1. A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding? -
CORRECT ANSWER - Serum BUN and creatinine levels.
adding potassium = need adequate renal function + urine output
10. An 18-month-old is admitted to the hospital with possible Hirschsprung's disease. When
obtaining a nursing history, the nurse asks about bowel habits. What description of the
disease? - CORRECT ANSWER - Ribbon-like and brown.
Hirschsprung's is a mechanical obstruction in part of the intestines resulting in inadequate
motility.
,Bile-colored and watery = gastroenteritis
Foul-smelling and fatty = cystic fibrosis
Semi-solid and yellow= normal in breast fed neonates
11. A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother
appears irritated with the child and asks the nurse, "Is this normal behavior for a child this
age?" The nurse's response should be based on which information? - CORRECT ANSWER -
Children need to retain a sense of initiative without impinging on the rights and privileges of
others.
-Children aged 3 to 6 are in Erickson's "Initiative vs. Guilt" stage, which is characterized by
vigorous, intrusive behavior, enterprise, and strong imagination. At this age, children develop a
conscience and must learn to retain a sense of initiative without impinging on the rights of
others
,12. The nurse is assessing a 2-year-old. What behavior indicates that the child's language
development is within normal limits? - CORRECT ANSWER - Half of child's speech is
understandable (15-24 months)
by 18 months is capable of making a three word sentence.
3-5 years old is able to name four colors & count five blocks
13. A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down syndrome?
- CORRECT ANSWER - Congenital heart disease is the most common defect found in those
with DS
14. The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - CORRECT ANSWER - I understand that I will be
in a body cast and I will show you how you taught me to turn
, 15. A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse
plan to administer for treatment of this disorder? - CORRECT ANSWER - Nystatin
(Mycostatin).
16. A full term infant is admitted to the newborn nursery. After careful assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms are this newborn
likely to exhibit? - CORRECT ANSWER - Choking, coughing, and cyanosis.
17. The nurse is teaching a 12-year-old male adolescent and his family about taking injections
of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly
associated with growth hormone therapy, should the nurse plan to describe to the child and his
family? - CORRECT ANSWER - Polyuria and polydipsia
growth hormone causes increase in blood sugar
*monitor for diabetes
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding? -
CORRECT ANSWER - Serum BUN and creatinine levels.
adding potassium = need adequate renal function + urine output
10. An 18-month-old is admitted to the hospital with possible Hirschsprung's disease. When
obtaining a nursing history, the nurse asks about bowel habits. What description of the
disease? - CORRECT ANSWER - Ribbon-like and brown.
Hirschsprung's is a mechanical obstruction in part of the intestines resulting in inadequate
motility.
,Bile-colored and watery = gastroenteritis
Foul-smelling and fatty = cystic fibrosis
Semi-solid and yellow= normal in breast fed neonates
11. A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother
appears irritated with the child and asks the nurse, "Is this normal behavior for a child this
age?" The nurse's response should be based on which information? - CORRECT ANSWER -
Children need to retain a sense of initiative without impinging on the rights and privileges of
others.
-Children aged 3 to 6 are in Erickson's "Initiative vs. Guilt" stage, which is characterized by
vigorous, intrusive behavior, enterprise, and strong imagination. At this age, children develop a
conscience and must learn to retain a sense of initiative without impinging on the rights of
others
,12. The nurse is assessing a 2-year-old. What behavior indicates that the child's language
development is within normal limits? - CORRECT ANSWER - Half of child's speech is
understandable (15-24 months)
by 18 months is capable of making a three word sentence.
3-5 years old is able to name four colors & count five blocks
13. A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down syndrome?
- CORRECT ANSWER - Congenital heart disease is the most common defect found in those
with DS
14. The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - CORRECT ANSWER - I understand that I will be
in a body cast and I will show you how you taught me to turn
, 15. A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse
plan to administer for treatment of this disorder? - CORRECT ANSWER - Nystatin
(Mycostatin).
16. A full term infant is admitted to the newborn nursery. After careful assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms are this newborn
likely to exhibit? - CORRECT ANSWER - Choking, coughing, and cyanosis.
17. The nurse is teaching a 12-year-old male adolescent and his family about taking injections
of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly
associated with growth hormone therapy, should the nurse plan to describe to the child and his
family? - CORRECT ANSWER - Polyuria and polydipsia
growth hormone causes increase in blood sugar
*monitor for diabetes
