NCLEX Pediatrics TEST BANK 2022
g g g g g
Agnursegisgteachinggangadolescentgwithginflammatorygbowelgdiseasegaboutgtreatmentgwithgcorticostero
ids.gWhichgadversegeffectsgaregconcernsgforgthisgclient?gSelectgallgthatgapply.
g1.gAcneg
g2.gHirsutismg
g3.gMoodgswingsg
g4.gOsteoporosisg
g5.gGrowthgspurtsg
g6.gAdrenalgsuppressiongCorrectgAnswer:gg1.gAcneg
g2.gHirsutismg
g3.gMoodgswingsg
g4.gOsteoporosisg
g6.gAdrenalgsuppressiong
RATIONALE:gAdversegeffectsgofgcorticosteroidsgincludegacne,ghirsutism,gmoodgswings,gosteoporosis,gan
dgadrenalgsuppression.gSteroidgusegingchildrengandgadolescentsgmaygcausegdelayedggrowth,gnotggrowth
gspurts.
Agnursegisgconductinggangexaminationgofgag6-month-
oldgbaby.gDuringgthegexamination,gthegnursegshouldgbegablegtogelicitgwhichgreflex?
g1.gBabinski's
g2.gStartle
g3.gMoro's
g4.gDancegCorrectgAnswer:gg1.gBabinski's
RATIONALE:
ThegnursegshouldgbegablegtogelicitgthegBabinski'sgreflexgbecausegitgmaygbegpresentgthegentiregfirstgyearg
ofglife.g
Thegstartlegreflexgactuallygdisappearsgaroundg4gmonthsgofgage;gthegMoro'sgreflex,gbyg3gorg4gmonthsgofg
age;gandgthegdancegreflex,gaftergthegthirdgorgfourthgweek.
Whengteachinggagparentgofgagschool-
agegchildgaboutgsignsgandgsymptomsgofgfevergthatgrequiregimmediategnotificationgofgthegphysician,gwhi
chgdescriptiongshouldgthegnurseginclude?
g1.gBurninggorgpaingwithgurination
g2.gComplaintsgofgagstiffgneck
g3.gFevergdisappearinggforglongergthang24ghours,gthengreturning
g4.gHistorygofgfebrilegseizuresgCorrectgAnswer:gg2.gComplaintsgofgagstiffgneck
RATIONALE:gThegnursegshouldgdiscussgcomplaintsgofgagstiffgneckgbecausegfevergandgagstiffgneckgindicate
gpossiblegmeningitis.gBurninggorgpaingwithgurination,gfevergthatgdisappearsgforg24ghoursgthengreturns,ga
ndgaghistorygofgfebrilegseizuresgshouldgbegaddressedgbygthegphysiciangbutgcangwaitguntilgofficeghours.
,Aftergbeingghospitalizedgforgstatusgasthmaticus,gagchild,gageg5,gisgdischargedgwithgprednisoneg(Deltason
e)gandgothergoralgmedications.gTwogweeksglater,gwhengthegchildgcomesgtogthegclinicgforgagcheckup,gthe
gnurseginstructsgthegmothergtoggraduallygdecreasegthegdosagegofgprednisone,gwhichgwillgbegdiscontinue
d.gThegmothergasksgwhygprednisonegmustgbegdiscontinued.gHowgshouldgthegnursegrespond?
g1.g"Steroidsgincreasegthegappetite,gleadinggtogobesitygwithgprolongedguse."
g2.g"Long-termgsteroidgtherapygmayginterferegwithgagchild'sggrowth."
g3.g"Thegchildgmaygdevelopgaghypersensitivitygtogsteroidsgwithgcontinuedguse."
g4.g"Prolongedgsteroidgusegmaygcausegdepression."gCorrectgAnswer:gg2.g"Long-
termgsteroidgtherapygmayginterferegwithgagchild'sggrowth."
