NUR2633 Exam 2 Study Guide / NUR 2633 Exam 2 Study Guide (New, 2024/25): Rasmussen College (SATISFACTION GUARANTEED, Check Graded & Verified A)

RASMUSSEN COLLEGE MATERNAL CHILD HEALTH NURSING NUR 2633 EXAM 2 STUDY GUIDE Question 1 The pediatric nurse carefully monitors a patient’s status by assessing the child’s level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to: a. Encephalitis b. Irreversible coma c. Neurological impairment d. Neurological status Selected Answer: B. Neurological status. Question 2 When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as? Selected Answer: Permissive. Permissive parents avoid imposing their own standards of conduct and allow their children to regulate their own activity as much as possible. The parents exert little or no control over their children's actions. Dictatorial or authoritarian parents attempt to control their children's behavior and attitudes through unquestioned mandates. They establish rules and regulations or standards of conduct that they expect to be followed rigidly and unquestioningly. Democratic parents combine permissive and dictatorial styles. They direct their children's behavior and attitudes by emphasizing the reasons for rules and negatively reinforcing deviations. They respect their children's individual natures. Question 3 The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action? a. Notify the physician. b. Apply a new bandage with more pressure. c. Place the child in the Trendelenburg position. d. Apply direct pressure above the catheterization site. Selected Answer: Question 4 The pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.) •y Question 5 A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child? a. Intravenous fluids. b. Oral rehydration solution (ORS). c. Clear liquids, 1 to 2 ounces at a time. d. Administration of antidiarrheal medication. Selected Answer: Question 6 What is the priority nursing intervention when a child is unconscious after a fall? a. Establish adequate airway. b. Perform neurologic assessment. c. Monitor intracranial pressure. d. Determine whether a neck injury is present. Selected Answer: Question 7 Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child’s self- esteem. Which discipline is appropriate? (select all that apply) • Question 8 When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate? a. Use an infusion pump with a microdropper to ensure the prescribed infusion rate. b. Check IV fluids and infusion rate with another licensed professional. c. Avoid restraining the child to prevent undue emotional stress. d. Observe the insertion site frequently for signs of infiltration. e. Change the insertion site every 24 hours. Selected Answer: Question 9 What is probably the single most important influence on growth at all stages of childhood development? a. Nutrition b. Heredity c. Culture d. Environment Selected Answer: Question 10 On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what complication? Selected Answer: Question 11 A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines? Selected Answer: Question 12 A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering? Selected Answer: Question 13 After the acute stage and during the healing process the primary complication from burn injury is which of the following? a. Shock b. Asphyxia c. Infection d. Renal shutdown Selected Answer: Question 14 A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take? Selected Answer: Question 15 A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation? Selected Answer: Question 16 Nursing care of a child during a seizure includes which of the following interventions? Select all that apply Selected Answers: • Question 17 A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth? Selected Answer: Question 18 Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure? Selected Answer: Question 19 The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury? Selected Answer: Question 20 An infant who weighs 9 pounds at birth would be expected to weigh how many pounds at 1 year of age? a. 18 b. 20 c. 22d. 27 Selected Answer: Question 21 4-year-old girl is brought to the emergency department. She has a “frog-like” croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. What does the nurse recognize as the first action? a. Maintain the airway. b. Obtain a throat culture. c. Start an intravenous line. d. Transport for a chest x-ray. Selected Answer: Question 22 The nurse is caring for a hospitalized 4-year-old child, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When Ryan asks the nurse when his parents are coming, what is the nurse's best response? a. "They will be here soon." b. "They will come after dinner." c. "Let me show you on the clock when 6 PM is." d. "I will tell you every time I see you how much longer it will be." Selected Answer: Question 23 A toddler is diagnosed with iron deficiency anemia which is found to be dietary in nature. What recommendation would the nurse make to the parents to enhance dietary iron intake to promote growth and development? Selected Answer: Question 24 The pediatric nurse is aware that the following is true of pain management in pediatrics. Selected Answer: Question 25 A new mother expresses concern to a nurse regarding sudden infant death syndrome. (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed in what position? a. Side or prone b. Back or prone c. Stomach with the face turned d. Back rather than on the stomach Selected Answer: Sudden infant death syndrome (SIDS) is the unexpected death of an apparently healthy infant younger than 1 year for whom an investigation of the death and a thorough autopsy fail to show an adequate cause of death. Several theories are proposed regarding the cause, but the exact cause is unknown. Nurses should encourage parents to place the infant on the back (supine) for sleep. Infants in the prone position (on the stomach) may be unable to move their heads to the side, increasing the risk of suffocation. The infant may have the ability to turn to a prone position from the side-lying position