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Norwalk Community CollegeNURSING 465 1) A nurse is caring for a school-age child who is experiencing a sickle cell crisis

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Norwalk Community CollegeNURSING 465

1) 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.   Apply warm compresses to the affected areas

    B.   Administer furosemide IV twice per day

               C.   Initiate contact precautions

               D.   Decrease the child's fluid intake.

2.      A nurse is creating a care plan for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include?

               A.   Administer IV dantrolene sodium to the toddler.

               B.   Encourage the toddler to use an incentive spirometer

               C.   Place a cooling blanket on the toddler

               D.   Administer aspirin to the toddler as needed for pain.

3.      A nurse creating a care plan for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include?

               A.   Administer IV dantrolene sodium to the toddler

               B.   Encourage the toddler to use an incentive spirometer

               C.   Place a cooling blanket on the toddler

               D.   Administer aspirin to the toddler as needed for pain.

4.      A nurse is caring for a preschooler who has a brain tumor. Which of the following finding is the priority for the nurse to report to the provider?

               A.   Nightmares

               B.   Hyperactivity

               C.   Pruritus

               D.   Diplopia

5.      A nurse is preparing to perform venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure?

               A.   Elbow

              B.    Jacket

              C.    Mitten

              D.    Mummy.

6.      A nurse collects data from a toddler who weighs 20 kg (44 Lb) and has a full-thickness burn to 10% of his body. Which of the following finding should the nurse report to the provider?

             A.     Respiratory rate 25/min

             B.     Bowel sodium 20/min

             C.     Urinary output 35/hr.

             D.     Increased restlessness

7.      A nurse provides teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

              A.    Place the child in a prone position

              B.    Insert a tongue blade between the teeth.

              C.    Minimize movement of the limbs

              D.    Clear the area of hard objects.

 

 

8.       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.    Apply a warm compress to the affected areas

  B.    Administer furosemide IV twice per day

  C.    Initiate contact precautions

  D.    Decrease the child's fluid intake

9.      A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan?

   A.    Respiratory syncytial virus (RSV)

   B.    Pneumococcal conjugate (PCV)

   C.    Measles, mumps, and rubella (MMR)

   D.    Rotavirus

10.      A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?

   A.    Creatinine 1.4mg/dL

   B.    BUN 6mg/dL

   C.    Creatinine 0.3 mg/dL

   D.    BUN 12mg/dL

11.      A nurse is caring for a school-age child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply)

   A.    Maintain the child in a supine position.

   B.    Provide cranberry juice to the child.

   C.    Discourage the child from coughing.

   D.    Observe the child for frequent swallowing.

   E.     Administer an analgesic to the child on a scheduled basis.

12.      A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?

    A.   3-month-old infant who has a respiratory rate of 30/min

    B.   An 18-month-old toddler who has a heart rate of 68/min

    C.   A school-age child who has a rectal body temperature of 37.3 C(99.1 F)

    D.   An adolescent who has a BP of 132/82 mm Hg

13.      A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the nurse's priority?

    A.   Heart rate 162/min

    B.   Potassium 5.1 mEQ/L

    C.   Sunken anterior fontanel

    D.   Negative doll's eye reflex

14.      A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?

    A.   The child feels responsible for the sibling's death

    B.   The child views the sibling's death as permanent

    C.   The child is curious about what happened to the sibling's body.

    D.   The child can give a logical explanation for the sibling's death

15.      A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexuality transmitted infections is nationality notifiable?

   A.    Bacterial vaginosis trichomoniasis

   B.    Genital herpes simplex virus

   C.    Human papillomavirus

   D.    Gonorrhea

16.      A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse rapport to the provider?

    A.   Has a vocabulary of 30 words

    B.   Holds his breath when having a temper tantrum

    C.   Eats a large amount of food one day, then very little the next

    D.   Steps 11 to 12 hr per day.

17.      A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate interventions by the nurse?

    A.   Frequent swallowing

    B.   Dark brown blood noted in emesis

    C.   Axillary temperature 38C( 100 F)

   D.    Child reports a pain level of 5 on the FACES scale

 

18.      A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness. Which of the following instructions should the nurse include?

