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NUR 242 Support Module Week 4 Test

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NUR 242 Support Module Week 4 Test

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Name _______________________________________________ Date __________________

ROCKLAND COMMUNITY COLLEGE
NURSING

NUR 242 Week 4
Support Module

1. A nurse is caring for an infant whose screening test reveals that he might have sickle cell
disease. Which of the following tests should be performed to distinguish if the infant has
the trait or the disease?
a. Sickle solubility test
b. Hemoglobin electrophoresis
c. Complete blood count
d. Transcranial Doppler

2. A nurse is preparing to administer iron dextran IM to a school-age child who has iron
deficiency anemia. Which of the following actions by the nurse is appropriate?
a. Administer the dose in the deltoid muscle
b. Use the Z-track method when administering the dose
c. Avoid injecting more than 2 IM with each dose
d. Massage the injections site for 1 min. after administering the dose

3. A nurse is providing teaching to the parent of a child who has a new prescription for
liquid oral iron supplements. Which of the following statements by the parent indicates
an understanding of the teaching?
a. “I should take my child to the emergency department if his stools become dark.”
b. “My child should avoid eating citrus fruits while taking the supplements.”
c. “I should give the iron with mild to help prevent an upset stomach.”
d. “My child should take the supplement through a straw.”

4. A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected
meningitis. Which of the following findings should the nurse identify as indicating viral
meningitis? (Select all that apply)
a. Negative Gram stain
b. Normal glucose content
c. Cloudy color
d. Decreased WBC count
e. Normal protein content

5. A nurse is caring for a 4-month-old infant who has meningitis. Which of the following
findings is associated with this diagnosis?
a. Depressed anterior fontanel
b. Constipation
c. Presence of the rooting reflex
d. High-pitched cry


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, 6. A nurse is caring for a child who has absence seizures. Which of the following findings
should the nurse expect? (Select all that apply)
a. Loss of consciousness
b. Appearance of daydreaming
c. Dropping held objects
d. Falling to the floor
e. Having a piercing cry

7. A nurse is caring for a child who just experienced a generalized seizure. Which of the
following is the priority action for the nurse to take?
a. Maintain the child in a side-lying position
b. Loosen the child’s restrictive clothing
c. Reorient the child to the environment
d. Note the time and characteristics of the child’s seizure

8. A nurse is teaching a group of parents about the risk factors for seizures. Which of the
following factors should the nurse include in the teachings? (Select all that apply)
a. Febrile episodes
b. Hypoglycemia
c. Sodium imbalances
d. Low serum lead levels
e. Presence of diphtheria

9. A nurse is caring for an adolescent who has acne and a prescription for isotretinoin from
the dermatologist. Which of the following laboratory findings should the nurse plan to
monitor?
a. Cholesterol and triglycerides
b. BUN and creatinine
c. Serum potassium
d. Serum sodium

10. A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the
following actions should the nurse take? (Select all that apply)
a. Remove the clothing over the rash
b. Initiate contact isolation precautions while the rash is present
c. Expose the rash to a heat lamp for 15 min
d. Cleanse the affected skin with hydrogen peroxide solution
e. Apply calamine lotion to the skin

11. A nurse is reviewing sick-day management with a parent of a child who has type 1
diabetes mellitus. Which of the following should the nurse include in teaching? (Select all
that apply)
a. Monitor blood glucose levels every 3 hr.
b. Discontinue taking insulin until feeling better
c. Drink 8 oz. of fruit juice every hour
d. Test urine for ketones
e. Call the provider if blood glucose is greater than 240ml/dL

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