Questions and Answers 100% A+ graded
a home health nurse is providing teaching about post-seizure management to the parents of a
school-age child who has epilepsy, what should be included - CORRECT ANSWER-record the
length and character of the child's postictal period following a seizure
call for emergency medical services if the size of the child's pupils are unequal after the seizure
a nurse is assessing a 3yr old preschooler at a well-child visit, what developmental tasks should
be expected - CORRECT ANSWER-uses primarily two word phrases
a nurse is teaching the parents of a toddler about strategies to manage temper tantrums, what
instructions should the nurse include in the teaching - CORRECT ANSWER-establish a
structured daily routine for the child
a nurse in a pediatric clinic is discussing the physiology of Reye syndrome with a newly licensed
nurse, what statements by the newly licensed nurse indicates an understanding of the disorder -
CORRECT ANSWER-Reye's syndrome causes fatty changes in the liver
a nurse is assessing a child who has received the first 50 mL of a blood transfusion, what
findings indicates the child may be experiencing an air embolism - CORRECT ANSWER-sharp
pain in the middle of the chest
a school nurse is assessing the visual acuity of a school-age child, what finding indicates that the
child should be evaluated for strabismus - CORRECT ANSWER-movement of the uncovered
eye during a cover test
a nurse is assessing a 6 month old infant during a well-child visit, what finings should the nurse
report to the provider - CORRECT ANSWER-the infant does not roll over from his abdomen to
his back
a nurse is instilling otic drops into a toddlers ears, what method is used - CORRECT ANSWER-
pull the pinna down and back
a nurse is providing teaching to the parent of an infant about care seat safety, what statement by
the parent indicates an understanding of the teaching - CORRECT ANSWER-i should place the
car seat rear facing until my child is 2
,a nurse is providing teaching to a parents of a school-age child who has ADHD and a new
prescription for methylphenidate ER capsules, what responses by the parent indicates an
understanding of the nurse's instruction - CORRECT ANSWER-i will inform my child's teacher
that he is taking this medication
a nurse in a pediatric clinic is performing a history and physical for a toddler who is going to
receive a MMR immunization, what indicates that it should be withheld - CORRECT ANSWER-
receiving prednisone for nephrotic syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3 day old infant, what info
should the nurse include in the teaching - CORRECT ANSWER-your baby will need a follow up
evaluation by her provider within the next 3 days
a nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5/101.3, what
findings should the nurse suspect a UTI - CORRECT ANSWER-incontinence
a nurse is caring for a school-age child who has hemophilia and reports increased bruising, what
lab values provides an explanation for the finding - CORRECT ANSWER-plt count 120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has asthma, the
nurse should include what manifestation as an "exacerbation" of asthma - CORRECT
ANSWER-hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6 month old infant following a surgical
procedure to repair a hypospadias, what instructions should the nurse include in the teaching -
CORRECT ANSWER-avoid giving the infant a tub bath until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is expected -
CORRECT ANSWER-gelatinous red stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child asks the nurse
"am i going to die?", what should the nurse respond - CORRECT ANSWER-"it sounds like you
are worried. tell me what you have been told"
a nurse is caring for a an infant who has GERD, what action should the nurse take to avoid
regurgitation - CORRECT ANSWER-thicken the pt's formula
avoid giving the pt citrus juices
position the child with head elevated after meals
, a nurse is providing teaching to an adolescent who has a new prescription for cefazolin, what
adverse effect should the nurse monitor for and report to the physician - CORRECT ANSWER-
urticaria
a nurse is caring for a child who has cancer and is receiving chemo, the parent tells the nurse that
she wants to d/c treatment and take the child home, what responses should the nurse make -
CORRECT ANSWER-tell me more about your reasons for making this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2 year
old child who has a Wilm's tumor, what actions by the newly licensed nurse requires intervention
from the charge nurse - CORRECT ANSWER-palpating the child's abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a vasoocclusive crisis,
what manifestations should the nurse expect - CORRECT ANSWER-pain
a nurse is providing teaching to the parents of a school-age child who has pediculosis capitis,
what instruction should be included - CORRECT ANSWER-soak hear brushes in boiling water
for 10min
a nurse is caring for a child who has acute glomerlulonephritis without edema, what action
should the nurse take - CORRECT ANSWER-obtain a daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to receive a
physical, the record indicates he received his last immunization 10 years ago, what
immunizations should the nurse expect to administer to the adolescent - CORRECT ANSWER-
Tdap
a nurse is caring for a child who has congenital heart defect, the nurse should recognize that
which of the following defects is associated with increased pulmonary blood flow - CORRECT
ANSWER-PDA
a nurse is providing teaching to the parent of a preschooler about health promotion, what
response by the parent indicates an understanding of the teaching - CORRECT ANSWER-i
should encourage my child to have 1 hour of physical activity each day
a nurse is admitting a child who has bacterial meningitis, what actions should the nurse take first
- CORRECT ANSWER-initiate antibiotic therapy for the child
a nurse is assessing a toddler who has infective endocarditis, what findings should the nurse
expect - CORRECT ANSWER-new heart murmur