RATIONALE:gSteroidsgsuppressgreleasegofgadrenocorticotropicghormonegfromgthegpituitaryggland,gstopp
inggproductiongofgendogenousghormonesgbygthegadrenalgcortex.gBecausegprolongedgadrenalgsuppressio
ngmaygcauseggrowthgretardationgingagchild,gthegdurationgandgdosagegofgsteroidgtherapygmustgbegkeptgt
ogagminimum.gSteroidsgalsogmaygcausegcentralgnervousgsystemgeffects,gsuchgasgeuphoria,ginsomnia,gan
dgmoodgswings.gAlthoughgsteroidsgincreasegthegappetite,gthisgeffectgisn'tgthegreasongforglimitinggtheirgu
segingchildren.gSteroidsgaregpresentgingthegbody,gsoghypersensitivitygisn'tgagproblem,gandgthey'reglikelygt
ogcausegeuphoria,gnotgdepression.
Aghospitalizedginfant,gageg10gmonths,gbeginsgtogchokegwhilegeatinggandgquicklygbecomesgunconscious.g
Agforeigngobjectgisn'tgvisiblegingtheginfant'sgairway,gbutgrespirationsgaregabsentgandgthegpulsegisg50gbea
ts/minutegandgthready.gThegnursegattemptsgrescuegbreathing,gbutgthegventilationsgaregunsuccessful.gW
hatgshouldgthegnursegdognext?
g1.gDelivergfivegbackgblows.
g2.gDelivergfivegchestgthrusts.
g3.gPerformgchestgcompressions.
g4.gDelivergfivegabdominalgthrusts.gCorrectgAnswer:gg1.gDelivergfivegbackgblows.
RATIONALE:gIfgrescuegbreathinggisgunsuccessfulgingagchildgyoungergthangageg1,gthegnursegshouldgdeliver
gfivegbackgblows,gfollowedgbygfivegchestgthrusts,gtogtrygtogexpelgthegobjectgfromgthegobstructedgairway.
gThegnursegshouldn'tgperformgchestgcompressionsgbecausegtheginfantghasgagpulsegandgbecausegchestgc
ompressionsgaregineffectivegwithoutgagpatentgairwaygforgventilation.gThegnursegshouldn'tgusegabdomin
algthrustsgforgagchildgyoungergthangageg1gbecausegtheygcanginjuregthegabdominalgorgans.
Angadolescentgisgadmittedgforgtreatmentgofgbulimiagnervosa.gWhengdevelopinggthegcaregplan,gthegnurs
eganticipatesgincludingginterventionsgthatgaddressgwhichgmetabolicgdisorder?
g1.gHypoglycemia
g2.gMetabolicgalkalosis
g3.gMetabolicgacidosis
g4.gHyperkalemiagCorrectgAnswer:gg2.gMetabolicgalkalosis
RATIONALE:gIngagclientgwithgbulimiagnervosa,gmetabolicgalkalosisgmaygoccurgsecondarygtoghydrogenglos
sgcausedgbygfrequent,gself-
inducedgvomiting.gTypically,gthegbloodgglucoseglevelgisgwithingnormalglimits,gmakingghypoglycemiagunlik
,ely.gIngbulimiagnervosa,ghypokalemiagisgmoregcommongthanghyperkalemiagandgtypicallygresultsgfromgpo
tassiumglossgrelatedgtogfrequentgvomiting.
Anginfantgisghospitalizedgforgtreatmentgofginorganicgfailuregtogthrive.gWhichgnursinggactiongisgmostgappr
opriategforgthisgchild?
g1.gEncouraginggtheginfantgtogholdgagbottle
g2.gKeepinggtheginfantgongbedgrestgtogconservegenergy
g3.gRotatinggcaregiversgtogprovidegmoregstimulation
g4.gMaintaininggagconsistent,gstructuredgenvironmentgCorrectgAnswer:gg4.gMaintaininggagconsistent,gstr
ucturedgenvironment
RATIONALE:gThegnursegcaringgforganginfantgwithginorganicgfailuregtogthrivegshouldgstrivegtogmaintaingag
consistent,gstructuredgenvironmentgbecausegitgreinforcesgagcaringgfeedinggenvironment.gEncouraginggt
heginfantgtogholdgagbottlegwouldgreinforceganguncaringgfeedinggenvironment.gTheginfantgshouldgreceive
gsocialgstimulationgrathergthangbegconfinedgtogbedgrest.gThegnumbergofgcaregiversgshouldgbegminimize
dgtogpromotegconsistencygofgcare.
