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Family Nursing Exam
The nurse is caring for a child with juvenile idiopathic arthritis. Which
nonpharmacologic intervention should the nurse include in the plan of care for
pain?
A) immobilization
B) application of moist heat
C) elevation of extremity
B) application of moist heat
Which assessment finding for a 4-month-old infant would require further
action by the nurse?
A) anterior fontanel is open and soft
B) the infant has good head control
C) the posterior fontanel is open
C) the posterior fontanel is open
A child with a history of seizures arrives in the ED in status epilepticus. Which
is the priority nursing action?
A) maintain patent airway
B) take vital signs
C) perform rapid neuro assessment
A) maintain patent airway
Which action by the nurse is appropriate for a child who presents in the ED
with an ankle injury?
A) perform passive ROM
B) apply ice to extremity
C) avoid compressing the area
B) apply ice to the extremity
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True or False: Passive ROM exercises should be taught to the parents of an
infant with torticollis.
True
What position should the nurse instruct the child to take when experiencing a
nosebleed?
A) sit up and lean forward
B) sit up and tilt head back
C) lie in a supine position
D) lie in a prone position
A) sit up and lean forward
True or False: A prolonged partial thromboplastin time (aPTT) is not found in
children with hemophilia.
False
What should the nurse advise the mother of a 7-month-old infant with a one
day history of loose, watery stools?
A) use an oral rehydration solution
B) feed chicken broth to the child
C) maintain NPO status until stools improve
A) use an oral rehydration solution
True or False: Children with pinworms can have impaired sleep.
True
Which is a complication of enuresis?
A) Emotional problems
B) Urinary tract infection
C) Progressive kidney disease
A) Emotional problems
Which nursing action is appropriate when treating a school-age child,
diagnosed with hemophilia, for a superficial wound above the knee?
A) applying pressure to the area
B) applying a warm, moist compress to the area
C) performing some passive ROM to the affected leg
D) keeping the affected extremity in a dependent position
A) applying pressure to the area
The nurse is providing teaching to the mother of a 10-month-old regarding the
administration of iron to her infant. Teaching would be considered effective if
the mother administers the iron supplement with which of the following?
A) formula
B) orange juice
C) milk
D) water
B) orange juice
The nurse is providing care to a child diagnosed with hemophilia who states, "I
am going to join a bike club at school". Which recommendation should the
nurse give to the child?
A) Wear knee pads, elbow pads, and a helmet while bicycling
B) consider a swim club instead of the bicycling club
C) joining the biking club is not recommended
D) participate only in the social activities of the club
A) Wear knee pads, elbow pads, and a helmet while bicycling
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The home health nurse is visiting a 3-month-old infant who is diagnosed with
congenital hypothyroidism and is prescribed daily levothyroxine. Which
should the nurse include in the infant's continued plan of care?
A) preventing hypothermia with appropriate clothing
B) stopping the medications as long as the chid continues to grow
C) changing formula because it is contraindicated with prescribed medication
D) monitoring growth and development without any other prescribed
interventions
A) preventing hypothermia with appropriate clothing
The nurse is providing information to an adolescent newly diagnosed with
diabetes. Which clinical manifestations of DKA should the nurse include in the
teaching session? Select all that apply.
A) change in mental status
B) fruity breath color
C) abdominal pain
D) tachycardia
E) rapid, shallow respiration
A, B, C, D
A chid weighing 18.2 kg with a history of diabetes insipidus (DI) has been
admitted to the hospital. Which healthcare provider prescription should the
nurse question?
A) restrict oral fluids to 500 mL every 24 hrs
B) stat electrolytes
C) urine specific gravity with each void
D) DDAVP PO
A) restrict oral fluids to 500mL every 24 hours
Which clinical manifestation should the nurse anticipate when providing care
to an adolescent client who presents with untreated Graves disease?
A) tachycardia, fatigue, heat intolerance
B) hyperglycemia, ketonuria, glucosuria
C) weight gain, hirsutism, muscle weakness
D) dehydration, metabolic acidosis, hypertension
A) tachycardia, fatigue, heat intolerance
The nurse is giving discharge instructions to the parents of a child whose
adrenal glands have been removed due to a tumor. Which parental statement
indicates the need for further teaching?
A) "if my chid has vomiting and diarrhea, i will hold his hydrocortisone"
B) "i will call the doctor if my child has restlessness and confusion"
C) "if my child has any gastric irritation, i will give him antacids"
D) "i will give my child his hydrocortisone in the morning"
A) "if my chid has vomiting and diarrhea, i will hold his hydrocortisone"
A woman arrives in the clinic for her prenatal visit. She states that she is
currently 28 weeks pregnant with twins, she has a 5-year-old son who was
delivered at 39 weeks gestation and a 3-year-old daughter delivered at 34
weeks gestation, and her last pregnancy terminated at 16 weeks gestation. The
nurse will interpret her obstetric history as:
A.)G4 T2 P2 A1 L4
B.)G3 T2 P0 A1 L2
C.)G3 T1 P1 A1 L2
D.)G4 T1 P1 A1 L2
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D.)G4 T1 P1 A1 L2
Exercise during pregnancy should be practiced to achieve which of the
following goals?
A.) Maintaining physical fitness
B.) Minimizing weight gain
C.) Achieving weight loss
D.) Achieving physical fitness
A.) Maintaining physical fitness
During a prenatal examination at 30 weeks gestation, a woman is lying on her
back on the examining table. She suddenly complains of dizziness and feeling
faint. The most appropriate response of the nurse would be to:
A.) reassure the woman and take measures to reduce her anxiety level.
B.) offer the woman some orange juice or other rapidly absorbed form of
glucose.
C.) place a pillow under the woman's head.
D.) turn the woman onto her left side.
D.) turn the woman onto her left side.
A woman being seen for her first prenatal care appointment has a positive
home pregnancy test, and her chart shows a TPALM recording of 40120. The
nurse would anticipate that:
A.) minimal prenatal teaching will be required because this is her fourth
pregnancy.
B.) the woman will need help in planning the care of her other children at home
during her labor and delivery.
C.) the woman should experience minimal anxiety because she is familiar with
the progress of pregnancy.
D.) this pregnancy will be considered high risk, and measures to reduce
anxiety will be needed.
D.) this pregnancy will be considered high risk, and measures to reduce anxiety will
be needed.
A woman's LNMP was on April 1, 2019. She has been keeping her prenatal
clinic appointments regularly but states she needs to alter the dates of a future
appointment because she and her husband are going on an ocean cruise
vacation for the New Year's celebration from December 30 through January 7,
2020. The best response of the nurse would be:
A.) Prenatal visits can never be altered. Every visit is important."
B.) "Be sure to take antinausea medication when going on an ocean cruise."
C.) "Perhaps you might consider rescheduling your vacation around the
Thanksgiving holiday rather than the New Year's dates."
D.) "I will reschedule your clinic appointment to accommodate your vacation
plans."
D.) "I will reschedule your clinic appointment to accommodate your vacation plans."
A nurse is explaining probable signs of pregnancy to a group of women.
Probable signs of pregnancy include:
A.) fetal heart beat
B.) Abdominal striae
C.) Amenorrhea
D.) Braxton Hicks contractions
A.) fetal heart beat