NGN
A nurse in an emergency department is assessing a 3-month-
old infant who has rotavirus and is experiencing acute vomiting
and diarrhea. Which of the followingmanifestations should the
nurse identify as an indication that the infant has moderate to
severe dehydration?
a)Heart rate 124/min
b) Increased tear production
c)Sunken anterior fontanel
d) Capillary refill 2 seconds
,A nurse is planning care for a school-age child who has
tunneled central venousaccess device. Which of the following
interventions should the nurse include in the plan?
e)Use sterile scissors to remove the dressing from the site.
f) Irrigate each lumen weekly with 10 mL of 0.9% sodium
chloride solution whennot in use.
g)Access the site using a non-coring angled needle.
h) Use a semipermeable transparent dressing to cover the site.
A nurse is teaching a group of parents about infectious
mononucleosis. Which of the following statements by parent
indicates an understanding the teaching?
i) "Mononucleosis is caused by an infection with the Epstein-Barr
virus."
j) "Mononucleosis is a bacterial infection requiring 14 days of
antibiotics."
k)"A Monospot is a throat culture used to diagnosis mononucleosis."
l) "Children who get mononucleosis will need to refrain from sports
for 6 months."
,A nurse is caring for a newly admitted school-age child
who has hypopituitarism. Which of the following
medications should the nurse expectthe provider to
prescribe?
m)Desmopressin
n) Luteinizing hormone-releasing hormone
o) Recombinant growth hormone
p) Levothyroxine
A nurse is creating a plan of care for a preschooler who has
Wilms’ tumor and isscheduled for surgery. Which of the
following interventions should the nurse include?
q) Avoid palpating the abdomen when bathing the child before
surgery.
r) Refrain from auscultating the child's bowel
sounds during thepostoperative assessment.
s)Encourage the child to play with other children on the unit prior to
surgery.
, t) Explain to the child that their pain will be managed after the surgery.
A nurse is providing discharge teaching to the parent of an 18-
month-old toddler who has dehydration due to acute
diarrhea. Which of the following statements bythe parent
indicates an understanding of the teaching?
u) "I will offer my child small amounts of fruit juice frequently."
v)"I will avoid giving my child solid foods until the diarrhea has
stopped."
w)"I will monitor my child's number of wet diapers."
x)"I will give my child polyethylene glycol daily for 7 days."
7) A nurse is teaching the guardian of a 6-month-old infant
about teething. Which ofthe following statements should
the nurse make?
a)"Your baby might pull at their ears when they are teething."
b) "Rub your baby's gums with an aspirin to decrease discomfort."
c)"Place a beaded teething necklace around your baby's neck."
d) "Your baby's upper middle teeth will erupt first.