Question - 1

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart

failure. Which of the following interventions should the nurse include in the plan?

 Provide small, frequent meals for the child. The metabolic rate of a child who has heart failure is

hight because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the

child because it helps to conserve energy.

Question - 2

A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental

dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates

an understanding of the teaching?

 "I will place my infant's diapers under the harness straps". To prevent soiling of the harness, the

parent should apply the infant's diaper under the straps.

Question - 3

A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has

a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan?

 Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates hyponatremia and

places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a

neurologic assessment and implement seizure precautions to maintain the child's safety.

Question - 4

A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the

following findings should the nurse expect?

 Absence of peristalsis. The nurse should expect absence of peristalsis immediately following a

perforated appendix repair, until the bowel resumes functioning.

Question - 5

A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse

take?

 Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse should apply a

topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent's pain while the

lumbar needle is inserted.

Question - 6

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly

develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of

the following medications should the nurse administer first?

 Epinephrine. This child is most likely experiencing an anaphylactic reaction to the cefazolin.

According to evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.