RNPedia PNLE NP2 Test 2 with !| !| !| !| !| !|
answers
1. The student nurse is assigned to take the vital signs of the
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clients in the pediatric ward. The student nurse reports to the
!| !| !| !| !| !| !| !| !| !| !|
staff nurse that the parent of a toddler who is 2 days
!| !| !| !| !| !| !| !| !| !| !| !|
postoperative after a cleft palate repair has given the toddler a !| !| !| !| !| !| !| !| !| !| !|
pacifier. What would be the best immediate action of the nurse?
!| !| !| !| !| !| !| !| !| !|
A. Notify the pediatrician of this finding
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B. Reassure the student that this is an acceptable action on the
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parent's part !|
C. Discuss this action with the parents
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D. Ask the student nurse to remove the pacifier from the
!| !| !| !| !| !| !| !| !| !| !|
toddler's mouth - Correct answer ✔C.!| !| !| !| !| !|
Nothing must be placed in the mouth of a toddler who just
!| !| !| !| !| !| !| !| !| !| !| !|
undergone a cleft palate repair until the suture line has
!| !| !| !| !| !| !| !| !| !|
completely healed. It is the nurse's responsibility to inform the
!| !| !| !| !| !| !| !| !| !|
parent of the client. Spoon, forks, straws, and tongue blades are
!| !| !| !| !| !| !| !| !| !| !|
other unacceptable items to place in the mouth of a toddler
!| !| !| !| !| !| !| !| !| !| !|
who just undergone cleft palate repair. The general principle of
!| !| !| !| !| !| !| !| !| !|
care is that nothing should enter the mouth until the suture line
!| !| !| !| !| !| !| !| !| !| !| !|
has completely healed.
!| !|
2. The nurse is providing a health teaching to the mother of an
!| !| !| !| !| !| !| !| !| !| !| !| !|
8-year-old child with cystic fibrosis. Which of the following
!| !| !| !| !| !| !| !| !|
statement if made by the mother would indicate to the nurse
!| !| !| !| !| !| !| !| !| !| !|
,the need for further teaching about the medication regimen of
!| !| !| !| !| !| !| !| !| !|
the child? !|
A. "My child might need an extra capsule if the meal is high in
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
fat"
B. "I'll give the enzyme capsule before every snack"
!| !| !| !| !| !| !| !|
C. "I'll give the enzyme capsule before every meal"
!| !| !| !| !| !| !| !|
D. "My child hates to take pills, so I'll mix the capsule into a cup
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
of hot chocolate - Correct answer ✔D.
!| !| !| !| !| !| !|
The pancreatic capsules contain pancreatic enzyme that should
!| !| !| !| !| !| !| !|
be administered in a cold, not a hot, medium (example: chilled
!| !| !| !| !| !| !| !| !| !| !|
applesauce versus hot chocolate) to maintain the medication's !| !| !| !| !| !| !| !|
integrity.
3. The mother brought her child to the clinic for follow-up check
!| !| !| !| !| !| !| !| !| !| !| !|
up. The mother tells the nurse that 14 days after starting an oral
!| !| !| !| !| !| !| !| !| !| !| !|
iron supplement, her child's stools are black. Which of the
!| !| !| !| !| !| !| !| !| !| !|
following is the best nursing response to the mother? !| !| !| !| !| !| !| !|
A. "I will notify the physician, who will probably decrease the
!| !| !| !| !| !| !| !| !| !| !|
dosage slightly" !|
B. "This is a normal side effect and means the medication is
!| !| !| !| !| !| !| !| !| !| !| !|
working"
C. "You sound quite concerned. Would you like to talk about this
!| !| !| !| !| !| !| !| !| !| !| !|
further?"
