4410 Final Exam and Correct Answers.
The nurse is preparing a care plan for a child who has a seizure disorder. The child experiences
tonic-clonic seizures. Which nursing diagnosis will the nurse identify as having the highest
priority? - Answer Risk for injury
A child with a seizure disorder is being admitted to the inpatient unit. When preparing the room
for the child, what should be included? Select all that apply. - Answer Oxygen gauge and
tubing
Suction at bedside
Padding for side rails
The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's
parents, which statement by a parent indicates a need for further education? - Answer "I
hate to think that I will need to be worried about his having seizures for the rest of his life."
A nurse is talking with the parents of a child who has had a febrile seizure. The nurse would
integrate an understanding of what information into the discussion? - Answer Febrile
seizures are benign in nature.
A nurse is providing teaching to the parents of a child who has had a shunt inserted as
treatment for hydrocephalus. The parents demonstrate understanding of the teaching when
they make what statement? - Answer "He will need more surgeries to replace the shunt as
he grows."
A 6-year-old child with hydrocephalus had a ventriculoperitoneal (VP) shunt placed 6 weeks ago
and now has experienced a seizure, vomiting, and loss of appetite. Which intervention will
target the child's priority need? - Answer Administer intravenous antibiotics as prescribed.
The nurse is caring for a child who fractured the arm in an accident. A cast has been applied to
the child's right arm. Which actions should the nurse implement? Select all that apply. - Answer
Document any signs of pain.
Check radial pulse in the both arms.
Monitor the color of the nail beds in the right hand.
The type of fracture often seen in young children is one in which there is not complete
ossification of the bone, and the bone bends and just partially breaks. What type of fracture is
this? - Answer Greenstick
, The nurse is working with a group of caregivers of school-aged children discussing fractures. The
nurse explains that if the fragments of fractured bone are separated, the fracture is said to be: -
Answer Complete
An 18-month-old was brought to the emergency department by her mother, who states, "I think
she broke her arm." The child is sent for a radiograph to confirm the fracture. Additional
assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture
would the radiograph most likely reveal? - Answer Spiral fracture
The student nurse is developing a care plan for a child who suffered a fractured tibia and will
have a cast on his lower leg for approximately 6 weeks. Which nursing diagnosis would be the
priority for this client? - Answer Impaired physical mobility related to a cast on the leg
The nurse is caring for a group of children on the pediatric unit. The nurse should collect further
data and explore the possibility of child abuse in which situation? - Answer A 7-year-old with
a spiral fracture of the humerus, which the caregiver reports as having been caused when the
child was hit by a bat swung by a Little League teammate.
A nurse is reviewing the medical record of a child who has sustained a fracture. Documentation
reveals a bowing deformity. The nurse interprets this fracture as: - Answer significant
bending without actual breaking.
A nurse is performing a physical examination of a child with a suspected fracture. Which
assessment technique would the nurse assume would not be used? - Answer Auscultation
The type of traction in which a pin, wire, tongs, or other device is surgically inserted through a
bone is: - Answer skeletal traction.
The nurse is discussing the treatment for a child with attention deficit hyperactivity disorder
(ADHD) with a group of school nurses. What would be an appropriate learning setting for a child
with ADHD? - Answer A classroom with a plan of study that is followed each day
In caring for a child in traction, which intervention is the highest priority for the nurse? - Answer
The nurse should monitor for decreased circulation every 4 hours.
The nurse is caring for a 14-year-old boy in Buck traction for a slipped capital femoral epiphysis
(SCFE). What information would the nurse include when completing a neurovascular
assessment of the affected leg? Select all that apply. - Answer Color
Sensation
Pulse
Capillary refill
The nurse is preparing a care plan for a child who has a seizure disorder. The child experiences
tonic-clonic seizures. Which nursing diagnosis will the nurse identify as having the highest
priority? - Answer Risk for injury
A child with a seizure disorder is being admitted to the inpatient unit. When preparing the room
for the child, what should be included? Select all that apply. - Answer Oxygen gauge and
tubing
Suction at bedside
Padding for side rails
The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's
parents, which statement by a parent indicates a need for further education? - Answer "I
hate to think that I will need to be worried about his having seizures for the rest of his life."
A nurse is talking with the parents of a child who has had a febrile seizure. The nurse would
integrate an understanding of what information into the discussion? - Answer Febrile
seizures are benign in nature.
A nurse is providing teaching to the parents of a child who has had a shunt inserted as
treatment for hydrocephalus. The parents demonstrate understanding of the teaching when
they make what statement? - Answer "He will need more surgeries to replace the shunt as
he grows."
A 6-year-old child with hydrocephalus had a ventriculoperitoneal (VP) shunt placed 6 weeks ago
and now has experienced a seizure, vomiting, and loss of appetite. Which intervention will
target the child's priority need? - Answer Administer intravenous antibiotics as prescribed.
The nurse is caring for a child who fractured the arm in an accident. A cast has been applied to
the child's right arm. Which actions should the nurse implement? Select all that apply. - Answer
Document any signs of pain.
Check radial pulse in the both arms.
Monitor the color of the nail beds in the right hand.
The type of fracture often seen in young children is one in which there is not complete
ossification of the bone, and the bone bends and just partially breaks. What type of fracture is
this? - Answer Greenstick
, The nurse is working with a group of caregivers of school-aged children discussing fractures. The
nurse explains that if the fragments of fractured bone are separated, the fracture is said to be: -
Answer Complete
An 18-month-old was brought to the emergency department by her mother, who states, "I think
she broke her arm." The child is sent for a radiograph to confirm the fracture. Additional
assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture
would the radiograph most likely reveal? - Answer Spiral fracture
The student nurse is developing a care plan for a child who suffered a fractured tibia and will
have a cast on his lower leg for approximately 6 weeks. Which nursing diagnosis would be the
priority for this client? - Answer Impaired physical mobility related to a cast on the leg
The nurse is caring for a group of children on the pediatric unit. The nurse should collect further
data and explore the possibility of child abuse in which situation? - Answer A 7-year-old with
a spiral fracture of the humerus, which the caregiver reports as having been caused when the
child was hit by a bat swung by a Little League teammate.
A nurse is reviewing the medical record of a child who has sustained a fracture. Documentation
reveals a bowing deformity. The nurse interprets this fracture as: - Answer significant
bending without actual breaking.
A nurse is performing a physical examination of a child with a suspected fracture. Which
assessment technique would the nurse assume would not be used? - Answer Auscultation
The type of traction in which a pin, wire, tongs, or other device is surgically inserted through a
bone is: - Answer skeletal traction.
The nurse is discussing the treatment for a child with attention deficit hyperactivity disorder
(ADHD) with a group of school nurses. What would be an appropriate learning setting for a child
with ADHD? - Answer A classroom with a plan of study that is followed each day
In caring for a child in traction, which intervention is the highest priority for the nurse? - Answer
The nurse should monitor for decreased circulation every 4 hours.
The nurse is caring for a 14-year-old boy in Buck traction for a slipped capital femoral epiphysis
(SCFE). What information would the nurse include when completing a neurovascular
assessment of the affected leg? Select all that apply. - Answer Color
Sensation
Pulse
Capillary refill
