CAPSTONE NUR 210 EXAM 3 REVIEW Q&A

CAPSTONE NUR 210 EXAM 3 REVIEW Q&A 1) A 1 year old child with a tracheoesophageal fistula begins coughing and choking during feeding. When reflecting on the 3 c. which additional clinical finding will the nurse assess the client? a) Abdominal distension b) Regurgitation and vomiting c) Frothy saliva in the mouth and nose d) Bluish hue of the lips and extremities 2) A child weighing 80 pounds is taking prednisone 0.14 mg per kilogram( kg) of body weight per day, divided into three dose. mg with each dose? ( round to the nearest whole number) = 80/2.2 x 0.14 / 3 = 1.6 round to 2 3) The nurse is completing an eye assessment for a 6-month-old child and notes strabismus. Which will the nurse recommend? a) Educate the parents that the infection will resolve in 7 days b) Contact their provider to assess the need for surgery c) Advise the parents to use over-the counter antibiotic eye drops d) Instruct the parents to patch the good eye to strengthen the weak eye 4) which laboratory result would the nurse anticipate for a pediatric client with hemophilia? a) Decreased prothrombin time ( pt) b) Increased vitamin K c) Prolonged activated partial thromboplastin time (aPTT) d) Increased D-dimer 5) Which assessment finding will the nurse anticipate for a pediatric client with acute glomerulonephritis? a) Cloudy, smoky, brown-colored urine b) Increased urinary output c) Decreased blood urea nitrogen levels d) Hypotension 6) A pregnant mother has a hepatitis B infection. Which precaution should be taken to minimize the spread of the infection? Select all apply a) Administer all three of the hepatitis vaccine series the first week of birth b) Minimize the number of vaginal exams during labor c) Isolate the neonate from the mother for seven days d) Administer the hepatitis B immune globulin after birth e) Bathe the neonate before any invasive procedures 7) which is a clinical finding in an infant who may be experiencing heart failure? a) Bradypnea b) Profuse scalp diaphoresis c) Sudden weight loss d) Bradycardia on exertion 8) A client is prescribed amoxicillin 100 mg/8 ml. The client is receiving 2 ml per dose. The client receive mg in each dose? = 250 mg 9) Which statement can be applied to the screening of a newborn infant for phenylketonuria? a) The nurse will rescreen if the initial screen was done before 48 hours of age b) The infant should be NPO before the test c) If the initial screening is negative, a repeat test is performed d) The nurse does not complete this testing, the infant will be referred to their provider 10) Which statement can be applied to children and burn injuries? a) Young children have a lower mortality rate from burn injuries b) Children are at an increased risk for scarring after a burn injury c) Children are at an increased risk of metabolic alkalosis during a burn d) The lower proportion of body fluid loss, the higher the risk of cardiovascular problems. 11) Which initial action will the nurse take after a hospitalized child develops impetigo? a) Implement contact isolation b) Apply topical antibiotic ointment with a clean/ sterile swab c) Cover the lesions with a gauze bandage to prevent infection spread d) Apply warm water compresses to the lesions 2 or 3 times daily 12) A client is pregnant for the third time. She has a history of one live birth and one miscarriage at 8 weeks gestation. Which obstetrica to describe this client? Select all apply? a) Primipara b) Multigravida c) Multipara d) Nulligravida e) Primigravida 13) Which nursing intervention will help decrease the pain in a child with otitis media? a) Allow the drainage coming from the ear to collect on the skin b) Provide a liquid diet to help avoid chewing during the acute period of the infection c) Have the child lay down with their affected ear up d) Place a warm compress on the child’s forehead 14) The nurse observes there is less than 10 cm ( 4 inches) of lochia on the client’s peripad over the last 1 hour. Which term will this finding be? a) Light b) Heavy c) Scant d) Moderate 15) The nurse is caring for a client with obsessive- compulsive disorder. Which statement a) Compulsive behaviors increase the client’s anxiety b) Compulsive behaviors neutralize obsessive thoughts c) Compulsive behaviors are separate from the client’s obsessive thoughts d) During stressful time ritualistic behavior decreases 16) A mother receiving oxytocin for induction of labor has deceleration to 60 bpm. Which is a a) Administer oxygen by face mask at 8- 10 liters per minute b) Initiate intravenous fluids as prescribed c) Reposition the mother in bed d) Discontinue the oxycontin 17) A client weighing 60 lb is prescribed 4 mcg/kg/day. The client will receive mcg of digoxin? = 60/ 2.2 x 4= 109 18) A pregnant client is experiencing urinary urgency and frequency. What should the nurse recommend to the client a) Attempt to void less during the day b) Limit fluid intake in the morning d) Drink only 500 ml of fluid daily 19) A two-year-old child has a scabies infection. Which information will the nurse include in parental teaching ? a) Apply the scabicide directly to the child’s face b) Engage in frequent handwashing c) Use lindane shampoo to kill the mites d) Apply permethrin before bathing 20) The nurse is using an interprofessional approach to care for a 6-year-old child with cerebral palsy. Which intervention uses this approach? a) Hold the child back from attending school until their learning needs are assessed b) Encourage play based on the child’s chronological age c) Plan interventions aligned with the child’s developmental level d) Provide the child’s parents with information about a support group 21) Which is a sign of a major depressive disorder? Select all that apply. a) Feeling irritable b) Significant weight change ( 5%) or change in appetite c) Depressed mood or loss of pleasure in activities for at least 2 weeks d) Imparied social, occupational, and/or educational functioning e) Depression lasts than 2 weeks 22) Which of the following is a situation where an individual may experience disenfranchised grief? a) A client experiencing grief after a divorce b) A client whose husband died six months ago who refuses to bathe or eat c) A client whose child is diagnosed with terminal cancer d) A client whose friend has been missing for two years 23) Which statement can be applied to the fetal heart rate accelerations noted on a fetal monitor tracing? a) They are permanent increases in fetal heart rate b) They demonstrate that the fetus may be acidotic c) They may occur with uterine contractions or mild cord compression d) They are an indication of severe fetal distress 24) which clinical finding will the nurse anticipate for a newborn with hydrocephalus? a) Collapsed scalp veins b) Decreased head circumference c) Sunken anterior fontanel d) Cracked-pot sound on percussion