D. "I will need a specimen to check the stool for possible
!| !| !| !| !| !| !| !| !| !| !| !|
bleeding" - Correct answer ✔B. !| !| !| !| !|
, When oral iron preparations are given correctly, the stools
!| !| !| !| !| !| !| !| !|
normally turn dark green or black. Parents of children receiving
!| !| !| !| !| !| !| !| !| !|
this medication should be advised that this side effect indicates
!| !| !| !| !| !| !| !| !| !|
the medication is being absorbed and is working well.
!| !| !| !| !| !| !| !|
4. An 8-year-old boy with asthma is brought to the clinic for
!| !| !| !| !| !| !| !| !| !| !| !|
check up. The mother asks the nurse if the treatment given to
!| !| !| !| !| !| !| !| !| !| !| !|
her son is effective. What would be the appropriate response of
!| !| !| !| !| !| !| !| !| !| !|
the nurse? !|
A. I will review first the child's height on a growth chart to know
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
if the treatment is working
!| !| !| !|
B. I will review first the child's weight on a growth chart to know
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
if the treatment is working
!| !| !| !|
C. I will review first the number of prescriptions refills the child
!| !| !| !| !| !| !| !| !| !| !| !|
has required over the last 6 months to give you an accurate
!| !| !| !| !| !| !| !| !| !| !| !|
answer
D. I will review first the number of times the child has seen the
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
pediatrician during the last 6 months to give you an accurate !| !| !| !| !| !| !| !| !| !| !|
answer - Correct answer ✔C. !| !| !| !| !|
Reviewing the number of prescription refills the child has
!| !| !| !| !| !| !| !| !|
required over the last 6 months would be the best indicator of
!| !| !| !| !| !| !| !| !| !| !| !|
how well controlled and thus how effective the child's asthma
!| !| !| !| !| !| !| !| !| !|
treatment is. Breakthrough wheezing, shortness of breath, and
!| !| !| !| !| !| !| !|
upper respiratory infections would require that the child take
!| !| !| !| !| !| !| !| !|
additional medication. This would be reflected in the number of
!| !| !| !| !| !| !| !| !| !|
prescription refills. !|
answers
1. The student nurse is assigned to take the vital signs of the
!| !| !| !| !| !| !| !| !| !| !| !| !|
clients in the pediatric ward. The student nurse reports to the
!| !| !| !| !| !| !| !| !| !| !|
staff nurse that the parent of a toddler who is 2 days
!| !| !| !| !| !| !| !| !| !| !| !|
postoperative after a cleft palate repair has given the toddler a !| !| !| !| !| !| !| !| !| !| !|
pacifier. What would be the best immediate action of the nurse?
!| !| !| !| !| !| !| !| !| !|
A. Notify the pediatrician of this finding
!| !| !| !| !| !|
B. Reassure the student that this is an acceptable action on the
!| !| !| !| !| !| !| !| !| !| !| !|
parent's part !|
C. Discuss this action with the parents
!| !| !| !| !| !|
D. Ask the student nurse to remove the pacifier from the
!| !| !| !| !| !| !| !| !| !| !|
toddler's mouth - Correct answer ✔C.!| !| !| !| !| !|
Nothing must be placed in the mouth of a toddler who just
!| !| !| !| !| !| !| !| !| !| !| !|
undergone a cleft palate repair until the suture line has
!| !| !| !| !| !| !| !| !| !|
completely healed. It is the nurse's responsibility to inform the
!| !| !| !| !| !| !| !| !| !|
parent of the client. Spoon, forks, straws, and tongue blades are
!| !| !| !| !| !| !| !| !| !| !|
other unacceptable items to place in the mouth of a toddler
!| !| !| !| !| !| !| !| !| !| !|
who just undergone cleft palate repair. The general principle of
!| !| !| !| !| !| !| !| !| !|
care is that nothing should enter the mouth until the suture line
!| !| !| !| !| !| !| !| !| !| !| !|
has completely healed.
