Questions And Answers
A charge nurse in an ER is preparing an in-service for a group of newly licensed nurses
on the clinical manifestations of child maltreatment. Which of the following
manifestations should the charge nurse include as suggestive of potential physical
abuse?
Recurrent UTI's
Systemic burns of the lower extremities
Failure to thrive
Lack of subcutaneous fat
- ANSWER-Systemic burns of the lower extremities
A charge nurse is preparing to make a room assignment for a newly admitted school-
age child. Which of the following considerations is the nurse's priority?
Length of stay
Treatment schedule
Disease process
Self-care ability
- ANSWER-Disease process
,A community health nurse is assessing an 18-month-old toddler in a community day
care. Which of the following findings should the nurse identify as a potential indication
of physical neglect?
Resists having an axillary temp taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene
- ANSWER-Poor personal hygiene
A hospice nurse is caring for a preschooler who has a terminal illness. The father tells
the nurse that he cannot cope anymore and has decided to move out of the house.
Which of the following statements should the nurse make?
- ANSWER-"Let's talk about some of the ways you have handled previous stressors in
your life."
A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. Which of the following actions should the nurse
take?
- ANSWER-Have the adolescent sign a consent form for treatment
A nurse in a provider's office is caring for a school-age child who has varicella. The
parent asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
,"Two to three weeks, when your child's lesions completely disappear."
- ANSWER-"When your child's lesions are crusted, usually 6 days after they appear."
A nurse in a provider's office is preparing to administer immunizations to a toddler
during a well-child visit. The child has an allergy to neomycin with an anaphylactic
reaction. Which of the following actions should the nurse plan to take?
Withhold the MMR vaccine
Withhold the DTap vaccine
Withhold the influenza vaccine
Withhold the TST
- ANSWER-Withhold the MMR vaccine
Clients who have a severe allergy to eggs or gelatin should not. receive this vaccine
A nurse in an emergency department is assessing a 3-month-old nfant who has
rotavirus and is experiencing acute vomiting and diarrhea. Which of the following
manifestations should the nurse identify as an indication that the infant has moderate to
severe dehydration?
Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Cap refill 2 seconds
- ANSWER-Sunken anterior fontanel
A nurse in an emergency department is assessing a toddler who has Kawasaki disease.
Which of the following findings should the nurse expect? SATA
, Increased temp
Gingival hyperplasia
Xerophtalmia
Bradycardia
Cervical lymphadenopathy
- ANSWER-Increased temp
Xerophtalmia
Cervical lymphadenopathy
A nurse in an emergency department is caring for a school-age child who has epiglottis.
Which of the following actions should the nurse take?
Obtain a throat culture from the child
Monitor the child's oxygen saturation
Put a warm mist humidifier in the child's room
Place the child in the supine position
- ANSWER-Monitor the child's oxygen saturation
A nurse in an emergency department is caring for a school-age child who has sustained
a minor superficial burn from fireworks on their forearm. Which of the following
actions should the nurse take?
Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
Apply an antimicrobial ointment to the affected area.
Leave the burn area open to air.
Place an ice pack on the affected area.
- ANSWER-Apply an antimicrobial ointment to the affected area.