Examsrevision

MULTIPLE CHOICE 1. A nurse caring for a child with cerebral palsy (CP) administers the medication baclofen in order to decrease which of the following symptoms? a. Pain b. Seizures c. Drooling d. Spasticity ANS: D Baclofen reduces spasticity. When given via an implanted pump it is more effective then when given orally. DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9 TOP: Cerebral Palsy KEY: Nursing Process Step: Implementation 2. A nurse providing care to a ch...

MULTIPLE CHOICE 1. What finding would a nurse assessing the neurovascular status of a child in Russell traction report immediately? a. Skin that is warm to the touch b. Capillary refill less than 3 seconds c. Ability to wiggle toes d. Bluish colouration of skin ANS: D Cyanosis or pallor noted in an extremity is an indication of circulatory impairment. DIF: Cognitive Level: Application REF: 568 OBJ: 7 | 8 TOP: Neurovascular Assessment KEY: Nursing Process Step: ...

MULTIPLE CHOICE 1. An adolescent has just had a generalized seizure and collapsed at school. When should a nurse should call 911? a. The seizure lasts more than 5 minutes. b. The child is sleepy and lethargic after the seizure. c. The child vomited at the onset of the seizure. d. The child is confused and has slurred speech after the seizure. ANS: A If there are multiple seizures or if seizures last more than 5 minutes, call 911 because these are indicators of possible status e...

Chapter 16: The Preschool Child Chapter 17: The School-Age Child Chapter 18: The Adolescent Chapter 19: The Child’s Experience of Hospitalization Chapter 20: Health Care Adaptations for the Child and Family

MULTIPLE CHOICE 1. A 13-year-old girl has been hospitalized for the past week. When discussing the girl’s feelings about her illness, what would the nurse expect the girl to express as her biggest concern? a. Invasive procedures b. Loss of control c. Appearance d. Separation from her boyfriend ANS: C Illness during early adolescence (12 to 15 years) is seen mainly as a threat to body image. DIF: Cognitive Level: Comprehension REF: 453 OBJ: 11 TOP: The Hospitalized Adol...

MULTIPLE CHOICE 1. Which herbal remedy used by a patient taking anticoagulant should a nurse report to a primary health care provider? a. Garlic b. Chamomile c. Ginseng d. Kava-kava ANS: A Garlic increases bleeding time and caution should be used when the patient is taking an anticoagulant. DIF: Cognitive Level: Application REF: 498 OBJ: 4 TOP: Herbal Remedies KEY: Nursing Process Step: Data Collection 2. What should a nurse remind a parent who is considering home...

MULTIPLE CHOICE 1. A 4-year-old child asks tearfully if the IM injection will hurt. What is a nurse’s most effective response? a. “No. It is over before you know it.” b. “Yes. It will sting a little.” c. “No. Would you like to see the syringe?” d. “Yes. Your mom and I are going to hold you to help you be still.” ANS: B Truthful answers will give a child a realistic expectation and help establish trust in the nurse. DIF: Cognitive Level: Application REF: 47...

MULTIPLE CHOICE 1. What is a nurse’s best advice to a parent about a preschooler’s “imaginary friend”? a. Having imaginary friends is a sign that the child has low self-esteem. b. It is common for preschoolers to have imaginary friends. c. Preschoolers invent an imaginary friend when they feel overwhelmed. d. The best approach to dealing with an imaginary friend is to ignore them. ANS: B Imaginary friends are common and normal during the preschool period and serve many ...

MULTIPLE CHOICE 1. A girl tells a nurse that she and her best friend belong to the popular clique. She states, “I love Lady Gaga, and I want to be a singer.” The nurse recognizes the girl’s statement as characteristic of what time period? a. Early adolescence b. Middle adolescence c. Late adolescence d. The entire adolescent period ANS: A Cliques of unisex friends, having a best friend, and hero worship are characteristics of the early adolescent. DIF: Cognitive Level:...

