Answers | Pass on First Attempt
1. Which intervention would a nurse include when preparing a care plan for a
child with HEPATITIS
Arranging indefinite homeschooling because the child will not be
able to return to school
Teaching the child effective hand washing techniques
Instructing the parents to avoid administering meds unless
prescribed
Scheduling playtime in the playroom with other children
Notifying the physician if jaundice is present
Providing a low-fat, well-balanced diet
2. What condition does the child in the scenario have that affects bleeding?
Anemia
Thrombocytopenia
Hemophilia
Leukemia
3. Describe the rationale for positioning a child with acute otitis media on their
affected side.
,Positioning the child on the affected side facilitates drainage.
It prevents ear drainage.
It helps to reduce fever.
, It promotes better hearing.
4. What laboratory study is primarily used to confirm a diagnosis of rheumatic
fever?
Anti-streptolysin O titer
Red blood cell count
White blood cell count
Immunoglobulin
5. If the nurse administers digoxin despite the low heart rate and elevated
digoxin level, what potential complication could arise for the newborn?
Increased heart rate
Digoxin toxicity
Improved feeding tolerance
Decreased respiratory rate
6. The nursing student is assigned to care for a child with hemophilia. The
nursing instructor reviews the plan of care with the student. Which
intervention on the student written plan of care requires correction?
Blood transfusion of packed red blood cells.
Intravenous administration of recombinant factor.
Measure circumference of injured joints.
Monitor temperature with oral thermometers.
7. Which of the following assessments would make the nurse suspect that a
child has strabismus?
, Turns head to see
Does not respond when spoken to
Tilts head to see
Has difficulty hearing
8. A newborn is being evaluated for possible esophageal atresia and
tracheoesophageal fistula. Which finding is the nurse most likely to
observe?
Choking and cyanosis during feeding
Projectile
Diminished lung sounds
Concave abdomen
9. The nurse is teaching the parents of an infant with pyloric stenosis about
potential acid-base imbalances that may occur. Which acid-base imbalance
is most likely for the infant with pyloric stenosis?
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
10. Describe the significance of jaundice in the assessment of a child with
hepatitis.
Jaundice is a sign of dehydration in children.
Jaundice indicates the accumulation of bilirubin in the blood,
which is a common sign of liver dysfunction.