N328 Final Exam Practice 192 Questions & Answers., Exams of Neuroscience

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N328 Final Exam Practice 192 Questions &

Answers.

The nurse is teaching the parents of a preschooler information about urinary tract infection and means of reducing their recurrence. Which statement by the parents indicates the need for additional teaching? A. "I should get her to drink a lot of water and juices." B. "I will buy her underwear a little large." C. "Soaking in a bubble bath will reduce the meatal irritation." D. "If I notice her starting to wet the bed again, I will need to have her checked for another urinary tract infection." - Correct Answer C. "Soaking in a bubble bath will reduce the meatal irritation." A urinalysis is ordered for a child with a throat culture positive for group A beta-hemolytic streptococcus. The mother asks why this test is being ordered. The nurse explains: A. The urinalysis will indicate whether an HIV infection is also present. B. Urinary tract infections are common with streptococcal infections and need to receive prompt treatment. C. Pyelonephritis is a potential complication of antibiotic therapy. D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute glomerulonephritis. - Correct Answer D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute glomerulonephritis. The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and output measurement. The nurse will most accurately measure the urine by: A. Estimating output as small, moderate, or large and recording on the child's chart B. Weighing each diaper and recording the amount of urine output as the weight of the diaper C. Subtract the weight of the dry diaper from a wet diaper and record this amount

D. Determine urine output by the number of diapers changes in each 24 - hour period - Correct Answer C. Subtract the weight of the dry diaper from a wet diaper and record this amount Define the following congenital heart defect: Failure of normal separation and division of the embryonic trunk into the pulmonary artery and aorta - Correct Answer Truncus Arteriosus Define the following congenital heart defect: Under development of the left side of the heart, consisting of small left ventricle, mitral atresia, and atretic aortic arch; the infant presents with symptoms of shock and will require heart transplantation or the Norwood surgery - Correct Answer Hypoplastic Left Heart Syndrome Define the following congenital heart defect: Defect with 4 abnormalities: ventricular septal defect, pulmonic stenosis, overriding aorta, and right ventricular hypertrophy - Correct Answer Tetrology of Fallot Define the following congenital heart defect: Incomplete fusion of the endocardial cushions, creating a large central AV valve, ASD, VSD, and allows blood to flow between all four chambers - Correct Answer Atrioventricular Canal Define the following congenital heart defect: Has a characteristic machinery-like murmur and is a continuation of a fetal shunt between pulmonary artery and aorta - Correct Answer Patent Ductus Arteriosus Define the following congenital heart defect: Abnormal opening of the atria, allowing blood from the higher pressure left atrium to the lower pressure right atrium - Correct Answer Atrial Septal Defect

Define the following congenital heart defect: Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart surgery - Correct Answer Ventricular Septal Defect Define the following congenital heart defect: Narrowing of the aortic arch; when the fetal shunt closes, the defect will cause decreased flow to the descending aorta; clinical manifestations include higher BP in the upper extremities than the lower extremities, weak/absent femoral and pedal pulses, and pale/cooler lower extremities due to decreased systemic blood flow in the lower extremities - Correct Answer Coarctation of the Aorta Define the following congenital heart defect: Atretic or absent tricuspid valve and small right ventricle, which causes cyanosis and decreased pulmonary blood flow; requires patency of the ductus arteriosus for pulmonary blood flow - Correct Answer Tricuspid Atresia Define the following congenital heart defect: thickened aortic valve; can be repaired by cardiac catheterization with a balloon to open the valve and often diagnosed by exercise intolerance - Correct Answer Aortic Stenosis Define the following congenital heart defect: Reversal of the aorta and pulmonary artery; the Aorta arises from the right ventricle and the Pulmonary artery arises from the left ventricle, causing parallel circulation; requires emergency palliative surgery in the catheterization lab called Rashkind Miller procedure, this will enlarge the foramen ovale and allow further mixing of blood till a Switch procedure can be done - Correct Answer Transposition of the Great Arteries The nurse is caring for an adolescent whose femur was fractured yesterday, The client suddenly develops chest pain and dyspnea. The nurse should suspect which of the following complications? A. Sepsis

