VERIFIED SOLUTIONS.
The child with a fractured left femur receives a cast. A short time
later, the nurse notices that the toes on the child's left foot are
edematous. Which nursing action would be most important?
a) Applying ice to the foot
b) Messaging the toes
c) Elevating the foot of the bed
d) Placing the child on the right side - correct answer -c) Elevating the foot of
the bed
A 3 month old child accompanies her parents to a seasonal flu
clinic. Assuming that the child does not have a fever, can the
nurse give the child a flu shot?
a) Yes, if regular immunizations are up to date
b) No, because the child is not old enough
c) Yes, because the child won't get sick later
d) No, because it would interfere with regular
immunizations - correct answer -b) No, because the child is not old enough
Infants must be 6 months old to have a flu shot
A first time parent is discussing developmental milestones with
,the nurse. the nurse tells the client that she can reasonably expect
her child to achieve which of the following by the time the child is
1 year old? Select all that apply
a) Walking
b) Rolling from tummy to side
c) Transferring toys from hand to hand
d) Beginning to respond selectively to words
e) Vocalizing sounds (coos) - correct answer -b) Rolling from tummy to
side
c) Transferring toys from hand to hand
d) Beginning to respond selectively to words
e) Vocalizing sounds (coos)
A teenage client is admitted to the hospital with anorexia
nervosa. Which of the following statements by the client requires
immediate follow-up by the nurse?
a) My gums were bleeding this morning
b) I'm getting fatter every day
c) Nobody likes me because I'm so ugly
d) I'm feeling dizzy and weak today - correct answer -d) I'm feeling
dizzy and weak today
A 14 year old boy has been prescribed amphetamine and
dextroamphetamine (Adderall) for ADHD. The nurse explains
,that the patient should be alert for which of the following adverse
drug effects?
a) Weight gain
b) Depression
c) Somnolence
d) Bradycardia - correct answer -b) Depression
Children with ADD/ADHD are at greater risk for conduct disorder, oppositional
defiant disorder, depression, anxiety disorders, and development disorders
such as speech and language delays and leaning disabilities
A 2 month old infant is brought to the pediatrician's office for a
well-baby visit. During the examination, congenital subluxation of
the left hip is suspected. The nurse would expect to see which of
the following symptoms?
a) Lengthening of the limb on the affected side
b) Deformities of the foot and ankle
c) Asymmetry of the gluteal and thigh folds
d) Planter flexion of the foot - correct answer -c) Asymmetry of the gluteal and
thigh folds
C: restricted movement of affected side
A 4 week old is suspected of having pyloric stenosis. Which of the
following symptoms would you expect?
, a) Olive-sized bulge in the abdomen
b) Projectile vomiting of bile-tinged vomitus
c) Malnutrition
d) Inability to pass an NG Tube - correct answer -a) Olive-sized bulge in
the abdomen
The hypertrophied pylorus may be palpable as an olive-like mass in the upper
abdomen, most easily felt when the stomach is empty and the infant is quiet.
What statement by a child's parent would be revealing about an
abusing parent's personality?
a) My kid cries all the time
b) My kid never smiles at me; he doesn't like me
c) She's such a fussy eater
d) I can't wait until this kid sleeps at night - correct answer -b) My kid never
smiles at me; he doesn't like me
After the birth of a son with hypospadias, parents need to know
that this condition:
a) Can be prevented in the future by earlier prenatal care
b) Is easily correctable with one simple surgical
procedure
c) May require a temporary urinary catheter after repair
d) Requires prompt circumcision to prevent urinary tract
infection - correct answer -c) May require a temporary urinary catheter after