QUESTIONS & ANSWERS BEST EXAM LATEST UPDATE 2024/2025 GRADED A+
Question 1:
Teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis
of the tibia. The nurse should identify that which of the following statements by the parents
indicates an understanding of the teaching?
A. my child will have a cast until healing is complete.
B. My child will receive antibiotics for several weeks.
C. My child can return to playing sports once he is discharged.
D. My child needs to be in contact isolation.
Answer: B
The nurse should instruct the parent that the child will receive antibiotic therapy for at
least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
Question 2:
A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority action by the
nurse?
A. Elevate the head of the child's bed
B. insert a large-bore IV catheter for the child
C. determine the allergen that caused the child's reaction
D. administer IM epinephrine to the child
, Answer: D
When using the urgent vs nonurgent approach to client care, the nurse determines that the
priority action is administering IM epinephrine to the child. During an anaphylactic reaction,
histamine release causes bronchoconstriction and vasodilation. This is an emergency because
ultimately it causes decreased blood return to the heart.
Question 3:
A nurse is receiving change-of-shift Report on for children. Which of the following
children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting
B. An adolescent who has infective endocarditis and reports having a headache
C. An adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on
a 0- 10 scale.
D. School-age child who has acute glomerulonephritis and brown colored urine
Answer A
When using the urgent vs. nonurgent approach to client care, the nurse should assess this
child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a
Question 3:
A nurse in the emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following locations should the nurse
identify as mcburney's point?
Answer: A
, The nurse should identify the lower right quadrant of the abdomen
between the umbilicus and the anterior iliac crest as the location of Mc Burney’s point.
Question 4:
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which of the following instructions should the nurse include in the
teaching?
A. Limit the movement of the child large joints.
B. Encourage the child to perform independent self-care.
C. Provide the child with a soft mattress for sleeping.
D. Schedule a 2-hour daily nap for the child in the afternoon.
Answer: B
The nurse should teach the family the importance of encouraging the child to perform
independent self-care. This will minimize the child's pain while maximizing mobility.
Encouraging and praising the child's efforts for independence will also increase his self-esteem.
Question 5:
A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the
following clinical manifestations should the nurse expect?
A. Steatorrhea
B. projectile vomiting
C. sunken abdomen
D. weight gain