Examsrevision

1. A parent tells the nurse that 80% of children with the same type of leukemia as his sons have a 5-year survival. He believes that because another child on the same protocol as his son has just died, his son now has a better chance of success. What is the best response by the nurse? a. It is sad for the other family but good news for your child. b. Each child has an 80% likelihood of 5-year survival. c. The data suggest that 20% of the children in the clinic will die. There are still many h...

MULTIPLE CHOICE 1. What should the nurse include in a teaching plan for a mother of a toddler who will be taking prednisone for several months? a. The medication should be taken between meals. b. The medication needs to be discontinued because of the risks associated with long-term usage. c. The medication should not be stopped abruptly. d. The medication may lower blood glucose so the mother needs to observe the child for signs of hypoglycemia. ANS: C The dosage must be tapered bef...

Question 1 Type: MCSA 1. The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which should be the focus of the nurses care for this infant? 1. Maintaining adequate nutrition 2. Keeping the baby content 3. Preventing infection of lesions 4. Applying antibiotics to lesions Correct Answer: 3 Rationale 1: Nursing care should focus on preventing infection of lesions. Due to impaired skin- barrier function and cutaneous immunity, an infant with eczema is at great...

Chapter 1: Bronchiolitis Chapter 2: Asthma Chapter 3: Ulnar Fracture Chapter 4: Urinary Tract Infection and Pyelonephritis Chapter 5: Gastroenteritis, Fever, and Dehydration

MULTIPLE CHOICE 1. After a tonic-clonic seizure, it would not be unusual for a child to display which symptom? a. Irritability and hunger b. Lethargy and confusion c. Nausea and vomiting d. Nervousness and excitability ANS: B In the period after a tonic-clonic seizure, the child may be confused and lethargic. Some children may sleep for a period of time. Neither irritability nor hunger is typical of the period after a tonic-clonic seizure. Nausea and vomiting are not expected react...

Chapter 21: Alterations in Cardiac Function Chapter 22: Alterations in Neurological and Sensory Function Chapter 23: Alterations in Gastrointestinal Function Chapter 24: Alterations in Genitourinary Function Chapter 25: Alterations in Hematological Function

MULTIPLE CHOICE 1. Which intervention should be included in the nurses plan of care for a 7-year-old child with encopresis who has cleared the initial impaction? a. Have the child sit on the toilet 30 minutes when he gets up in the morning and at bedtime. b. Increase sugar in the childs diet to promote bowel elimination. c. Use a Fleet enema daily. d. Give the child a choice of beverage to mix with a laxative. ANS: D Offering realistic choices is helpful in meeting the school-age c...

1. A mother reports that her child has episodes in which he appears to be staring into space. This behavior is characteristic of which type of seizure? a. Absence b. Atonic c. Tonic-clonic d. Simple partial ANS: A Absence seizures are very brief episodes of altered awareness. The child has a blank expression. Atonic seizures cause an abrupt loss of postural tone, loss of consciousness, confusion, lethargy, and sleep. Tonic-clonic seizures involve sustained generalized muscle contracti...

1. Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4 C (101.1 F). What action should the nurse perform? a. Report findings to the practitioner. b. Apply a hypothermia blanket. c. Keep the child warm with blankets. d. Record the temperature on the assessment flow sheet. ANS: A In the first 24 to 48 hours after surgery, the body temperature may increase to 37.8 C (100 F) as part of the inflammatory response to tissue trauma. If the temperature is higher o...

1. The majority of children in the United States with human immunodeficiency virus (HIV) infection acquired the disease by which means? a. Through sexual contact b. From a blood transfusion c. By using intravenous (IV) drugs d. Perinatally from their mothers ANS: D More than 90% of the children with HIV under 13 years who were reported to the Centers for Disease Control and Prevention acquired the infection during the perinatal period. With intervention, the number of children infecte...

1. Identification and treatment of cryptorchid testes should be done by age 2 years. What is an important consideration? a. Medical therapy is not effective after this age. b. Treatment is necessary to maintain the ability to be fertile when older. c. The younger child can tolerate the extensive surgery needed. d. Sexual reassignment may be necessary if treatment is not successful. ANS: B The longer the testis is exposed to higher body heat, the greater the likelihood of damage. To pr...

1. A child with pyloric stenosis is having excessive vomiting. The nurse should assess for what potential complication? a. Hyperkalemia b. Hyperchloremia c. Metabolic acidosis d. Metabolic alkalosis ANS: D Infants with excessive vomiting are prone to metabolic alkalosis from the loss of hydrogen ions. Potassium and chloride ions are lost with vomiting. Metabolic alkalosis, not acidosis, is likely. 2. What term describes invagination of one segment of bowel within another? a. Atres...

Chapter 16: Care of the Toddler Chapter 17: Care of the Preschooler Chapter 18: Care of the School-Age Child Chapter 19: Care of the Adolescent Chapter 20: Alterations in Respiratory Function

MULTIPLE CHOICE 1. A school nurse is conducting a class on safety for parents of school-age children. Which statement indicates the parents need further teaching? a. Our child needs to wear sunscreen when playing soccer. b. Our young school-age child will continue to ride belted in the back seat. c. We will monitor the volume when our child is listening to music on the i-Pod with ear buds. d. Were glad our child will be home after school to let repairmen in while we are working. ANS: ...

MULTIPLE CHOICE 1. A child age 4 1/2 years sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened, yet she is not aware of her parents presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely what? a. Nightmare b. Sleep terror c. Sleep apnea d. Seizure activity ANS: B This is a description of a sleep terror. The child is observed during the episode and not disturbed unless there is a ...

MULTIPLE CHOICE 1. Which comment indicates that the mother of a toddler needs further teaching about dental care? a. We use well water so I give my toddler fluoride supplements. b. My toddler brushes his teeth with my help. c. My child will not need a dental checkup until his permanent teeth come in. d. I use a small nylon bristle brush for my toddlers teeth. ANS: C 2. Which assessment finding in a preschooler would suggest the need for further investigation? a. The child is able ...

MULTIPLE CHOICE 1. A 3-year-old child is experiencing pain after a tonsillectomy. The child has not taken in any fluids and does not want to drink anything, saying, My tummy hurts. The following health care prescriptions are available: acetaminophen (Tylenol) PO (orally) or PR (rectally) PRN, ice chips, clear liquids. What should the nurse implement to relieve the childs pain? a. Ice chips b. Tylenol PO c. Tylenol PR d. Popsicle ANS: C The throat is very sore after a tonsillectomy....

Chapter 11: Second-Degree Burns Chapter 12: Sickle Cell Anemia Chapter 13: Attention Deficit Hyperactivity Disorder Chapter 14: Obesity Chapter 15: Care of the Newborn and Infant

MULTIPLE CHOICE 1. Which statement by the nurse is most appropriate to a 15-year-old adolescent whose friend has mentioned suicide? a. Tell your friend to come to the clinic immediately. b. You need to gather details about your friends suicide plan. c. Your friends threat needs to be taken seriously and immediate help for your friend is important. d. If your friend mentions suicide a second time, you will want to get your friend some help. ANS: C Suicide is the third most common ca...

1. How should the nurse respond when asked by the mother of a child with beta-thalassemia why the child is receiving deferoxamine? a. To improve the anemia. b. To decrease hepatosplenomegaly. c. To prevent organ damage. d. To prepare your child for a bone marrow transplant. ANS: C Multiple transfusions result in hemosiderosis. Deferoxamine is given to chelate iron and prevent organ damage and complications from repeated transfusions. Preparation for a bone marrow transplant would not ...