!| !|
2. The nurse is providing a health teaching to the mother of an
!| !| !| !| !| !| !| !| !| !| !| !| !|
8-year-old child with cystic fibrosis. Which of the following
!| !| !| !| !| !| !| !| !|
statement if made by the mother would indicate to the nurse
!| !| !| !| !| !| !| !| !| !| !|
,the need for further teaching about the medication regimen of
!| !| !| !| !| !| !| !| !| !|
the child? !|
A. "My child might need an extra capsule if the meal is high in
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
fat"
B. "I'll give the enzyme capsule before every snack"
!| !| !| !| !| !| !| !|
C. "I'll give the enzyme capsule before every meal"
!| !| !| !| !| !| !| !|
D. "My child hates to take pills, so I'll mix the capsule into a cup
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
of hot chocolate - Correct answer ✔D.
!| !| !| !| !| !| !|
The pancreatic capsules contain pancreatic enzyme that should
!| !| !| !| !| !| !| !|
be administered in a cold, not a hot, medium (example: chilled
!| !| !| !| !| !| !| !| !| !| !|
applesauce versus hot chocolate) to maintain the medication's !| !| !| !| !| !| !| !|
integrity.
3. The mother brought her child to the clinic for follow-up check
!| !| !| !| !| !| !| !| !| !| !| !|
up. The mother tells the nurse that 14 days after starting an oral
!| !| !| !| !| !| !| !| !| !| !| !|
iron supplement, her child's stools are black. Which of the
!| !| !| !| !| !| !| !| !| !| !|
following is the best nursing response to the mother? !| !| !| !| !| !| !| !|
A. "I will notify the physician, who will probably decrease the
!| !| !| !| !| !| !| !| !| !| !|
dosage slightly" !|
B. "This is a normal side effect and means the medication is
!| !| !| !| !| !| !| !| !| !| !| !|
working"
C. "You sound quite concerned. Would you like to talk about this
!| !| !| !| !| !| !| !| !| !| !| !|
further?"
D. "I will need a specimen to check the stool for possible
!| !| !| !| !| !| !| !| !| !| !| !|
bleeding" - Correct answer ✔B. !| !| !| !| !|
, When oral iron preparations are given correctly, the stools
!| !| !| !| !| !| !| !| !|
normally turn dark green or black. Parents of children receiving
!| !| !| !| !| !| !| !| !| !|
this medication should be advised that this side effect indicates
!| !| !| !| !| !| !| !| !| !|
the medication is being absorbed and is working well.
!| !| !| !| !| !| !| !|
4. An 8-year-old boy with asthma is brought to the clinic for
!| !| !| !| !| !| !| !| !| !| !| !|
check up. The mother asks the nurse if the treatment given to
!| !| !| !| !| !| !| !| !| !| !| !|
her son is effective. What would be the appropriate response of
!| !| !| !| !| !| !| !| !| !| !|
the nurse? !|
A. I will review first the child's height on a growth chart to know
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
if the treatment is working
!| !| !| !|
B. I will review first the child's weight on a growth chart to know
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
if the treatment is working
!| !| !| !|
C. I will review first the number of prescriptions refills the child
!| !| !| !| !| !| !| !| !| !| !| !|
has required over the last 6 months to give you an accurate
!| !| !| !| !| !| !| !| !| !| !| !|
answer
D. I will review first the number of times the child has seen the
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
pediatrician during the last 6 months to give you an accurate !| !| !| !| !| !| !| !| !| !| !|
answer - Correct answer ✔C. !| !| !| !| !|
Reviewing the number of prescription refills the child has
!| !| !| !| !| !| !| !| !|
required over the last 6 months would be the best indicator of
!| !| !| !| !| !| !| !| !| !| !| !|
how well controlled and thus how effective the child's asthma
!| !| !| !| !| !| !| !| !| !|
treatment is. Breakthrough wheezing, shortness of breath, and
!| !| !| !| !| !| !| !|
upper respiratory infections would require that the child take
!| !| !| !| !| !| !| !| !|
additional medication. This would be reflected in the number of
!| !| !| !| !| !| !| !| !| !|
prescription refills. !|
