The father of a hospitalized child tells the nurse, “He can’t have meat. We are Buddhist and
vegetarians.” The nurse’s best intervention is to:
a. order the child a meatless tray.
b. ask a Buddhist priest to visit.
c. explain that hospital patients are exempt from dietary rules.
d. help the parent understand that meat provides protein needed for healing.
ANS: A
The nurse must assess 10-month-old infant. The infant is sitting on the father’s lap and appears to
be afraid of the nurse and of what might happen next. Which initial action by the nurse would be
most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask father to place the infant on the examination table.
c. Undress the infant while he is still sitting on his father’s lap.
d. Talk softly to the infant while taking him from his father.
ANS: A
The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain.
The nurse observes a slower respiratory rate, and the child cannot be aroused. The most
appropriate management of this child is for the nurse to:
a
. administer naloxone (Narcan).
b
. discontinue IV infusion.
, c. discontinue morphine until child is fully awake.
d stimulate child by calling name, shaking gently, and asking to
. breathe deeply.
ANS: A
A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which
interventions? Place the interventions in order from the highest priority (first intervention) to the
lowest priority (last intervention). Provide your answer using lowercase letters separated by commas
(e.g., a, b, c, d).
a. Place the patient on continuous pulse oximetry to assess SaO2.
b. Administer the prescribed naloxone (Narcan) dose by slow IV push.
c. Ensure oxygen is available.
d. Prepare to calm the child as analgesia is reversed.
ANS:
b, a, c, d
Nursing care of the newborn with oral candidiasis (thrush) includes:
a. avoiding use of pacifier.
b. removing characteristic white patches with a soft cloth.
c. continuing medication for a prescribed number of days.
d. applying medication to oral mucosa, being careful that none is ingested.
ANS: C
Phenylketonuria (PKU) is a genetic disease that results in the body’s inability to correctly metabolize:
a. glucose.
b. phenylalanine.
c. phenylketones.
d. thyroxine.
ANS: B
Which is an important nursing consideration in the care of the newborn with PKU?
a. Suggest ways to make formula more palatable.
b. Teach proper administration of phenylalanine hydroxylase.
c. Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
d. Give reassurance that dietary restrictions are a temporary inconvenience.
vegetarians.” The nurse’s best intervention is to:
a. order the child a meatless tray.
b. ask a Buddhist priest to visit.
c. explain that hospital patients are exempt from dietary rules.
d. help the parent understand that meat provides protein needed for healing.
ANS: A
The nurse must assess 10-month-old infant. The infant is sitting on the father’s lap and appears to
be afraid of the nurse and of what might happen next. Which initial action by the nurse would be
most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask father to place the infant on the examination table.
c. Undress the infant while he is still sitting on his father’s lap.
d. Talk softly to the infant while taking him from his father.
ANS: A
The nurse is caring for a child receiving intravenous (IV) morphine for severe postoperative pain.
The nurse observes a slower respiratory rate, and the child cannot be aroused. The most
appropriate management of this child is for the nurse to:
a
. administer naloxone (Narcan).
b
. discontinue IV infusion.
, c. discontinue morphine until child is fully awake.
d stimulate child by calling name, shaking gently, and asking to
. breathe deeply.
ANS: A
A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which
interventions? Place the interventions in order from the highest priority (first intervention) to the
lowest priority (last intervention). Provide your answer using lowercase letters separated by commas
(e.g., a, b, c, d).
a. Place the patient on continuous pulse oximetry to assess SaO2.
b. Administer the prescribed naloxone (Narcan) dose by slow IV push.
c. Ensure oxygen is available.
d. Prepare to calm the child as analgesia is reversed.
ANS:
b, a, c, d
Nursing care of the newborn with oral candidiasis (thrush) includes:
a. avoiding use of pacifier.
b. removing characteristic white patches with a soft cloth.
c. continuing medication for a prescribed number of days.
d. applying medication to oral mucosa, being careful that none is ingested.
ANS: C
Phenylketonuria (PKU) is a genetic disease that results in the body’s inability to correctly metabolize:
a. glucose.
b. phenylalanine.
c. phenylketones.
d. thyroxine.
ANS: B
Which is an important nursing consideration in the care of the newborn with PKU?
a. Suggest ways to make formula more palatable.
b. Teach proper administration of phenylalanine hydroxylase.
c. Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
d. Give reassurance that dietary restrictions are a temporary inconvenience.
