Exam
A nurse is reinforcing teaching about home safety with the parent of a
toddler. Which of the following parent statements indicates an
understanding of the teaching?
- The nurse should instruct the parent to place a screen in front of a
fireplace or other heating appliances to prevent burns
A nurse is reinforcing teaching with the parent of a child who has hemophilia
and is experiencing acute hemarthosis. Which of the following instructions
should the nurse include in the teaching?
- The nurse should reinforce with the parent to keep the child’s affected
joints elevated and immobilized to minimize bleeding. After the
acute episode, the child should begin active range-of-motion
exercise.
A nurse is collecting data about the dietary habits of an adolescent client.
The nurse should identify that which of the following findings puts the client
at risk for nutritional deficits?
- The nurse should identify that adolescents are often at risk for
developing poor eating habits. Skipping dinner twice each week puts
this client at risk for nutritional deficits.
A nurse is assisting with the care of a child who has tonic-clonic seizures.
Which of the following actions should the nurse take?
- The nurse should have a suction canister and tubing available in the
child’s room to keep the child’s airway patent during a seizure.
A nurse is reinforcing home safety instructions with the parents of a toddler.
Which of the following parent statements indicates an understanding of the
teaching?
- The nurse should instruct the parents to turn pot handles toward the
back of the stove to prevent the toddler from pulling a pot off the
stove, resulting in a burn.
A nurse in a pediatric clinic is collecting data from an infant who recently
started taking digoxin. Which of the following manifestations should the
nurse identify as an indication of digoxin toxicity and report to the provider?
- The nurse should identify that vomiting, especially unrelated to
feedings, is a manifestation of digoxin toxicity and should be reported
to the provider.
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PN Nursing Care of Children Exam
A nurse is caring for a school-age girl who is being treated for frequent,
severe urinary tract infections (UTIs). The nurse should recognize that which
of the following statements by the parent indicates a possible cause of the
UTIs?
- My daughter has bowel movements every 4 to 5 days—the nurse
should recognize that this frequency indicates the child is
constipated. Therefore, large stool masses might prevent complete
emptying of the bladder and lead to urinary stasis and infection.
A nurse is caring for a school-age child who has been admitted to
facility in sickle cell crisis. The nurse is measuring the child’s oral
intake for the shift. The child consumed 4 oz of juice at breakfast.
For lunch, the child consumed 6 oz of milk, 6 oz of gelatin, and
drank 7 oz of water. What is the child’s oral intake for this shit of
milliliters. (Round to the nearest whole number.) 1oz = 30 mL
Client consumed 23 oz of fluids
23 oz X 30 mL = 690 mL
A nurse is reinforcing dietary teaching with the guardian of a school age
child who has celiac disease. Which of the following foods should the nurse
recommend including in the child’s diet?
- White rice—the nurse should reinforce to the guardian that celiac
disease is a genetic autoimmune disorder in which eating gluten, even
in a very small amounts, can damage the child’s small intestine.
Currently, the only treatment for the disease is a lifelong, stick
adherence to a gluten-free diet. The nurse should stress the
importance of avoiding foods containing wheat, rye, barley, and oats.
The child should consume foods that are gluten-free, such as milk,
cheese, rise, corn, eggs, potatoes, fruits, vegetables, fresh poultry,
meats, fish and dried beans.
A nurse is reviewing the laboratory report of a preschooler. Which of the
following laboratory results should the nurse report to the provider?
- Lead 14 mcg/dL—the lead level is above the expected reference range
for a preschooler. Therefore, the nurse should report this result to the
provider.
A nurse is reviewing the medical record of a female adolescent client who
has primary amenorrhea. Which of the following findings should the nurse
identify as a risk factor for this disorder?
- Hypothyroidism
- Cannabis
- Oral contraceptive
- Emotional stress
PN Nursing Care of Children Exam