Integrated exam 5 questions With Complete Solutions
The nurse assists in creating a nursing care plan for the child
with an arm cast and would include which interventions in the
plan? Select all that apply.
Notify the registered nurse (RN) immediately if circulatory
impairment occurs.
Instruct parents to keep the cast clean and dry.
Monitor the extremity for circulatory impairment.
Instruct the child not to stick objects down the cast.
The nurse is assisting a primary health care provider (PHCP)
during an examination of an infant with hip dysplasia. The
PHCP performs the Ortolani maneuver. Which data would the
nurse expect to note during the examination?
The dislocated femoral head pops back into the acetabulum
The mother of a toddler with mumps asks the nurse what she
needs to watch for in her child with this disease. The nurse bases
the response on the understanding that mumps is which type of
communicable disease?
Respiratory disease caused by a virus involving the parotid
gland
,A child is diagnosed with chicken pox. The nurse collects data
regarding the child. Which finding is characteristic of chicken
pox?
Macular rash on the trunk and scalp
The nurse reviews measures to prevent tick bites with a parent
of a child with Rocky Mountain spotted fever. Which statement
by the parent indicates a need for further teaching?
"I will have my child wear dark colored clothing so the tick will
not be attracted to the colors."
Which home care instructions would the nurse plan to reinforce
to the mother of a child with acquired immunodeficiency
syndrome (AIDS)? Select all that apply.
Frequent hand washing is important.
The child should avoid exposure to other illnesses.
Clean up body fluid spills with bleach solution (10:1 ratio of
water to bleach).
The nurse reviews the home care instructions with a parent of a
3-year-old with pertussis. Which statement by the parent
indicates a need for further teaching?
"I understand this whooping cough is viral and I have to let it
run its course."
The nurse is caring for a newborn diagnosed with Down
syndrome. The parents are asking questions about the disorder.
,The nurse would provide which information when discussing
Down syndrome?
The condition is congenital and results in moderate to severe
retardation and has been linked to an extra chromosome 21
(group G).
The nurse would implement which actions in the care of a child
who is having a seizure? Select all that apply.
Time the seizure.
Stay with the child.
Loosen clothing around the child's neck.
The nurse reinforces home care instructions to the mother of a
child recovering from Reye's syndrome. Which statement by the
mother indicates a need for further teaching?
"I need to give frequent, small, nutritious meals if my child
starts to vomit."
The nurse is assisting with collecting data on a child with
seizures. The nurse is interviewing the child's parents to
establish their adjustment to caring for their child with a chronic
illness. Which statement by the parents indicates a need for
further teaching?
"Our child sleeps in our bedroom at night."
The nurse is assigned to care for an infant with cryptorchidism.
One testis cannot be palpated. The nurse anticipates that which
, diagnostic study will be prescribed to determine where the
undescended testis is located in the body?
Computed tomography scan
The nurse is reinforcing instructions to the parents of an infant
with clubfoot about the care of a plaster cast. Which statement
would the nurse include in the instructions? Select all that
apply.
"The foot should be kept elevated for the first 24 to 48 hours."
"Reposition the infant every 2 to 4 hours until cast is thoroughly
dried."
"The edges of the cast can be 'petaled' with small pieces of
moleskin or adhesive tape."
The nurse is preparing a 2-year-old child with suspected
nephrotic syndrome for a renal biopsy to confirm the diagnosis.
The mother asks the nurse, "Will my child ever look thin
again?" The nurse would respond by giving which statement?
"In most cases, medication and diet will control fluid retention."
The nurse assists with preparing a nursing care plan for a child
who has Reye's syndrome. Which is the priority nursing
intervention?
Providing a quiet atmosphere with dimmed lights
Which finding would indicate that a child had a tonic-clonic
seizure during the night?
The nurse assists in creating a nursing care plan for the child
with an arm cast and would include which interventions in the
plan? Select all that apply.
Notify the registered nurse (RN) immediately if circulatory
impairment occurs.
Instruct parents to keep the cast clean and dry.
Monitor the extremity for circulatory impairment.
Instruct the child not to stick objects down the cast.
The nurse is assisting a primary health care provider (PHCP)
during an examination of an infant with hip dysplasia. The
PHCP performs the Ortolani maneuver. Which data would the
nurse expect to note during the examination?
The dislocated femoral head pops back into the acetabulum
The mother of a toddler with mumps asks the nurse what she
needs to watch for in her child with this disease. The nurse bases
the response on the understanding that mumps is which type of
communicable disease?
Respiratory disease caused by a virus involving the parotid
gland
,A child is diagnosed with chicken pox. The nurse collects data
regarding the child. Which finding is characteristic of chicken
pox?
Macular rash on the trunk and scalp
The nurse reviews measures to prevent tick bites with a parent
of a child with Rocky Mountain spotted fever. Which statement
by the parent indicates a need for further teaching?
"I will have my child wear dark colored clothing so the tick will
not be attracted to the colors."
Which home care instructions would the nurse plan to reinforce
to the mother of a child with acquired immunodeficiency
syndrome (AIDS)? Select all that apply.
Frequent hand washing is important.
The child should avoid exposure to other illnesses.
Clean up body fluid spills with bleach solution (10:1 ratio of
water to bleach).
The nurse reviews the home care instructions with a parent of a
3-year-old with pertussis. Which statement by the parent
indicates a need for further teaching?
"I understand this whooping cough is viral and I have to let it
run its course."
The nurse is caring for a newborn diagnosed with Down
syndrome. The parents are asking questions about the disorder.
,The nurse would provide which information when discussing
Down syndrome?
The condition is congenital and results in moderate to severe
retardation and has been linked to an extra chromosome 21
(group G).
The nurse would implement which actions in the care of a child
who is having a seizure? Select all that apply.
Time the seizure.
Stay with the child.
Loosen clothing around the child's neck.
The nurse reinforces home care instructions to the mother of a
child recovering from Reye's syndrome. Which statement by the
mother indicates a need for further teaching?
"I need to give frequent, small, nutritious meals if my child
starts to vomit."
The nurse is assisting with collecting data on a child with
seizures. The nurse is interviewing the child's parents to
establish their adjustment to caring for their child with a chronic
illness. Which statement by the parents indicates a need for
further teaching?
"Our child sleeps in our bedroom at night."
The nurse is assigned to care for an infant with cryptorchidism.
One testis cannot be palpated. The nurse anticipates that which
, diagnostic study will be prescribed to determine where the
undescended testis is located in the body?
Computed tomography scan
The nurse is reinforcing instructions to the parents of an infant
with clubfoot about the care of a plaster cast. Which statement
would the nurse include in the instructions? Select all that
apply.
"The foot should be kept elevated for the first 24 to 48 hours."
"Reposition the infant every 2 to 4 hours until cast is thoroughly
dried."
"The edges of the cast can be 'petaled' with small pieces of
moleskin or adhesive tape."
The nurse is preparing a 2-year-old child with suspected
nephrotic syndrome for a renal biopsy to confirm the diagnosis.
The mother asks the nurse, "Will my child ever look thin
again?" The nurse would respond by giving which statement?
"In most cases, medication and diet will control fluid retention."
The nurse assists with preparing a nursing care plan for a child
who has Reye's syndrome. Which is the priority nursing
intervention?
Providing a quiet atmosphere with dimmed lights
Which finding would indicate that a child had a tonic-clonic
seizure during the night?