B. Osteomyelitis C. Pulmonary embolism D. Acute respiratory infection - Correct Answer C. Pulmonary embolism A 5 - year-old child is admitted to the pediatric unit from the recovery room, following application of a hip spica cast. Which of the following nursing actions would be priority? A. Elevate the head of the bed B. Check circulation C. Turn the client to right side-lying position D. Offer ice chips - Correct Answer B. Check circulation The nurse is planning to discharge a client with a cast. Instructions to the parents regarding home care should include which of the following statements? A. "Wash the cast daily with warm soapy water and a scrub brush" B. "Gently tap on the cast at the site of injury daily to assess for pain" C. "Use a rubber ruler padded with gauze to scratch under the cast" D. "Check the skin at the cast edges for redness or swelling each day" - Correct Answer D. "Check the skin at the cast edges for redness or swelling each day" An 8 - year-old child sustained a fractured humerus in a fall from a tree house. Which of the following actions should be included in the client's plan of care? A. Advising the parents to dismantle the tree-house to prevent injuries B. Administering analgesic medication C. Applying moist heat to the fracture site D. Assessing involuntary muscle movement of the injured arm - Correct Answer B. Administering analgesic medication Which of the following clinical manifestations of hip dysplasia would be seen in a newborn infant?

A. Asymmetrical gluteal folds B. Trendelenberg sign C. Telescoping of the affected limb D. Lordosis - Correct Answer A. Asymmetrical gluteal folds Which of the following symptoms would cause the nurse to suspect that an infection had developed under a cast? A. The patient's complaint of numbness and tingling B. Cool, pale toes C. Increased respiratory rate D. Hot spots felt on the cast surface - Correct Answer D. Hot spots felt on the cast surface Which assessment finding would the nurse most likely find in a child with Legg-Calves- Perthes disease? A. A limp and mild pain in the hip B. Severe sudden limp C. Tenderness and swelling over affected joint D. Fever and aching joints - Correct Answer A. A limp and mild pain in the hip The parent of a school age child with osteogenesis imperfecta asks the nurse what type of activity would be appropriate for the child to participate in. The nurse best answer is: A. Track B. Swimming C. Soccer D. No physical activity - Correct Answer B. Swimming Which of the following strategies initiated by the school nurse would be most effective in identifying adolescents with scoliosis?

A. Teaching the parents to report changes in their child's posture B. Interviewing teens in school about any deviation in the appearance of their shoulders and back, and how their clothes fit C. Conducting a screening that includes observing students standing, walking and bending forward D. Teaching physical education teachers to recognize the disorder - Correct Answer C. Conducting a screening that includes observing students standing, walking and bending forward Determine the dermatological disorder based on the following description: Rapid onset of Sore throat. Fever, sometimes greater than 102° F. Back of the throat that is raw and red. mucous membranes bright red, scattered petechiae and small red papular lesions on the soft palate are present White pus on tonsils. Tender, high lymph nodes in neck. Absence of cough, stuffy nose, or other upper-respiratory symptoms - Correct Answer Strep throat Determine the dermatological disorder based on the following description: This healthy 8 - year-old girl developed widely disseminated red papules, clear vesicles on red bases (dew drop on a rose petal), and crusted vesicles after a 2 days of fever and upper respiratory symptoms. She had similar lesions on the palate and oral mucosa. New crops of papules appeared for 3 days and rapidly became vesicular before crusting and healing over 7 days. - Correct Answer Varicella (chickenpox) Determine the dermatological disorder based on the following description: This 4 - year-old boy developed unilateral cervical lymphadenopathy, nonpurulent conjunctivitis, erythema and edema of the hands and feet, red dry fissured lips, and target lesions on the legs. He looked ill and had a fever for a week which was unresponsive to antipyretics. He improve dramatically with intravenous immunoglobulin - Correct Answer Kawasaki disease

Determine the dermatological disorder based on the following description: History: Abrupt onset of fever, headache, vomiting, malaise, chills, and sore throat occurs. Rash appeared 1 - 4 days after the onset. Physical: The mucous membranes bright red, scattered petechiae and small red papular lesions on the soft palate are present. A shiny red tongue with prominent papillae (red, strawberry tongue). The exanthem consists of a fine erythematous punctate eruption that appeared within 1 - 4 days following the onset of the illness. Pastia lines can be observed. The face is flushed, and circumoral pallor is observed. The eruption imparts a dry rough texture to the skin that is reported to resemble the feel of sandpaper followed by fine desquamation. - Correct Answer Scarlet Fever Determine the dermatological disorder based on the following description: An 18 - month-old girl Chief compliant: Vesiculopapular lesions at both palms and soles for 2 days Present illness: She had been well since birth. 5 days prior to admission, She developed low grade fever, dry cough and running nose.2 days prior to admission, low grade fever persisted and she developed vesiculopapular lesions at both palms and soles.1 day prior to admission, although the fever subsided, the skin lesions increased in number. There is no pain nor itching. Past history: She has had normal growth and development Her immunizations are up-to- date. - Correct Answer Hand-Foot-Mouth disease Determine the dermatological disorder based on the following description: A 4 year old girl with cyclic vomiting developed fever and malaise in association with a diffuse reticulated exanthem with slapped cheek erythema and purpura particularly on the hands and feet. PCR for Parvovirus B 19 was positive. - Correct Answer Fifth Disease (Erythema Infectiosum) Determine the dermatological disorder based on the following description:

