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NUR231/ NUR 231 Gallen college of Nursing Exam 3 Q&A Latest 2025/26 100% Answered Correct.
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1. The nurse has administered a prescribe analgesic to a preschool child. Which action should the nurse take to assess the effectiveness of this medication? Ask the child to point to a numeric pain scale. Use the Wong-Baker pain scale Ask the mother if she thinks the analgesic is working. Assess for changes in the child’s vital signs. 2. The nurse is caring for a child in middle school who is hospitalized. When developing plan of care, the nurse should consider that children in this age group. Are unable to see things from than any perspective other than their own. Are increasingly aware of disappointments in life. Are anxious about missing interactions with friends. Think in abstract terms and can deal with uncertainly. 3. The nurse is caring for a group of toddlers and is developing a plan for Age-appropriate play activities during hospitalization. Which of the following play activities should the nurse include? Let the toddlers race toy cars against each other. throw ball overhead at 18 months Giving the toddlers dress-up clothes for a play. Offering each toddler, a ball to roll around. Allowing the toddler to complete a puzzle together. 4. The nurse is working in an emergency triage area where a parent brings in a child and states. “I think she got into my mother’s medicine” After determining the medication the child ingested, which of the following actions should then nurse perform next.? Determine medication allergies. Contact poison control. Notify authorities of child neglect. Induce vomiting. 5. The nurse is performing a assessment on an adolescent client. Which behavior suggests appropriate psychosocial development in this client.?
Gets along well with others in authority. Thinks about peers’ opinio ns of them. Validation for socially acceptable behavior from older adults. Navigates away from peers and enjoy spending time with family members.
6. The nurse is performing a nutritional assessment on an adolescent client. Which of the following client statement best indicates the client’ diet is healthy? “We use cheese in some of our meals.” “I make sure to eat 2 meals daily.” “My parents make sure my 7 - year-old sibling and I eat the same amount” “I make sure to drink 16 ounces of milk per day” 7. The nurse is caring for a 10 - year- old child who is schedule for cardiac surgery. Using Erikson’s theory of psychosocial development, which statement about the surgery is appropriate for the nurse to make to the child? “Only 1 of your parents may stay with you during operation.” “Children rarely have much pain following this type of procedure.” “You will leave your room, go to sleep, and not remember anything” “After the procedure, we will need your help with different task to get you better” 8. The nurse is educating new parent about immunization and immunity. It indicates the need for additional teaching if a parent states. “My child will be protected for life from man disease with passive immunity” “Through active immunity, my child will develop long-term protection against organism” “Passive immunity is what my child gets from me and is short- term protection.” “My child will develop active immunity by producing antibodies to specific organism. 9. The nurse has attended a conference on immunizations. Which of the following of the statement by the nurse that teaching has been effective? “Preterm infants should receive their primary vaccination when they reached full-term birth age”. “The recommended age to begin immunizations is 1 month” “Oral polio vaccine is preferred over inactivated poliovirus vaccine.”
14. The nurse is caring for an infant who is having cyanosis, a pulse of 210, and respiratory rate of 78. Which of the following actions should the nurse plan to take first? Administer 11 of oxygen by blow Suction nares and mouth. Place the infant in the knee-chest position. Elevate the infant bed to 30 degrees.
Use contact isolation precautions. Administer antibiotics. Place child in a negative pressure room.
19. The nurse is preparing to administer digoxin to an infant. Upon assessment, the nurse notes that the apical is 88. Based on this finding, which of the following nursing actions is appropriate? Have another nurse verify the apical pulse. Hold the medication. Administer the digoxin. Give half the dose of the digoxin.
Right-sided heart failure (HF) Bilateral pneumonia Rheumatic fever. Kawasaki disease.
32. A nurse is caring for adolescent who is newly diagnosed with asthma. Which of the following from the box below should the nurse include in the discharge plan of care? 1. Encourage the child to avoid triggers. 2. Encourage the child to use a peak expiratory flow meter. 3. Encourage the child to play endurance sport. 4. Encourage the child to keep an epinephrine auto-injector pen with them at all times. 5. Encourage the child to rinse their mouth after use of a metered dose inhaler. 6. Encourage the child to use a long-term medication in an emergency. a) 2,3,5. b) 1,3,4, c) 2,4,5,6. d) 1,2,5. 33. The nurse is educating a student nurse on Tetralogy of Fallot. Which of the following responses by the student nurse indicates an understanding of the education? “The structural defects would include
35. The triage nurse in the emergency department (ED) must prioritize the children waiting to be seen. Which child is in the greatest need of emergency medical treatment?
Chicken breast and Spinach. Wild rice and apple slices.
43. The nurse is caring for a 12 - year-old female child who has been diagnosed with an Escherichia coli positive urinary tract infection (UTI). The nurse is teaching the child ways to reduce the chance of a future UTI which of the following statement by the child's require follow-up teaching.? “I should wipe from front to back” I should wash my tight leggings daily” “I should avoid hot bubble bath “ “I should drink plenty of water throughout the day.”
Gross hematuria.