NURS 3710 ; Evidence-Based Practice in Nursing ; Quiz 3 Review with
Questions and Correct Answers
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
A. Encourage the parents to rock the infant.
B. Offer the infant a pacifier.
C. Administer ibuprofen as needed for pain.
D. Position the infant on her abdomen. - correct answer A. Encourage the parents to rock the
infant.
A rocking motion will calm and soothe the infant. Additionally, involving the parents in the
infant's care can reduce feelings of helplessness.
A nurse is caring for a child who has Addison's disease. Which of the following actions should
the nurse take?
A. Teach the parents about cortisol replacement therapy.
B. Place the child on a low-sodium diet.
C. Monitor the child for fluid volume excess.
D. Discuss the manifestations of hypoglycemia with the parents. - correct answer A. Teach the
parents about cortisol replacement therapy.
The nurse should plan to teach the child's parents about cortisol replacement therapy.
Administration of glucocorticoids and mineralocorticoids is necessary because inadequate
supplies or a sudden cessation of the medications can cause acute adrenal crisis.
A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is
refusing treatment. The client's mother insists that the client receive treatment. Which of the
following actions should the nurse take?
A. Initiate the IV per the parent's request.
B. Notify the provider of the situation.
C. Administer a sedative to calm the client.
,D. Offer the client and antiemetic. - correct answer B. Notify the provider of the situation.
The nurse should consult with the provider before proceeding. Although the parent must give
consent for a minor, the nurse should obtain the minor's assent when the minor is able to give
it.
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention.
Which of the following behaviors by the adolescent should the nurse anticipate because it is
most common reaction?
A. Identity crisis
B. Body image changes
C. Feelings of displacement
D. Loss of privacy - correct answer B. Body image changes
Body image changes are the most common behaviors observed in adolescents who have
scoliosis and require surgery.
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes
upset and demands to know the reason for the nurse's action. Which of the following responses
by the nurse is appropriate?
A. "As a nurse, I am required by law to report suspected child abuse."
B. "I am unable to discuss this, but I can contact my supervisor to speak with you."
C. "The provider will be coming to explain the situation."
D. "I reported the incident to my supervisor who decided to contact the authorities." - correct
answer A. "As a nurse, I am required by law to report suspected child abuse."
A nurse is required by law to report suspected child abuse. Therefore, this is a truthful, non-
accusatory response.
A nurse is caring for a child who has otitis media with effusion. The nurse should identify that
which of the following manifestations indicates a tympanic membrane rupture?
A. Green-blue discharge in the ear canal
B. Increased temperature
, C. Sudden pain relief
D. Popping sensation when swallowing - correct answer C. Sudden pain relief
Accumulation of exudate caused by otitis media with effusion increases pressure behind the
tympanic membrane. The pressure releases when the tympanic membrane ruptures, which
results in sudden pain relief.
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When
determining that the traction is appropriately assembled, the nurse should observe which of
the following?
A. Skin straps maintain the leg in an extended position.
B. Weights are attached to a pin that is inserted into the femur.
C. A padded sling is under the knee of the affected leg.
D. The buttocks is elevated slightly off the bed. - correct answer D. The buttocks is elevated
slightly off the bed.
Having the buttocks elevated slightly off of the bed is appropriate for Bryant traction. The
child's hips are flexed at a 90° angle with the legs suspended by pulleys and weights. The
weights must hang freely from the bed to maintain alignment.
A nurse is admitting a 6-month-old infant who has dehydration. Which of the following
amounts of urinary output should indicate to the nurse that the treatment has corrected the
fluid imbalance?
A. 0.5 mL/kg/hr
B. 2 mL/kg/hr
C. 7.5 mL/kg/hr
D. 15 mL/kg/hr - correct answer B. 2 mL/kg/hr
The expected urinary output for infants up to the age of 1 year is 2 mL/kg/hr. An infant who is
not dehydrated should produce this amount of urine.
A nurse is collecting data from a child who is descending stairs by placing both feet on each step
and holding on to the railing. The nurse should understand that these actions are
developmentally appropriate at which of the following ages?
