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Norwalk Community CollegeNURSING 465  1) A nurse is assessing a child who has multiple Close fractures of the lower extremities due to a motor vehicle crash

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Norwalk Community CollegeNURSING 465 

1) A nurse is assessing a child who has multiple Close fractures of the lower extremities due to a motor vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hours after the injury occurred?

A.   Compartment syndrome

B.   Osteomyelitis

C.    Renal calculi

D.   Volkmann ischemic contracture.

2.    A nurse in an emergency department is caring for a preschool-age child who has a cute acetylsalicylic acid poisoning. Which of the following should the nurse expect?

A.   Neck vein distention

B.   Jaundice

C.    Polyuria

D.   Hyperpyrexia

3.    A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?

A.   Inspect the skin for discoloration

B.   Initiate a low diet for lead absorption

C.    Obtain a stool specimen for lead levels

D.   Perform development testing for delays

4.    A nurse teaches about growth and development to a parent of 12- years old child. The nurse should instruct the parent to expect the child to exhibit the following characteristics during early adolescence?

A.   Emotional separation from parents

B.   Decelerating growth rate.

C.    Mood swings

D.   Increased self-esteem.

5.    A nurse preparing to administer ondansetron 0.15mg/kg IV to a child receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4mg/2 ml solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). mL

 

6.    A nurse reviews the laboratory result of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect?

 

A.   Hypertension

B.   Oliguria

C.    Hyporeflexia

D.   Hyperactive bowel sounds.

7.    A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following finding should the nurse report to the provider?

A.   Bilateral extremities

B.   Weak pedal pulse distal to the site

C.    Serum glucose 90 mg/dl

D.   Blood pressure 102/58 mm Hg.

8.    A school nurse is assessing a 7 years old student. The nurse should identify which of the following finding is a potential indicator of physical abuse?

A.   Abrasions on the knees

B.   Front deciduous teeth missing

C.    Weight in 45^th percentile

D.   Bruising around the wrists.

9.    A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

A.   Your child should walk the bicycle through intersections

B.   Your child should keep the bicycle at least 3 feet from the curb while riding in the street.

C.    Your child should ride the bicycle against the flow of traffic

D.   Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle.

10. A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?

A.   A toddler repeatedly refuses to let a nurse auscultate his lungs

B.   A toddler has bruises on his knees.

C.    An 8-month-old infant cries when his parent levels the room.

D.   A mother is hesitant to comfort her 6-month-old infant.

11. A nurse is teaching the guardian of 5- years old child who has encopresis about managing the condition. Which of the following statements by the guardian indicates an understanding of the teaching?

A.   I will limit my child's fluid intakes

B.   I will increase my child's diary intakes

C.    I will have my child try to defecate 15 minutes after each meal

D.   I will have my child sit on the toilet for 20 minutes at a time.

12. A nurse is preparing to initiate IV antibiotics 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 in the infant's foot.

D.   Change the IV site every 3 days.

13. A nurse is caring for a postoperative client following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?

A.   Tighten the screw s on the halo device one quarter turn every 48 hr

B.   Reposition the client using a turning sheet

C.    Assess the pin sites for infection once every other day.

D.   Encourage flexion and extension of the neck.

14. A nurse is planning care for an adolescent following repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care?

A.   Teach the client about ostomy care

B.   Indicate long-term antibiotic therapy.

C.    Administer total parenteral nutrition.

D.   Maintain an NG tube for decompression.

15. A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?

A.   Restrict oral fluids to 500 mL per day.

B.   Administer the pertussis vaccine.

C.    Report the diagnosis to the public health department.

D.   Place the child in a protected environment for 48 hr.

16. A nurse in the emergency department cares for a school-age child who has developed respiratory stridor, wheezing, and urticaria after receiving an IV medication. Which of the following actions should the nurse take first?

A.   Administer oxygen.

B.   Administer epinephrine

C.    Administer methylprednisolone.

D.   Administer a nebulizer bronchodilator.

17. A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching?

A.   I should limit the use of the fingers of my broken arm

B.   I will sprinkle the baby powder into the cast if my arm itches

C.    I will elevate my broken arm on pillows at night.

D.   I should expect my fingers to be swollen for several days.

18. 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 should consume flavored yogurt instead of plain yogurt

B.   You can replace milk with nondairy sources of calcium

C.    You might tolerate plain milk better than chocolate milk

D.   You can drink milk on an empty stomach.

19. A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?

A.   Obtain a throat culture

B.   Check oxygen saturation every 4 hr.

C.    Initiate droplet isolation precautions.

D.   Assist the child in a supine position.

20. A nurse is planning to administer immunizations to a 2-month-old infant. Which of the following actions should the nurse take to decrease the infant's pain?

A.   Ask the parent to leave the room during the injections.

B.   Administer the injections in the deltoid muscle.

C.    Apply a warm pack to the injection site before administration.

D.   Administer the injections while the infant is breastfeeding.

21. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?

A.   Hypertension.

B.   Increased urine output

C.    Increased respiratory rate

D.   Capillary refill of 2 seconds

22. A nurse at an inpatient facility is planning care for a child with an autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

A.   Place the child in a semiprivate room.

B.   Vary daily routes when providing care for the child

C.    Keep staff with the child brief

D.   Keep the television on in the child's room for background noise.

23. A nurse evaluates a 4-years child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings is an indication that the therapy has been effective?

A.   Increased urine output

B.   Reduced pain

C.    Increased expectoration

D.   Increased heart rate.

24.      A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take?

                  A.   Obtain ABG samples

                  B.   Assist with intubation

                  C.    Apply warming blankets

                D.  Administer an IV bolus.

25.      A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

                 A.   Hypothermia

               B.   Hyperactive reflexes

               C.   Ataxia

               D.   Pinpoint pupils.

26.      A nurse provides teaching to the parents of a child who has varicella about the management of the disease. Which of the following instructions should the nurse include in the teaching?

              A.    Avoid bathing the child while vesicles are present.

              B.    Keep the child away from others until the skin is clear of scabs

              C.    Dress the child in warm clothing to promote healing of vesicles.

              D.    Apply calamine lotion to vesicles on the child's skin.

27.      A nurse reviews the medication records of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccines. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

               A.   Temperature of 37.2 C (99 E) degrees

               B.   Family history of seizures.

               C.   Upper respiratory infection 2 days ago

               D.   Allergy to neomycin.

28.      A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?

               A.   Administer acyclovir PO two times per day

               B.   Soak hairbrushes in boiling water for 10 mins

               C.   Apply bactericidal ointment to lesions.

               D.   Seal soft toys in plastic bags for 14 days.

29.      A nurse is planning to admit a preschooler from the PACU following the removal of a Wilms tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler?

               A.   A child who has cellulitis of the right radius.

               B.   A child who has impetigo

               C.   A child who has pneumonia

               D.   A child who has a fractured left femur.