RN Preschoolers_EAQ EXIT EXAM 2022
A preschool-age child underwent a tonsillectomy 4 hours ago. Which data collection
finding would make the nurse suspect postoperative hemorrhage? - ANSWER:
Frequent swallowing
The mother of a preschooler recently diagnosed with type 1 diabetes mellitus makes
an urgent call to the pediatrician's office. She says her child had an uncontrollable
temper tantrum while playing and now is lethargic and hard to arouse. The nurse
should instruct the mother to take which action first? - ANSWER: Measure the child's
blood glucose level.
A child, age 5, is brought to the pediatrician's office for a routine visit. When
inspecting the child's mouth, the nurse expects to find how many teeth? - ANSWER:
Up to 20
A mother asks the nurse how to handle her 4-year-old child, who recently started
wetting his pants after being completely toilet trained. The child just started
attending nursery school 2 days a week. Which principle should guide the nurse's
response? - ANSWER: The child returns to a level of behavior that increases his sense
of security.
When collecting data on a child with bronchiolitis, which finding does the nurse
expect? - ANSWER: Productive cough
The nurse is deciding whether to report a suspected case of child abuse. Which
criterion is the most important for the nurse to consider? - ANSWER: Incompatibility
between the history and the injury
After collecting data on a newly admitted 5-year-old child, the nurse assists in
making the nursing diagnosis of Parental role conflict related to child's
hospitalization. Which defining characteristic would most suggest this diagnosis? -
ANSWER: Parents' failure to use available support systems or agencies to assist in
coping
The licensed practical nurse (LPN) is assigned to care for a 4-year-old child who had a
Harrington rod inserted the day before and notices the client is receiving antibiotics
by a syringe pump. The nurse is IV certified, but uncomfortable because they are
unfamiliar with the equipment. What would be the best course of action? - ANSWER:
Request in-service education for use of the syringe pump.
A 5-year-old arrives in the clinic for a physical to enter school. Which potential child
abuse findings should be brought to the health care provider's attention? Select all
that apply. - ANSWER: A patterned bruise is noted on the back.
Parental description of accident does not match injury.
, Injuries in various stages of healing are documented.
A 4-year-old girl is admitted to the hospital to rule out a diagnosis of leukemia.
Which would be the best room assignment for the nurse to select for this child? -
ANSWER: alone in a private room
When collecting data on a child's cultural background, the nurse should keep in mind
that: - ANSWER: behavioral patterns are learned within a culture.
A child experiences nausea and vomiting after receiving cancer chemotherapy drugs.
To help prevent these problems from recurring, the nurse should: - ANSWER:
administer an antiemetic 30 to 60 minutes before the next chemotherapy session.
When collecting data on a child with impetigo, the nurse expects which findings? -
ANSWER: Honey-colored, crusted lesions
The nurse suspects that a child, age 4, is being neglected physically. To best collect
data on the child's nutritional status, the nurse should ask the parents which
question? - ANSWER: "What did your child eat for breakfast?"
When collecting data on a 5-year-old child with hemophilia, the nurse identifies
which of the following as an early sign of hemarthrosis? - ANSWER: Joint stiffness
The nurse is evaluating a child with acute poststreptococcal glomerulonephritis
(APSGN) for signs of improvement. Which finding typically is the earliest sign of
improvement? - ANSWER: Increased urine output
How should the nurse prepare a suspension before administration? - ANSWER: By
shaking it so that all the drug particles are dispersed uniformly
Which documentation is most important when preparing a preschool-age child for
surgery? - ANSWER: Informed consent
A 4-year-old child had a subungual hemorrhage of the toe after a jar fell on the foot.
Which statement regarding the rationale for using electrocautery to treat the injury
is most accurate? - ANSWER: It's used to relieve pain and reduce the risk of infection.
A 4-year-old is hospitalized following alleged sexual abuse. The child is withdrawn
and exhibits poor eye contact. Which nursing strategies encourage client
communication? - ANSWER: Provide paper and crayons and encourage coloring.
Engage in play with toys and dolls.
