Questions
A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. An increase in venous
pressure b. a decrease in
peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
A nurse is assessing an infant who has acute otitis media. Which of the
following findings should the nurse expect (select all that apply).
a. Increased appetite
b. enlarged subclavian
lymph node c. Crying
d.
Restlessness
e. Fever
A nurse is assessing an infant who has severe dehydration due to
gastroenteritis which of the following findings should the nurse expect?
a. Increased respiratory rate
b. capillary refill of 2 seconds
c. Hypertension
d. increased urine output
, A nurse is assessing an infant who has intussusception. Which of the
following findings should the nurse expect?
a. sausage-shaped abdominal Mass
b. board like abdomen
c. Constipation
d. increased urinary output
A nurse is caring for a 14 year old adolescent who has a cast on the right
arm and swelling of
, their right hand. The nurse elevates The Adolescents affected
extremity. The nurse should identify that which of the following
findings is an indication that the intervention has been effective?
a. The Adolescent reports of the cast feels tight
b. The Adolescents hands feel cool to touch
c. the Adolescent is able to move their fingers freely
d. the Adolescent reports feeling tingling in their arms
A nurse in a provider's office is assessing the vital signs of a two-year-
old child at a well-child visit. Which of the following findings should the
nurse report to the provider?
a. Respiratory rate 26 / min
b. pulse rate 98 / minutes
c. temperature 37.2 Celsius (99
Fahrenheit) d. blood pressure
mmhg
A nurse is preparing to administer a prescribed medication to a toddler
whose parent is nearby. Which of the following actions should the nurse
take to identify the toddler?
a. check the toddler's room number against
their ID band b. check the toddler's ID band
against the medical record
c. ask the parent to confirm the toddler's identity
d. ask another nurse to confirm to toddlers identity
A nurse is teaching home care to the parents of a preschool-age child
, who has heart failure. Which of the following information should the
nurse include in the teaching?
a. Weight the child once each month month
b. withhold digoxin of the child's pulse is greater than
100 / minutes c. provide for periods of rest
d. increase the child's oxygen flow rate until the child no longer has
cyanosis
A nurse in the PACU is caring for a school-age child immediately following a
tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in a side-lying position
b. offer the child ice cream when alert
c. instruct a child to drink fluids through a straw
d. encourage the child to deep breathe and cough
A nurse is reviewing the medical record of a 15 month old child who is
scheduled to receive measles, mumps, rubella1. Which of the following
findings Should the nurse identify as a contradiction for receiving the
vaccine?
a. Allergy to neomycin
b. upper respiratory infection 2 days ago
c. temperature of 37.2 (99 Fahrenheit)
d. family history of seizures
A nurse is assessing a school-age child's cranial nerve function. Which of
the following actions should the nurse ask the child to take when
assessing the accessory nerve?