Duringgagwell-
babygvisit,gagmothergasksgthegnursegwhengshegshouldgstartggivinggherginfantgsolidgfoods.gThegnursegsho
uldginstructghergtogintroducegwhichgsolidgfoodgfirst?
g1.gApplesauce
g2.gEgggwhites
g3.gRicegcereal
g4.gYogurtgCorrectgAnswer:gg3.gRicegcereal
RATIONALE:gThegnursegshouldginstructghergtogintroducegricegcerealgfirstgbecausegit'sgeasygtogdigestgand
gisgassociatedgwithgfewgallergies.gNext,gtheginfantgcangreceivegpureedgfruits,gsuchgasgbananas,gapplesau
ce,gandgpears,gfollowedgbygpureedgvegetables,gegggyolks,gcheese,gyogurtgand,gfinally,gmeat.gEgggwhitesg
shouldn'tgbeggivenguntilgageg9gmonthsgbecausegtheygmaygtriggergagfoodgallergy.
Agchildgwhogwasghospitalizedgforgsicklegcellgcrisisgisgbeinggdischarged.gWhichgparentgoutcomegdemonstr
atesgeffectivegteachinggregardinggpreventiongofgfuturegcrises?
g1.gThegparentgverbalizesgthegneedgtogstaygawaygfromgpersonsgwithgknownginfections.
g2.gThegparentgverbalizesgappropriategdietarygrestrictions.
g3.gThegparentgverbalizesgthegneedgtogrestrictgfluidgintake.
g4.gThegparentgparticipatesgingangaerobicgexercisegprogram.gCorrectgAnswer:gg1.gThegparentgverbalizesgt
hegneedgtogstaygawaygfromgpersonsgwithgknownginfections.
RATIONALE:gPreventingginfectionsgthroughgproperghandgwashinggandgstayinggawaygfromgpersonsgwithg
knownginfectionsgisgangimportantgmeasuregingpreventinggsicklegcellgcrises.gDietarygrestrictionsgaren'tgsig
nificantgingpreventinggthesegcrises.gThegclientgshouldgmaintaingadequateghydration,gnotgrestrictgfluidgint
ake,gandgshouldgavoidgstrenuousgactivitygsuchgasgaerobics.
Agnursegisgteachinggagparentghowgtogadministergantibioticsgatghomegtogagtoddlergwithgacutegotitisgmedi
a.gWhichgstatementgbygthegparentgindicatesgthatgteachingghasgbeengsuccessful?
g1.g"I'llggivegthegantibioticsgforgthegfullg10-daygcoursegofgtreatment."
, g2.g"I'llggivegthegantibioticsguntilgmygchild'sgeargpaingisggone."
g3.g"Whenevergmygchildgisgcrankygorgpullsgongangear,gI'llggivegagdosegofgantibiotics."
g4.g"Ifgthegeargpaingisggone,gthere'sgnogneedgtogseegthegphysiciangforganothergexaminationgofgthegears."
gCorrectgAnswer:gg1.g"I'llggivegthegantibioticsgforgthegfullg10-daygcoursegofgtreatment."
RATIONALE:gThegmothergdemonstratesgunderstandinggofgantibioticgtherapygbygstatinggshe'llggivegthegfu
llg10-
daygcoursegofgtreatment.gAntibioticsgmustgbeggivengforgthegfullgcoursegofgtherapy,gevengifgthegchildgfeel
sgwell.gOtherwise,gtheginfectiongwon'tgbegeradicated.gAntibioticsgshouldgbegtakengatgorderedgintervalsgt
ogmaintaingbloodglevelsgandgnotgasgneededgforgpain.gAgreexaminationgatgthegendgofgthegcoursegofgantib
ioticsgisgnecessarygtogconfirmgthatgtheginfectiongisgresolved.
Agchild,gageg15gmonths,gisgrecoveringgfromgsurgerygtogremovegagWilms'gtumor.gWhichgfindinggbestgindi
catesgthatgthegchildgisgfreegfromgpain?
g1.gDecreasedgappetite
g2.gIncreasedgheartgrate
g3.gDecreasedgurinegoutput
g4.gIncreasedginterestgingplaygCorrectgAnswer:gg4.gIncreasedginterestgingplay
RATIONALE:gAgbehavioralgchangegisgonegofgthegmostgvaluablegcluesgtogpain.gAgchildgwho'sgpain-
freeglikesgtogplay.gIngcontrast,gagchildgingpaingisglessglikelygtogplaygorgtogconsumegfoodgorgfluids.gAngincr
easedgheartgrategmaygindicategincreasedgpain.gDecreasedgurinegoutputgmaygsignifygdehydration.
