NSG 6435 Exam test quiz and
answers graded A+
The nurse is assessing an infant finds the following signs and symptoms: sun setting eyes with sclera
seen above the iris, a high pitched cry, bulging fontanelle, dilated scalp veins, slight alteration in
consciousness, and vomiting. The nurse is aware that these signs and symptoms are most consistent
with - ANS✅✅Increased ICP
Which of the following statements by the family of a child has a nursing diagnosis of high risk for
continued seizure activity most indicates that the family has followed the teaching of the nurse -
ANS✅✅"Our Child has had a growth spurt, so we made an appointment to review the medication
to prevent seizures"
You are the nurse assigned to work with a child who has just returned from the recovery room post-
op for placement of a shunt as a treatment for hydrocephalus. Which of the following positions will
you place the child in? - ANS✅✅flat and lying on the un-operated side
When positioning a neonate with a repaired myelomeningocele, which of the following positions is
most appropriate? - ANS✅✅Prone or side lying until healed
The mother of an infant with myelomeningocele asks if her baby is likely to have any other defects.
The nurse responds based on the understanding that correction of the myelomeningocele is
commonly associated with which complication after surgery? - ANS✅✅hydrocephalus
The nurse is answering questions for the parents of a newborn who has spina bifida
(meningomyelocele). The parents ask when surgery can be done. Which of the following responses
by the nurse is most accurate? - ANS✅✅Surgery is usually performed within the first 24-48 hours
of life
The nurse working with the mother of a baby who was just born with spina bifida
(meningomyelocele), will place priority on helping the mother with which one of the following
needs? - ANS✅✅Providing emotional support for the mother
A parent asks the school nurse why she should not give her children aspirin for a fever. When the
nurse replies that it has to do with the possible risk of a child getting reyes syndrome while taking
aspirin, the parents asks: What is reyes syndrome? Which of the following responses by the nurse
would most accurately describe Reyes syndrome? - ANS✅✅A life threatening condition following a
mild viral illness, in which there is a poorly functioning liver that is enlarged, and a cerebral edema.
, The nurse has taught the parents of a 6 year old child with a ventriculoperitoneal (VP) shunt to
monitor for shunt malfunction. The nurse determines the parents understand the instructions if they
state to notify the physician if the child develops which manifestation? - ANS✅✅Altered level of
consciousness
What should be part of the nurse's teaching plan for a child with epilepsy being discharge on a
regimen of phenytoin (Dilantin)? - ANS✅✅Instructions about good dental hygiene
The ultimate goal of nursing care for a child with Hirschsprung's disease is to: - ANS✅✅Prepare the
child and family for surgical removal of the affected portion of the bowel
An infant is brought to the ED with the following clinical manifestations: poor skin turgor, weight
loss, lethargy, depressed anterior fontanelle, and tachycardia. These symptoms are suggestive of
which of the following: - ANS✅✅Dehydration
The nurse has completed the discharge teaching on the dietary regimen of a child with celiac
disease. The nurse recognizes that patient education has been successful when the mother states
that the child must comply with the gluten-free diet? - ANS✅✅Throughout life
The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. Which
of the following is the major priority nursing care? - ANS✅✅Administer IV antibiotics therapy as
soon as it is ordered
Before surgery, the priority for nursing care of a newborn with a myelomeningocele is: -
ANS✅✅Preventing infection
The Glasgow coma scale consist of an assessment of: - ANS✅✅Eye opening, verbal and motor
response
An infant has been born with an esophageal atresia and tracheoesophageal fistula and is scheduled
for surgery. What would the nurse expect to do in the preop period? - ANS✅✅NPO status,
administer IV fluids, antibiotics, and position the baby's head elevated 20 to 30 degrees
The parents of an infant with newly repaired cleft lip question the nurse about the purpose of the
logan's bow. THe nurse's best response is: - ANS✅✅It prevents trauma at the suture line
answers graded A+
The nurse is assessing an infant finds the following signs and symptoms: sun setting eyes with sclera
seen above the iris, a high pitched cry, bulging fontanelle, dilated scalp veins, slight alteration in
consciousness, and vomiting. The nurse is aware that these signs and symptoms are most consistent
with - ANS✅✅Increased ICP
Which of the following statements by the family of a child has a nursing diagnosis of high risk for
continued seizure activity most indicates that the family has followed the teaching of the nurse -
ANS✅✅"Our Child has had a growth spurt, so we made an appointment to review the medication
to prevent seizures"
You are the nurse assigned to work with a child who has just returned from the recovery room post-
op for placement of a shunt as a treatment for hydrocephalus. Which of the following positions will
you place the child in? - ANS✅✅flat and lying on the un-operated side
When positioning a neonate with a repaired myelomeningocele, which of the following positions is
most appropriate? - ANS✅✅Prone or side lying until healed
The mother of an infant with myelomeningocele asks if her baby is likely to have any other defects.
The nurse responds based on the understanding that correction of the myelomeningocele is
commonly associated with which complication after surgery? - ANS✅✅hydrocephalus
The nurse is answering questions for the parents of a newborn who has spina bifida
(meningomyelocele). The parents ask when surgery can be done. Which of the following responses
by the nurse is most accurate? - ANS✅✅Surgery is usually performed within the first 24-48 hours
of life
The nurse working with the mother of a baby who was just born with spina bifida
(meningomyelocele), will place priority on helping the mother with which one of the following
needs? - ANS✅✅Providing emotional support for the mother
A parent asks the school nurse why she should not give her children aspirin for a fever. When the
nurse replies that it has to do with the possible risk of a child getting reyes syndrome while taking
aspirin, the parents asks: What is reyes syndrome? Which of the following responses by the nurse
would most accurately describe Reyes syndrome? - ANS✅✅A life threatening condition following a
mild viral illness, in which there is a poorly functioning liver that is enlarged, and a cerebral edema.
, The nurse has taught the parents of a 6 year old child with a ventriculoperitoneal (VP) shunt to
monitor for shunt malfunction. The nurse determines the parents understand the instructions if they
state to notify the physician if the child develops which manifestation? - ANS✅✅Altered level of
consciousness
What should be part of the nurse's teaching plan for a child with epilepsy being discharge on a
regimen of phenytoin (Dilantin)? - ANS✅✅Instructions about good dental hygiene
The ultimate goal of nursing care for a child with Hirschsprung's disease is to: - ANS✅✅Prepare the
child and family for surgical removal of the affected portion of the bowel
An infant is brought to the ED with the following clinical manifestations: poor skin turgor, weight
loss, lethargy, depressed anterior fontanelle, and tachycardia. These symptoms are suggestive of
which of the following: - ANS✅✅Dehydration
The nurse has completed the discharge teaching on the dietary regimen of a child with celiac
disease. The nurse recognizes that patient education has been successful when the mother states
that the child must comply with the gluten-free diet? - ANS✅✅Throughout life
The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. Which
of the following is the major priority nursing care? - ANS✅✅Administer IV antibiotics therapy as
soon as it is ordered
Before surgery, the priority for nursing care of a newborn with a myelomeningocele is: -
ANS✅✅Preventing infection
The Glasgow coma scale consist of an assessment of: - ANS✅✅Eye opening, verbal and motor
response
An infant has been born with an esophageal atresia and tracheoesophageal fistula and is scheduled
for surgery. What would the nurse expect to do in the preop period? - ANS✅✅NPO status,
administer IV fluids, antibiotics, and position the baby's head elevated 20 to 30 degrees
The parents of an infant with newly repaired cleft lip question the nurse about the purpose of the
logan's bow. THe nurse's best response is: - ANS✅✅It prevents trauma at the suture line
