RN Nursing Care of Children Proctored Ex
j j j j j j
am2019- LATEST RETAKE GUIDE
j j j j
Teachingjthejparentsjofjajschool-
agedjchildjwhojhasjajnewjdiagnosisjofjosteomyelitisjofjthejtibia.jThejnursejshouldjidentifyjthatjwhichj
ofjthejfollowingjstatementsjbyjthejparentsjindicatesjanjunderstandingjofjthejteaching?j myjchildjwillj
havejajcastjuntiljhealingjisjcomplete.
Myjchildjwilljreceivejantibioticsjforjseveraljweeks.
Myjchildjcanjreturnjtojplayingjsportsjoncejhejisjdischarged.jM
yjchildjneedsjtojbejinjcontactjisolation.
Answer:jb
Thejnursejshouldjinstructjthejparentjthatjthejchildjwilljreceivejantibioticjtherapyjforjatjleastj4jweek
s.jSurgeryjmightjbejindicatedjifjthejantibioticsjarejnotjsuccessful.
Aj-jincorrect
Weightjbearingjmustjbejavoidedjwithjosteomyelitis.jTherefore,jthejchildjisjplacedjinjajcomfortablej
positionjwithjthejlimbjsupported.jTherejisjnojindicationjforjajcast.
C-j incorrect
Weightjbearingjshouldjbejavoidedjtojpreventjcomplicationsjandjminimizejpain.jTherefore,jitjwilljb
ejseveraljweeksjtojmonthsjbeforejthejchildjcanjplayjcontactjsports.
D-jincorrect
ContactjisolationjisjNOTjnecessary,jbecausejosteomyelitisjisjnotjajcommunicablejillness.
Ajnursejisjauscultatingjthejlungsjofjanjadolescentjwhojhasjasthma.jThejnursejshouldjidentifyjthejsou
ndjasjwhichjofjthejfollowing?jClickjthejaudiojbuttonjtojlisten.
A-j Biotsjrespiration
B-j ChaneyjStokesjrespiration
C-j tackypneajDj-j Bradypnea
Answer-jc
Thejnursejshouldjidentifyjthejsoundjheardjduringjauscultationjasjtachypnea,jwhichjisjajrapid,jregu
larjbreathingjpattern.jThisjbreathingjpatternjoftenjoccursjwithjanxiety,jfever,jmetabolicjacidosis,j
orjseverejanemia.
A-jBiot'sjrespirationsjarejperiodsjofjapneajalternatingjwithjtwojorjthreejshallowjbreaths.
B-jCheyne-Stokesjrespirationsjarejperiodsjofjapneajalternatingjwithjperiodsjofjhyperventilation.
D-jBradypneajisjajslow,jregularjbreathingjpattern.
anaphylacticjreaction
,Ajnursejinjanjemergencyjdepartmentjisjcaringjforjaj school-agejchildjwhojisjexperiencingjan
.jWhichjofjthejfollowingjisjthejpriorityjactionjbyjthejnurse?
A-j Elevatejthejheadjofjthejchild'sjbed
B-j insertjajlarge-borejIVjcatheterjforjthejchild
C-j determinejthejallergenjthatjcausedjthejchild'sjreaction
D-j administerjIMjepinephrinejtojthejchild
Answer-jd
Whenjusingjthejurgentjvsjnonurgentjapproachjtojclientjcare,jthejnursejdeterminesjthatjthejpriorit
yjactionjisjadministeringjIMjepinephrinejtojthejchild.jDuringjanjanaphylacticjreaction,jhistaminejr
eleasejcausesjbronchoconstrictionjandjvasodilation.jThisjisjanjemergencyjbecausejultimatelyjitjca
usesjdecreasedjbloodjreturnjtojthejheart.
A-
jElevatingjthejheadjofjthejchild'sjbedjisjimportantjtojfacilitatejbreathingjandjcirculation.jHowever,jitj
isjnotjthejpriorityjactionjthejnursejshouldjtake.
B-
jInsertingjajlargejborejIVjcatheterjisjimportantjtojfacilitatejadministrationjofjIVjfluidsjandjmedica
tions.jHowever,jitjisjnotjthejpriorityjactionjthejnursejshouldjtake.
C-
jDeterminingjthejallergenjthatjcausedjthejchild'sjreactionjisjimportantjtojpreventjanyjadditional
jepisodesjofjanaphylaxis.jHowever,jitjisjnotjthejpriorityjactionjthejnursejshouldjtake.