Agtoddlergdevelopsgacutegotitisgmediagandgisgorderedgcefpodoximegproxetilg(Vantin)g5gmg/kggP.O.gever
yg12ghours.gIfgthegchildgweighsg22glbg(10gkg),ghowgmanygmilligramsgwillgthegnursegadministergwithgeach
gdose?
g1.g50gmg
g2.g100gmg
g3.g110gmg
g4.g220gmggCorrectgAnswer:gg1.g50gmg
RATIONALE:gThegdosegisg5gmg/kggandgthegchildgweighsg10gkg.gTogdeterminegthegdose,gthegnursegwould
gcalculate:g5gmg/1gkgg×g10gkgg=g50gmggpergdose.
Agnursegisgworkinggongthegpediatricgunit.gWhichgassignmentgbestgdemonstratesgprimarygcaregnursing?
g1.gCaringgforgthegsamegchildgfromgadmissiongtogdischarge
g2.gCaringgforgdifferentgchildrengeachgshiftgtoggaingnursinggexperience
g3.gTakinggvitalgsignsgforgeverygchildghospitalizedgongthegunit
g4.gAssuminggthegchargegnursegroleginsteadgofgparticipatinggingdirectgchildgcaregCorrectgAnswer:gg1.gCari
nggforgthegsamegchildgfromgadmissiongtogdischarge
RATIONALE:gPrimarygcaregnursinggrequiresgthatgthegprimarygnursegcaregforgthegsamegchildg(togwhomgs
he'sgassigned)gduringghergscheduledgshift.gThegassociategnursegisgassignedgtogthegchildgcaregassignment
gwhengthegprimarygnurseghasgagdaygoffgorgduringgthegeveninggandgnightgshifts.gCaringgforgdifferentgchil
drengeachgshiftgdoesn'tgpromotegcontinuitygofgcare.gTakinggvitalgsignsgforgeverygchildgongthegfloorgisgang
g g g g g
Agnursegisgteachinggangadolescentgwithginflammatorygbowelgdiseasegaboutgtreatmentgwithgcorticostero
ids.gWhichgadversegeffectsgaregconcernsgforgthisgclient?gSelectgallgthatgapply.
g1.gAcneg
g2.gHirsutismg
g3.gMoodgswingsg
g4.gOsteoporosisg
g5.gGrowthgspurtsg
g6.gAdrenalgsuppressiongCorrectgAnswer:gg1.gAcneg
g2.gHirsutismg
g3.gMoodgswingsg
g4.gOsteoporosisg
g6.gAdrenalgsuppressiong
RATIONALE:gAdversegeffectsgofgcorticosteroidsgincludegacne,ghirsutism,gmoodgswings,gosteoporosis,gan
dgadrenalgsuppression.gSteroidgusegingchildrengandgadolescentsgmaygcausegdelayedggrowth,gnotggrowth
gspurts.
Agnursegisgconductinggangexaminationgofgag6-month-
oldgbaby.gDuringgthegexamination,gthegnursegshouldgbegablegtogelicitgwhichgreflex?
g1.gBabinski's
g2.gStartle
g3.gMoro's
g4.gDancegCorrectgAnswer:gg1.gBabinski's
RATIONALE:
ThegnursegshouldgbegablegtogelicitgthegBabinski'sgreflexgbecausegitgmaygbegpresentgthegentiregfirstgyearg
ofglife.g
Thegstartlegreflexgactuallygdisappearsgaroundg4gmonthsgofgage;gthegMoro'sgreflex,gbyg3gorg4gmonthsgofg
age;gandgthegdancegreflex,gaftergthegthirdgorgfourthgweek.
