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A nurse is reviewing the medical record of a 2-month-old infant who has
rotavirus. The nurse notes a hemoglobin level of 12g/dL and a
hematocrit of 51%. Which of the following statements by the nurse
indicates an understanding of the laboratory values? - ANSWER-The
infant might be dehydrated
A school nurse is assessing an adolescent child who returned to school
following a case of mononucleosis. The child has a note from his
provider excusing him from gym class. Which of the following findings
should the nurse identify as the reason for this excusal? - ANSWER-
Potential for sustaining abdominal trauma
A nurse is teaching the parents of a 4-month-old infant who has
gastroesophageal reflux. Which of the following statements by the
parent indicates an understanding of the teaching?
A. I will add 1 teaspoon of rice cereal per ounce to my baby's formula.
B. I will place my baby on her side when sleeping.
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,C. I will decrease the number of feedings my baby receives per day.
D. I will give my baby loperamide with each feeding. - ANSWER-I will
add 1 teaspoon of rice cereal per ounce to my baby's formula
A nurse is caring for a child who has suspected nephrotic syndrome.
Which of the following laboratory values should the nurse expect?
A. Platelets 120,000/mm3
B. Serum sodium 160 mEq/L
C. Hgb 9 g/dL
D. Serum cholesterol 700 mg/dL - ANSWER-Serum cholesterol
700mg/dL
A nurse is preparing to administer acetaminophen 240mg PO daily to a
child who has a temperature of 38.9 C (102 F). The amount available is
acetaminophen oral solution 160mg/5ml. How many ml should the
nurse administer per dose? - ANSWER-7.5 ml
A nurse is caring for a 6-month-old infant who has intussusception.
Which of the following actions should the nurse take?
a. Prepare to administer High-dose steroids
b. Give the child magnesium hydroxie PO
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,c. Prepare the child for a barium enema
d. Inform the patients that the child will need a colostomy - ANSWER-
Prepare the child for a barium enema
A nurse is caring for a school-age child who has glomerulonephritis. The
child has decreased urinary output, a blood pressure of 160/78 mmHg,
and is receiving hydralazine. Which of the following lunch choices
should the nurse recommend?
A. 1 hot dog, 22 potato chips, and 120 mL of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple;
and 240 mL of milk
C. 3 oz grilled chick, 1 cup of pear slices, and 120 mL of apple juice
D. 1 cup of cottage cheese, a small banana, and 240 mL of soda -
ANSWER-3 oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of
apple juice
A nurse is teaching the parents of a child who has rheumatic fever.
Which of the following statements by a parent indicates an
understanding of the teaching?
A. My child may take aspirin for his joint pain.
B. My child will need a blood transfusion prior to discharge.
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, C. I will need to wear a gown when I'm in my child's room.
D. I will apply lotion to my child's peeling hands. - ANSWER-My child
may take aspirin for his joint pain
A nurse at a clinic is preparing to administer immunizations to a 5-year-
old child. Which of the following immunizations should the nurse plan
to give?
A. Diphtheria, tetanus, and pertussis (DTaP)
B. Pneumococcal (PCV)
C. Haemophilus influenzae type B (Hib)
D. Hepatitis B (Hep B) - ANSWER-Diphtheria, tetanus, and pertussis
(DTaP)
A nurse is caring for a child who has cystic fibrosis and a pulmonary
infection. Which of the following finding sis the nurse's priority?
A. Blood streaking of the sputum
B. Dry mucous membranes
C. Constipation
D. Inability to clear secretions - ANSWER-Inability to clear secretions
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