Pediatric Nursing Proctored RETAKE Exam Passed 100% Correct, Exams of Nursing

Download Pediatric Nursing Proctored RETAKE Exam Passed 100% Correct and more Exams Nursing in PDF only on Docsity! Pediatric Nursing Proctored RETAKE Exam Passed 100% Correct A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels - ANSWER b. a decrease in peripheral edema . A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply) a. increased appetite b. enlarged subclavian lymph node c. crying d. restlessness e. fever - ANSWER c, d, e crying restlessness fever a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine lontophoresis testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching? a. We will measure the amount of protein in your baby's urine over 24 hour period b. The test will measure the amount of water in your baby's sweat c. a nurse will insert an IV prior to the test d. your baby will need to fast for 8 hours prior to the test - ANSWER b. The test will measure the amount of water in your baby's sweat A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first? a. A toddler who has nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL d. an adolescent who has Crohn's disease and recent weight loss of 5kg (11 lb) - ANSWER b. a preschool-age child who has a muffled voice and no spontaneous cough A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take? a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testing until the client's parents are present d. obtain written consent from the client - ANSWER d. obtain written consent from the client A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first? a. obtain a blood culture from the toddler b. administering antibiotic to the toddler c. insert an IV catheter for the toddler d. prepare the toddler for nasotracheal intubation - ANSWER d. prepare the toddler for nasotracheal intubation A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will have your dressing removed 12 hours after the procedure b. you will need to keep your legs straight for 8 hours following the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days after the procedure - ANSWER b. you will need to keep your legs straight for 8 hours following the procedure A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free Cherry gelatin b. vanilla ice cream c. chocolate milk d. lime flavored ice pop - ANSWER d. lime flavored ice pop A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears b. assess respiratory status c. check pupil reactions d. examine the scalp for lacerations - ANSWER b. assess respiratory status A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? a. Assign consistent nursing staff care for the infant b. Keep the infant in a visually stimulating environment A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant's head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day - ANSWER a. discontinue feeding if the client's eyes become watery A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. Set the administration rate on the feeding pump b. flush the tube with water c. check the pH of the gastric secretion d. attach the feeding bag tubing to the end of the NG tube - ANSWER d. attach the feeding bag tubing to the end of the NG tube A nurse is caring for an adolescent who is 1 hour post-operative following anappendectomy. Which of the following findings should the nurse report to the provider? a. Heart rate 63 / minute b. muscle rigidity c. temperature 36.4 Celsius (97.5 Fahrenheit) d. abdominal pain - ANSWER b. muscle rigidity A nurse in a provider's office is preparing to administer immunization to a 12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? a. Diptheria, tetanus and pertussis (D-Tap) b. human papillomavirus (HPV) c. Varicella d. hepatitis A - ANSWER a. Diptheria, tetanus and pertussis (D-Tap) Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. Repeat digoxin dosage is the infant vomit within 1 hour of administration b. Place infant in a prone position c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume feeding - ANSWER c. administer cool, humidified oxygen via nasal cannula A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. Provide the child with video games prior to bedtime to reduce stress b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety d. follow the child home sleep routine to reduce anxiety - ANSWER d. follow the child home sleep routine to reduce anxiety A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old infant. Which of the following actions should the nurse plan to take? a. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infant's foot d. change the IV site every 3 days - ANSWER b. use a 24 gauge catheter to start the IV A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity? a. Diaphoresis b. Polyuria c. Bradycardia d. jaundice - ANSWER c. Bradycardia A nurse is reviewing the laboratory results of a child was recently admitted or suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirm this diagnosis (select all that apply) a. partial thromboplastin time (PTT) b. erythrocyte sedimentation rate (ESR) c. blood urea nitrogen (BUN) d. C-reactive protein (CRP) e. anti streptomycin O (ASO) titer - ANSWER b, d, e erythrocyte sedimentation rate (ESR) C-reactive protein (CRP) anti streptomycin O (ASO) titer A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a. Increase the amount of your dietary iron intake b. limit your sodium intake to 3000 mg per day c. consumer 1,500 to 1700 calories per day d. decrease your vitamin D intake once you start to menstruate - ANSWER a. Increase the amount of your dietary iron intake A nurse is caring for an infant who receives intermittent enteral feeding through agastrostomy tube. Which of the following actions should the nurse take when administering a feeding? Select