Thejnursejisjpreparingjtojadministerjanj immunizationjtojajfour-year-
oldjchildj.jWhichjofjthejfollowingjactionsjshouldjthejnursejplan tojtake?
A-j Placejthejchildjinjajpronejpositionjforjthejimmunization
B-jrequestjthatjthejchild'sjcaregiverjleavejthejroomjduringjthejimmunization
C-j administerjthejimmunizationjusingjaj24jgaugejneedle
D-j injectjthejimmunizationjslowlyjafterjaspiratingjforj3jseconds
Answerj-jc
Thejnursejshouldjadministerjanjimmunizationjforjaj4-year-oldjchildjusingjaj24-
gaugejneedlejtojminimizejthejamountjofjpainjexperiencedjbyjthejtoddler.
A-
Thejnursejshouldjplacejthejchildjinjanjuprightjsittingjpositionjforjthejimmunizationjbec
ausejthisjdecreasesjthejchild'sjfearjandjanxiety.
B-
Thejnursejshouldjallowjthejcaregiverjtojstayjnearjthejchildjduringjthejimmunizationjtojprov
idejajsensejofjsecurityjandjreducejthejchild'sjanxietyjlevel.
D-
jThejnursejshouldjinjectjthejimmunization jrapidlyjandjavoidjaspiration.jThesejactionsjdecre
asejthejriskjofjneedlejdisplacementjandjlowerjthejchild'sjfearjandjanxietyjleveljbyjdecreasin
gjthejamountjofjtimejitjtakesjtojadministerjthejimmunization.
Ajnursejisjreviewingjthejlaboratoryjreportjofjanjinfantjwhojisjreceivingjtreatmentjforjseverejdehy
dration.jThejnursejshouldjidentifyjwhichjofjthejfollowingjlaboratoryjvaluesjindicatesjeffectiven
essjofjthejcurrentjtreatment?
,A-j Potassiumj2.9jmEq/L
, B-jsodiumj140
C-jurinejspecificjgravityj1.035
D-j BUNj 25jmg
Answer-jb
Thejnursejshouldjidentifyjthatjajsodiumjleveljofj140jmEq/Ljisjwithinjthejexpectedjreferencejrang
ejandjindicatesjthejcurrentjtreatmentjregimenjthejinfantjisjreceivingjforjdehydrationjisjeffectiv
e.
A-
jAjpotassiumjleveljofj2.9jmEq/Ljisjbelowjthejexpectedjreferencejrangejandjindicatesjhypok
alemia.
C-
Ajurinejspecificjgravityjofj1.035jisjabovejthejexpectedjreferencejrangejandjindicatesjcon
centratedjurine.
D-
AjBUNjleveljofj25jmg/dLjisjabovejthejexpectedjreferencejrangejandjindicatesjthejkidn
eysjarejnotjexcretingjBUNjasjtheyjshouldjbe.
ThejnursejisjprovidingjteachingjaboutjSocialjDevelopmentjtojthejparentsjofjajpreschooler.jWhi
chjofjthejfollowingjplayjactivitiesjshouldjthejnursejrecommendjforjthejchild?jA-jPlayjpat-a-
cake
B-j usingjajpushjpulljtoy
C-j creatingjajscrapbook
D-j playingjdress-up
Answerj-jd
Thejnursejshouldjinstructjthejparentsjthatjatjthejm preschooljage,jplayjshouldjfocusjonjsocial,
ental,jandjphysicaljdevelopment.jTherefore,jforjthplayingjdress-upjisjajrecommendedjplay activity
isjchild.
A-jPlayingjpat-a-cakejisjajrecommendedjplayjactivityjforjanjinfant.
B-jUsingjajpushjpulljtoyjisjajrecommendedjplayjactivityjforjaj toddler.
C-jCreatingjajscrapbookjisjajrecommendedjplayjactivityjforjajschool-agejchild.
Ajnursejisjteachingjthejparentsjofjajnewbornjaboutjwaysjtojpreventjsuddenjinfantjdeathjsyndro
mejSIDS.j Whichjofjthejfollowingjinstructionsjshouldjthejnursejinclude?
A-j Placejthejinfantjinjajpronejpositionjtojsleep.
B-j Allowjthejinfantjtojsleepjonjajlargejpillow.
