Elsevier Adaptive Quizzing for the NCLEX-RN Exam 2023/2024 update

Elsevier Adaptive Quizzing for the NCLEX-RN Exam 2023/2024 update Elsevier Adaptive Quizzing for the NCLEX-RN Exam 2023/2024 update Loading... Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Infants Correct Answers « 1 2 » Confidence: Stats Issue with this question? 2. A nurse is caring for of a 9-month-old infant with severe dehydration. What does the nurse expect to note while completing a physical assessment of this infant? 1 Frothy stools Correct 2 Showing Page: 2/100 Weak, rapid pulse 3 Pale, copious urine 4 Bulging anterior fontanel A weak, rapid pulse is an expected adaptation with a state of severe dehydration because of hypovolemia. Children with untreated cystic fibrosis and celiac disease have frothy stools. There is no indication that this infant has either of these disorders. Severe dehydration results in decreased urine output and concentrated urine. One of the signs of dehydration in an infant is a sunken, not bulging, anterior fontanel. 82% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 5. A nurse is caring for a 3-month-old infant in whom a ventriculoperitoneal shunt has been inserted. What should the nurse teach the parents during the postoperative period? 1 Position the infant on the side with the shunt. 2 Be alert for leakage of fluid from the incision. Correct 3 Showing Page: 3/100 Know how to identify the signs of increased intracranial pressure. 4 Continue applying sterile moist dressings until the incision has healed. The parents must be taught to identify clinical manifestations of increased intracranial pressure because it may develop if the shunt malfunctions. Position the infant on the side with the shunt places too much pressure on the shunt; the infant should be flat and turned on the unoperative side. Cerebrospinal fluid will not drain from the incision. Dry sterile dressings are applied after surgery to prevent infection; they may be removed at the time of discharge Issue with this question? 3. How can a nurse best soothe a hospitalized infant who appears to be in pain? 1 Feeding the infant Correct 2 Holding the infant Incorrect 3 Playing soft music in the room 4 Providing a quiet environment Physical contact provides security for a distressed infant. Feeding to provide comfort is not always an option because the infant may have been fed recently, may be anorexic, or may be on nothing-by-mouth status. Music or a quiet environment may not always have a calming influence; often infants are not aware of the environment. 80% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 4. Showing Page: 14/100 An 8-month-old infant undergoes surgical correction for hypospadias. What is a priority nursing intervention during the postoperative period? Incorrect 1 Ensuring that privacy is maintained Correct 2 Minimizing pain with adequate analgesia 3 Restricting fluid intake until the stent is removed 4 Gradually increasing the time that the urinary catheter is clamped Although analgesia is important to minimize pain, it relaxes the infant who may be immobilized to maintain the position of the urethral stent and to ensure optimal healing of the newly formed urethra as well. Infants are accustomed to a lack of privacy because of the need to expose the perineum and touch the genitalia when cleaning the area. Fluid intake should be encouraged, not restricted. The indwelling catheter is not clamped; backup pressure could disturb the suture line. 80% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 7. A nurse is preparing an infant for insertion of a nasogastric tube. List the steps of the procedure in the order that they should be performed. Showing Page: 15/100 Incorrect 1. Use the tube to measure from ear to nose to stomach. Incorrect 2. Insert the tube. Incorrect 3. Aspirate stomach contents. Incorrect 4. Wash hands before opening the package. Before the nurse performs any care, the hands must be washed to prevent contamination; after this has been done, the package may be opened. The distance that the tube must be passed is determined before insertion. After tube insertion, stomach contents should be aspirated to confirm placement of the tube in the stomach. 86% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 8. An infant who has undergone cardiac surgery for a congenital defect is to be discharged. What should the nurse emphasize to the parents regarding administration of the prescribed antibiotic? 1 Give the antibiotic between feedings. Correct Showing Page: 16/100 2 Ensure that the antibiotic is administered as prescribed. Incorrect 3 Shake the bottle thoroughly before giving the antibiotic. 4 Keep the antibiotic in the refrigerator after the bottle has been opened. Ensuring that the antibiotic is administered as prescribed is a priority because inadequate antibiotic therapy may predispose the infant to the development of bacterial endocarditis. Giving the antibiotic between feedings, shaking the bottle, and storing the medication in the refrigerator are not priority instructions because instructions for correct administration are usually printed on the label. 91% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 12. The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems restless. May I hold him?" What information influences the nurse's response? Correct 1 Holding may meet needs and reduce tension on the suture line. 2 Showing Page: 17/100 Sedation limits activity and decreases tension on the suture line. Incorrect 3 Handling may increase irritability, causing tension on the suture line. 4 Arm movements cannot be controlled, placing tension on the suture line. Touching and cuddling provide a sense of well-being and relieve strain on the suture line that results from restlessness and crying. It is inappropriate to sedate an infant for its calming effect or to decrease activity. Careful handling will not damage the suture line. Arm movement can be controlled by applying elbow restraints to prevent the infant's hands from touching the suture line. 79% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 16. A nurse counsels the mother of an 8-month-old infant to be sure that the floors are free of small objects when her child is crawling. What is the rationale for this instruction? 1 Sharp objects can injure the fragile skin of an infant. Incorrect 2 Eight-month-old infants hide small objects, making them difficult to locate. 3 Showing Page: 18/100 Floors may cause infections in infants when they pick up and mouth objects. Correct 4 Eight-month-old infants pick up small objects and place them in their mouths. Eight-month-old infants have the ability to use their fingers and thumbs in opposition (pincer grasp); this enables them to pick up small objects and put them in their mouths, where they may be aspirated. Although an infant's skin is fragile, damage to the skin is not the major concern. The danger is not that the items may be hidden but that they may be put into the mouth. The floor is not an infectious health hazard if it is clean. 94% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 17. During a newborn assessment for developmental dysplasia of the hip (DDH), the nurse elicits the Ortolani sign. While discussing this finding with the child's mother, the nurse explains that it is a: 1 Broadening of the perineum Incorrect 2 Shortening of the affected leg Correct 3 Showing Page: 19/100 Clicking of the hip when it is manipulated 4 Drooping of the hip on one side of the body With specific manipulation an audible click may be heard or felt as the femoral head slips into the acetabulum. Broadening of the perineum is associated with bilateral dislocation. The apparent shortening of one leg is the Allis sign. A unilateral droop of one hip is the Trendelenburg sign; it occurs in a child with developmental dysplasia of the hip when the child bears weight. 74% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 18. A nurse is caring for a 3-week-old infant with hypertrophic pyloric stenosis who is severely dehydrated. What finding does the nurse expect when assessing the infant? 1 Showing Page: 39/100 crisis resulting in severe anemia. Pooling of blood in the spleen that results in splenomegaly is known as a splenic sequestration crisis. 79% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 4. A school nurse is teaching a 12-year-old child with recently diagnosed type 1 diabetes about the action of insulin injections. What statement indicates that the child understands how insulin works in the body? 1 "Glucose is released as fats break down." Incorrect 2 "It keeps glucose from being stored in the liver." Correct 3 "Glucose is carried into cells, where it is burned for energy." 4 "It stops wasting of blood glucose by converting it to glycogen." Specialized insulin receptors on insulin-sensitive cells transport glucose through cell membranes, making it available for use. Insulin does not break down fats to release glucose, prevent glucose from being stored in the liver, or convert glucose into glycogen. 76% Showing Page: 40/100 of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 6. A nurse instructs the parents of an adolescent with asthma how to reduce the allergens in the child's bedroom. The mother tells the nurse what she plans to do to make the room hypoallergenic. Which idea indicates that further teaching is needed? 1 Removing a stuffed animal collection 2 Storing off-season clothing in another room Incorrect 3 Covering the mattress with a plastic slipcover Correct 4 Using flat outdoor carpeting to cover hardwood floors Hardwood floors can be cleaned more easily than rugs can and are more hypoallergenic than outdoor carpeting. Stuffed toys are often sources of dust and mold. Out-of-season clothing harbors dust and should not be stored in the allergic child's room. Using a plastic slipcover reduces the child's exposure to dust generated by the mattress. 81% of students nationwide answered this question correctly. View Topics Showing Page: 41/100 Confidence: Just a guess Stats Issue with this question? 7. A nurse in the clinic is obtaining a health history of a 16-year-old boy with a complaint of a thick urethral discharge. What is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea? 1 Assessing the temperature for fever 2 Collecting a urine sample for a urinalysis Incorrect 3 Drawing blood for a complete blood count Correct 4 Obtaining a urethral specimen for a culture When the Gonococcus organism is present in the genitourinary tract of a male client, a culture of the urethral exudate provides a definitive diagnosis. Fever is not a specific diagnostic tool because it occurs with other infections. Although urine may contain Gonococcus organisms, the urine dilutes the concentration; the organisms are more concentrated in the urethral discharge. The Gonococcus organism is in the genitourinary tract, not the blood; a complete blood count will not provide information with which to diagnose gonorrhea. 79% of students nationwide answered this question correctly. View Topics Showing Page: 42/100 Confidence: Just a guess Stats Issue with this question? 8. A nurse is conducting a health class for adolescents. What modifiable risk factor, most closely associated with the development of coronary heart disease (CHD) in both men and women, should the nurse discuss? 1 Opioid use Correct 2 Cigarette smoking Incorrect 3 Judicious alcohol intake 4 Moderate exercise program Nicotine in cigarette smoke constricts blood vessels, including coronary arteries, which contributes to the occurrence of angina and CHD. Opioid use is not a risk factor for CHD. Judicious alcohol intake may promote relaxation, decreasing stress and limiting the development of CHD. Inactivity, not moderate exercise, is a risk factor for coronary heart disease. Exercise decreases hypertension, blood clotting, and heart rate. Exercise also increases metabolism, the plasma level of high-density lipoprotein cholesterol, and cardiac capillary blood flow. 87% of students nationwide answered this question correctly. View Topics Showing Page: 43/100 Confidence: Just a guess Stats Issue with this question? 10. After 3 months of supplemental oral iron therapy, there is no significant increase in a female adolescent's hemoglobin level. Iron dextran (Imferon) is ordered. What is the best way for the nurse to administer this medication? 1 With a transdermal needle Incorrect 2 By massaging the injection site Correct 3 With the use of the Z-track method 4 By administering a local anesthetic first The Z-track injection method prevents seepage of Imferon through the needle track, thereby limiting irritation of subcutaneous tissue and staining of the skin. The length of a transdermal needle is too short to reach a muscle; a 1½-inch needle is required. Massage will force Imferon into the subcutaneous tissue, causing irritation and staining. Although an injection may be uncomfortable, a local anesthetic is unnecessary. 84% of students nationwide answered this question correctly. View Topics Showing Page: 44/100 Confidence: Just a guess Stats Issue with this question? 11. A nurse is assessing an adolescent after the administration of epinephrine. What side effect is most important for the nurse to identify? Correct 1 Tachycardia Incorrect 2 Hypoglycemia 3 Constricted pupils 4 Decreased blood pressure Epinephrine is a sympathetic nervous system stimulant that causes tachycardia. Hyperglycemia, not hypoglycemia, may result. The pupils will be dilated, not constricted. Epinephrine is more likely to cause hypertension than hypotension. 78% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? Showing Page: 45/100 12. A 15-year-old girl is grounded for 2 weeks by her parents for smoking in school. The adolescent tells the school nurse, "It's not fair that I get punished when my friends get away with doing the same thing." What is the best response by the nurse? 1 "The others will pay someday for lying to the school authorities." Incorrect 2 "I intend to report your friends to the principal so they can be punished." Correct 3 "When errors in judgment are made, people must be prepared to take the consequences for their actions." 4 "The parents are not teaching their teenage children to obey the rules, which reinforces this unacceptable behavior." As part of the maturation process, adolescents should be taught to accept the consequences that result from their actions. The nurse is unable to predict the outcome of the client's friends' behavior in the future. The focus should be on pointing out that the adolescent should be accountable for self-behavior, not that her friends should also be punished. The focus should be on the adolescent's actions and not those of her friends' parents. 81% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? Showing Page: 46/100 13. What behavior does a nurse expect when caring for a 15-year-old adolescent who is undergoing chemotherapy? Correct 1 Exhibiting concern about being different Incorrect 2 Enjoying the sick role and being dependent 3 Being annoyed by the need to limit activities 4 Being preoccupied about missed schoolwork Usually 15-year-olds are preoccupied with appearance; the side effects of the antineoplastics and prednisone will result in the adolescent's looking and feeling different, which may cause impairment of body image. A 15-year-old enjoys and strives for independence; the sick role forces the adolescent to be dependent. Being annoyed by the need to limit activities and preoccupation with missed schoolwork are both possible, but neither is likely to be the outstanding concern or feeling. Test-Taking Tip: Answer every question because, on the NCLEX exam, you must answer a question before you can move on to the next question. My Account Help Catalog My Evolve Loading... Showing Page: 47/100 Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Adolescents Correct Answers: 8 Confidence: Just a guess Stats Issue with this question? 2. After her child's visit to the pediatrician a mother tells the nurse that she is concerned that an antidepressant has been prescribed for her adolescent son. What is the best response by the nurse? Correct 1 "Tell me more about what's bothering you." 2 "You need to speak with the doctor about your concern." 3 "Are you sure it's not a medication for attention deficit disorder?" 4 "Didn't the doctor tell you why your son needs an antidepressant?" Reflecting the parent's feelings provides an opportunity for further exploration. It is the nurse's responsibility to assess the mother's concerns before planning further interventions. Implying that either Showing Page: 48/100 the health care provider or the mother is wrong is a nontherapeutic response. Implying that the mother didn't listen or understand is a judgmental, nontherapeutic response. 92% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 5. An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. What should the nurse tell the girl that may help her wear the bracelet consistently? 1 Hide the bracelet under long-sleeved clothes. 2 Wear the bracelet when engaging in contact sports. 3 Ask her friends to wear bracelets that look like hers. Correct 4 Select a bracelet similar to bracelets worn by her peers. Because adolescents have a developmental need to conform to their peers, the teenager should be able to select a bracelet of a design similar to that of those worn by her peers. Hiding the bracelet under long- sleeved clothes might be acceptable in cool weather, but not when it is warm and friends are wearing T- shirts. The bracelet should be worn at all times when the girl is not with responsible family members. Asking friends to wear a similar bracelet may be difficult, especially if the girl does not wish to tell her friends why she needs the bracelet. Showing Page: 49/100 91% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 9. A nurse is caring for an adolescent in the postanesthesia care unit. What action should the nurse take to ensure accuracy of a pulse oximeter reading? Correct 1 Placing the probe on a finger or earlobe 2 Fastening the probe to the abdomen or thigh 3 Attaching the probe to a different finger for each measurement 4 Applying the probe, then waiting 10 minutes before obtaining a reading The capillary beds are closest to the surface in a finger or earlobe; this proximity permits accurate measurement of the arterial oxygen saturation. The pulse oximeter is designed for use on a finger, earlobe, or toe, not on the abdomen or upper thigh. Rotation of sites is unnecessary. An instant accurate readout is obtained with a pulse oximeter. 82% of students nationwide answered this question correctly. View Topics Showing Page: 50/100 Confidence: Just a guess Stats Issue with this question? 15. A nurse is caring for a 15-year-old adolescent who was admitted to the hospital after taking an acetaminophen (Tylenol) overdose. The result of which diagnostic study is most important for the nurse to monitor at this time? 1 Blood gas level Correct 2 Liver function tests 3 Complete blood count 4 Glycosylated hemoglobin Acetaminophen (Tylenol) is metabolized by the liver, and an excess may result in increased aspartate aminotransferase and bilirubin levels and prothrombin time. Hepatic involvement may last as long as 7 days, and liver damage may be permanent. Blood gas results are not the priority at this time. They will become important if hepatic failure or respiratory distress develops. The hematological components measured in a complete blood count are not profoundly affected by an acetaminophen overdose. Glycosylated hemoglobin is a measure of diabetic control, not a measure of response to an acetaminophen overdose. 93% of students nationwide answered this question correctly. View Topics Showing Page: 51/100 Confidence: Just a guess Stats Issue with this question? 17. The mother of an adolescent asks the nurse, "What's the best way to remove a tick from the skin?" What is the best response by the nurse? 1 "Touch the tick with a lit cigarette." Correct 2 "Remove the tick carefully with tweezers." 3 "Pour ammonia over the tick, and it will shrivel up." 4 "Spray the tick with insect repellent, and it will fall off." The tick must be carefully removed with tweezers or forceps so the body and head are both removed; this technique prevents further inoculation of the individual. Using a lit cigarette, ammonia, or insect repellent is unsafe; the tick may further inoculate the child, and the method may hurt the child. 88% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 18. Showing Page: 52/100 While performing preoperative teaching a nurse explores a young adolescent's concern about changes in appearance after surgery to correct scoliosis. What is the most appropriate statement by the nurse? 1 "After surgery your back will be much straighter." Correct 2 "You're concerned about how you'll look after surgery." 3 "Many teenagers who have this type of surgery do very well." 4 "Your parents think it's important for you to have this surgery." The nurse is using the technique of paraphrasing to encourage the adolescent to expand on personal concerns, which may relieve anxiety. Adolescents tend to be focused on the present, not the future; the nurse should focus on the adolescent's current concerns. Focusing on others is not client-centered care; the nurse should focus on the adolescent. 83% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 22. An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse respond when the client complains of pain and requests medication? 1 Showing Page: 53/100 By withholding the medication to help prevent addiction 2 By stating that the limb has been removed and that the pain is psychological Correct 3 By acknowledging that the pain is real and administering medication to relieve it 4 By explaining that the phantom limb sensation will subside within a few more days Pain medication is required, along with intensive supportive nursing care. To the client the pain is real, requiring pain medication; addiction is not a concern at this time. Explaining that the pain is psychological in origin does not help relieve the pain; medication and emotional support are required. The pain may not recede within a few days; pain medication should be administered. 85% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 30. An adolescent who has just been found to have type 1 diabetes asks a nurse about exercise. What is the best response by the nurse? 1 "Exercise should be restricted." 2 Showing Page: 54/100 "Exercise will increase blood glucose." Correct 3 "Extra snacks are needed before exercise." 4 "Extra insulin is required during exercise." Exercise lowers the blood glucose level; an extra snack can prevent hypoglycemia. Exercise is encouraged, not restricted. Exercise lowers, not increases, blood glucose. Extra insulin is contraindicated because exercise decreases the blood glucose level; extra insulin may precipitate hypoglycem Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Growth and Development Incorrect Answers: 23 « 1 2 3 » 0 Showing Page: 55/100 Confidence: Just a guess Stats Issue with this question? 1. While assessing a term infant a few hours after birth, the nurse finds a body temperature of 95.5° F. What does the nurse do in this situation? 1 Remove clothing and expose infant to room air. Incorrect 2 Avoid applying a fabric-insulated or wool cap. Correct 3 Keep the infant in a double-walled incubator for a few hours. 4 Instruct the parents to wipe the neonate’s body with warm water. The normal body temperature of a term infant is in the range of 97.7° to 99.5° F. A body temperature of 95.5° F indicates hypothermia. Double-walled incubators can effectively maintain normal body temperature by reducing heat loss. Removing the infant’s clothes can further increase the risk of hypothermia. The nurse should apply a fabric-insulated or wool cap to the infant to prevent further heat loss. Wiping the infant’s body with water exacerbates the risk of hypothermia. Test-Taking Tip: The most reliable way to ensure that you select the correct response to a multiple choice question is to recall it. Depend on your learning and memory to furnish the answer to the question. To do this, read the stem, and then stop! Do not look at the response options yet. Try to recall what you know and, based on this, what you would give as the answer. After you have taken a few seconds to do this, then look at all of the choices and select the one that most nearly matches the answer you recalled. It is important that you consider all of the choices, not just choose the first option that seems to fit the answer you recall. Remember the distractors. The second choice may look okay, but the fourth choice may be worded in a way that makes it a slightly better choice. If you do not weigh all of the choices, you are not maximizing your chances of correctly answering each question. 85% of students nationwide answered this question correctly. View Topics 7 Confidence: Just a guess Stats Issue with this question? 2. While assessing a 2-month-old infant, the nurse makes a loud sound and observes that the child forms a “C” shape with thumb and index finger while flexing the extremities. What does the nurse interpret from these findings? Correct 1 The child is exhibiting the Moro reflex. Incorrect 2 The child is exhibiting the rooting reflex. 3 The child is exhibiting the Babinski reflex. 4 The child is exhibiting the tonic neck reflex. The infant forms a “C” shape with thumb and index finger while flexing the extremities in response to a jarring sound. This indicates a positive Moro reflex. The rooting reflex occurs when the nurse strokes the infant’s cheek, and the infant turns towards that side making sucking sounds. The Babinski reflex occurs when the nurse strokes the heel upward across the foot from the heel and the infant hyperextends the Showing Page: 57/100 toes in response. The tonic neck reflex occurs when the nurse turns the infant’s head to one side and in response, the infant’s arm and leg extend to the same side as the head, and the opposite arm and leg are flexed. Test-Taking Tip: Multiple-choice questions can be challenging, because students think that they will recognize the right answer when they see it or that the right answer will somehow stand out from the other choices. This is a dangerous misconception. The more carefully the question is constructed, the more each of the choices will seem like the correct response. 79% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 3. The parents of a preschooler are worried, as the child is often seen talking to imaginary friends. The parents admit that they often scold the child for such behavior. What does the nurse inform the parents? Incorrect 1 “The child may develop severe psychological problems.” 2 “You must involve the child in some spiritual activities.” 3 “There may be some neurological or developmental issue.” Correct 4 Showing Page: 58/100 “The behavior is normal at this age and it will help counter loneliness.” Sometimes children create imaginary friends to help counter the feelings of loneliness. Therefore, the nurse should tell the parents that it is a normal behavior. Speaking to imaginary friends is a habit that children overcome later in life and, therefore, there is no risk for developing any psychological problems. It is not necessary to involve the child in any spiritual activity if the parents do not desire to do so. A neurological problem is seen if the child exhibits jerking moments or experiences fainting spells. 98% of students nationwide answered this question correctly. View Topics 7 Confidence: Just a guess Stats Issue with this question? 6. What advice is appropriate for a growing child to prevent obesity? Select all that apply. Incorrect A "You should skip breakfast and eat a healthy lunch and dinner." B "You should put a video game system in your bedroom." Correct C "You should drink fewer sweetened beverages every day." Correct D Showing Page: 59/100 "You should eat small meals throughout the day." Correct E "You should watch television for less than 2 hours every day." Sweetened beverages are high in sugar and calories, which increase the risk of obesity. Therefore, the nurse instructs the patient to avoid sweetened beverages. Eating small meals at regular intervals keeps the person feeling full, reduces overeating, and improves metabolism. A sedentary lifestyle also increases the risk of obesity. Playing video games is primarily a sedentary activity. The nurse should instruct the patient to reduce television watching to less than 2 hours a day. Breakfast is a very important meal, and the nurse should instruct the patient to eat a healthy breakfast every day. Test-Taking Tip: Make certain that the answer you select is reasonable and obtainable under ordinary circumstances and that the action can be carried out in the given situation. 80% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 8. The nurse finds that an adolescent has a tattoo on the neck and piercings on the ear and eyebrow. During the next visit, the nurse finds that the adolescent has an additional tattoo on right upper arm and another piercing on the nose. What are the priority nursing interventions in this situation? Select all that apply. 