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A child diagnosed with tetralogy of fallot becomes upset, crying and
thrashing around when a blood specimen is obtained.The child's color
becomes blue and respiratory rate increases to 44 bpm.Which of the
following actions would the nurse do first?
A. The child is having a TET spell place the child in knee-to-chest position
B. The child is having a temper tantrum and needs to be in time out
C. The child needs to be restrained
D. Give the child 2mg Valium IV ---------CORRECT ANSWER-----------------
A. The child is having a TET spell place the child in knee-to-chest position
A 6-month old client with ventralseptal defect is receiving digitalis why
would the nurse notify the doctor?
Heart rate of 60 bpm
Blood pressure of 126/80
Respiratory rate of 30 bpm
Blood glucose of 110 ---------CORRECT ANSWER-----------------Heart rate
of 60 bpm
A newborn is diagnosed with a cleft lip the student nurse asked about the
condition the nurse responds with the following? Select all that apply
A. Affects 1 in 800. More common in boys
B. Etiology: hereditary, environmental
C. Non teratogenic factors
D. Surgical closure 18-20 months ---------CORRECT ANSWER----------------
-A. Affects 1 in 800. More common in boys
,B. Etiology: hereditary, environmental
Nursing Care Post-Op Cleft lip would include? Select all that apply
A. No oral temps
B. May use pacifier or straw
C. Discourage families from touching infant to decrease risk of infection
D. Maintain patent airway. Lung assessment before/after feeding ---------
CORRECT ANSWER-----------------A. No oral temps
D. Maintain patent airway. Lung assessment before/after feeding
The nurse is presenting a case study to new grads about a patient the with
a Anorectal Malformations.The nurse includes which of the following?
Select all that apply
A. anal dimpling may be present
B. passage of meconium is a sign of the malformation
C. Meconium may appear from perianal fistula or in urine
D. The nurse should take rectal temperature for a definite diagnosis ---------
CORRECT ANSWER-----------------A. anal dimpling may be presen
C. Meconium may appear from perianal fistula or in urine
While educating a mom about diet restriction for her daughter diagnosed
with Celiac Disease the nurse knows further education is needed by which
statement?
A. She can eat anything but wheat bread
B. I will read labels closely since gluten can be hidden in many foods
C. She can drink milk but I will read the labels on ice cream
D. Fresh vegetables are ok but I will read the label on any dressings that
may be added ---------CORRECT ANSWER-----------------A. She can eat
anything but wheat bread
,A 19 year old just delivered a baby in the Emergency room. She stated that
she did not know she was pregnant and did not receive prenatal care.The
child is cyanotic ,sunken abdomen and bowel sounds are heard in the
chest .The nurse is concerned the child may have what condition?
Hiatal Henia
Diaphragmatic Hernia
Abdominal Hernia
Umbilical Hernia ---------CORRECT ANSWER-----------------Diaphragmatic
Hernia
Umbilical Hernia is seen in a 2 month old boy the mom wants to know what
will be done the nurse responds by stating ?
A. Push on his umbilicus every 4 hours to promote closure
B. Place a coin on his umbilicus and wrap it tight
C. He will be scheduled for surgery next week
D. Spontaneous closure usually occurs 3-4 (most by 1yr.) ---------
CORRECT ANSWER-----------------D. Spontaneous closure usually occurs
3-4 (most by 1yr.)
A 4 week old infant is not feeding well and when examined there is white
coating in the oral in the mouth .The nurse suspects thrush the mom asked
how is this treated the nurse answers by stating which of the following ?
Select all that apply
A. Wash and sterilize nipples and pacifiers
B. The child has yeast infection oral nystatin will be used
C. Amoxicillin to the oral mucosa
D. Antibiotics to the mothers breast if nursing ---------CORRECT ANSWER-
----------------A. Wash and sterilize nipples and pacifiers
B. The child has yeast infection oral nystatin will be used
, A child complains of abdominal pain,and rebound tenderness, increased
WBC's and left shift .The nurse knows the patient presents with the most
common reason for abdominal surgery in children?
Bowel obstruction
Crohn's disease
Appendicitis
Irritable bowel syndrome ---------CORRECT ANSWER-----------------
Appendicitis
Which drug is used to maintain the patency of the patent ductus arteriosus
in infants with transposition of the great vessels?
Prostaglandin E.
Digoxin
Antibiotics
Diuretics ---------CORRECT ANSWER-----------------Prostaglandin E.
A child with a pneumothorax has a chest tube attached to a water seal
system. when assessing the child, the nurse notices that the chest tube has
become disconnected from the drainage system. what would the nurse do
first?
a)notify the physician
b) apply an occlusive dressing
c) clamp the chest tube
d) perform a respiratory assessment ---------CORRECT ANSWER-------------
----c) clamp the chest tube
Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache,
and chest pain. which assessment finding would most likely indicate the
need for this child to be hospitalized?
a) fever
b) oxygen sat of 96%
c) tachypnea with retractions