RN Nursing Care of Children Online Proctored Exam 2023 (Revised Full Exam).

RN Nursing Care of Children Online Proctored Exam 2023 (Revised Full Exam). 1. A nurse is helping a school-age child who has celiac disease select menu items for the next day’s meals and snacks. Which of the following foods should the nurse encourage the client to choose? (NO GLUTEN) a. Sliced chicken breast on whole wheat bread b. Beef, barley, and vegetable soup c. Graham crackers with peanut butter d. A cheese omelet with orange juice. 2. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching? a. “My daughter can’t drink orange juice” b. “I will switch her to whole milk now that she’s old enough” c. “I will steam carrots and cut them into small pieces of her” d. “I should ensure that my daughter eats 1 ounce of meat every day” 3. A nurse is reviewing the results of the newborn screening for a newborn who is 1 week old. Results include total T4 0.8 mcg/dL, phenylalanine 0.7 mg/dL, and negative galactosemia (no sugar in the blood). Which of the following interventions should the nurse include in the plan of care? a. Initiate a diet low in phenylalanine b. Monitor the newborn’s urine for ketones c. Obtain blood glucose levels every 4 hr d. Instruct the newborn’s parent about how to administer levothyroxine 4. A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? (Select all that apply). a. Begin droplet precautions b. Obtain a throat culture (avoid throat culture or using tongue blade) c. Initiate IV access d. Inspect the epiglottis (avoid using tongue blade) e. Monitor oxygen saturation 5. A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care? a. Administer a meningococcal vaccine upon admission b. Use a bulb syringe to suction the nares c. Place the infant in a room with negative-pressure airflow d. Initiate IV antibiotic therapy 6. A nurse is providing discharge teaching to the parents of a preschool aged child who has heart-failure and a new prescription for digoxin oral solution. Which of the following instructions should the nurse include? lOMoARcPSD| a. “If a dose is missed, double the next dose” b. “If your child vomits, do not give the medication for 48 hours” c. “Mix the medication with 6 ounces of your child’s favorite juice” d. “Rinse your child’s mouth with water after giving the medication” 7. A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider? a. Has a vocabulary of 30 words (Should have a vocab. of 300 words per ATI). b. Eats a large amount of food one day then very little the next c. Sleeps 11 to 12 hr per day d. Hold his breath when having a temper tantrum 8. A nurse is assessing a child who is 2 hr postoperative following cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first? a. Administer acetaminophen b. Monitor pulse distal to the insertion site c. Check the child’s blood glucose level d. Apply pressure just above the insertion site pg.118 9. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? a. “You should consume flavored yogurt instead of plain yogurt” b. “You can drink milk on an empty stomach” c. “You may tolerate plain milk better than chocolate milk” d. “You can replace milk with non-dairy sources of calcium” 10. A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full-thickness burn to 10% of this body. Which of the following findings should the nurse report to the provider? a. Increased restlessness b. Respiratory rate 25/min c. Bowel sounds 20/min d. Urinary output 35 mL/hr 11. A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority? a. The child’s throat pain increases b. The child swallows frequently c. The child refuses clear liquids d. The child cries often.