MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers

MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




MHSM LEVEL 4
Med Surg Pediatric
Prepu// Final Exam
Predictor Questions
with correct
Answers

, MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




When performing a physical examination on a neonate, the nurse notes low-set ears. What action should
the nurse perform next?

You Selected:

Assess the neonate to determine if other apparent abnormalities are present.

Correct response:

Assess the neonate to determine if other apparent abnormalities are present.

Explanation:

Remediation:

Question 2 See full question

A nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by
the mother indicates that teaching has been effective?

You Selected:

"My baby has been sick. A machine will help him breathe."

Correct response:

"I know that this disease is serious and can lead to asthma."

Explanation:

Remediation:

Question 3 See full question

A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis.
Which statement by the parents indicates effective discharge teaching?

You Selected:

"We're just so glad this is all behind us."

Correct response:

"We'll go to the physician if our child pulls on the ears or won't lie down."

Explanation:

Remediation:

Question 4 See full question

A 2-year-old child is brought to the emergency department with suspected croup. Which assessment
finding reflects increasing respiratory distress?

You Selected:

, MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




Flushed skin

Correct response:

Intercostal retractions

Explanation:

Remediation:

Question 5 See full question

A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn't
enunciate words well and holds onto furniture when he walks. The nurse should ask the mother:

You Selected:

if the child always drools.

Correct response:

how the child's condition today differs from his normal condition.

Explanation:

Remediation:

Question 6 See full question

A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening
shift. Whose care should the RN assign to the LPN?

You Selected:

A 12-month-old infant who has a white blood cell (WBC) count of 34/μl and a fever

Correct response:

The 2-year-old child who has started eating soft, solid foods following a tonsillectomy

Explanation:

Question 7 See full question

Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness?

You Selected:

Tragus, cochlea, and lobule

Correct response:

Tragus, mastoid process, and helix

Explanation:

, MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




Remediation:

Question 8 See full question

A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect:

You Selected:

dysuria.

Correct response:

an abdominal mass.

Explanation:

Remediation:

Question 9 See full question

A preschooler has vomiting, diarrhea, and a potassium level of 3 mEq/L (3 mmol/L). The physician orders
an I.V. infusion of 500 ml of dextrose 5% in water and half-normal saline solution with 20 mEq (20
mmol/L) of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids
and potassium chloride to:

You Selected:

avoid hyperglycemia.

Correct response:

meet physiologic needs.

Explanation:

Remediation:

Question 10 See full question

When telling a 4-year-old child about an upcoming procedure, the nurse's most important consideration
is to:

You Selected:

speak loudly and clearly.

Correct response:

use simple terms.

Explanation:

Remediation:

Question 11 See full question

, MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




Encouraging fantasy play and participation by children in their own care is a useful developmental
approach for which pediatric age-group?

You Selected:

School age (5 to 10 years)

Correct response:

Preschool age (3 to 5 years)

Explanation:

Remediation:

Question 12 See full question

The nurse is caring for a 3-year-old client being treated for severe status asthmaticus. After comparing
clinical manifestations with laboratory results (reported below), a nurse determines evidence that this
client has progressed to which condition?
You Selected:

Respiratory acidosis

Correct response:

Respiratory acidosis

Explanation:

Remediation:

Question 13 See full question

A 6-year-old child has tested positive for West Nile virus infection. The nurse suspects the child has the
severe form of the disease when she recognizes which signs and symptoms?

You Selected:

Fever, muscle weakness, and change in mental status

Correct response:

Fever, muscle weakness, and change in mental status

Explanation:

Remediation:

Question 14 See full question

A 15-year-old girl visits the neighborhood clinic seeking information on "how to keep from geting
pregnant." What should the nurse say in response to her request?

You Selected:

, MHSM LEVEL 4 Med Surg Pediatric Prepu// Final Exam Predictor Questions with correct Answers




"Can you tell me if you've told your parents you're having sex?"

Correct response:

"Can you tell me about the precautions you're taking now?"

Explanation:

Question 15 See full question

The parents of an adolescent girl have recently learned that their daughter has a terminal illness. At first,
as they try to cope, they display avoidance behaviors. Then they demonstrate behaviors that indicate
possible acceptance of the diagnosis. Which behavior indicates acceptance?

You Selected:

Avoidance of staff, family members, or the girl herself

Correct response:

Expression of feelings, such as sorrow and anger, about the girl's condition

Explanation:

Remediation:

Question 16 See full question

The nurse on the adolescent unit delegates a task to the nursing assistant. After delegating the task, the
nurse should:

You Selected:

document in the chart that the task has been completed.

Correct response:

allow adequate time for the nursing assistant to complete the task, then follow-up with her.

Explanation:

Question 17 See full question

An adolescent presents to a community clinic for treatment of vulvar lesions associated with Type 2
herpes simplex. The nurse should:

You Selected:

inform the adolescent that she can't guarantee her confidentiality.

Correct response:

show the adolescent to a private examination room.

Explanation: