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NSG 3600 EXAM 1 PEDIATRIC NURSING
GALEN COLLEGE OF NURSING
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
A nursing faculty member is explaining the pediatric immune system to students. Which statement is correct? a. children are born with intact immune systems b. children's immune systems develop over 1 year c. immunity isn't functional until about 6 months d. mothers immunity is babies primary line of defense Correct Answer A A nurse is providing anticipatory guidance to new parents. Which instruction by the nurse will assist the parents in painting physical barriers to prevent infection int heir newborn? a. breastfeeding provides some antibodies b. ensure your baby is getting enough nutrition c. keep your baby away from people who are sick d. was your body with gentle soap and dry well Correct Answer D A 10-month-old-child is int he pediatric clinic for his 8th ear infection. Which assessment is most important for the nurse to perform on this child? a. ask the parent about possible allergy testing b. assess the Childs mouth for oral thrush
c. graph height and weight on the growth chart d. inquire about the health of the entire family Correct Answer C A parent calls a pediatric information line to ask about treating sinus congestion in a child. Which suggestions is not appropriate for the nurse to make the parent? a. warm-facial compress b. cool-mist steamer c. Sine-Off sinus medication d. gentle nasal suctioning Correct Answer C An immunocompromised child has been admitted to the hospital with Fifths disease. Which action by the nurse is most appropriate? a. place the child in contact precautions b. place the child in droplet precautions c. place the child in protective isolation d. place the child on standard precautions Correct Answer B A child is hospitalized with a. serious bacterial infection. Which assessment finding indicates that he goals for a priority nursing diagnosis have been met? a. intact skin integrity b. normal temperature c. stable weight d. urine output of 1mL/kg/hour Correct Answer D
b. inform the parents that fresh produce is not allowed c. place the child on contact isolation precautions d. use standard precautions when caring for this child Correct Answer A The pediatric charge nurse receives this report on an incoming admission: a 3-year-old boy with ear and jaw pain, bilateral parotid gland swelling, and mild dehydration. Which action by the charge nurse is most appropriate? a. do not assign any pregnant nursing staff b. inform parents that sterility is common c. place the child on droplet precautions d. place the child on airborne precautions Correct Answer C The family practice nurse counsels parents to avoid giving their child salicylates for fever or mild pain. Which over- the-counter medications does the nurse warn about that contain this product? (Select all that apply.) a. Alka-Seltzer b. Bufferin c. Dristan d. Kaopectate E. Robitussin Correct Answer A, B, C, D A nurse is educating a community group of parents about prevention of West Nile virus. Which information does the nurse include in the teaching session? (Select all that apply.) a. all children should be sprayed with DEEt before going outside
b. eliminate standing water around your house, such as in birth-baths c. holistic mosquito repellent, such as lavender, is very effective d. long sleeves and long pants help prevent mosquito bites e. the peak season for the virus is late summer to early autumn Correct Answer B, D, E A child has been hospitalized with rubeola. Which actions by the nursing staff are most important? (Select all that apply.) a. administer ordered antibiotics on time b. assess the child for Kopliks spots c. ensure the room is dark for photophobia d. monitor the child for febrile seizures e. report the disease to health authorities Correct Answer B, C, E The pediatric nurse is caring for a 5 y/o child in traction related to a broken femur. Which action by the nurse takes priority? a. assess neuromuscular status every 4 hours b. provide diversional activities for the child c. educate parents on the principles of traction d. provide high-protein, high-fiber menu items Correct Answer A The nurse consults the child life specialist to help plan care for a child who is immobilized and is increasingly anxious. Which is the priority intervention for this child?
The pediatric nurse understands that which classification of fracture has the most potential to affect growth? a. type III b. type V c. closed d. open Correct Answer B Which explanation by the pediatric nurse is most appropriate for a child with ankylosis? a. ROM restriction in the vertebrae b. adhesions causing joint immobility c. curvature of the cervical spine d. bowed legs caused by low calcium Correct Answer B A nurse visiting a day care notices a boy trying to get up off the floor by kneeling, rising to his feet while keeping his hands on the flood, and then walking his hands up his legs until he is standing. Which assessment finding does this nurse document? a. positional instability b. Grower's maneuver c. Kernig's sign d. Grey Turner's sign Correct Answer B The nurse is providing care to a child diagnosed with lordosis. Which comment erm might the parents have heard to describe this condition? a. hunchback b. swayback c. spinal curvatura
d. flat feel Correct Answer B A nurse admitting a child to the intensive care unit is told the child has risus sardonicus. Which disease process does the nurse suspect the child has? a. scoliosis b. osteogenesis imperfecta c. Duchenne's muscular dystrophy d. tetanus Correct Answer D A pediatrician asks a patient with a knee injury to squat. Which disorder is this patient suspected of having? a. juvenile arthritis b. muscular dystrophy c. Osgood-Schlatter disease d. Osteomyelitis Correct Answer C A nurse is conducting a sports fitness class for volunteer coaches. Which information provided by the nurse is the most appropriate? a. fractures heal more quickly in children bc their bones are still growing b. children are prone to fractures bc their bones are weaker than adults bones c. ligaments are bands of fibrous tissue that hols muscles to the bones d. once a child reaches adult height, bone development eventually stops Correct Answer A A woman who wishes to become pregnant again consults with the nurse about preventing her child from being born
A nurse is caring for an 8-year-old child hospitalized 2 days after open reduction and internal fixation (ORIF) of a femur fracture sustained in a motor vehicle crash. The child is now in a long-leg cast. Which assessment finding prompts the nurse to notify the health- care provider? a. a foul odor coming from the cast b. child eating only 20% of meals c. old dried drainage marked not he cast d. request for pain medicine every 4 hours Correct Answer A A new nurse is placing an elastic wrap on a patient with an ankle sprain. Which action by this nurse causes an experienced nurse to intervene? a. exerts moderate pull on the wrap b. instructs the pt on wrapping the injury c. starts wrapping distal to the injury d. wraps in a proximal-to-distal fashion Correct Answer D A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV) antibiotics. Which action by the nurse is the most appropriate? a. ensure that a valid permit for a PICC line is on the chart b. locate a pharmacy that will supply the IV medications c. research the pt's insurance for home infusion coverage d. teach the child about PICC line using a doll Correct Answer A
An 8-month-old child with congenital myotonic dystrophy has been hospitalized with a severe respiratory infection. Which action by the nurse is the most appropriate? a. determine if the family wants aggressive ventilatory support b. discuss the option of lung transplantation w/ the family c. hold a family meeting to discuss palliative care measures and code status d. inform the family the child will be ventilator dependent as she gets older Correct Answer C A home health-care nurse is visiting a child with Duchennes muscular dystrophy (MD). The child has a new cough, poor appetite, fatigue, and a reddened area on his coccyx from sitting in his wheelchair all day. What intervention by the nurse takes priority? a. assess child for his favorite high-protein foods b. develop a protocol for changing positions more often c. encourage family to allow the child plenty of rest d. notify the health-care provider and request antibiotics Correct Answer D The parents of a 3-year old cannot understand how their child has developed osteoporosis, stating We didnt think children could get this disease. Which assessment by the nurse is most important? a. attainment of developmental milestones b. dietary intake of calcium c. height and weight d. labor and birth history Correct Answer D
a. approximately 10%-15% of childhood injuries are fractures b. bicycle crashes account for many fractures c. girls rarely have stress fractures from sports d. new bone growth is complete in 6 weeks E. some fractures can interrupt normal growth Correct Answer A, B, E A pediatrician orders Russell traction for a 12-year-old patient with Legg-Calv-Perthes disease. Which interventions are appropriate for the nurse to include in the care plan for this patient? (Select all that apply.) a. bony areas are massaged frequently b. child is lying in a supine position c. hip is flexed and abducted d. skin is inspected every 12 hours e. the child uses a trapeze to move Correct Answer B, C, E Following hip surgery, a patient is placed in a spica cast. What nursing interventions are appropriate for this patient? (Select all that apply.) a. cutting a window in the cast b. icing the area of the incision c. increasing fiber in the diet d. increasing fluid intake e. maintaining the same position Correct Answer A, C, D The pediatric nurse is caring for a patient with juvenile arthritis. The health-care provider tells the nurse the patient will be started on disease-modifying antirheumatic
drugs (DMARDs). Which drugs does the nurse anticipate administering? (Select all that apply.) a. acetaminophen (Tylenol) b. indomethacin (Indocin) c. infliximab (Remicade) d. leflunomide (Arava) e. methotrexate (Rheumatrex) Correct Answer C, E The pediatric nurse explains to the parents of a child with kyphosis that it is caused by a congenital or acquired condition. Which conditions are considered congenital causes of kyphosis? (Select all that apply.) a. ankylosing spondylitis b. chronic poor posture c. osteogenesis imperfecta d. osteomyelitis e. rheumatoid arthritis Correct Answer A, C The pediatric nurse discusses home care with the parents of a patient who is returning home following a spinal fusion. Which teaching points will the nurse include in the discharge teaching for this patient? (Select all that apply.) a. allow the child to return to school about 4-6 weeks following surgery b. encourage ambulation when permitted, usually 2- 3 weeks postoperatively c. explain activity restrictions such as no twisting, bending, or lifting d. maintain a regular diet with added calcium, fiver, and vitamin C
A nurse assessing a newborn for birth injuries knows that the bone most often factored during delivery is which of the following? a. clavicle b. femur c. wrist d. ankle Correct Answer A The perinatal nurse teaches new parents that the best sleeping position for infants is which of the following? a. prone b. side-lying c. side-lying with a blanket roll behind the infants back d. supine Correct Answer D A nurse is preparing to discharge an infant who has developmental dysplasia of the hip (DDH). What discharge instruction would be most important? a. how to correctly perform Ortolanis maneuver b. how to properly use the Pavlik harness c. when to return for corrective surgery d. where to take the baby to be for for corrective shoes Correct Answer B CH. 20 The pediatric nurse assesses the toddler's fine motor skills by observing which task? A. Buttoning a shirt B. Writing with a pencil C. Holding a spoon to eat D. Using the pincer grasp Correct Answer c
CH. 20 According to Piaget, an infant uses his or her senses to learn and explore the environment. Which action is the most appropriate for the nurse to implement to determine object permanence? A. Playing the game of peek-a-boo B. Encouraging the infant to shake a rattle C. Pushing a button on an overhead mobile D. Placing the child in a stroller and going for a walk Correct Answer A CH. 20 The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month-old infant. Which statement is not appropriate for the nurse to include in the teaching session? A. "Do not leave small objects on the floor because your baby will be crawling soon." B. "Keep the side rails up to prevent your baby from falling out of the crib." C. "Put safety locks on all cabinets to prevent accidents." D. "Allow your baby to stay alone for short periods of time to promote independence." Correct Answer D CH. 20The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplining her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to do with her!" Which response by the nurse is the most therapeutic? A. "The terrible twos are a difficult time. You have to show her that you are the boss!" B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions."
CH. 20 What is not a key aspect in a teen's environment that helps when making good decisions? A. Ability to think abstractly B. Ability to use deductive reasoning C. Ability to make long-term plans D. Ability to use logical thinking Correct Answer D CH. 20 A nurse is planning an educational class for new families based on Duvall's family development theory. Based on the theory, how are family stages determined? A. Number of children in the family B. The oldest child in the family C. The youngest child in the family D. Years the couple has been married Correct Answer B CH. 20 A mother is complaining to the nurse that her 3- year-old child often has difficulty falling and staying asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the most appropriate? A. Assess the child's usual nighttime routine. B. Assure mom that sleep and behavior are not related. C. Encourage active play before bedtime. D. Have mom put the child to bed only when sleepy. Correct Answer A CH. 20 A nurse is providing anticipatory guidance to the parents of a preschool-aged child regarding discipline. Which information is most beneficial? A. Children at this age lie frequently and without reason. B. Consequences should be natural and fit the behavior.
C. Explaining the rules is not as important as discipline. D. Taking away privileges is a powerful tool for this age group. Correct Answer B CH. 21 When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child's developmental status. Which nursing action demon-strates awareness of the child's developmental status? A. Demonstrating the procedure on the child's teddy bear. B. Providing a peer video of the procedure for the child to view. C. Explaining the procedure to the child the day before the actual procedure occurs. D. Discussing the procedure at length with the child. Correct Answer A CH. 21 The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which response by the nurse uses a developmentally appropriate explanation of the operation? A. "Don't worry; the doctor will cut your tonsils out while you are asleep." B. "The shot that you will receive in your arm will only help the pain a little bit." C. "Don't worry about the operation; it is really not a big deal." D. "The doctor will give you special sleeping medicine before she operates." Correct Answer D The pediatric nurse assess the toddler's fine motor skills by observing which task? a. buttoning a shirt
