STUDY GUIDE SOLVED QUESTIONS
◉ 1. The nurse is caring for a newborn diagnosed with an atrial
septal defect (ASD). The parents voice concern and state, "I can't
believe this is happening. Will our child be okay?" What is the
nurse's best response?
a. "If the defect isn't treated it can cause problems such as
pulmonary hypertension, heart failure, atrial arrhythmias, or
stroke."
b. "While each case is different, the majority of these defects correct
on their own. Let's see what the tests show, then speak with the
healthcare provider."
c. "Since there are no symptoms being exhibited right now, your
child will likely not require surgery until the age of 3 years."
d. "Most children have no symptoms of this defect.". Answer: While
each case is different, the majority of these defects correct on their
own. Let's see what the tests show, then speak with the healthcare
provider."
◉ 1. The nurse is taking a health history of an 11-year-old girl with
recurrent abdominal pain. Which response would lead the nurse to
suspect irritable bowel syndrome?
a. "I always feel better after I have a bowel movement."
b. "I don't take any medicine right now."
,c. "The pain comes and goes."
d. "The pain doesn't wake me up in the middle of the night.". Answer:
"I always feel better after I have a bowel movement."
◉ 1. The nurse has developed a plan of care for a 12-month-old
hospitalized with dehydration as a result of rotavirus. Which
intervention would the nurse include in the plan of care?
a. Encouraging consumption of fruit juice
b. Offering Kool-Aid or popsicles as tolerated
c. Encouraging milk products to boost caloric intake
d. Maintaining the intravenous (IV) fluid rate as ordered. Answer:
Maintaining the intravenous (IV) fluid rate as ordered
◉ 1. The parents of a child diagnosed with celiac disease ask the
nurse what types of food they can offer their child. What
recommendation would the nurse include in the teaching plan?
a. Frozen yogurt
b. Rye bread
c. Creamed spinach
d. Fruit juice. Answer: Fruit juice
◉ 1. The nurse is providing care to a child with an intussusception.
The child has a bowel movement and the nurse inspects the stool.
,The nurse would most likely document the stool's appearance as
having what quality?
a. Greasy
b. Clay-colored
c. Currant jelly-like
d. Bloody. Answer: Currant jelly-like
◉ 1. The mother of a 3-week-old infant old brings her daughter in
for an evaluation. During the visit, the mother tells the nurse that
her baby is spitting up after feedings. Which response by the nurse
would be most appropriate?
a. "We need to tell the healthcare provider about this."
b. "Infants this age commonly spit up."
c. "Your daughter might have an allergy."
d. "Don't worry; you're just feeding her too much.". Answer: "Infants
this age commonly spit up."
◉ 1. The parents of a 6-week-old boy come to the clinic for
evaluation because the infant has been vomiting. The parents report
that the vomiting has been increasing in frequency and forcefulness
over the last week. The mother says, "Sometimes, it seems like it just
bursts out of his mouth." A diagnosis of hypertrophic pyloric
stenosis is suspected. When performing the physical examination,
what would the nurse most likely find?
a. Sausage-shaped mass in the upper mid-abdomen
, b. Hard, moveable, olive-shaped mass in the right upper quadrant
c. Tenderness over the McBurney point in the right lower quadrant
d. Abdominal pain in the epigastric or umbilical region. Answer:
Hard, moveable, olive-shaped mass in the right upper quadrant
◉ 1. The mother of a child with end-stage renal disease asks the
nurse why her son is getting an injection of erythropoietin. When
responding to the mother, the nurse explains that the rationale is:
a. To treat low calcium levels
b. To stimulate growth in stature
c. To stimulate red blood cell growth
d. To correct acidosis. Answer: To stimulate red blood cell growth
◉ 1. After teaching the parents of a child with a hydrocele about this
condition, which statement indicates that the teaching was
successful?
a. "If this gets worse and we don't treat it, our son could become
infertile."
b. "This condition should gradually go away on its own."
c. "The surgeon is going to operate on him immediately."
d. "It's going to be difficult putting ice packs on his scrotum.".
Answer: "This condition should gradually go away on its own."