1 Prepare a proper diet plan for the adolescent. Incorrect 2 Showing Page: 60/100 Instruct the adolescent to get an electrocardiogram. Incorrect 3 Instruct the adolescent to perform regular exercises. Correct 4 Screen the adolescent for human immunodeficiency virus (HIV). Correct 5 Schedule an appointment for administering the hepatitis vaccine. Infection-causing viruses such as human immunodeficiency virus (HIV), hepatitis B virus, and hepatitis C virus can be transmitted through body art needles from one person to another. Therefore, the nurse should have the patient tested for the human immunodeficiency virus (HIV) and schedule an appointment for administering the hepatitis vaccine to ensure safety and reduce the risk of infection. Safety is the priority intervention over health promotion activities such as a screening ECG, proper diet plan, and encouraging exercise. 86% of students nationwide answered this question correctly. View Topics 4 Confidence: Just a guess Stats Issue with this question? 9. The nurse observes an infant using his thumb and index finger to hold an object. What does the nurse infer from this? 1 Showing Page: 61/100 The infant is exhibiting Moro reflex. Incorrect 2 The infant is showing tonic neck reflex. 3 The infant is exhibiting parachute reflex. Correct 4 The infant is showing crude pincer grasp reflex. An infant using his thumb and index finger to hold an object would indicate that the infant has crude pincer grasp reflex. As the infant is not startled, the nurse does not conclude that the infant is showing Moro reflex. If the infant extends his or her arm and leg to the side where the infant’s head is turned, it indicates that the infant has tonic neck reflex. The infant is not showing protective response towards falling. Therefore, the infant does not show parachute reflex. 91% of students nationwide answered this question correctly. View Topics 5 Confidence: Just a guess Stats Issue with this question? 10. When assessing the reflexes of a 4-month-old infant, the nurse observes that the infant is extending an arm to the side while the head is turned. Which reflex does the nurse observe? 1 Extrusion reflex Incorrect Showing Page: 62/100 2 Trunk incurvation Correct 3 Tonic neck reflex 4 Ankle clonus reflex A 4-month-old child extending an arm to the side while the head is turned indicates the tonic neck reflex. The extrusion reflex occurs when the child pushes the tongue forward when the nurse touches or depresses it. When assessing trunk incurvation, the nurse presses the infant’s spine to assess if the infant’s hips move in response. When assessing the ankle clonus reflex, the nurse performs dorsiflexion of the infant’s foot while supporting the knee. 79% of students nationwide answered this question correctly. View Topics 0 Confidence: Just a guess Stats Issue with this question? 12. Upon interacting with the parent of an 8-month-old infant, the nurse anticipates that the infant is at risk of childhood obesity. Which statement from the parent supports the nurse’s assumption? Correct 1 "I often give my child potato chips." Incorrect 2 Showing Page: 63/100 "I often feed my child cereal." 3 "I feed my child mashed ripe banana." 4 "I often feed my child oatmeal." Foods like potato chips, candy, ice cream, cake, soda pop, and other sweetened drinks increase cholesterol levels and result in obesity. High-protein cereals do not increase cholesterol levels in the body, and do not contribute to childhood obesity. Mashed ripened banana does not increase cholesterol levels in the body and does not contribute to childhood obesity. Oatmeal reduces the risk of obesity in the child. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses. 95% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 13. Which fine motor skill will be seen in a 10-month-old infant? Correct 1 Picking up finger foods 2 Showing Page: 64/100 Releasing a cube in a cup Incorrect 3 Building towers of two blocks 4 Turning many pages in a book When an infant is 10 months old, the pincer grasp is well established, which helps the infant pick up finger foods. When an infant is 11 months, the infant has a neat pincer grasp and is able to release a cube in a cup. One-year-old infants can build a tower of two blocks and turn many pages in a book. 81% of students nationwide answered this question correctly. View Topics 1 Confidence: Just a guess Stats Issue with this question? 14. The nurse is teaching health promotion techniques to the parents of a 5-year-old child. During the follow-up visit, the nurse anticipates that the child has a risk of muscle injury due to overuse. Which statement by the parent supports the nurse’s opinion? Incorrect 1 "I advise my child to walk with his back straight." Correct 2 Showing Page: 65/100 "I make my child exercise 3 hours per day." 3 "I give my child a glass of whole cow’s milk every day." 4 "I encourage my child to sleep 10 to 12 hours per night." Excessive exercise can cause tissue injury and impair muscular development in a child. Cow’s milk is a rich source of calcium and helps in bone and teeth formation. The parent should encourage the child to walk with his or her back straight as it helps prevent spine problems in the child. Sleeping 10 to 12 hours per night provides proper rest, which is beneficial for overall growth and development. Test-Taking Tip: Read the question carefully before looking at the answers: (1) Determine what the question is really asking; look for key words; (2) Read each answer thoroughly and see if it completely covers the material asked by the question; (3) Narrow the choices by imme Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Growth and Development Correct Answers: 7 Confidence: Just a guess Stats Showing Page: 66/100 Issue with this question? 4. During a follow-up visit, the mother of a 10-month-old infant says, "My child lifts one foot to take a step, stands by holding the furniture, but does not attempt to stand alone without support, and walks while holding onto a hand." What is the accurate nursing response in this situation? 1 "Your child may be in need of minor leg surgery." Correct 2 "Your child should be able to stand alone in another 2 months." 3 "You should consult an orthopedic specialist immediately." 4 "You should encourage physiotherapy for your child’s legs." The 10-month-old infant can lift one foot to step and stand by holding the furniture. A 12-month-old infant would be able to stand alone without support and walk while holding a hand, but not the 10- month-old infant. Therefore, the nurse should inform the mother to wait for 2 more months. As the 10- month-old infant is performing all the actions appropriate to his or her age, there is no need for leg surgery. The nurse should instruct the mother to consult the orthopedic specialist and to encourage physiotherapy if the infant fails to demonstrate appropriate developmental actions after 12 months of age. 93% of students nationwide answered this question correctly. View Topics 2 Confidence: Just a guess Stats Issue with this question? Showing Page: 67/100 5. The nurse observes dental caries in an 8-month-old infant. Which action of the parents is likely responsible for this condition? 