This child presents with pustules and round, oozing patches which have grown larger day by day. There are clear blisters and golden yellow crusts. This bacterial infection most often occurs on exposed areas such as the hands and face, or in skin folds. - Correct Answer Impetigo Determine the dermatological disorder based on the following description: Typically begins as a small, inflamed area of pain, swelling, warmth, and redness on a child's skin. As this red area begins to spread, the child may begin to feel sick and develop a fever, sometimes with chills and sweats. Conditions that create breaks in the skin and allow bacteria to enter, such as eczema and severe acne, will put a child at risk for this, as well as, chickenpox, scratched insect bites, animal bites, and puncture wounds are other causes. - Correct Answer Cellulitis Determine the dermatological disorder based on the following description: This 3 month old infant presented with a patchy, greasy, scaly and crusty skin rash on the scalp. This skin disorder may also affect other areas of the body such as behind the ears, in the creases of the neck, armpits and diaper area. - Correct Answer Seborrheic dermatitis Determine the dermatological disorder based on the following description: This infant presents with confluent bright red papules and plaques with scattered pustules, overlying scale, and satellite lesions at the periphery. A potassium hydroxide wet mount of material scraped from this diaper dermatitis revealed abundant hyphae. The infant also had thrush. Treatment included oral (nystatin suspension to the oral mucosa four times a day) and topical nystatin (to diaper area), nystatin to mother's nipples, extra air drying between diaper changes, and boiling of rubber nipples. - Correct Answer Candidiasis Determine the dermatological disorder based on the following description: This is any of several bacterial strains of the genus Staphylococcus (S. aureus) that are resistant to beta-lactam antibiotics (as methicillin and nafcillin) and that are typically benign colonizers of the skin and mucous membranes (as of the nostrils) but may cause severe infections (as by entrance through a surgical wound) esp. in immunocompromised individuals. - Correct Answer MRSA

Determine the dermatological disorder based on the following description: This 9 - year-old girl developed thick scaly itchy plaques with broken hairs throughout the scalp - Correct Answer Tinea capitus (ringworm of the scalp) Determine the dermatological disorder based on the following description: This healthy 7 - week-old girl developed an itchy papulovesicularpustular eruption with crusting particularly in the right axilla. The lesions began in the right axilla and spread over the chest, abdomen, and back with sparing of the face, neck, arms, legs, and diaper area. An asymmetric truncal eczematous eruption comprised of linear red edematous papules and pustules, some with overlying crusts and surrounding hyperpigmentation. Her mother had a few pruritic excoriated papules on her wrists and forearms. The entire family was treated with 5 percent permethrin cream. - Correct Answer Scabies Determine the dermatological disorder based on the following description: Description: linear excoriated edematous crusted red papules and plaques Comments: A 15 - year-old complained of an itchy eruption on her legs after a weekend camping trip - Correct Answer poison ivy Determine the dermatological disorder based on the following description: In the prodromal or beginning stages, one of the signs of the onset of this viral illness is the eruption of "Koplik spots" on the mucosa of the cheeks and tongue, which appear as irregularly-shaped, bright red spots often with a bluish-white central dot. - Correct Answer measles A mom calls the triage nurse that her son was playing in the woods where there is a lot of poison ivy. Nurse is correct in giving the following instructions... (select all that apply) A. Immediately take a cool shower and do not use any harsh detergents B. If contaminated the rash will appear in 1 week C. Wash clothes and shoes that he was playing in. D. Apply Bactroban antibiotic cream to the lesions - Correct Answer A. Immediately take a cool shower and do not use any harsh detergents

