,(level 3 exam notes)
1. A nurse is assisting a child who has multiple closed fractures of the
lower extremities due to a motor-vehicle crash. The nurse should
monitor the child for which of the following complications during the
first 24 hr. after the injury occurred?
Compartment syndrome
2. A nurse is teaching the parent of a toddler who has phenylketonuria
about meal planning. Which of the following information should the
nurse include in the teaching?
Avoid foods containing milk products
3. A nurse at an inpatient facility is planning care for a child who has
autism spectrum disorder. Which of the following interventions
should the nurse include in the plan of care?
Keep staff visits with the child brief
4. A nurse is assisting an infant who has severe dehydration due to
gastroenteritis. Which of the following findings should the nurse
expect?
Increase respiratory rate
5. A nurse is planning care for a child who has cystic fibrosis. Which of
the following interventions should the nurse plan to include?
Use a vest to perform high-frequency chest compressions
6. A nurse is teaching the parent of a school age child about bicycle
safety. Which of the following instructions should the nurse include in
the teaching?
Your child should walk the bicycle through intersections
, 7. A nurse is preparing a child for a lumbar puncture. In which of the
following positions should the child be placed for the procedure?
Lateral
8. A nurse is reviewing the complete blood count results for a child who
is receiving treatment for acute lymphoblastic leukemia. Which of the
following findings should indicate to the nurse that the treatment is
having a therapeutic effect?
a. WBC count 15.000/mm
b. Hemoglobin 6.8 g/dL
c. Platelet count 98.0000/mm
d. RBC count 5/mm
d. RBC count 5/mm- (within expected range of 3.9-5.3)
9. A nurse is caring for a school age child who has pertussis. Which of
the following actions should the nurse take?
Report the diagnosis to the public health department
10. A nurse is assessing a week-old infant. The nurse should identify
which of the following manifestations can indicate neonatal abstinence
syndrome?
Excessive sucking
11. A nurse is preparing to initiate IV antibiotic therapy for a newly
admitted 12-month-old infant. Which of the following actions should
the nurse plan to take?
Cover the insertion site with an opaque dressing