1 Giving the infant canned fruit 2 Giving the infant 960 mL of milk daily Correct 3 Giving the infant fruit juice with a bottle 4 Giving cheese as a finger food Giving an infant fruit juice with a bottle can result in dental caries. Giving an infant canned fruits and vegetables can result in lead poisoning, not dental caries. Giving an 8-month-old infant 960 mL of milk is appropriate and does not result in dental caries. Cheese can be given as a finger food to an 8-month-old infant and may not result in dental caries. 83% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 7. The diabetic parent of a school-age child receives home care education for diabetes. The parent needs to take multiple medications. Which instruction does the nurse give for the child’s safety? 1 Showing Page: 68/100 “Inform the child that the medicines are bitter.” 2 “Avoid taking medications in front of the child.” Correct 3 “Store medications away from the child’s reach.” 4 “Keep all the medications near the parent’s bed.” The school-age child is at risk of being poisoned if there is ingestion of any drugs or medications. Therefore, the nurse instructs the parent to store the medicines out of reach of the child. Telling the child that the medicines are bitter is not an effective suggestion. Instead, the parents should teach the child about the risks of consuming the medication. The parent can take the medication in front of the child, as it is not going to affect the child in any way. Keeping the medications near the bed may be dangerous, as the child can easily access it. 97% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 11. A child watches an older sibling playing with a ball, but makes no effort to participate in the play. What social character of play is the child exhibiting? 1 Parallel play Showing Page: 69/100 2 Pretend play Correct 3 Onlooker play 4 Associative play In onlooker play a child actively observes other children playing and does not attempt to enter into the activity; the child is interested only in observation and not in participation. In parallel play children play independently among other children. In pretend play children act out any event of daily life and practice the roles and identities as established in their surroundings. In associative play children play together and are engaged in a similar or identical activity. 84% of students nationwide answered this question correctly. View Topics 8 Confidence: Just a guess Stats Issue with this question? 15. Chart/Exhibit 1 The nurse is assessing the Apgar scores of four different newborns in a pediatric ward. Which child does the nurse anticipate is experiencing severe distress? Correct 1 Newborn A Showing Page: 70/100 2 Newborn B 3 Newborn C 4 Newborn D Newborn A has a heart rate of 75 beats/minute, which is given a score of 1. The newborn’s cry is irregular and weak, which receives a score of 1. The newborn has limp muscle tone, which scores a 0; no reflex irritability, which is also given a score of 0; and blue skin tone, which is given a score of 0. The total Apgar score of Newborn A is 2. Therefore, Newborn A has severe distress. The total Apgar score of Newborn B is 10, indicating no difficulty adjusting to the new environment. The total Apgar score of Newborn C is 5. Therefore, Newborn C has moderate difficulty adjusting. The total Apgar score of Newborn D is 6. Therefore, Newborn D has moderate difficulty adjusting. Test-Taking Tip: Chart/exhibit items present a situation and ask a question. A variety of objective and subjective information is presented about the patient in formats such as the medical record (e.g.,laboratory test results, results of diagnostic procedures, progress notes, health care provider orders,medication administration record, health history), physical assessment data, and assistant/patient interactions. After analyzing the information presented, the test-taker answers the question. These questions usually reflect the analyzing level of cognitive thinking. 92% of students nationwide answered this question correctly. Topics Confidence: Just a guess Stats Issue with this question? 20. Which instruction does the nurse give to the parents to help their child get accustomed to a new babysitter? Showing Page: 71/100 1 “Ask the babysitter to stand very close to the child.” 2 “Ask the babysitter to hold out arms and smile broadly.” Correct 3 “Stay close and allow the child to observe the babysitter.” 4 “Discourage the child from clinging in front of the babysitter.” Children need to explore and get used to babysitters or any stranger at their own rate. Therefore, the parents should stay close to the child and allow the child to observe the babysitter. The babysitter needs to maintain a safe distance from the infant so that the infant is not scared. The stranger needs to talk softly and avoid sudden gestures, such as smiling broadly or holding out arms, which may scare the infant. The parents should not discourage the child from clinging, as it is necessary for the child’s optimal emotional development. 95% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 26. The parent of a school-age child tells the nurse, “Sometimes my child is fatigued in the morning.” Upon assessment, the nurse finds that the blood and urine reports of the child are normal. What could be the possible cause of the child’s fatigue? 1 Showing Page: 72/100 The child has a brain tumor. Correct 2 The child often stays up late. 3 The child watches too much TV. 4 The child consumes starchy food. The school-age child is often tired after various activities throughout the day. Therefore, staying up late at night may lead to fatigue in the child the next day. Brain tumor may be indicated by headache or blurry vision reported by the child. Watching too much TV may result in sensory problems. The nurse has already evaluated the child’s blood and urine reports and thus the child’s fatigue is not due to the consumption of starchy fo Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Infants Incorrect Answers: 21 Showing Confidence: Just a guess Stats Issue with this question? 1. A 3-month-old infant is admitted to the pediatric unit with a diagnosis of tetralogy of Fallot. The nurse's assessment reveals that the infant's weight has declined from the 25th percentile to the 5th. The nurse concludes that the most likely reason for this inadequate weight gain is: 1 Cyanosis resulting in cerebral changes 2 Decreased arterial oxygen level resulting in polycythemia Incorrect 3 Pulmonary hypertension resulting in recurrent respiratory infections Correct 4 Inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse Because of quick fatigue it is difficult for the infant to consume sufficient calories for adequate weight gain. Increased caloric intake is needed to meet the infant's nutritional needs. Although cyanosis is present, it may not lead to cerebral changes. Cyanosis is not directly related to inadequate weight gain. Although decreased Po2 does lead to polycythemia, it does not affect the infant's ability to gain Showing Page: 74/100 adequate weight. Although there is pulmonary hypertension, it is not directly related to inadequate weight gain. 80% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 3. The parents of a 6-month-old ask a nurse how to introduce their infant to pureed foods. How should the nurse respond? Correct 1 "Introduce one food at a time every 4 to 7 days." 2 "Mix the pureed food with the formula two or three times a day." Incorrect 3 "Try to maintain the formula intake regardless of solid food intake." 