180 MULTIPLE CHOICES
QUESTIONS AND ANSWERS
D. Encourage the mother to have the children visit the hospitalized sibling.
The mother of a 4-year-old child asks the nurse what she can do to help
her other children cope with their sibling's repeated hospitalizations. Which
is the best response that the nurse should offer?
A. Inform the parent that the child is too young to visit the hospital.
B. Suggest that the child visit a grandmother until the sibling returns home.
C. Ask the mother if the child asks when the sibling will be discharged.
D. Encourage the mother to have the children visit the hospitalized sibling.
C. Stresses the suture line.
When planning the care for a child who has had a cleft lip repair the nurse
knows that crying should be minimized because it
,A. Increases salivation.
B. Increases the respiratory rate.
C. Stresses the suture line.
D. Leads to vomiting.
B. Tympanic and oral temperatures are equally accurate.
The nurse assigning care for a 5-year-old child with otitis media is
concerned about the child's increasing temperature over the past 24 hours.
Which statement is accurate and should be considered when planning care
for the remainder of the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature.
,D. Consistently follow a set mealtime routine.
A 2-year-old child with gastro-esophageal reflux has developed a fear of
eating. What instruction should the nurse include in the parents' teaching
plan?
A. Invite other children home to share meals
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine.
D. Observe for projectile vomiting.
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting.
, B. Half of child's speech is understandable.
The nurse is assessing a 2-year-old. What behavior indicates that the
child's language development is within normal limits?
A. Is able to name four colors.
B. Half of child's speech is understandable.
C. Can count five blocks.
D. Is capable of making a three word sentence.
A. Pass the information on in the report.
The nurse receives a lab report stating a child with asthma has a
theophylline level of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.