DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
(BRAND NEW!!)
Terms in this set (84) QUESTIONS VERIFIED ANSWERS
1) The nurse is giving pre-op instructions to a "I understand that I will be in a
14 yr old female scheduled for surgery to body cast and I will show you
correct a spinal curvature. Which stmt best how you taught me to turn"
demonstrates that leaning has taken place?
2) To take the v/s of a 4 month old, which RR - HR - rectal temp
ordered will give the most accurate results?
3) During routine screening at a school clinic, Ask the child if they have had a
an otoscope exam reveals a tympanic mb that cold, runny nose, or any ear pain
is pearly gray, slightly bulging, and not lately
movable. What action should the nurse take
next?
4) Which restraint should be used for a toddler Elbow
after a cleft palate repair?
5) What pre-op nsg intervention should be Observe for projectile vomiting
included in the POC for an infant w/ pyloric
, stenosis? (remember that projectile
vomiting leads to metabolic
alkalosis)
6) A 6 month old returns from surgery w/ elbow Remove the restraints one at a
restraints in place. What nsg care should be time and provide ROM exercises
included when caring for any restrained
child? (Removing them 1 at a time is
safer than all at once)
7) A 2 yr old w/ Down syndrome is brought to Congenital heart disease
the clinic for his regular physical exam. The
nurse knows which problem is requently (CHD is the most common
associated w/ Downs? associated defect w/ Downs. -
also, remember Professor Moore
said that heart and ear problems
go hand in hand)
8) When assessing a child w/ asthma, the nurse Inspriation
should expect intercostal retractions during
9) When planning the care for a child who has Stresses the suture line
had a cleft lip repair, the nurse know that
crying should be minimized because it
10) A full-term infant is admitted to the newborn Choking , coughing, and cyanosis
nursery. After careful assessment, the nurse
suspects that the infant may have an (this answer includes the 3 "C"s
, esophageal atresia. Which sx's is this of esophageal atresia caused by
newborn likely to have exhibited? the overflow of secretions to the
trachea)
11) Which behavior would the nurse expect a 2 Display possessiveness of toys
yr old to exhibit?
(they are egocentric and unable to
share w/ others)
12) the other of a preschool-aged child asks the Do not give if they have chicken
nurse if it is all right to administer Pepto pox, the flue, or any other viral
Bismol to her son when he has a tummy ache. illness
After reminding her to check the label of all
OTC meds for the presence of ASA, which (ASA can cause Reye's
instruction should the nurse include when syndrome)
replying to the mom's question?
13) the nurse observes a 4 yr old boy in a Demonstrates aggressiveness by
daycare. Which behavior should the nurse boasting when telling a story
consider normal for this child?
14) A burned child is brought to the ER. In Head and neck
estimating the % of body burned, the nurse
uses a modified "Rule of Nines." Which part (a child's head and neck are
of the body is calculated as a larger % of total proportionately larger to their
body surface than an adult? body than an adult's)
15) The nurse receives a lab report stating a child Pass the info on in the report
, w/ asthma has a theophylline level of
15mcg/dL. What action will the nurse take? (therapeutic level is 10-20)
16) A 12 month old is admitted w/ a respiratory Have a bulb syringe readily
infection and possible pneumonia. He is available to remove secretions
placed in a mist tent w/ O2. Which nsg
intervention has the greatest priority? (patent airway has the highest
priority. Humidification will
liquefy the nasal secretions -
thereby increasing the amt of
secretions and making that a
priority)
17) All of the following interventions can be used Assessing the fontanels
to eval the effectiveness of nsg and medical
interventions used to tx diarrhea. Which (Weighing diapers, checking skin
intervention is the least useful in the nurse's turgor, and observing mucous
eval of a 20 month old child? mb's for moisture evaluate fluid
status in infants. But how old is
this child? Posterior fontanel
closes at 2 months and anterior
closes by 18 months)
18) A 5 month old is admitted to the hospital w/ Serum BUN and creatinine levels
vomiting and diarrhea. The dr. prescribes
dextrose 5% and 0.25% NS w/ 2 mEq KCl/ (Regardless of the age, adequate