    A.   Apply baby powder under the harness straps daily

    B.   Massage lotion into the skin under the harness twice per day

    C.   Adjust the harness straps daily

    D.   Place the diaper under the straps of the harness.

19.      A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?

     A.  Apply a cold compress to affected joints

     B.  Limit fruit intake

     C.   Administer meperidine as needed for pain

     D.  Initiate bed rest

 

20.      A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

     A.  An adolescent who has sickle cell anemia and slurred speech

     B.  A toddler who has a partial-thickness burn on his right hand and requires a dressing change

    C.   A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin

    D.   An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10

21.      A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates an understanding of the teaching?

      A. I should give the medication with 4 ounces of my child's favorite juice

      B.  I should give my child water after giving the medication

      C.  I should give the medication with foods that are high in fiber

      D. I should give my child another dose if he vomits right after taking the medication

22.      A nurse is assessing an adolescent client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?

      A. Flushed skin

      B.  Night sweats

      C.  Unexplained weight gain

      D. Decreased body temperature.

 

23.      A nurse teaches a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching?

    A.   Wait until the child indicates that he is tired before putting him to bed

    B.   Allow your child to watch an animated movie right before bedtime

    C.   Avoid allowing your child to sleep in your bed

    D.   Wake your child up during the night terror

24.      A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

     A.  My child will need to double his medications for the next 6 months

     B.  My child will need to repeat his childhood immunizations once he is in remission

     C.   The risk of transmission decrease once my child is on zidovudine for 2 weeks

     D.  I will ensure that my child is tested for tuberculosis every year

25.      A nurse is preparing to apply lidocaine and prilocaine cream to a child before inserting an IV catheter. Which of the following actions should the nurse plan to care for?

      A. Gently rub the cream into the skin

      B.  Apply the cream 1 hr before the procedure

      C.  Wash the site with alcohol before applying the cream

      D. Avoid removing the cream before the procedure

26.      A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contraction. Which of the following actions should the nurse take? (Select all that apply)

      A. Monitor intake and output

      B.  Provide a high-calorie client

      C.  Administer analgesics IM

      D. Change dressing using aseptic technique

      E.  Remove splints during sleep

27.      A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

      A. Prone

      B. Lateral

      C.  Semi-Fowler's

      D. Supine

28.      A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following statements should the nurse include in the teaching?

     A.  You should perform the examination once every other month

     B.  You should notify your provider if your testes are firm and egg-shaped

     C. examine a warm shower

     D.  If you feel a hard lump, wait 1 month and retest yourself

29.      A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan?

     A.  Avoid influenza and pneumococcal vaccines for 24 months

     B.  Initiate a referral for chest physiotherapy every 4 hr

     C.   Recommend the adolescent use a wheelchair to prevent stress on the lower extremities

     D.  Encourage the adolescent to perform incentive spirometry to maintain lung capacity.

30.      A nurse is caring for an adolescent who has a major depressive disorder. Which of the following actions should the nurse take first?

     A.  ask the client if he is considering harming himself

   B.    Administer an antidepressant to the client

   C.    Encourage the client to attend a group therapy session

   D.    Assist the client in completing his ADLs

31.      A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?

    A.   Glycosuria

    B.   Cholesterol 189 mg/dL

    C.   Pre-prandial blood glucose 124 mg/dL

    D.   HbA1c 11.5%

32.      A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?

    A.   Have the child flex his head when securing the ties.

    B.   Clean around the stoma with full-strength hydrogen peroxide

    C.   Use clean techniques to change the tracheostomy tube

    D.   Place the child in Trendelenburg position when performing care.

33.      A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?

    A.   Limit foods high in iron

    B.   Avoid foods containing milk products

    C.   Use aspartame as a sugar substitute

    D.   Increase the toddler's protein consumption

34.       A nurse is assessing a 6-month-old infant who has a respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?

    A.  Tachypnea

    B.  Couching

    C.  .......

    D.  Pharyngitis

35.       A nurse reviews the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

     A. Hemoglobin 6.8g/dL

     B. RBC count 5 mm^3

     C. WBC count 15000 mm^3

     D. Platelet count 34000 mm^3

36.       A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

     A. Bradycardia

     B. Tachypnea

    C.  Tremors

    D.  Increased appetite

37.       A nurse is teaching a group of parents about childhood immunization. The nurse should identify that infants should receive the first dose of the following immunizations at 12 months of age?

    A.  Human papillomavirus

    B.  Inactivated poliovirus

    C.  Varicella

    D.  Hepatitis B.