COMPREHENSIVE QUESTIONS AND
VALIDATED ANSWERS.
The nurse is collecting data about a child who has been admitted to the
hospital with a diagnosis of seizures. Which action would best assist in
determining the causes of the seizure? - CorreCt Answers -Obtaining a
history regarding factors that may occur before the seizure activity
The nurse provides instructions to the parents of an infant with
gastroesophageal reflux (GER) regarding proper positioning to manage
reflux. The nurse should tell the parents that the infant should be
maintained in which position? - CorreCt Answers -An upright angle 24
hours a day
The nurse is collecting data on an infant with a diagnosis of suspected
Hirschsprung's disease. Which question to the mother will most specifically
elicit information regarding this disorder? - CorreCt Answers -"Does your
infant have foul-smelling, ribbon-like stools?"
The nurse is initiating seizure precautions for a child being admitted to the
nursing unit. Which items are essential for the nurse to place at the
bedside? - CorreCt Answers -A suction apparatus and oxygen
The nurse is reviewing the health record of a child with a diagnosis of celiac
disease. Which clinical manifestation should the nurse expect to note
documented in the health record? - CorreCt Answers -Profuse watery
diarrhea and vomiting
,The nurse is caring for a child following surgical removal of a brain tumor.
The nurse is monitoring the child and notes that the pulse rate has
increased and the blood pressure has dropped significantly. Bloody
drainage also is noted on the posterior dressing. Which is the best nursing
action? - CorreCt Answers -Notify the registered nurse (RN)
The nurse is checking the status of jaundice in a child with hepatitis. Which
should the nurse check to ascertain if the child is jaundiced? - CorreCt
Answers -The mucous membranes
The nurse is assisting in admitting to the hospital a 4-month-old infant
with a diagnosis of vomiting and dehydration. The nurse assists in
developing a plan of care for the infant and suggests which position for the
infant? - CorreCt Answers -Side-lying position
The nurse is caring for a newborn diagnosed with Down syndrome. The
parents are asking questions about the disorder. The nurse should provide
which information when discussing Down syndrome? - CorreCt Answers -
The condition is congenital and results in moderate to severe retardation
and has been linked to an extra chromosome 21 (group G).
The nurse is caring for a 3-year-old child with suspected bacterial
meningitis. Which signs and symptoms should the nurse expect to find
during the initial data collection? Select all that apply. - CorreCt Answers -
Fever
Irritability
Nuchal rigidity
, Which represents a primary characteristic of an autism spectrum disorder?
- CorreCt Answers -Lack of social interaction and awareness
The nurse is caring for a child with a diagnosis of intussusception. Which
manifestation should the nurse expect to note in this child? - CorreCt
Answers -Blood and mucus in the stools
A mother brings her 5-month-old daughter into the pediatrician's office
with complaints that the child has been vomiting during feedings. The
mother also states that the child is sometimes very fussy. Which should be
the nurse's initial action? - CorreCt Answers -Obtain a complete history of
the child's feeding habits.
mother of an infant diagnosed with Hirschsprung's disease asks the nurse
about the disorder. The nurse plans to base the response on which
information? - CorreCt Answers -It is a congenital aganglionosis or
megacolon.
The nurse is reinforcing instructions to the parents of an infant with a
ventriculoperitoneal shunt. The nurse plans to include which instruction? -
CorreCt Answers -"Call the health care provider if the infant has a high-
pitched cry."
The nurse is monitoring for fluid volume deficit in an infant who is
vomiting and having diarrhea. The nurse weighs the infant's diaper after
each voiding and stool and carefully calculates fluid volume based on which
knowledge? - CorreCt Answers -Each gram of diaper weight is equivalent to
1 mL of urine.