ANSWERS 100% CORRECT.
A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding
episode. Which of the following statements by the parent indicates a need for further
teaching? - ANSWER"I will apply heat"
A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse
recognize as the most reliable indicator of fluid loss? - ANSWERBody weight
Which of the following children should the nurse identify as a potential action of abuse?
- ANSWERA child whose parents answer questions for the child.
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements indicates
that the mother understands the teaching? - ANSWER"My child will take the enzymes to
help digest the fat in foods"
A nurse is assessing a 3 month old. Which of the following findings should he report to
the provider? - ANSWERUnable to raise head when in prone position.
A nurse is admitting a 6 month old infant who has dehydration. Which of the following
amounts of urinary output should indicate to the nurse that the treatment has confirmed
the fluid imbalance? - ANSWER0.5 mL/kg/hr
A nurse is planning care for an infant who has spina bifida and is to undergo surgical?
Which of the following interventions should the nurse include in the plan of care? -
ANSWERProvide a latex free environment
A nurse is caring for a child who has just died. The parents ask to be left alone so that
they ? The nurse should: - ANSWERGrant their request
A nurse is educating new parents on risk factors for sudden infant death syndrome
(SIDS). Which of the following statements by a parent would indicate a need for
additional teaching? - ANSWER"Our baby will sleep in my bed because I am
breastfeeding"
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist
down. Which of the following statements by the client would indicate to the nurse a need
for further teaching? - ANSWER"I only need to catheterize myself twice every day"
, A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite
for solid foods. The nurse should explain that the toddler is at risk for which of the
following disorders? - ANSWERIron deficiency anemia
A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate? -
ANSWER75 mL/hr
A nurse is caring for a toddler admitted to a pediatric unit. Which of the following
statements should the nurse use when preparing to check the child's vital signs? -
ANSWER"I an going to listen to your heart"
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse
should include which of the following food choices for this child? - ANSWERRice
A nurse is planning care for a 5 month old infant who is scheduled for a lumbar puncture
to rule out meningitis. Which of the following actions should the nurse include in the plan
of care? - ANSWERHold the infant's chin to his chest and knees to his abdomen during
the procedure.
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the
following findings should the nurse report to the provider? - ANSWERFacial edema
A parent calls a clinic and reports to a nurse that his 2 month old infant is hungry more
than usual but is projectile vomiting immediately after eating. Which of the following
responses should the nurse make? - ANSWER"Bring your baby in to the clinic today"
A nurse is planning home care for a 9 year old child who is discharged following an
acute asthma attack. Which of the following growth and developmental stages
according to Erikson should the nurse consider in the planning? - ANSWERIndustry vs.
Inferiority
A nurse is caring for a child who has been physically abused by a family member.
Which of the following is an appropriate statement for the nurse to say to the child? -
ANSWER"It is not your fault that this happened"
A nurse is assessing an infant with Trisomy 21 (Down's Syndrome). Which of the
following are common characteristics? - ANSWERProtruding tongue, Hyper-flexibility,
Transverse palmar ceases
A nurse in an emergency is assessing a 3 year old child who has a high fever, severe
dyspnea, and is drooling. Which of the following interventions is the nurse's priority? -
ANSWERPrepare for nasotracheal intubation
A nurse is assessing a client who sustained a basal skull fracture and notes a thin
stream of clear drainage coming from the client's right nostril. Which of the following
actions should the nurse take first? - ANSWERTest the drainage for glucose.