C. Wash clothes and shoes that he was playing in. A child develops a severe case of poison ivy. What medication should the nurse anticipate? A. Oral corticosteroids B. Antibiotics C. Calamine lotion D. Aveeno baths - Correct Answer A. Oral corticosteroids A 10 year old is sent to the school nurse with a honey colored crusty, redden papules on his face. The child states that the lesion is itchy. The priority of the nurse is to do the following... A. Tell the child to wash his face and hands then send him back to class B. Call the caregiver and have the child seen by a physician or NP. C. Assess his temperature and lungs D. Examine the patients extremities for further infestation - Correct Answer B. Call the caregiver and have the child seen by a physician or NP. A 16 year old female is to be started on Accutane (Isotretinoin 12 - cis-retoinic acid) and a method of birth control. What instructions should be given to the patient? (Select all that apply.) A. Utilizing sunscreen and hats or visors B. Accutane can cause severe birth defects in the fetus C. Do not eat fatty foods D. Scrub face with an antibacterial soap E. Notify MD of s/s of depression F. Educate re s/s of depression - Correct Answer A. Utilizing sunscreen and hats or visors B. Accutane can cause severe birth defects in the fetus C. Do not eat fatty foods E. Notify MD of s/s of depression

F. Educate re s/s of depression A child is admitted with scarlet fever. What clinical findings should the nurse expect? (Select all that apply.) A. White strawberry tongue progressing to a red strawberry tongue B. Viral agent C. Koplik spots D. Red maculopapular rash spreading cephalocaudal E. Abrupt fever , headache, chills and malaise - Correct Answer A. White strawberry tongue progressing to a red strawberry tongue D. Red maculopapular rash spreading cephalocaudal E. Abrupt fever , headache, chills and malaise What type of isolation should the child with scarlet fever be placed in, and for how long? A. Contact isolation throughout the hospital stay B. Respiratory precautions till 24 - 48 hrs of treatment C. None of the above - Correct Answer B. Respiratory precautions till 24 - 48 hrs of treatment A school nurse has a number of students with erythema infectiosum (Fifth Disease) in the grade school. She wants to send a letter home with the children to educate the parents about the disease. She would be correct in stating the following.... (Select all that apply.) A. It is caused by a virus (B19 human parvovirus) B. The reaction should last for 24 - 48 hrs C. Isolate the child if sx present D. Symptoms include slapped face appearance, maculopapular red spotted rash which is symmetrical and lacey appearance E. Offer aspirin for fever - Correct Answer A. It is caused by a virus (B19 human parvovirus)

D. Symptoms include slapped face appearance, maculopapular red spotted rash which is symmetrical and lacey appearance A 6 yr old child comes to the clinic with a pruritic rash in the interdigital surfaces, axilla and antecubital area, and noted discrete papules with a grayish-brown , threadlike burrows. What should the nurse suspect? A. dermatitis B. scabies C. body lice - Correct Answer B. scabies Iron deficiency anemia is prevalent in all of the following except: A. Toddlers B. Adolescents C. Pregnant women D. School children - Correct Answer D. School children When planning a client education program for SCD, the nurse should include such topics as: A. Proper handwashing and infection avoidance B. High iron, high protein diet C. Fluid restriction to one quart per day D. Aerobic exercise to increase oxygenation - Correct Answer A. Proper handwashing and infection avoidance The long-term complications of thalassemia major are related to: A. Hemochromatosis B. Splenomegaly C. Anemia D. Growth retardation - Correct Answer A. Hemochromatosis

Which of the following tests is most helpful in diagnosing hemophilia? A. Bleeding time B. PTT C. Platelet count D. CBC - Correct Answer B. PTT Which of the following medications should be avoided by children with ITP? A. Acetaminophen B. Codeine C. Morphine D. ASA - Correct Answer D. ASA Steroids are prescribed for a child with ITP. What should the nurse monitor? A. Anemia B. Bleeding C. Bruising D. Infection - Correct Answer D. Infection The nurse is caring for a child with thalassemia B major. The child is receiving chelation therapy. The family asks what is the purpose of the treatment. What is the best nursing response? A. Helps stop bleeding B. Increases the iron count C. Eliminates excess iron D. Decreases the risk of hypoxia - Correct Answer C. Eliminates excess iron A child is admitted to the pediatric unit with ITP. What assessment findings would you expect?

