse is screening infants for early warning signs of cerebral palsy. Which
of the following should the nurse recognize as 1 of the early warning signs of
cerebral palsy?
a. Evidence of head lag at age 1 month.
b. Failure to sit up without support by age 6 months.
c. Poor head control.
d. Smiling by age 3 months.
5. The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder.
Which of the following manifestations should the nurse expect to observe in this child?
a. Interest in various activities.
b. Continuous eye contact.
c. Monotone speech.
d. Good social interaction.
6. The nurse is developing a plan of care for a child diagnosed with attention-deficit
hyperactivity disorder (ADHD). Which of the following information should the nurse
include in the plan of care?
a. Antianxiety medications and home schooling.
b. Psychostimulant medications and behavior modification.
c. Anticonvulsant medications and cognitive therapy.
d. Antidepressant medications and family therapy.
7. The nurse preceptor is observing a newly hired nurse care for a child who has Down
syndrome. Which of the following manifestations, if documented by the newly hired
nurse, requires follow up by the nurse preceptor?
a. Depressed nasal bridge.
b. Protruding tongue.
c. Large stature for chronological age.
d. Hyper flexibility.
