ACTUAL COMPLETE REAL EXAM QUESTIONS WITH
COMPLETE VERIFIED SOLUTION GUIDE (A+
GRADED 100%CORRECT) 2025 NEWEST
VERSION!!
A nurse is receiving change of shift report for four
children. Which of the
following children should the nurse
assess first?
a. a toddler who has a concussion and an episode of forceful
vomiting
b. an adolescent who has infective endocarditis and reports
having a headache
c. an adolescent who was placed into halo traction 1 hr ago and
reports pain as
6 on a scale of 0-10
d. a school age child who has acute glomerulonephritis and
brown-colored urine
- ANSWER-A
,When using the urgent vs. nonurgent approach to client care,
the nurse should
assess this child first. An episode of forceful vomiting is
an indication of
increased intracranial pressure in a toddler who has
a concussion.
A report of a headache is nonurgent because it is an expected
finding for a child
who has infective endocarditis. Therefore, the nurse should
assess another
child
first.
A report of moderate pain is nonurgent because it is an
expected finding for a
child who has a new halo traction device. Therefore, the nurse
should assess
another child
first.
Brown-colored urine is nonurgent because it is an expected
finding for a school-
age child who has acute glomerulonephritis. Therefore, the
nurse should assess
,another child
first.
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?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your
child."
c. "When you child's lesions are crusted, usually 6 days after
they appear."
d. "Two to three weeks, when your child's lesions completely
disappear." -
ANSWER-C
A nurse is providing dietary teaching to the guardian of a
school age child who has cystic fibrosis. Which of the following
statements should the nurse make?
a. "You should offer your child high protein meals and snacks
throughout the day."
b. "You should decrease your child's dietary fat intake to less
than 10% of their caloric intake."
, c. "You should restrict your child's calorie intake to 1200 per
day."
d. "you should give your child a multivitamin once weekly." -
ANSWER-A
You should offer your child high-protein meals and snacks
throughout the day.
The nurse should instruct the guardian to provide a diet that is
well-balanced and high in protein and calories. Children who
have cystic fibrosis require a higher percentage of the
recommended dietary allowances of all nutrients to meet their
energy requirements. Children who have good nutritional
intake have improved lung function and decreased risk of
infection.
They also require 35% to 40% of their calories to come
from fats due to
decreased absorption from the
intestines.
Children who have cystic fibrosis require a high-calorie
diet and should
consume at least 2,000 calories
per day.