PN NURSING CARE OF CHILDREN PROCTORED EXAM
PN NURSING CARE OF CHILDREN PROCTORED
12 VERSIONS
2021
,Q
PN NURSING CARE OF CHILDREN PROCTORED EXAM
, PN NURSING CARE OF CHILDREN PROCTORED EXAM
VERSION 1
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestons should a
possible hemolytic transfusion reaction?
a. Laryngeal edema
b. Flank pain
c. Distended neck veins
d. Muscular weakness
Answer- b. Flank pain. The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indicon of a
to the blood transfusion.
A- Laryngeal edema is an indicon of an allergic reaction to the blood transfusion.
C- Distended neck veins are an indicon of circulatory overload, which is a complicon of a blood transfusion.
D- Muscle weakness is an indicon of an electrolyte disturbance, which is a complicon of a blood transfusion.
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following finding
identify as a potential indicon of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when her parent leaves
c. Has multiple bruises on her knees
d. Poor personal hygiene
Answer- d. Poor personal hygiene. Poor personal hygiene in a toddler is a potential indicon of physical neglect. Because tod
dependent on their parents for help with hygiene needs, poor personal hygiene indicates a lack of supervision.
A- The toddler has begun to develop a sense of body image and boundaries and can be resistant to intrusive assessments s
mouth or ears, or taking an axillary temperature. Therefore, this finding is not an indicon of physical neglect.
B- Separon anxiety is an expected finding for a toddler. The child of this age can become fearful and exhibit regressive beh
with strangers and separated from her parents; therefore, this finding is not an indicon of physical neglect.
C- The 18-month-old toddler has accomplished the gross motor skills of standing and walking and has begun to try to run b
have bruises on her knees. Therefore, this finding is not an indicon of physical neglect.
,A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of th
should the nurse take?
a. Use surgical asepsis when providing routine care for the child.
b. Administer the measles, mumps, rubella (MMR) vaccine to the child.
c. Screen the child's visitors for indicons of infection.
d. Infuse packed RBCs.
Answer- c. Screen the child's visitors for indicons of infection. The child who is severely immunocompromised is unable to a
infectious organisms resulting in the potential for overwhelming infection; therefore, the nurse should screen the child's vi
infection.
A- It is not necessary for the nurse to use surgical asepsis when providing direct care. Strict hand washing and medical asep
to prevent the spread of infection.
B- It is contraindicated for a child who is severely immunocompromised to receive the MMR vaccine because it is a live viru
child may not be able to build adequate antibodies to prevent infection with the organism.
D- A child who is immunocompromised as a result of chemotherapy will have a decreased neutrophil count. The nurse sho
packed RBCs to the child who is anemic. However, packed RBCs will not increase the child’s neutrophil count.
A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which o
instructions should the nurse include in the teaching?
a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms.
b. Store unused epinephrine syringes in the refrigerator.
c. Shake the epinephrine syringe prior to use to dissolve the precipitate.
d. Administer the medicon subcutaneously in the back of the arm.
Answer- a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms. A biphasic respon
will appear to recover and then experience a recurrence of symptoms, is possible with some allergic reactions. The nurse s
parent and child to use a second dose if the first dose does not resolve all the symptoms.
B- The nurse should instruct the parent and child to store epinephrine in a dark area at room temperature. Refrigeron of an
can result in failure of the injection mechanism to work.
C- The nurse should instruct the child and his parent that the formon of precipitate or a brown coloron to the solution is an
medicon should be replaced and not used.
D- The nurse should instruct the child and his parent to inject the medicon intramuscularly into the anterolateral aspect of
A nurse is assessing a school-age child who has appendicitis with possible perforon. The nurse should identify which of t
manifeston of peritonitis?
a. Hyperactive bowel sounds
b. Abdominal distention
c. Bradycardia
d. Polyuria
Answer- b. Abdominal distention. The nurse should recognize that abdominal distention is a manifeston of peritonitis. Peri
of the lining of the abdominal wall. This inflammon in the abdomen, along with the ileus that develops, causes abdominal d
A- Hypoactive bowel sounds are a manifeston of peritonitis. The peritoneal inflammon caused by the feces and bacteria re
perforated appendix results in the development of an ileus, and a decrease in bowel motility.
C- Tachycardia is a manifeston of peritonitis resulting from infection and fluid shifts within the abdomen, which causes hyp
D- Polyuria occurs with an elevated glucose level and is not a manifeston of peritonitis.
