NSG 5442 EXAM 1 VERIFIED COMPLETE STUDY QUESTIONS WITH ACCURATE
SOLUTIONS- Chapter 1-11; 16; 26; 29
A child born with Dandy Walker malformation is receiving palliative care in the pediatric
unit. A nurse should:
1. Provide the parents, patient, and family members with supportive care during this time.
2. Ask the parents to be part of the plan of care as much as possible.
3. Attempt to provide a primary nurse for this particular patient on each shift.
4. All of the above are correct
4. All of the above are correct
A head circumference is being measured at a 4 month olds well-baby checkup. It is noted
that the head circumference has not grown since the previous assessment. The nurse
should:
A. Ask the mother about the childs nutrition.
B. Notify the doctor.
C.. Re-measure the head circumference, check developmental milestones, assess the
nutritional status,
,and discuss the findings with the doctor.
D. Document the normal findings.
C.. Re-measure the head circumference, check developmental milestones, assess the
nutritional status, and discuss the findings with the doctor.
A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric floor.
The new nurse has not worked with a child with this diagnosis before. A career nurse
discusses the plan of care needed for the child with the new nurse. It will be important to:
1. Assess the side of the body that has paralysis for any lesions or sores.
2. Let the patient do as much as possible for activities of daily.
3. Discourage the patient to move the paralyzed side of the body.
4. Provide full care for the patient.
1. Assess the side of the body that has paralysis for any lesions or sores.
A nurse is assessing a 6-month-old boys suture lines. The nurse notes that the baby has
craniosynostosis. The nurse should be concerned because:
,1. The suture line closure will not allow the brain to grow.
2. This can lead to hydrocephalus.
3. The child will have immediate developmental delays because of the lack of
space for the brain to grow.
4. The child will not require surgery.
1. The suture line closure will not allow the brain to grow.
A child that had a shunt placed four years ago for hydrocephalus is in the emergency room
complaining of a rapid onset of vomiting and increased lethargy. The nurse
knows that the child will need:
1. Nothing, as this is a normal complication and not an emergency.
2. To be placed on IV fluids to help maintain an electrolyte balance.
3. Small amounts of fluids until the vomiting has subsided.
4. To consider this a neurological medical emergency and check the childs head
circumference.
, 4. To consider this a neurological medical emergency and check the childs head
circumference.
Night terrors can occur in adolescents because of:
1. Emotional stress.
2. Alcohol use.
3. Bullying.
4. All of the above can trigger night terrors in adolescents.
4. All of the above can trigger night terrors in adolescents.
When speaking with a family about their 9-year-old daughters nightmares, it is important to
ask:
1. If the child has a history of daytime napping.
2. What medications the child takes during the day.
3. How often the child consumes caffeine.
4. All of the above should be part of the assessment.
SOLUTIONS- Chapter 1-11; 16; 26; 29
A child born with Dandy Walker malformation is receiving palliative care in the pediatric
unit. A nurse should:
1. Provide the parents, patient, and family members with supportive care during this time.
2. Ask the parents to be part of the plan of care as much as possible.
3. Attempt to provide a primary nurse for this particular patient on each shift.
4. All of the above are correct
4. All of the above are correct
A head circumference is being measured at a 4 month olds well-baby checkup. It is noted
that the head circumference has not grown since the previous assessment. The nurse
should:
A. Ask the mother about the childs nutrition.
B. Notify the doctor.
C.. Re-measure the head circumference, check developmental milestones, assess the
nutritional status,
,and discuss the findings with the doctor.
D. Document the normal findings.
C.. Re-measure the head circumference, check developmental milestones, assess the
nutritional status, and discuss the findings with the doctor.
A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric floor.
The new nurse has not worked with a child with this diagnosis before. A career nurse
discusses the plan of care needed for the child with the new nurse. It will be important to:
1. Assess the side of the body that has paralysis for any lesions or sores.
2. Let the patient do as much as possible for activities of daily.
3. Discourage the patient to move the paralyzed side of the body.
4. Provide full care for the patient.
1. Assess the side of the body that has paralysis for any lesions or sores.
A nurse is assessing a 6-month-old boys suture lines. The nurse notes that the baby has
craniosynostosis. The nurse should be concerned because:
,1. The suture line closure will not allow the brain to grow.
2. This can lead to hydrocephalus.
3. The child will have immediate developmental delays because of the lack of
space for the brain to grow.
4. The child will not require surgery.
1. The suture line closure will not allow the brain to grow.
A child that had a shunt placed four years ago for hydrocephalus is in the emergency room
complaining of a rapid onset of vomiting and increased lethargy. The nurse
knows that the child will need:
1. Nothing, as this is a normal complication and not an emergency.
2. To be placed on IV fluids to help maintain an electrolyte balance.
3. Small amounts of fluids until the vomiting has subsided.
4. To consider this a neurological medical emergency and check the childs head
circumference.
, 4. To consider this a neurological medical emergency and check the childs head
circumference.
Night terrors can occur in adolescents because of:
1. Emotional stress.
2. Alcohol use.
3. Bullying.
4. All of the above can trigger night terrors in adolescents.
4. All of the above can trigger night terrors in adolescents.
When speaking with a family about their 9-year-old daughters nightmares, it is important to
ask:
1. If the child has a history of daytime napping.
2. What medications the child takes during the day.
3. How often the child consumes caffeine.
4. All of the above should be part of the assessment.