Questions and Correct Answers
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take?
A. Encourage the parents to rock the infant.
B. Offer the infant a pacifier.
C. Administer ibuprofen as needed for pain.
D. Position the infant on her abdomen. - correct answer A. Encourage the parents to rock the
infant.
A rocking motion will calm and soothe the infant. Additionally, involving the parents in the
infant's care can reduce feelings of helplessness.
A nurse is caring for a child who has Addison's disease. Which of the following actions should
the nurse take?
A. Teach the parents about cortisol replacement therapy.
B. Place the child on a low-sodium diet.
C. Monitor the child for fluid volume excess.
D. Discuss the manifestations of hypoglycemia with the parents. - correct answer A. Teach the
parents about cortisol replacement therapy.
The nurse should plan to teach the child's parents about cortisol replacement therapy.
Administration of glucocorticoids and mineralocorticoids is necessary because inadequate
supplies or a sudden cessation of the medications can cause acute adrenal crisis.
A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is
refusing treatment. The client's mother insists that the client receive treatment. Which of the
following actions should the nurse take?
A. Initiate the IV per the parent's request.
B. Notify the provider of the situation.
C. Administer a sedative to calm the client.
,D. Offer the client and antiemetic. - correct answer B. Notify the provider of the situation.
The nurse should consult with the provider before proceeding. Although the parent must give
consent for a minor, the nurse should obtain the minor's assent when the minor is able to give
it.
A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention.
Which of the following behaviors by the adolescent should the nurse anticipate because it is
most common reaction?
A. Identity crisis
B. Body image changes
C. Feelings of displacement
D. Loss of privacy - correct answer B. Body image changes
Body image changes are the most common behaviors observed in adolescents who have
scoliosis and require surgery.
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes
upset and demands to know the reason for the nurse's action. Which of the following responses
by the nurse is appropriate?
A. "As a nurse, I am required by law to report suspected child abuse."
B. "I am unable to discuss this, but I can contact my supervisor to speak with you."
C. "The provider will be coming to explain the situation."
D. "I reported the incident to my supervisor who decided to contact the authorities." - correct
answer A. "As a nurse, I am required by law to report suspected child abuse."
A nurse is required by law to report suspected child abuse. Therefore, this is a truthful, non-
accusatory response.
A nurse is caring for a child who has otitis media with effusion. The nurse should identify that
which of the following manifestations indicates a tympanic membrane rupture?
A. Green-blue discharge in the ear canal
B. Increased temperature
, C. Sudden pain relief
D. Popping sensation when swallowing - correct answer C. Sudden pain relief
Accumulation of exudate caused by otitis media with effusion increases pressure behind the
tympanic membrane. The pressure releases when the tympanic membrane ruptures, which
results in sudden pain relief.
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When
determining that the traction is appropriately assembled, the nurse should observe which of
the following?
A. Skin straps maintain the leg in an extended position.
B. Weights are attached to a pin that is inserted into the femur.
C. A padded sling is under the knee of the affected leg.
D. The buttocks is elevated slightly off the bed. - correct answer D. The buttocks is elevated
slightly off the bed.
Having the buttocks elevated slightly off of the bed is appropriate for Bryant traction. The
child's hips are flexed at a 90° angle with the legs suspended by pulleys and weights. The
weights must hang freely from the bed to maintain alignment.
A nurse is admitting a 6-month-old infant who has dehydration. Which of the following
amounts of urinary output should indicate to the nurse that the treatment has corrected the
fluid imbalance?
A. 0.5 mL/kg/hr
B. 2 mL/kg/hr
C. 7.5 mL/kg/hr
D. 15 mL/kg/hr - correct answer B. 2 mL/kg/hr
The expected urinary output for infants up to the age of 1 year is 2 mL/kg/hr. An infant who is
not dehydrated should produce this amount of urine.
A nurse is collecting data from a child who is descending stairs by placing both feet on each step
and holding on to the railing. The nurse should understand that these actions are
developmentally appropriate at which of the following ages?