A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following la
PN NURSING CARE OF CHILDREN PROCTORED
12 VERSIONS
2021
,Q
PN NURSING CARE OF CHILDREN PROCTORED EXAM
, PN NURSING CARE OF CHILDREN PROCTORED EXAM
VERSION 1
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestons should a
possible hemolytic transfusion reaction?
a. Laryngeal edema
b. Flank pain
c. Distended neck veins
d. Muscular weakness
Answer- b. Flank pain. The nurse should recognize that flank pain is caused by the breakdown of RBCs and is an indicon of a
to the blood transfusion.
A- Laryngeal edema is an indicon of an allergic reaction to the blood transfusion.
C- Distended neck veins are an indicon of circulatory overload, which is a complicon of a blood transfusion.
D- Muscle weakness is an indicon of an electrolyte disturbance, which is a complicon of a blood transfusion.
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following finding
identify as a potential indicon of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when her parent leaves
c. Has multiple bruises on her knees
d. Poor personal hygiene
Answer- d. Poor personal hygiene. Poor personal hygiene in a toddler is a potential indicon of physical neglect. Because tod
dependent on their parents for help with hygiene needs, poor personal hygiene indicates a lack of supervision.
A- The toddler has begun to develop a sense of body image and boundaries and can be resistant to intrusive assessments s
mouth or ears, or taking an axillary temperature. Therefore, this finding is not an indicon of physical neglect.
B- Separon anxiety is an expected finding for a toddler. The child of this age can become fearful and exhibit regressive beh
with strangers and separated from her parents; therefore, this finding is not an indicon of physical neglect.
C- The 18-month-old toddler has accomplished the gross motor skills of standing and walking and has begun to try to run b
have bruises on her knees. Therefore, this finding is not an indicon of physical neglect.
,A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of th
should the nurse take?
a. Use surgical asepsis when providing routine care for the child.
b. Administer the measles, mumps, rubella (MMR) vaccine to the child.
c. Screen the child's visitors for indicons of infection.
d. Infuse packed RBCs.
Answer- c. Screen the child's visitors for indicons of infection. The child who is severely immunocompromised is unable to a
infectious organisms resulting in the potential for overwhelming infection; therefore, the nurse should screen the child's vi
infection.
A- It is not necessary for the nurse to use surgical asepsis when providing direct care. Strict hand washing and medical asep
to prevent the spread of infection.
B- It is contraindicated for a child who is severely immunocompromised to receive the MMR vaccine because it is a live viru
child may not be able to build adequate antibodies to prevent infection with the organism.
D- A child who is immunocompromised as a result of chemotherapy will have a decreased neutrophil count. The nurse sho
packed RBCs to the child who is anemic. However, packed RBCs will not increase the child’s neutrophil count.
A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which o
instructions should the nurse include in the teaching?
a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms.
b. Store unused epinephrine syringes in the refrigerator.
c. Shake the epinephrine syringe prior to use to dissolve the precipitate.
d. Administer the medicon subcutaneously in the back of the arm.
Answer- a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms. A biphasic respon
will appear to recover and then experience a recurrence of symptoms, is possible with some allergic reactions. The nurse s
parent and child to use a second dose if the first dose does not resolve all the symptoms.
B- The nurse should instruct the parent and child to store epinephrine in a dark area at room temperature. Refrigeron of an
can result in failure of the injection mechanism to work.
C- The nurse should instruct the child and his parent that the formon of precipitate or a brown coloron to the solution is an
medicon should be replaced and not used.
D- The nurse should instruct the child and his parent to inject the medicon intramuscularly into the anterolateral aspect of
A nurse is assessing a school-age child who has appendicitis with possible perforon. The nurse should identify which of t
manifeston of peritonitis?
a. Hyperactive bowel sounds
b. Abdominal distention
c. Bradycardia
d. Polyuria
Answer- b. Abdominal distention. The nurse should recognize that abdominal distention is a manifeston of peritonitis. Peri
of the lining of the abdominal wall. This inflammon in the abdomen, along with the ileus that develops, causes abdominal d
A- Hypoactive bowel sounds are a manifeston of peritonitis. The peritoneal inflammon caused by the feces and bacteria re
perforated appendix results in the development of an ileus, and a decrease in bowel motility.
C- Tachycardia is a manifeston of peritonitis resulting from infection and fluid shifts within the abdomen, which causes hyp
D- Polyuria occurs with an elevated glucose level and is not a manifeston of peritonitis.
A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following la