Chapter 11: The Term New-born Chapter 12: The High-Risk New-born Chapter 13: An Overview of Growth, Development, and Nutrition Chapter 14: The Infant Chapter 15: The Toddler

MULTIPLE CHOICE 1. A parent states, “My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don’t know what to do.” What type of pet should the nurse suggest as the best choice? a. A small breed of dog because the large dogs produce more allergens. b. An older unneutered dog that produces fewer allergens than a younger one. c. A cat because it requires less care and is less allergenic. d. A poodle, which does not shed, making it a good choic...

MULTIPLE CHOICE 1. What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain? a. Give him an ice cube to suck on. b. Have him wash his mouth out with peroxide and water. c. Wrap the tooth in a clean tissue. d. Wash off the tooth and place it in a container of milk. ANS: D The tooth should be washed off and put in a container of milk to preserve it for possibl...

MULTIPLE CHOICE 1. What would be an expected finding when assessing language development in a 2-year-old child? a. A 900-word vocabulary b. Use of two-word sentences c. Use of pronouns and prepositions d. 100% of speech is understandable ANS: B The 2-year-old child should be using two-word sentences. DIF: Cognitive Level: Analysis REF: 374 OBJ: 5 TOP: Speech Development KEY: Nursing Process Step: Data Collection 2. A nurse is planning to explain the use of time-out...

MULTIPLE CHOICE 1. A nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant. Which statement made by the mother would indicate an unsafe behaviour? a. “I put covers on all of the electrical outlets.” b. “In the car, she rides in a front-facing car seat.” c. “There are locks on all of the cabinets in the house.” d. “I have a gate at the top and bottom of the stairs.” ANS: B A rear-facing infant car seat should be used for infan...

Chapter 06: Nursing Care of Mother and Infant During Labour and Birth Chapter 07: Pain Management During Labour and Birth Chapter 08: Nursing Care of Women with Complications During Labour and Birth Chapter 09: Nursing Care of the Woman and Family After Birth Chapter 10: Nursing Care of Women with Complications After Birth

MULTIPLE CHOICE 1. What is the best response to a postpartum woman who tells a nurse she feels “tired and sick all of the time since I had the baby 3 months ago”? a. “This is a normal response for the body after pregnancy. Try to get more rest.” b. “I’ll bet you will snap out of this funk real soon.” c. “Why don’t you arrange for a babysitter so you and your husband can have a night out?” d. “Let’s talk about this further. I am concerned about how you are feel...

MULTIPLE CHOICE 1. What would a nurse assess for in a preterm infant receiving an intravenous infusion containing calcium gluconate? a. Seizures b. Bradycardia c. Dysrhythmias d. Tetany ANS: B The infant receiving intravenous calcium gluconate should be monitored for bradycardia. DIF: Cognitive Level: Application REF: 303 OBJ: 4 TOP: Hypocalcemia KEY: Nursing Process Step: Data Collection 2. What is the rationale for placing a preterm infant born at 34 weeks of ges...

MULTIPLE CHOICE 1. The mother of a 2-week-old infant tells a nurse that she thinks he is sleeping too much. What is the most appropriate nursing response to this mother? a. “Tell me how many hours per day your baby sleeps.” b. “It is normal for newborns to sleep most of the day.” c. “Newborns generally sleep 12 to 15 hours per day.” d. “You will find as the baby gets older, he sleeps less.” ANS: A Although it is true that newborns sleep a great deal of any 24-ho...

MULTIPLE CHOICE 1. What assessment should be taken immediately after the anesthesiologist administers an epidural block to a labouring woman? a. Assess bladder for distention b. Blood pressure c. Sensation in the lower extremities d. Intravenous fluid flow rate ANS: B Blood pressure is checked every 5 minutes when the epidural block is first begun. Bladder assessment is also important but not an initial assessment. DIF: Cognitive Level: Application REF: 182 OBJ: 8 TOP: E...

MULTIPLE CHOICE 1. A woman asks about resumption of her menstrual cycle after childbirth. How should a nurse respond? a. A woman will not ovulate in the absence of menstrual flow. b. Most nonlactating women resume menstruation about 2 months postpartum. c. A woman does not ovulate until after she has a menstrual period. d. The return of menstruation is delayed when a woman does not breastfeed. ANS: B Menstrual periods resume in about 6 to 8 weeks if the woman is not breastfeedi...