C-j Userjsoftjmattressjinjthejinfant'sjcrib.
j j j j j j
am2019- LATEST RETAKE GUIDE
j j j j
Teachingjthejparentsjofjajschool-
agedjchildjwhojhasjajnewjdiagnosisjofjosteomyelitisjofjthejtibia.jThejnursejshouldjidentifyjthatjwhichj
ofjthejfollowingjstatementsjbyjthejparentsjindicatesjanjunderstandingjofjthejteaching?j myjchildjwillj
havejajcastjuntiljhealingjisjcomplete.
Myjchildjwilljreceivejantibioticsjforjseveraljweeks.
Myjchildjcanjreturnjtojplayingjsportsjoncejhejisjdischarged.jM
yjchildjneedsjtojbejinjcontactjisolation.
Answer:jb
Thejnursejshouldjinstructjthejparentjthatjthejchildjwilljreceivejantibioticjtherapyjforjatjleastj4jweek
s.jSurgeryjmightjbejindicatedjifjthejantibioticsjarejnotjsuccessful.
Aj-jincorrect
Weightjbearingjmustjbejavoidedjwithjosteomyelitis.jTherefore,jthejchildjisjplacedjinjajcomfortablej
positionjwithjthejlimbjsupported.jTherejisjnojindicationjforjajcast.
C-j incorrect
Weightjbearingjshouldjbejavoidedjtojpreventjcomplicationsjandjminimizejpain.jTherefore,jitjwilljb
ejseveraljweeksjtojmonthsjbeforejthejchildjcanjplayjcontactjsports.
D-jincorrect
ContactjisolationjisjNOTjnecessary,jbecausejosteomyelitisjisjnotjajcommunicablejillness.
Ajnursejisjauscultatingjthejlungsjofjanjadolescentjwhojhasjasthma.jThejnursejshouldjidentifyjthejsou
ndjasjwhichjofjthejfollowing?jClickjthejaudiojbuttonjtojlisten.
A-j Biotsjrespiration
B-j ChaneyjStokesjrespiration
C-j tackypneajDj-j Bradypnea
Answer-jc
Thejnursejshouldjidentifyjthejsoundjheardjduringjauscultationjasjtachypnea,jwhichjisjajrapid,jregu
larjbreathingjpattern.jThisjbreathingjpatternjoftenjoccursjwithjanxiety,jfever,jmetabolicjacidosis,j
orjseverejanemia.
A-jBiot'sjrespirationsjarejperiodsjofjapneajalternatingjwithjtwojorjthreejshallowjbreaths.
B-jCheyne-Stokesjrespirationsjarejperiodsjofjapneajalternatingjwithjperiodsjofjhyperventilation.
D-jBradypneajisjajslow,jregularjbreathingjpattern.
anaphylacticjreaction
,Ajnursejinjanjemergencyjdepartmentjisjcaringjforjaj school-agejchildjwhojisjexperiencingjan
.jWhichjofjthejfollowingjisjthejpriorityjactionjbyjthejnurse?
A-j Elevatejthejheadjofjthejchild'sjbed
B-j insertjajlarge-borejIVjcatheterjforjthejchild
C-j determinejthejallergenjthatjcausedjthejchild'sjreaction
D-j administerjIMjepinephrinejtojthejchild
Answer-jd
Whenjusingjthejurgentjvsjnonurgentjapproachjtojclientjcare,jthejnursejdeterminesjthatjthejpriorit
yjactionjisjadministeringjIMjepinephrinejtojthejchild.jDuringjanjanaphylacticjreaction,jhistaminejr
eleasejcausesjbronchoconstrictionjandjvasodilation.jThisjisjanjemergencyjbecausejultimatelyjitjca
usesjdecreasedjbloodjreturnjtojthejheart.
A-
jElevatingjthejheadjofjthejchild'sjbedjisjimportantjtojfacilitatejbreathingjandjcirculation.jHowever,jitj
isjnotjthejpriorityjactionjthejnursejshouldjtake.
B-
jInsertingjajlargejborejIVjcatheterjisjimportantjtojfacilitatejadministrationjofjIVjfluidsjandjmedica
tions.jHowever,jitjisjnotjthejpriorityjactionjthejnursejshouldjtake.
C-
jDeterminingjthejallergenjthatjcausedjthejchild'sjreactionjisjimportantjtojpreventjanyjadditional
jepisodesjofjanaphylaxis.jHowever,jitjisjnotjthejpriorityjactionjthejnursejshouldjtake.