A. Dark colored urine B. Petechiae C. Fever D. Joint swelling - Correct Answer B. Petechiae A 2 year old boy with iron deficiency anemia is brought to the clinic for follow-up. He has been taken Ferrous iron drops. Which vitamin or supplements should the child take with the iron to enhance absorption? A. Niacin B. B C. Ascorbic acid D. Vitamin A - Correct Answer C. Ascorbic acid Which of the following terms is described by the following: "the process through which RBCs are formed" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer A. Erythropoiesis Which of the following terms is described by the following: "kidneys' response to hypoxia"

A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer G. Erythropoietin Which of the following terms is described by the following: "excessive absorption or accumulation of iron in the body" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer D. Hemochromatosis Which of the following terms is described by the following: "platelet deficiency" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia

F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer F. Thrombocytopenia Which of the following terms is described by the following: "a reduction in number of RBCs, quantity of Hgb, and volume of packed RBCs" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer B. Anemia Which of the following terms is described by the following: "increased number of red cells in the blood" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer E. Polythycemia Which of the following terms is described by the following:

"bleeding into a joint space" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer C. Hemarthrosis Which of the following terms is described by the following: "blockage of a blood cell that occurs in sickle crisis" A. Erythropoiesis B. Anemia C. Hemarthrosis D. Hemochromatosis E. Polythycemia F. Thrombocytopenia G. Erythropoietin H. Vaso-occlusion - Correct Answer H. Vaso-occlusion Treatment for iron deficiency anemia - Correct Answer - ferrous sulfate

• dextran (parenteral form) treatment for Christmas disease (Hemophilia B) - Correct Answer factor IX treatment for sickle cell crisis - Correct Answer - morphine

• oxygen
• hydration treatment for lead poisoning - Correct Answer - lead chelation therapy, CaNa2EDTA and succimer
• BAL treatment for Hemophilia A - Correct Answer - factor VIII
• DDAVP (1-deamino 8deargine vasopressin) treatment for beta-thalassemia - Correct Answer - iron chelation
• Deferoxamine (Desferal)
• blood transfusions treatment for ITP (idiopathic thrombocytopenic purpura) - Correct Answer - steroids
• IVIG A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers E. Low blood pressure - Correct Answer A. Weak femoral pulses B. Cool skin of lower extremities E. Low blood pressure A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.) A. Bradycardia

B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring - Correct Answer B. Cool extremities C. Peripheral edema E. Nasal flaring A nurse is providing discharge teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include? A. "Do not offer your baby fluids after giving the medication." B. "Digoxin increases your baby's heart rate." C. "Give the correct dose of medication at regularly scheduled times." D. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received." - Correct Answer C. "Give the correct dose of medication at regularly scheduled times." A nurse is caring for a 2 year old child who has a heart defect and is scheduled for cardiac catheterization. Which of the following actions should the nurse take? A. Place on NPO status for 12 hr prior to the procedure B. Check for iodine or shellfish allergies prior to the procedure C. Elevate the affected extremity following the procedure D. Limit fluid intake following the procedure - Correct Answer B. Check for iodine or shellfish allergies prior to the procedure A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following findings should the nurse expect? (Select all that apply.) A. Erythema marginatum (rash) B. Continuous joint pain of the digits C. Tender, subcutaneous nodules D. Decreased erythrocyte sedimentation rate

E. Elevated C-reactive protein - Correct Answer A. Erythema marginatum (rash) E. Elevated C-reactive protein A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.) A. Heightened sense of hearing B. Tachycardia C. Difficulty swallowing D. Sensation of being cold E. Cheyne-Stokes respirations - Correct Answer C. Difficulty swallowing E. Cheyne-Stokes respirations A nurse is teaching a guardian about complicated grief. Which of the following statements should the nurse make? A. "Complicated grief occurs when little time is spent thinking about the loss." B. "Personal activities are rarely affected when experiencing complicated grief." C. "Guardians will experience complicated grief." D. "Counseling can be helpful in resolving complicated grief." - Correct Answer D. "Counseling can be helpful in resolving complicated grief." A nurse is teaching a caregiver of a preschool child about the factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? A. Preschool children have no concept of death B. Preschool children perceive death as temporary C. Preschool children often regress to an earlier stage of behavior D. Preschool children experience fear related to the disease process - Correct Answer B. Preschool children perceive death as temporary