Whengteachinggagparentgofgagschool-
agegchildgaboutgsignsgandgsymptomsgofgfevergthatgrequiregimmediategnotificationgofgthegphysician,gwhi
chgdescriptiongshouldgthegnurseginclude?
g1.gBurninggorgpaingwithgurination
g2.gComplaintsgofgagstiffgneck
g3.gFevergdisappearinggforglongergthang24ghours,gthengreturning
g4.gHistorygofgfebrilegseizuresgCorrectgAnswer:gg2.gComplaintsgofgagstiffgneck
RATIONALE:gThegnursegshouldgdiscussgcomplaintsgofgagstiffgneckgbecausegfevergandgagstiffgneckgindicate
gpossiblegmeningitis.gBurninggorgpaingwithgurination,gfevergthatgdisappearsgforg24ghoursgthengreturns,ga
ndgaghistorygofgfebrilegseizuresgshouldgbegaddressedgbygthegphysiciangbutgcangwaitguntilgofficeghours.
,Aftergbeingghospitalizedgforgstatusgasthmaticus,gagchild,gageg5,gisgdischargedgwithgprednisoneg(Deltason
e)gandgothergoralgmedications.gTwogweeksglater,gwhengthegchildgcomesgtogthegclinicgforgagcheckup,gthe
gnurseginstructsgthegmothergtoggraduallygdecreasegthegdosagegofgprednisone,gwhichgwillgbegdiscontinue
d.gThegmothergasksgwhygprednisonegmustgbegdiscontinued.gHowgshouldgthegnursegrespond?
g1.g"Steroidsgincreasegthegappetite,gleadinggtogobesitygwithgprolongedguse."
g2.g"Long-termgsteroidgtherapygmayginterferegwithgagchild'sggrowth."
g3.g"Thegchildgmaygdevelopgaghypersensitivitygtogsteroidsgwithgcontinuedguse."
g4.g"Prolongedgsteroidgusegmaygcausegdepression."gCorrectgAnswer:gg2.g"Long-
termgsteroidgtherapygmayginterferegwithgagchild'sggrowth."
RATIONALE:gSteroidsgsuppressgreleasegofgadrenocorticotropicghormonegfromgthegpituitaryggland,gstopp
inggproductiongofgendogenousghormonesgbygthegadrenalgcortex.gBecausegprolongedgadrenalgsuppressio
ngmaygcauseggrowthgretardationgingagchild,gthegdurationgandgdosagegofgsteroidgtherapygmustgbegkeptgt
ogagminimum.gSteroidsgalsogmaygcausegcentralgnervousgsystemgeffects,gsuchgasgeuphoria,ginsomnia,gan
dgmoodgswings.gAlthoughgsteroidsgincreasegthegappetite,gthisgeffectgisn'tgthegreasongforglimitinggtheirgu
segingchildren.gSteroidsgaregpresentgingthegbody,gsoghypersensitivitygisn'tgagproblem,gandgthey'reglikelygt
ogcausegeuphoria,gnotgdepression.
Aghospitalizedginfant,gageg10gmonths,gbeginsgtogchokegwhilegeatinggandgquicklygbecomesgunconscious.g
Agforeigngobjectgisn'tgvisiblegingtheginfant'sgairway,gbutgrespirationsgaregabsentgandgthegpulsegisg50gbea
ts/minutegandgthready.gThegnursegattemptsgrescuegbreathing,gbutgthegventilationsgaregunsuccessful.gW
hatgshouldgthegnursegdognext?
g1.gDelivergfivegbackgblows.
g2.gDelivergfivegchestgthrusts.
g3.gPerformgchestgcompressions.
g4.gDelivergfivegabdominalgthrusts.gCorrectgAnswer:gg1.gDelivergfivegbackgblows.
RATIONALE:gIfgrescuegbreathinggisgunsuccessfulgingagchildgyoungergthangageg1,gthegnursegshouldgdeliver
gfivegbackgblows,gfollowedgbygfivegchestgthrusts,gtogtrygtogexpelgthegobjectgfromgthegobstructedgairway.
gThegnursegshouldn'tgperformgchestgcompressionsgbecausegtheginfantghasgagpulsegandgbecausegchestgc
ompressionsgaregineffectivegwithoutgagpatentgairwaygforgventilation.gThegnursegshouldn'tgusegabdomin
algthrustsgforgagchildgyoungergthangageg1gbecausegtheygcanginjuregthegabdominalgorgans.