Thejnursejisjpreparingjtojadministerjanj immunizationjtojajfour-year-
oldjchildj.jWhichjofjthejfollowingjactionsjshouldjthejnursejplan tojtake?
A-j Placejthejchildjinjajpronejpositionjforjthejimmunization
B-jrequestjthatjthejchild'sjcaregiverjleavejthejroomjduringjthejimmunization
C-j administerjthejimmunizationjusingjaj24jgaugejneedle
D-j injectjthejimmunizationjslowlyjafterjaspiratingjforj3jseconds
Answerj-jc
Thejnursejshouldjadministerjanjimmunizationjforjaj4-year-oldjchildjusingjaj24-
gaugejneedlejtojminimizejthejamountjofjpainjexperiencedjbyjthejtoddler.
A-
Thejnursejshouldjplacejthejchildjinjanjuprightjsittingjpositionjforjthejimmunizationjbec
ausejthisjdecreasesjthejchild'sjfearjandjanxiety.
B-
Thejnursejshouldjallowjthejcaregiverjtojstayjnearjthejchildjduringjthejimmunizationjtojprov
idejajsensejofjsecurityjandjreducejthejchild'sjanxietyjlevel.
D-
jThejnursejshouldjinjectjthejimmunization jrapidlyjandjavoidjaspiration.jThesejactionsjdecre
asejthejriskjofjneedlejdisplacementjandjlowerjthejchild'sjfearjandjanxietyjleveljbyjdecreasin
gjthejamountjofjtimejitjtakesjtojadministerjthejimmunization.
Ajnursejisjreviewingjthejlaboratoryjreportjofjanjinfantjwhojisjreceivingjtreatmentjforjseverejdehy
dration.jThejnursejshouldjidentifyjwhichjofjthejfollowingjlaboratoryjvaluesjindicatesjeffectiven
essjofjthejcurrentjtreatment?
,A-j Potassiumj2.9jmEq/L
, B-jsodiumj140
C-jurinejspecificjgravityj1.035
D-j BUNj 25jmg
Answer-jb
Thejnursejshouldjidentifyjthatjajsodiumjleveljofj140jmEq/Ljisjwithinjthejexpectedjreferencejrang
ejandjindicatesjthejcurrentjtreatmentjregimenjthejinfantjisjreceivingjforjdehydrationjisjeffectiv
e.
A-
jAjpotassiumjleveljofj2.9jmEq/Ljisjbelowjthejexpectedjreferencejrangejandjindicatesjhypok
alemia.
C-
Ajurinejspecificjgravityjofj1.035jisjabovejthejexpectedjreferencejrangejandjindicatesjcon
centratedjurine.
D-
AjBUNjleveljofj25jmg/dLjisjabovejthejexpectedjreferencejrangejandjindicatesjthejkidn
eysjarejnotjexcretingjBUNjasjtheyjshouldjbe.
ThejnursejisjprovidingjteachingjaboutjSocialjDevelopmentjtojthejparentsjofjajpreschooler.jWhi
chjofjthejfollowingjplayjactivitiesjshouldjthejnursejrecommendjforjthejchild?jA-jPlayjpat-a-
cake
B-j usingjajpushjpulljtoy
C-j creatingjajscrapbook
D-j playingjdress-up
Answerj-jd
Thejnursejshouldjinstructjthejparentsjthatjatjthejm preschooljage,jplayjshouldjfocusjonjsocial,
ental,jandjphysicaljdevelopment.jTherefore,jforjthplayingjdress-upjisjajrecommendedjplay activity
isjchild.
A-jPlayingjpat-a-cakejisjajrecommendedjplayjactivityjforjanjinfant.
B-jUsingjajpushjpulljtoyjisjajrecommendedjplayjactivityjforjaj toddler.
C-jCreatingjajscrapbookjisjajrecommendedjplayjactivityjforjajschool-agejchild.
Ajnursejisjteachingjthejparentsjofjajnewbornjaboutjwaysjtojpreventjsuddenjinfantjdeathjsyndro
mejSIDS.j Whichjofjthejfollowingjinstructionsjshouldjthejnursejinclude?
A-j Placejthejinfantjinjajpronejpositionjtojsleep.
B-j Allowjthejinfantjtojsleepjonjajlargejpillow.
C-j Userjsoftjmattressjinjthejinfant'sjcrib.