Read a book to establish a rapport.
A preschool-age child underwent a tonsillectomy 4 hours ago. Which data collection
finding would make the nurse suspect postoperative hemorrhage? - ANSWER:
Frequent swallowing
The mother of a preschooler recently diagnosed with type 1 diabetes mellitus makes
an urgent call to the pediatrician's office. She says her child had an uncontrollable
temper tantrum while playing and now is lethargic and hard to arouse. The nurse
should instruct the mother to take which action first? - ANSWER: Measure the child's
blood glucose level.
A child, age 5, is brought to the pediatrician's office for a routine visit. When
inspecting the child's mouth, the nurse expects to find how many teeth? - ANSWER:
Up to 20
A mother asks the nurse how to handle her 4-year-old child, who recently started
wetting his pants after being completely toilet trained. The child just started
attending nursery school 2 days a week. Which principle should guide the nurse's
response? - ANSWER: The child returns to a level of behavior that increases his sense
of security.
When collecting data on a child with bronchiolitis, which finding does the nurse
expect? - ANSWER: Productive cough
The nurse is deciding whether to report a suspected case of child abuse. Which
criterion is the most important for the nurse to consider? - ANSWER: Incompatibility
between the history and the injury
After collecting data on a newly admitted 5-year-old child, the nurse assists in
making the nursing diagnosis of Parental role conflict related to child's
hospitalization. Which defining characteristic would most suggest this diagnosis? -
ANSWER: Parents' failure to use available support systems or agencies to assist in
coping
The licensed practical nurse (LPN) is assigned to care for a 4-year-old child who had a
Harrington rod inserted the day before and notices the client is receiving antibiotics
by a syringe pump. The nurse is IV certified, but uncomfortable because they are
unfamiliar with the equipment. What would be the best course of action? - ANSWER:
Request in-service education for use of the syringe pump.
A 5-year-old arrives in the clinic for a physical to enter school. Which potential child
abuse findings should be brought to the health care provider's attention? Select all
that apply. - ANSWER: A patterned bruise is noted on the back.
Parental description of accident does not match injury.
, Injuries in various stages of healing are documented.
A 4-year-old girl is admitted to the hospital to rule out a diagnosis of leukemia.
Which would be the best room assignment for the nurse to select for this child? -
ANSWER: alone in a private room
When collecting data on a child's cultural background, the nurse should keep in mind
that: - ANSWER: behavioral patterns are learned within a culture.
A child experiences nausea and vomiting after receiving cancer chemotherapy drugs.
To help prevent these problems from recurring, the nurse should: - ANSWER:
administer an antiemetic 30 to 60 minutes before the next chemotherapy session.
When collecting data on a child with impetigo, the nurse expects which findings? -
ANSWER: Honey-colored, crusted lesions
The nurse suspects that a child, age 4, is being neglected physically. To best collect
data on the child's nutritional status, the nurse should ask the parents which
question? - ANSWER: "What did your child eat for breakfast?"
When collecting data on a 5-year-old child with hemophilia, the nurse identifies
which of the following as an early sign of hemarthrosis? - ANSWER: Joint stiffness
The nurse is evaluating a child with acute poststreptococcal glomerulonephritis
(APSGN) for signs of improvement. Which finding typically is the earliest sign of
improvement? - ANSWER: Increased urine output
How should the nurse prepare a suspension before administration? - ANSWER: By
shaking it so that all the drug particles are dispersed uniformly
Which documentation is most important when preparing a preschool-age child for
surgery? - ANSWER: Informed consent
A 4-year-old child had a subungual hemorrhage of the toe after a jar fell on the foot.
Which statement regarding the rationale for using electrocautery to treat the injury
is most accurate? - ANSWER: It's used to relieve pain and reduce the risk of infection.
A 4-year-old is hospitalized following alleged sexual abuse. The child is withdrawn
and exhibits poor eye contact. Which nursing strategies encourage client
communication? - ANSWER: Provide paper and crayons and encourage coloring.
Engage in play with toys and dolls.
Read a book to establish a rapport.