Angadolescentgisgadmittedgforgtreatmentgofgbulimiagnervosa.gWhengdevelopinggthegcaregplan,gthegnurs
eganticipatesgincludingginterventionsgthatgaddressgwhichgmetabolicgdisorder?
g1.gHypoglycemia
g2.gMetabolicgalkalosis
g3.gMetabolicgacidosis
g4.gHyperkalemiagCorrectgAnswer:gg2.gMetabolicgalkalosis
RATIONALE:gIngagclientgwithgbulimiagnervosa,gmetabolicgalkalosisgmaygoccurgsecondarygtoghydrogenglos
sgcausedgbygfrequent,gself-
inducedgvomiting.gTypically,gthegbloodgglucoseglevelgisgwithingnormalglimits,gmakingghypoglycemiagunlik
,ely.gIngbulimiagnervosa,ghypokalemiagisgmoregcommongthanghyperkalemiagandgtypicallygresultsgfromgpo
tassiumglossgrelatedgtogfrequentgvomiting.
Anginfantgisghospitalizedgforgtreatmentgofginorganicgfailuregtogthrive.gWhichgnursinggactiongisgmostgappr
opriategforgthisgchild?
g1.gEncouraginggtheginfantgtogholdgagbottle
g2.gKeepinggtheginfantgongbedgrestgtogconservegenergy
g3.gRotatinggcaregiversgtogprovidegmoregstimulation
g4.gMaintaininggagconsistent,gstructuredgenvironmentgCorrectgAnswer:gg4.gMaintaininggagconsistent,gstr
ucturedgenvironment
RATIONALE:gThegnursegcaringgforganginfantgwithginorganicgfailuregtogthrivegshouldgstrivegtogmaintaingag
consistent,gstructuredgenvironmentgbecausegitgreinforcesgagcaringgfeedinggenvironment.gEncouraginggt
heginfantgtogholdgagbottlegwouldgreinforceganguncaringgfeedinggenvironment.gTheginfantgshouldgreceive
gsocialgstimulationgrathergthangbegconfinedgtogbedgrest.gThegnumbergofgcaregiversgshouldgbegminimize
dgtogpromotegconsistencygofgcare.
Duringgagwell-
babygvisit,gagmothergasksgthegnursegwhengshegshouldgstartggivinggherginfantgsolidgfoods.gThegnursegsho
uldginstructghergtogintroducegwhichgsolidgfoodgfirst?
g1.gApplesauce
g2.gEgggwhites
g3.gRicegcereal
g4.gYogurtgCorrectgAnswer:gg3.gRicegcereal
RATIONALE:gThegnursegshouldginstructghergtogintroducegricegcerealgfirstgbecausegit'sgeasygtogdigestgand
gisgassociatedgwithgfewgallergies.gNext,gtheginfantgcangreceivegpureedgfruits,gsuchgasgbananas,gapplesau
ce,gandgpears,gfollowedgbygpureedgvegetables,gegggyolks,gcheese,gyogurtgand,gfinally,gmeat.gEgggwhitesg
shouldn'tgbeggivenguntilgageg9gmonthsgbecausegtheygmaygtriggergagfoodgallergy.
Agchildgwhogwasghospitalizedgforgsicklegcellgcrisisgisgbeinggdischarged.gWhichgparentgoutcomegdemonstr
atesgeffectivegteachinggregardinggpreventiongofgfuturegcrises?
g1.gThegparentgverbalizesgthegneedgtogstaygawaygfromgpersonsgwithgknownginfections.
g2.gThegparentgverbalizesgappropriategdietarygrestrictions.
g3.gThegparentgverbalizesgthegneedgtogrestrictgfluidgintake.
g4.gThegparentgparticipatesgingangaerobicgexercisegprogram.gCorrectgAnswer:gg1.gThegparentgverbalizesgt
hegneedgtogstaygawaygfromgpersonsgwithgknownginfections.
RATIONALE:gPreventingginfectionsgthroughgproperghandgwashinggandgstayinggawaygfromgpersonsgwithg
knownginfectionsgisgangimportantgmeasuregingpreventinggsicklegcellgcrises.gDietarygrestrictionsgaren'tgsig
nificantgingpreventinggthesegcrises.gThegclientgshouldgmaintaingadequateghydration,gnotgrestrictgfluidgint
ake,gandgshouldgavoidgstrenuousgactivitygsuchgasgaerobics.