4 "Offer pureed foods by spoon after the bottle of formula is finished." The introduction of one new food at a time permits the identification of any food allergies that might be present; intake of multiple new foods makes identification of the causative foods more difficult if there is a reaction. Mixing the food with formula can create feeding problems; if the infant does not like the taste of a food it may be associated with the formula. Formula intake should be decreased as solid food intake increases, or the infant will be receiving excessive calories. Although pureed foods may be offered by Showing Page: 75/100 spoon once the formula is finished, solid foods should be given when the infant is hungry to encourage intake. 75% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 4. A nurse is caring for an infant born with a myelomeningocele who is scheduled for surgery. What is the priority preoperative goal for this infant? 1 Keeping the infant sedated Correct 2 Keeping the infant infection free Incorrect 3 Ensuring maintenance of leg movement 4 Ensuring development of a strong sucking reflex Prevention of infection is the priority both before and after the repair of the sac. Sedatives are not indicated; analgesics are administered as needed. Leg movement may be a postoperative goal, although it may be unrealistic because these infants' lower bodies are usually paralyzed. The sucking reflex is not associated with myelomeningocele. 81% Showing Page: 76/100 of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 5. Which nursing intervention provides the most support to the parents of an infant with an obvious physical anomaly? Correct 1 Encouraging them to express their concerns Incorrect 2 Discouraging them from talking about their baby 3 Encouraging them not to worry because the anomaly can be repaired 4 Showing them postoperative photographs of infants who had a similar anomaly Encouraging them to express their concerns helps and encourages parents to put their fears and feelings into words. Once these sentiments are expressed, they can then be examined and addressed. Discouraging the parents from talking about their baby will not help them cope with the problem, nor will it demonstrate the supportive, empathetic role of the nurse. Encouraging them not to worry because the anomaly can be repaired lacks insight, and parents will worry about their infant anyway. Showing postoperative photographs of infants who had a similar anomaly may or may not be helpful. 92% of students nationwide answered this question correctly. Showing Page: 77/100 View Topics Confidence: Just a guess Stats Issue with this question? 6. During the assessment of a hospitalized infant, the nurse notes dry mucous membranes, absence of tears when the infant cries, and poor skin turgor. Which parameter will help the nurse further evaluate these findings? Incorrect 1 Daily serum electrolytes 2 Respiratory rate and rhythm Correct 3 Intake and output over the past 24 hours 4 Alterations in heart sounds since admission The infant is exhibiting signs of severe dehydration. The monitoring parameter that will be most helpful for evaluating these findings is intake and output, because checking this will help the nurse determine whether intake is adequate or fluid loss is excessive. Serum electrolytes, respiratory rate and rhythm changes, and certain changes in heart sounds are more likely to be the result of, rather than cause of, dehydration. Deteriorating cardiac function is more likely to lead to fluid retention than to fluid loss or dehydration. 79% of students nationwide answered this question correctly. Showing Page: 78/100 View Topics Confidence: Just a guess Stats Issue with this question? 7. A 10-month-old boy is in a restaurant with his parents and grandparents. The grandfather places several pieces of bread on the high chair tray for the infant. A nurse sitti g nearby sees the infant gag and become red-faced, then turn cyanotic. With permission from the family, the nurse holds the child with the head downward and: Correct 1 Gives the infant five back blows 2 Sweeps the infant's mouth with a finger Incorrect 3 Performs five abdominal thrusts on the infant 4 Initiates the head tilt–chin lift maneuver on the infant Infants younger than 1 year of age who experience an airway obstruction should be held with the head down and given five back blows. If the obstruction is not removed, the infant is turned and given five chest thrusts. The two actions are alternated until the obstruction is dislodged or the infant loses consciousness. Infants and children should not be subjected to blind finger sweeps because the finger could push the obstruction farther down the pharynx or trachea. The abdominal thrust (Heimlich maneuver) is the first action for children older than 1 year and adults. If the infant becomes unconscious a modified head tilt–chin lift is performed before the initiation of resuscitation. 83% Showing Page: 79/100 of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 8. An infant is admitted to the pediatric unit with gastroenteritis and dehydration. The nurse determines that the parents understand the teaching about contact precautions when they note that after washing their hands they need to: 1 Put on a mask when holding the baby. Incorrect 2 Weigh the diaper each time they change the baby. 3 Keep the door to the baby's room closed most of the time. Correct 4 Change their gloves each time they change the baby's diaper. The organisms causing gastroenteritis are eliminated in the feces. The gloves should be removed and the hands washed after giving direct care. New gloves should be donned if the parents are to remain with the child. A mask is required for airborne precautions. Weighing diapers is not a requirement of contact precautions; this technique may be used to measure intake and output. The door to the baby's room should be closed if airborne precautions are necessary. 82% of students nationwide answered this question correctly. Showing Page: 80/100 View Topics Confidence: Just a guess Stats Issue with this question? 9. The parents of a 6-week-old infant who was born without an immune system ask the nurse why their baby is still so healthy. What is the best response by the nurse? 1 Exposure to pathogens during this time can be limited. Incorrect 2 Some antibodies are produced by the infant's colonic bacteria. 3 Bottle feeding with soy formula has boosted the immune system. Correct 4 Antibodies are passively received from the mother through the placenta and breast milk. Antibodies received in utero through the placenta and by the newborn in the mother's breast milk provide the infant with immunity against most viral, bacterial, and fungal infections during the first several weeks after birth. Then, as the titer of maternal antibodies drops and is not replaced by the infant's own antibodies, prolonged and repeated infections may occur. Limiting exposure to pathogens during this time is not enough to prevent infections in an immunocompromised infant. Bacteria do not produce antibodies. Bottle feeding with soy formula has not been proved to boost immunity in infants. 94% of students nationwide answered this question correctly. View Topics Showing Page: 81/100 Confidence: Just a guess Stats Issue with this question? 