all that apply a. offer the infant a pacifier during readings b. formula to 39° C (102 degrees Fahrenheit ) prior to administration c. check the for residual volume by aspirating stomach contents d. instill the formula over a period of 30 and 45 minutes - ANSWER a, c offer the infant a pacifier during feedings check for residual volume by aspirating stomach contents A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a. Encourage frequent physical activity to increase bone mass b. maintain patent intravenous catheter c. initiate contact precaution for the child d. provide a high calorie low protein diet - ANSWER c. initiate contact precaution for the child A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include? a. Apply cold compress to painful areas b. but I shall wear a surgical mask to school c. encourage physical activity as tolerated d. offer fluids of bedtime - ANSWER c. encourage physical activity as tolerated A nurse is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider? a. Unable to hold a bottle b. exhibits head lag when pulled a sitting position c. absent grasp reflex d. unable to roll from back to abdomen - ANSWER d. unable to roll from back to abdomen A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a. Flushing of the face b. continuous swallowing c. blood pressure 99/ 56 mmhg d. heart rate 54/ minutes - ANSWER b. continuous swallowing A nurse is discussing coping mechanisms with a parent of a three-month- old infant which of the following therapeutic questions should the nurse ask the parent? a. What do you do when your infant is fussy? b. Are you willing to take new parenting classes? c. Does parenting cause you stress? d. Is it overwhelming when your infant is having a bad day? - ANSWER d. Is it overwhelming when your infant is having a bad day? c. shrug their shoulders against mild pressure d. show their teeth while smiling - ANSWER c. shrug their shoulders against mild pressure A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper function of the child trigeminal nerve? a. The child montanes balance when standing with eyes closed b. the child correctly identify specific scent c. the child has asymmetrical jaw strength when biting down d. the child exhibits a gag reflex when stimulated with a tongue blade - ANSWER c. the child has asymmetrical jaw strength when biting down A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS). Which of the following actions should the nurse take? a. discourage the parents from allowing siblings to view the body b. avoid discussing details of the attempt to revive the infant c. provide a follow-up phone call one week following the infant's death d. acknowledge the family members feelings of guilt - ANSWER d. acknowledge the family members feelings of guilt A nurse in the emergency department is caring for a child who has a temperature of 39.1 degrees C (102.4 Fahrenheit) and suspect the diagnosis of bacterial meningitis. Which of the following actions should the nurse take first? a. prepare the child for a lumbar puncture b. dim the lights in the child's room c. administering an antipyretic to the child d. Implement droplet precautions for the child - ANSWER d. Implement droplet precautions for the child A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?a. capillary refill 1 second b. weight loss 7% c. respiratory rate 28/ min d. bradycardia - ANSWER b. weight loss 7% A nurse is providing teaching to the guardian of a school-age child who has seizuredisorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizure?a. prolonged headache b. decrease temperature c. lack of sleep d. exposure to second-hand smoke - ANSWER a. prolonged headache A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the clients potassium level is 3.2 meq L which of the following assessment findings should the nurse expect?a. Hypertension b. Hyporeflexia c. hyperactive bowel sounds d. Oliguria - ANSWER b. Hyporeflexia A nurse is planning care for an adolescent who has sickle cell anemia. Which of thefollowing immunizations should the nurse include in the plan? a. Respiratory sync functional virus (RSV) b. Rotavirus c. measles, mumps, and rubella (MMR) d. pneumococcal conjugate (pcv13) - ANSWER d. pneumococcal conjugate (pcv13) A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include? a. initiate airborne precautions b. assess the oral cavity for Koplik spots c. administer aspirin for fever d. provide the child with a warm blanket - ANSWER a. initiate airborne precautions A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? a. steatorrhea b. rhinorrhea c. weight gain d. visible peristalsis - ANSWER a. steatorrhea A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess first? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change - ANSWER B. An adolescent who has sickle cell anemia and slurred speech A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees - ANSWER C. Bruising around the wrists A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes - ANSWER A. Ataxia A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk better than chocolate milk. D. You can replace milk with nondairy source of calcium - ANSWER D. You can replace milk with nondairy source of calcium A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Expected D. Coughing - ANSWER B. Tachypnea A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. - ANSWER D. Initiate contact precautions. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizuredisorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard objects D. Place the child in a prone position - ANSWER C. Clear the area of hard objects A nurse is caring for a 4 year old child who has meningitis and is receiving gentamacin. Which of the following labs values should the nurse to the provider? - ANSWER Creatinine 1.4mg