Agnursegisgteachinggagparentghowgtogadministergantibioticsgatghomegtogagtoddlergwithgacutegotitisgmedi
a.gWhichgstatementgbygthegparentgindicatesgthatgteachingghasgbeengsuccessful?
g1.g"I'llggivegthegantibioticsgforgthegfullg10-daygcoursegofgtreatment."
, g2.g"I'llggivegthegantibioticsguntilgmygchild'sgeargpaingisggone."
g3.g"Whenevergmygchildgisgcrankygorgpullsgongangear,gI'llggivegagdosegofgantibiotics."
g4.g"Ifgthegeargpaingisggone,gthere'sgnogneedgtogseegthegphysiciangforganothergexaminationgofgthegears."
gCorrectgAnswer:gg1.g"I'llggivegthegantibioticsgforgthegfullg10-daygcoursegofgtreatment."
RATIONALE:gThegmothergdemonstratesgunderstandinggofgantibioticgtherapygbygstatinggshe'llggivegthegfu
llg10-
daygcoursegofgtreatment.gAntibioticsgmustgbeggivengforgthegfullgcoursegofgtherapy,gevengifgthegchildgfeel
sgwell.gOtherwise,gtheginfectiongwon'tgbegeradicated.gAntibioticsgshouldgbegtakengatgorderedgintervalsgt
ogmaintaingbloodglevelsgandgnotgasgneededgforgpain.gAgreexaminationgatgthegendgofgthegcoursegofgantib
ioticsgisgnecessarygtogconfirmgthatgtheginfectiongisgresolved.
Agchild,gageg15gmonths,gisgrecoveringgfromgsurgerygtogremovegagWilms'gtumor.gWhichgfindinggbestgindi
catesgthatgthegchildgisgfreegfromgpain?
g1.gDecreasedgappetite
g2.gIncreasedgheartgrate
g3.gDecreasedgurinegoutput
g4.gIncreasedginterestgingplaygCorrectgAnswer:gg4.gIncreasedginterestgingplay
RATIONALE:gAgbehavioralgchangegisgonegofgthegmostgvaluablegcluesgtogpain.gAgchildgwho'sgpain-
freeglikesgtogplay.gIngcontrast,gagchildgingpaingisglessglikelygtogplaygorgtogconsumegfoodgorgfluids.gAngincr
easedgheartgrategmaygindicategincreasedgpain.gDecreasedgurinegoutputgmaygsignifygdehydration.
Agtoddlergdevelopsgacutegotitisgmediagandgisgorderedgcefpodoximegproxetilg(Vantin)g5gmg/kggP.O.gever
yg12ghours.gIfgthegchildgweighsg22glbg(10gkg),ghowgmanygmilligramsgwillgthegnursegadministergwithgeach
gdose?
g1.g50gmg
g2.g100gmg
g3.g110gmg
g4.g220gmggCorrectgAnswer:gg1.g50gmg
RATIONALE:gThegdosegisg5gmg/kggandgthegchildgweighsg10gkg.gTogdeterminegthegdose,gthegnursegwould
gcalculate:g5gmg/1gkgg×g10gkgg=g50gmggpergdose.
Agnursegisgworkinggongthegpediatricgunit.gWhichgassignmentgbestgdemonstratesgprimarygcaregnursing?
g1.gCaringgforgthegsamegchildgfromgadmissiongtogdischarge
g2.gCaringgforgdifferentgchildrengeachgshiftgtoggaingnursinggexperience
g3.gTakinggvitalgsignsgforgeverygchildghospitalizedgongthegunit
g4.gAssuminggthegchargegnursegroleginsteadgofgparticipatinggingdirectgchildgcaregCorrectgAnswer:gg1.gCari
nggforgthegsamegchildgfromgadmissiongtogdischarge
RATIONALE:gPrimarygcaregnursinggrequiresgthatgthegprimarygnursegcaregforgthegsamegchildg(togwhomgs
he'sgassigned)gduringghergscheduledgshift.gThegassociategnursegisgassignedgtogthegchildgcaregassignment
gwhengthegprimarygnurseghasgagdaygoffgorgduringgthegeveninggandgnightgshifts.gCaringgforgdifferentgchil
drengeachgshiftgdoesn'tgpromotegcontinuitygofgcare.gTakinggvitalgsignsgforgeverygchildgongthegfloorgisgang
