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Homework answers / question archive / Rasmussen College NURSING NU278 Quiz6 1

Rasmussen College NURSING NU278 Quiz6 1

Nursing

Rasmussen College

NURSING NU278

Quiz6

1.) A parent is frustrated that her toddler cannot button a shirt on his own. Which teaching point is most appropriate for the nurse to provide to this parent?

  1. A toddler is incapable of buttoning his own shirt, and the parent should stop pushing.
  2. Developing large muscle groups has to occur before developing small muscle groups.
  3. The parent should select toys and games that will help the child develop and master this skill.
  4. The child has not met a major milestone and needs a developmental consultation.

 

2.) A new nurse in the emergency department is examining a 4-year-old child who is sitting upright, is drooling, and is restless. Which action by the new nurse causes an experienced nurse to intervene?

  1. Attaches a cardiac monitor and oximeter
  2. Attempts to assess throat with a tongue blade
  3. Permits child to remain in an upright position
  4. Prepares to administer racemic epinephrine

 

3.) Four children are in the pediatric clinic waiting to be seen. Which patient should the nurse see first?

  1. Afebrile, parent reports harsh barky cough
  2. Pulling on ear, temperature 103 °F (39.5 °C)
  3. Salty-tasting sweat, poor weight gain
  4. Wheezing, retracting, no wet diapers today

 

4.) A child is being released from the hospital after surgical correction of an atrioventricular canal defect (AVC). What referral by the nurse is most appropriate?

  1. Down syndrome support group
  2. Hospice services team
  3. Lions eye bank
  4. Transplant team

 

5.) A mother brings a child to the clinic with concerns about attention deficit-hyperactivity disorder (ADHD). Which behavioral assessment findings support this diagnosis? (Select all that apply.)

  1. Compulsive "collecting"
  2. Inability to stay in chair for a meal
  3. Nonstop talking
  4. Refusal to complete homework
  5. Sleeping whenever possible

 

 

 

6.) A student nurse asks the faculty why a child with patent ductus arteriosus (PDA) is taking a nonsteroidal anti- inflammatory drug (NSAID). Which response by the faculty is the most appropriate?

  1. Decreases venous stasis, lowering risks of clotting
  2. Inhibits prostaglandin, which helps close the PDA
  3. Provides long-lasting pain and inflammation control
  4. Reduces swelling around the PDA, making surgery easier

 

 

7.) An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV). The infant still has some mild respiratory distress at times. Which discharge instruction is the priority for this infant?

  1. "Bring the child back if she runs a temperature."
  2. "Feed baby small amounts while she is sitting up."
  3. "Give her antibiotics right after feeding her."
  4. "If you need to use the bulb suction, bring her back.

 

8.) The parents of a child with transposition of the great vessels ask the nurse why the child looks blue. Which response by the nurse is the most appropriate?

  1. "Her body gets blood that doesn't have much oxygen."
  2. "Her lungs are underdeveloped and under perfused."
  3. "She is not able to regulate her temperature and is cold."
  4. "This is very unusual for this condition, so I'll ask the doctor."

 

 

9.) A student nurse asks a pediatric nurse what cephalocaudal development means. Which response by the nurse is most accurate?

  1. Growth that occurs from bottom to top
  2. Growth that occurs from midline outward
  3. Growth that occurs from outside to midline
  4. Growth that occurs from top to bottom

 

10.) A child with Down’s syndrome has been admitted to the hospital with a respiratory condition and is producing thick, tenacious mucus. Which nursing action is the priority?

  1. Ensuring a patent airway
  2. Involving child-life therapy
  3. Preventing nosocomial infection
  4. Relieving stress at hospitalization

 

11.) A father brings his 10-month-old infant to the well-baby clinic and expresses frustration that his child "puts everything in her mouth" and "gets into everything," then cries when objects are taken away. In providing anticipatory guidance, what action by the nurse is the most appropriate?

  1. Advise the father that crying indicates fatigue and the child should rest.
  2. Explain that objects may be dirty and should not be put in the mouth.
  3. Give the father written material on effective disciplinary techniques.

 

  1. Teach the father that this behavior is normal and not misbehaving.

 

12.) A child is admitted to the pediatric unit with respiratory syncytial virus (RSV). Which action by the nurse is best for infection control?

 

  1. Adhere to policy on hand hygiene.
  2. Do not assign pregnant caregivers.
  3. Place the child in contact isolation.
  4. Use meticulous standard precautions.

 

 

13.) A nurse is providing anticipatory guidance to the parents of a toddler. Which information is most important for the nurse to include regarding typical toddler behaviors?

  1. Children at this age rarely lie about misbehaving and want to please their parents.
  2. Competing and winning are important, so "rewards" for good behavior are great tools.
  3. Toddlers need constant supervision, because they don't understand what consequences can occur.
  4. Time-out for misbehavior works well if the child is placed quietly in his or her own room.

 

 

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