MCH 2633 NURSING EXAM 3 QUESTIONS with ANSWERS

MCH 2633 NURSING EXAM 3 QUESTIONS with ANSWERS • Question 1 1 out of 1 points The pediatric nurse carefully monitors a patient’s status by assessing the child’s level of consciousness. The nurse understands that the Glasgow Coma Scale provides clues to: Selected Answer: B. neurological status. • Question 2 1 out of 1 points When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is known as? Selected Answer: Permissive • Question 3 1 out of 1 points The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. What is the most appropriate initial nursing action? Selected Answer: D. Apply direct pressure above the catheterization site. • Question 4 1 out of 1 points The pediatric nurse caring for hearing-impaired children teaches parents the following recommended guidelines for communicating with their children: (Select all answers that apply.) B. obtain the child’s attention before speaking. E. talk slowly • Question 5 1 out of 1 points A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. What is the therapeutic management of this child? Selected Answer: Intravenous fluids • Question 6 1 out of 1 points What is the priority nursing intervention when a child is unconscious after a fall? Selected Answer: Establish adequate airway • Question 7 1 out of 1 points Discipline is important to the growth and development of children. Discipline can teach a child how to manage behavior. Some discipline will destroy a child’s self- esteem. Which discipline is appropriate? (select all that apply) B. Time out C. Consequences of actions D. Removal of privileges • Question 8 1 out of 1 points When caring for a child with an intravenous infusion, what nursing intervention is the most appropriate? Selected Answer: Ensure patency by observing the infusion site frequently for signs of infiltration • Question 9 1 out of 1 points What is probably the single most important influence on growth at all stages of childhood development? Selected Answer: Nutrition • Question 10 1 out of 1 points On physical assessment of the skin of a patient, the nurse documents cyanosis. This finding may indicate what compication? Selected Answer: Compromised cardiorespiratory state • Question 11 1 out of 1 points A contraindication to vaccine administration indicates that the child has an increased risk of serious side effects from the vaccine and therefore should not receive that vaccine. What is the one universal contraindication to all vaccines? Selected Answer: A. previous severe allergic reaction to the vaccine • Question 12 1 out of 1 points A 6-year-old child is being discharged from the emergency department after being diagnosed with varicella or chickenpox. What over the counter medication should he nurse instruct the parents to avoid administering? Selected Answer: Motrin • Question 13 1 out of 1 points After the acute stage and during the healing process the primary complication from burn injury is which of the following? Selected Answer: D. Infection • Question 14 1 out of 1 points A prescription for Morphine sulfate IV bolus has been ordered for a child who is in pain. The nurse preparing to administer the medication realizes that the client appears small for her age. Which of the following actions should the nurse take? Selected Answer: Weigh the child and calculate the dosage range • Question 15 1 out of 1 points A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation? Selected Answer: Ignore the behavior provided the child is not causing injury • Question 16 1 out of 1 points Nursing care of a child during a seizure includes which of the following interventions? Select all that apply Selected Answers: Loosen restrictive clothing Maintain the child's airway Provide a safe environment • Question 17 1 out of 1 points A baby is born today with a weight of 9 pounds, 8 ounces at 38 weeks gestation. What serum level should be assessed immediately after birth? Selected Answer: Glucose level • Question 18 1 out of 1 points Health teaching that the nurse would provide for parents of an immunosuppressed child focuses on which important measure? Selected Answer: C. hand washing • Question 19 1 out of 1 points The nurse is caring for a child who has a burn. The child has a large burned area on the left leg. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury? Selected Answer: B. Partial - thickness superficial • Question 20