Examsrevision

MULTIPLE CHOICE 1. A child is brought to the emergency department because of ingesting an unknown quantity of acetaminophen (Tylenol). What does a nurse expect this child to most likely receive following gastric lavage? a. Activated charcoal b. N-acetylcysteine c. Vitamin K d. Syrup of ipecac ANS: B Gastric lavage is followed by N-acetylcysteine (Mucomyst), the antidote for acetaminophen. DIF: Cognitive Level: Comprehension REF: 681 OBJ: 16 TOP: Acetaminophen Poisoning ...

MULTIPLE CHOICE 1. At a 2-month well-child visit, parents ask a nurse about the red area on the infant’s neck. They tell the nurse that the mark appeared a few weeks after birth. What does the nurse recognize this skin lesion as? a. A port wine nevus b. A strawberry nevus c. Exanthem d. Intertrigo ANS: B The strawberry nevus is a common hemangioma consisting of dilated capillaries in the dermal space, which may not become apparent for a few weeks after birth. DIF: Cognitiv...

Chapter 21: Complementary and Alternative Health Modalities in Pediatric Nursing Chapter 22: Chronic Conditions and Palliative Care: Caring for the Child and Family Chapter 23: The Child with an Eye, Ear, or Neurological Condition Chapter 24: The Child with a Musculoskeletal Condition Chapter 25: The Child with a Respiratory Condition

MULTIPLE CHOICE 1. What foods does a nurse recommend the child with acute glomerulonephritis avoid, to prevent hyperkalemia? a. Dairy products b. Wholegrain cereals c. Organ meats d. Bananas ANS: D Bananas are very high in potassium and should be avoided. DIF: Cognitive Level: Comprehension REF: 697 OBJ: 9 TOP: AGN KEY: Nursing Process Step: Implementation 2. Which physical assessment technique will a nurse omit when caring for a 2-year-old child diagnosed with Wilm...

MULTIPLE CHOICE 1. Which statement indicates that the child’s parents understand how to perform respiratory therapy for a child with cystic fibrosis? a. “We do her postural drainage before the aerosol therapy.” b. “We give her respiratory treatments when she is coughing a lot.” c. “We give the aerosol followed by postural drainage before meals.” d. “She needs respiratory therapy every day when she has an infection.” ANS: C Postural drainage for the child with ...

MULTIPLE CHOICE 1. A child with thalassemia major receives blood transfusions frequently. A nurse is aware that which of the following is a complication of repeated blood transfusions? a. Hemarthrosis b. Hematuria c. Hemoptysis d. Hemosiderosis ANS: D As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues. DIF: Cognitive Level: Comprehension REF: 647 OBJ: 16 TOP: Thalassemia KEY: Nursing Process Step: Data Collection...

MULTIPLE CHOICE 1. A nurse explains how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the caregiver leads the nurse to determine the parent understood the instructions? a. “If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.” b. “If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.” c. “If the baby turns blue, I ...

MULTIPLE CHOICE 1. A nurse caring for a child with cerebral palsy (CP) administers the medication baclofen in order to decrease which of the following symptoms? a. Pain b. Seizures c. Drooling d. Spasticity ANS: D Baclofen reduces spasticity. When given via an implanted pump it is more effective then when given orally. DIF: Cognitive Level: Comprehension REF: 514 OBJ: 9 TOP: Cerebral Palsy KEY: Nursing Process Step: Implementation 2. A nurse providing care to a ch...

MULTIPLE CHOICE 1. What finding would a nurse assessing the neurovascular status of a child in Russell traction report immediately? a. Skin that is warm to the touch b. Capillary refill less than 3 seconds c. Ability to wiggle toes d. Bluish colouration of skin ANS: D Cyanosis or pallor noted in an extremity is an indication of circulatory impairment. DIF: Cognitive Level: Application REF: 568 OBJ: 7 | 8 TOP: Neurovascular Assessment KEY: Nursing Process Step: ...

MULTIPLE CHOICE 1. An adolescent has just had a generalized seizure and collapsed at school. When should a nurse should call 911? a. The seizure lasts more than 5 minutes. b. The child is sleepy and lethargic after the seizure. c. The child vomited at the onset of the seizure. d. The child is confused and has slurred speech after the seizure. ANS: A If there are multiple seizures or if seizures last more than 5 minutes, call 911 because these are indicators of possible status e...