Questions and Correct
Answers
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
What instruction should the nurse include in the parents' teaching plan?
a. Invite other children home to share meals.
b. Accept that he will eat when he is hungry.
c. Reward the child with a nap after eating.
d. Consistently follow a set mealtime routine.
Answer: d
,The nurse is providing emergency care for an unconscious child who presents
with a head injury sustained in a fall. Which is the highest nursing priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs.
Answer: a
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1, and no
edema is observed. What action should the nurse implement first?
a. Insert an indwelling urinary catheter.
,b. Start an IV infusion of normal saline.
c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses.
Answer: b
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Answer:
The nurse is assessing a 2-year-old child. What behavior indicates that the
child's language development is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
, c. Is capable of making a three word sentence.
d. Half of child's speech is understandable.
Answer: c
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood
pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client
reports to the UAP that she is upset because her boyfriend did not visit last
night. What action should the nurse take first?
a. Give the client her 9 a.m. prescription for an oral diuretic early.
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
c. Notify the healthcare provider and inform the nursing supervisor of the
client's condition.