11. The nurse is teaching a group of parents about the side effects of vaccines. Which side effect should the nurse include in teaching about the Haemophilus influenzae (Hib) vaccine? 1 Lethargy Incorrect 2 Urticaria 3 Generalized rash Correct 4 Low-grade fever The Hib vaccine may cause a low-grade fever. Lethargy is not expected. Urticaria is more likely to occur with the tetanus and pertussis vaccines. There may be a mild reaction at the injection site, but a generalized rash is not expected. 78% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Showing Page: 82/100 Issue with this question? 12. The mother of a 7-month-old infant who becomes irritable when teething tells the nurse, "My aunt said to wipe my baby's gums with wine to ease the pain." What is the best response by the nurse? 1 "You can try the wine, but be sure it's diluted." Incorrect 2 "Your aunt means well, but that's not a good idea." 3 "The wine will help kill the pain, but don't use it too often." Correct 4 "An over-the-counter topical gel can be used, but make sure it's for teething." Providing information is a nonjudgmental way to address unsafe child care practices. There are safe over- the-counter analgesic products specifically formulated to ease the discomfort of teething. Alcohol ingestion is contraindicated and illegal for all children. Being judgmental about the aunt's approach may close communication; the nurse should offer acceptable alternatives. 70% of students nationwide answered this question correctl Showing Page: 83/100 Elsevier Adaptive Quizzing for the NCLEX-RN Exam Quiz Results Quiz Summary Correct Responses Incorrect Responses Quiz: Infants Correct Answers: 9 Confidence: Just a guess Stats Issue with this question? 2. A nurse is caring for a 4-week-old infant with hypertrophic pyloric stenosis who has been admitted to the child health unit for corrective surgery. What is the primary objective of preoperative care for this infant? 1 Stabilizing vital signs 2 Improving nutritional status Correct 3 Correcting fluid and electrolyte imbalances 4 Documenting the amount and character of vomitus Preoperative restoration of fluid and electrolyte balance improves the likelihood of a successful outcome after surgery. Vital signs are stabilized as the fluid and electrolyte balances are corrected. Improving nutritional status is not a preoperative objective; the nutritional status should improve after surgery. The Showing Page: 84/100 amount and character of vomitus are important, but neither is the primary objective of preoperative nursing care. 69% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 10. During discharge planning the parents of an infant with spina bifida express concern about skin care and ask the nurse what can be done to avoid problems. What is the best response by the nurse? 1 Diapers should be changed at least every 4 hours. Correct 2 Frequent diaper changes with cleansing are needed. 3 Medicated ointment should be applied six times a day. 4 Powder may be used in the perineal area when it becomes wet. Infants with spina bifida often exhibit dribbling of urine; they need meticulous skin care and frequent diaper changes to prevent skin breakdown. Changing diapers every 4 hours is insufficient and may result in skin breakdown. Medicated ointments are unnecessary; if a skin irritation develops and an ointment becomes necessary, it should be prescribed by the health care provider. Powder will not keep the skin dry; when powder mixes with urine, it forms a pastelike substance that promotes skin breakdown. Also, powder is toxic if inhaled and should be avoided. Showing Page: 85/100 78% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 13. An infant is born with a cleft lip. What nursing intervention is unique to infants with cleft lip? 1 Changing the infant's position often Correct 2 Using modified techniques for feeding 3 Monitoring the infant's daily intake and output 4 Keeping the infant's head elevated during feedings Infants with a cleft in the lip are unable to suck like other newborns because they cannot form a vacuum to draw milk from the nipple. Frequent position changes are common for all infants, not just ones with cleft lip. Monitoring of intake and output is not necessary because hydration is maintained once a feeding method has been established. All infants should be fed with the head elevated to avoid pooling of milk in the mouth, which could result in aspiration. 82% of students nationwide answered this question correctly. View Topics Showing Page: 86/100 Confidence: Just a guess Stats Issue with this question? 15. An infant who underwent open repair of a fractured sternum now has a chest tube. What should the nurse explain to the parents concerning the chest tube? 1 The infant will not feel any discomfort. Correct 2 It is inserted to drain the chest cavity of air. 3 The tube has been inserted in case of an emergency. 4 It will be removed when the infant tolerates feedings. When the chest was opened during surgery for the sternal repair, air entered the thorax; the air must be removed to allow the lungs to reexpand. Chest tubes may be uncomfortable, and this response discounts the importance of the chest tube to the infant's respiratory status. The tube was inserted for a specific reason; the infant would not be subjected to this discomfort without a specific purpose for the tube's insertion. Placement of the chest tube is unrelated to the infant's ability to retain feedings. 80% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Showing Page: 87/100 Issue with this question? 18. What is the priority of nursing care for an infant with a newly applied spica cast? 1 Giving the child oral fluids Correct 2 Assessing the child's peripheral circulation 3 Encouraging the child to take deep breaths 4 Teaching the child how to use the overhead trapeze Priority care for any cast application includes checking the color and the temperature of the skin at the edges of the cast; this helps the nurse determine whether the cast is too tight, which can impair circulation. Fluids are not the priority. If the child has had a general anesthetic, fluids will not be given; if the child has not had general anesthesia, fluids may or may not be given. Although deep breathing is important, it is not the priority. If a trapeze is to be used, this teaching should have been done before the cast was applied or delayed until the child is stabilized and the cast is dry. 95% of students nationwide answered this question correctly. View Topics Confidence: Just a guess Stats Issue with this question? 19. Showing Page: 88/100 A father calls the clinic because he wants information about how to care for his child's severe diaper rash. The nurse asks the father what he has been doing so far and determines that the father needs further teaching when he says: 1 "I expose the buttocks to the air." Correct 2 "I direct a heat lamp at the buttocks." 3 "I don't use soap to clean the diaper area." 4 "I apply a medicated ointment to the diaper area." Heat lamps are not used because of the potential for burns. Exposing the diaper area will promote drying and healing. Soap may irritate excoriated skin. Ointment protects the buttocks from the irritating contents of stool. 83% of students nationwide answered this question corr