PEDIATRIC NURSING EXAM 2 (CHAMBERLAIN UNIVERSITY| | ALL QUESTIONS AND ANSWERS|100% VERIFIED

1. A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child appendix is perforated? Low-grade fever sudden decrease in abdominal pain flaccid abdomen absent Rovsing’s sign 2. A client with sickle cell anemia is admitted in a vaso-occlusive crisis. Which intervention should the nurse expect to see ordered? Select all Cold compresses to painful joints high calorie high protein diet meperidine ordered every four hours for pain IV fluids started, and oral fluids encouraged antibiotics ordered for any existing infection 3. While preparing to administer digoxin to an infant with heart failure, the infant begins to vomit. Which action should the nurse take? Withhold the digoxin and notify the healthcare provider Administer an anti-emetic reschedule the dose for later in the shift withhold the digoxin until the client stops vomiting 4. A nurse is admitting a child with leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? Contact neutropenic droplet bleeding 5. A nurse is teaching a parent of an infant who has heart failure about meeting the infants nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching? “I will feed my baby on a schedule every four hours” “I will allow my baby to take as much time is needed to finish the bottle” “I will add Polycose to each of my babies bottles” “I will limit my babies crying to 15 minutes prior to each feeding” Downloaded by charity nimo () lOMoARcPSD| EXAM 2 PEDS 6. A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac Cath. Which of the following instructions should the nurse include? Give the child acetaminophen for discomfort Keep the child home for one week Assist the child to take a tub bath for the first three days Offer the child clear liquids for the first 24 hrs 7. A nurse is planning care for a 10 month old infant that is 8 hours postoperative following cleft pallet repair. Which of the following interventions should the nurse include in the infant plan of care? Apply and release elbow restraints every hour feed the infant with a spoon for 48 hours keep the infant supine suction the mouth with an oral suction tube 8. A nurse is caring for an infant with a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following is associated with these findings? Tracheoesophageal fistula inguinal hernia hypertrophic pyloric stenosis intussusception 9. A nurse is providing instructions to a parent of a child with Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the information. I'm glad my child will have normal bowel movements now I want to learn how to use my child feeding tube as soon as possible I want to learn how to empty my child urinary catheter bag I'm glad that my child’s stony is only temporary 10. A nurse is admitting a six month old infant with dehydration. Which of the following amounts of urinary output should indicate to the nurse that treatment has corrected the fluid imbalance? 2 mL/kg/hour 15 mL/kg/hr 7.5 mL/kg/hr 0.5 mL/kg/hr Downloaded by charity nimo () lOMoARcPSD| EXAM 2 PEDS 11. The nurse is preparing to administer a unit of red blood cells to a pediatric client diagnosed with severe anemia. How should the nurse respond when the clients parent asks what benefit of the transfusion will have? The additional RBC can increase energy levels so your child is not as tired The additional RBCs will help your child's blood clots efficiently The additional RBCs will allow the heart to body to pump more efficiently The additional RBCs will help prevent your child fight off infection 12. A nurse is instructing a parent of an infant with heart failure about meeting the infants nutritional needs. Which of the following statements by the parent indicates an understanding of the instructions? (REPEAT of Q5) I will add Polycose to each of my babies bottles I will feed my baby on a schedule every four hours I will allow my baby to take as much time is needed to finish the bottle I will limit my babies crying to 15 minutes prior to each feeding. 13. A nurse is assessing a toddler who has a cute nephrotic syndrome. Which of the following findings should the nurse report to the provider? Facial edema Yellow nasal discharge Poor appetite Irritability 14. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? Constipation Pain High fever Badycardia 15. The nurse is providing instructions to a parent of a child with celiac disease. The nurse should indicate which of the following food choices for this child? Wheat Barley Rye Rice Downloaded by charity nimo () lOMoARcPSD| EXAM 2 PEDS 16. A nurse is assessing an infant with heart failure. Which findings should the nurse expect? Select all An increase in urinary output Nasal flaring Weight gain Bradycardia Cool extremities 23. A parent tells the nurse the toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders? Rickets DM Iron deficiency anemia