A nurse often cares for children who are dying. Which of the following are actions for the nurse to take to maintain professional effectiveness? (Select all that apply.) A. Remain in contact with the family after their loss B. Develop a professional support system C. Take time off from work D. Suggest that a hospital representative attend the funeral E. Demonstrate feelings of sympathy toward the family - Correct Answer A. Remain in contact with the family after their loss B. Develop a professional support system C. Take time off from work A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? A. "I'm sure the family is hopeful that the new medication will stop the illness." B. "I'll miss working with this client now that only nurses will be caring for the child." C. "I will get all the client's personal objects out of the room." D. "I will listen and respond as the family talks about their child's life." - Correct Answer D. "I will listen and respond as the family talks about their child's life." A nurse is providing teaching about the management of epistaxis to an adolescent. Which of the following positions should the nurse instruct the adolescent to take when experiencing a nosebleed? A. Sit up and lean forward B. Sit up and tilt the head up C. Lie in a supine position D. Lie in a prone position - Correct Answer A. Sit up and lean forward A nurse is providing teaching about epistaxis to the parent of a school-age child. Which of the following should the nurse include as an action to take when managing an episode of epistaxis? (Select all that apply.)

A. Press the nares together for at least 10 min B. Breathe through the nose until bleeding stops C. Pack cotton or tissue into the naris that is bleeding D. Apply a warm cloth across the bridge of the nose E. Insert petroleum into the naris after the bleeding stops - Correct Answer A. Press the nares together for at least 10 min C. Pack cotton or tissue into the naris that is bleeding A nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should take my child to the emergency department if his stools become dark." B. "My child should avoid eating citrus fruits while taking the supplements." C. "I should give the iron with milk to prevent an upset stomach." D. "My child should take the supplement through a straw." - Correct Answer D. "My child should take the supplement through a straw." A nurse is preparing to administer iron dextran IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle B. Use the Z-track method when administering the dose C. Avoid injecting more than 2 mL with each dose D. Massage the injection site for 1 min after administering the dose - Correct Answer B. Use the Z-track method when administering the dose A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test B. Hemoglobin electrophoresis

C. Complete blood count D. Transcranial Doppler - Correct Answer B. Hemoglobin electrophoresis A nurse is teaching a parent of a child who has a UTI. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Wear nylon underpants B. Avoid bubble baths C. Empty bladder completely with each void D. Watch for manifestations of infection E. Wipe perineal area back to front - Correct Answer B. Avoid bubble baths C. Empty bladder completely with each void D. Watch for manifestations of infection A nurse is planning care of a child who has a UTI. Which of the following interventions should the nurse include? A. Administer an antidiuretic B. Restrict fluids C. Evaluate the child's self-esteem D. Encourage frequent voiding - Correct Answer D. Encourage frequent voiding A nurse is assessing an infant who has a suspected UTI. Which of the following are expected findings? (Select all that apply.) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever - Correct Answer B. Irritability D. Vomiting E. Fever

A nurse is assessing a child who has a UTI. Which of the following are manifestations of a UTI? (Select all that apply.) A. Night sweats B. Swelling of the face C. Pallor D. Pale-colored urine E. Fatigue - Correct Answer B. Swelling of the face C. Pallor E. Fatigue A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying B. Avoid turning the child until the cast is dry C. Assist the client with crutch walking after the cast is dry D. Apply moleskin to the edges of the cast - Correct Answer D. Apply moleskin to the edges of the cast A nurse is teaching a group of caregivers about fractures. Which of the following information should the nurse include in the teaching? A. "Children need a longer time to heal from a fracture than an adult." B. "Epiphyseal plate injuries can result in altered bone growth." C. "A greenstick fracture is a complete break in the bone." D. "Bones are unable to bend, so they break." - Correct Answer B. "Epiphyseal plate injuries can result in altered bone growth." A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (Select all that apply.)

A. Place a heat pack on the site of injury B. Elevate the affected limb C. Assess neurovascular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury - Correct Answer B. Elevate the affected limb C. Assess neurovascular status frequently E. Stabilize the injury A nurse is caring for a child who has a fracture. Which of the following are manifestations of a fracture? (Select all that apply.) A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis - Correct Answer A. Crepitus B. Edema C. Pain E. Ecchymosis A nurse is caring for a child who is in skeletal traction. Which of the following actions should the nurse take? (Select all that apply.) A. Remove the weights to reposition the client B. Assess the child's position frequently C. Assess pin sites every 4 hr D. Ensure the weights are hanging freely E. Ensure the rope's knot is in contact with the pulley - Correct Answer B. Assess the child's position frequently C. Assess pin sites every 4 hr D. Ensure the weights are hanging freely