Exam with Actual Detailed Answers.
A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which
of the following areas should the nurse observe when monitoring for manifestations of splenic
sequestration? (You will find hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer.) - Answer B on the baby’s right side
A nurse in a community center is reinforcing teaching about poison control with group of
parents. Identify the sequence of actions the nurse should recommend to the parent. (Move the
steps into the box on the right, placing them in the order of performance. Al steps must be
used.) - Answer -Determine if the child is breathing.
-Empty the child's mouth of remaining pills and residue.
-Identify the medication and dosage strength.
-Call a poison control center.
A nurse is reviewing the electronic medical record of a school-age child who gastroenteritis.
Which of the following finding should the nurse report to the provider? - Answer Decreased
sodium level
Click to highlight the findings that require follow-up. To deselect a finding, click on the finding
again. - Answer -Toddler appears lethargic
-Hypoactive bowel sounds
-Abdominal distended
-Palpable fecal mass
A nurse is reinforcing teaching with a patient of a school-age child who is being treated for
nephrotic syndrome. The parent asks the nurse why it is necessary to check the child's urine for
protein. Which of the following explanations should the nurse offer? - Answer A decrease in
urine protein indicates that treatment is effective.
A nurse is assisting with the care of a child who has tonic-clinic seizures. Which of the following
actions should the nurse take? - Answer Have a suction canister and tubing available in the
room.
, A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant following a
surgical procedure to repair a hypospadias. Which of the following instructions should the nurse
include? - Answer Wait 1 week before giving the infant a tub bath
A nurse is collecting data from a 12-month-old infant during a well-child visit. The nurse should
identify which of the following findings as a deviation from expected grown and development? -
Answer Birth weight doubled
A nurse is collecting data from a 12-month-old infant during a well-child visit. Which of the
following findings should the nurse report it the provider? - Answer BP 115/70 mm Hg
A nurse is reinforcing teaching with the guardian of a school-age child who has acute bacterial
conjunctivitis and a new prescription for sulfacetamide. Which of the following instructions
should the nurse include? - Answer Instill medication immediately after cleansing the eye
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has been
vomiting for 24 hr. Which of the following sites should the nurse grasp to determine the child's
skin turgor? - Answer The child's abdomen
A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement.
Which of the following findings indicates the infant's IV therapy was effective? - Answer
Sodium level 145 mEq/L (134 to 150 mEq/L)
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The
nurse should identify which of the following as an indication that the preschooler experienced
an allergic reaction to the contrast dye? - Answer Urticaria
A nurse is reinforcing dietary teaching with the guardian of a school-age child who celiac
disease. Which of the following foods should the nurse recommend including in the child's diet?
- Answer White rice
A nurse is examining a toddler during a well-child visit. The nurse should further investigate
which of the following findings for suspected physical maltreatment? - Answer The toddler
that has burns on the soles of their feet
A nurse is collecting data from an infant during a well-child visit. Which of the following sites
should the nurse use when obtaining the infant's heart rate? - Answer Aoical