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A nurse is assessing an infant who has a ventricular septal
defect. Which of the following findings should the nurse
expect?
Loud, harsh murmur
Dysrhythmias
Weak femoral pulses
High blood pressure - ANSWER-Loud, harsh murmur
A nurse is teaching a school-age child who has a new
diagnosis of type 1 diabetes mellitus. Which of the following
statements by the child indicates an understanding of the
teaching?
"I will puncture the pad of my finger when I am testing my
blood glucose."
"I will eat a snack of 5 grams of carbohydrates if my blood
glucose is low."
"I will give myself a shot of regular insulin 30 minutes before I
eat breakfast." "I will decrease the amount of fluids I drink
,when I am sick." - ANSWER-"I will give myself a shot of
regular insulin 30 minutes before I eat breakfast."
A nurse is caring for a school-age child who has peripheral
edema. The nurse should identify that which of the following
assessments should be performed to confirm peripheral
edema?
Palpate the dorsum of the child's feet.
Weigh the child daily using the same scale.
Assess the child's skin turgor.
Observe the child for periorbital swelling. - ANSWER-Palpate
the dorsum of the child's feet.
A nurse is caring for a toddler who has acute otitis media and a
temperature of 40º C (104º F). After administering
acetaminophen, which of the following actions should the
nurse plan to take to reduce the toddler's temperature?
Apply a cooling blanket to the toddler.
Dress the toddler in minimal clothing.
Give the toddler a tepid bath.
Administer diphenhydramine to the toddler. - ANSWER-Dress
the toddler in minimal clothing.
A nurse is planning an educational program to teach caregivers
about protecting their children from sunburns. Which of the
following instructions should the nurse plan to include?
A. "Allow your child to play outside during the hours between
10:00 a.m. and 2:00 p.m."
B. "Choose a waterproof sunscreen with a minimum SPF of 15."
, C. "Dress your child in loose weave polyester fabric prior to sun
exposure." D. "Reapply sunscreen every 4 hours." -
ANSWER-B. "Choose a waterproof sunscreen with a
minimum SPF of 15."
A nurse is preparing to administer an immunization to a 4-year-
old child. Which of the following actions should the nurse plan
to take?
Place the child in a prone position for the immunization.
Request that the child's caregiver leave the room during the
immunization.
Administer the immunization using a 24-gauge needle.
Inject the immunization slowly after aspirating for 3 seconds. –
ANSWER-Administer the immunization using a 24-gauge
needle.
A nurse in an emergency department is performing a physical
assessment on a 2-week-old male newborn. Which of the
following findings is the priority for the nurse to report to the
provider? A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions - ANSWER-D. Substernal retractions
A nurse is reviewing the laboratory report of a 7-year-old child
who is receiving chemotherapy. Which of the following
laboratory tests should the nurse review to evaluate for
anemia?
Hgb