100% Pass
The nurse is caring for a 3 year old child who is 2 a compensatory mechanism for which acid base
hours postop from a cardiac catheritization via alteration? - ANSWER -Metabolic Acidoses
the right femoral artery. Which assessment
finding is an indication of arterial obstruction? -
ANSWER -Right foot is cool to the touch
and appears pale and blanched Mothers Hemoglobin A1C - ANSWER -give
her a consultation to a nutritionist
During fundal massage, place one hand at the
fundus, what is the second hand used for - A 7 year old is admitted to the hospital with
ANSWER -to anchor fundus persistent vomiting, and a nasogastric tube
attached to low intermittent suction is applied.
Which finding is most important for the nurse to
report to the healthcare provider? -
Following a motor vehicle collision, a 3 year old ANSWER -Serum potassium of 3.0 mg/dL
girl has a spica cast applied. Which toy is best for
the nurse for this 3 year old child? -
ANSWER -Set of cloth and hand puppets
Baby shows cyanosis in hands and feet and has
elevated respirations - ANSWER -gradually
warm the baby
There is a question that has to be put in order -
ANSWER -*isolate the baby, move mom to
private room, collect u/a, start iv*
Cyanotic 3 hour old infant temperature 96.5, 40
breaths/min, 165 beats/minute. Intervention best
to implement? - ANSWER -gradually warm
An infant with tetralogy of fallot becomes acutely under heat source
cyanotic and hyperpneic. Which action should
the nurse implement first? - ANSWER -
Place the infant in a knee-chest position
The nurse is evaluating diet teaching for a client
who has nontropical sprue (celiac disease).
Choosing which food indicates that the teaching
How do you measure the frequency of has been effective? - ANSWER -*Creamed
contractions - ANSWER -from the corn*
beginning of one to the beginning of the next
Baby is showing signs of mottling -
A child admitted with diabetic ketoacidosis is ANSWER -check temperature
demonstrating Kussmaul respirations. The nurse
determines that the increased respiratory rate is
, [Type here]
During a well-baby check, the nurse hides a The nurse is planning for a 5 month old with
block under the baby's blanket, and the baby gastroesophageal reflux disease whose weight
looks for the block. Which normal growth and has decreased by 3 ounces since the last clinic
development milestone is the baby developing? - visit one month ago. To increase caloric intake
ANSWER -Object Permanence and decrease vomiting, what instructions should
the nurse provide this mother? - ANSWER -
Thicken formula with cereal for each feeding
Mom is at 20 week gestation and has gained 20
lbs, what is of most concern out of the data of
mom - ANSWER -increased weight gain Woman had cleft lip, dads uncle had cleft lip -
ANSWER -send them for genetic testing
The nurse is measuring he frontal occipital
circumference (FOC) of a 3 month old infant, and While teaching a parenting class to new parents
notes that the FOC has increased 5 inches since the nurse describes the needs of infants and
birth and the child's head appears large in toddlers regarding discipline and limit setting.
relation to body size. Which action is most What is the most important reason for
important for the nurse to take next? - implementing such parenting behaviors? -
ANSWER -Palpate the anterior fontanel for ANSWER -They provide the child with a
tension and bulging sense of security
Mom asks why her baby is being screened for T4 Woman in labor and they look at vagina and see
and TSH levels - ANSWER -it is state cord - ANSWER -put woman in
protocol to monitor for metabolic abnormalities Trendelenburg position
The nurse is preparing a 10 year old with a The parents of a newborn infant with hypospadia
lacerated forehead for suturing. Both parents and are concerned about when the surgical correction
12 years old sibling are at the child's bedside. should occur. What information should the nurse
Which instruction best supports family? - provide? - ANSWER -Repairs typically
ANSWER -Please decide who will stay should be done before the child is potty trained
when the healthcare provider begins suturing
Pregnant woman has a diaphragm -
Patient is having labor back pain - ANSWER -she needs to have it refitted for
ANSWER -counter pressure on lower back another diaphragm
(sacrum)