PHT 2162 Atiproctored-pediatrics

1. andnursesplaningcareforatod

lerwhohasdevelopedoralulcers

inresponsetochemotherapywhichofthefolowingactionsshould

thenurseincludeintheplanofcare?

ans.cleansethegumswithsalinesoakedgauze

2. anurseisprovidingteachingtotheparentsofachildwhoha

s

impetigo.whichofthefolowinginstructionsshouldthenurs

e includeintheteaching?

ans.aplybactericidalointmentolesions.

3. anurseinanemergencydepartmentisasesinganadolescentw

ho

reportsinhalationofgasoline.whichofolowingfindingsshouldthe

nurseexpect?

ans.ataxia

4 anurseintheemergencydepartmentisasesingatod

lerwhohas

hyperpyrexia,severedyspnea,andisdroling.whichofthefolowing

actionsshouldthenursetakefirst?

anspreparethetodlerfornasotrachealintubation

5. anurseiscaringforaninfantwhohasapatentductusarteriosus.

thenurseshouldidentifythathedefectisatwhichofthefolowing

locationsoftheheart?(youwilfindahotspotstoselectinthe

artworkbelow,selectonlythehotspothatcorespondstoyour

asesment).

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ans.

6. ascholnurseisasesinga7-yearoldstudent.thenurseshould

identifywhichofthefolowingfindingsasapotentialindicatorof

physicalabuse?

ans.bruisingaroundthewrists

7. anurseisprovidingteachingtotheparentsofaschol-agechild

newlydiagnosedwithaseizuredisorder.thenurseshouldteachth

e

parentstotakewhichofthefolowingactionsduringaseizure?

ans.cleartheareaofhardobjects

8. anurseiscaringforaninfantwhohasrotavirus.whichofthe

folowingfindingsindicatesthatheinfantisinadequatelyhydrated?

ans.weightlos7%

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.

9. anurseinaprovider’sofficeisasesingthevitalsignsofa1year

oldtod

ler.whichofthefolowingfindingsshouldthenursereport

totheprovider?

ans.respiratoryrate:54/min

10.anurseisasesinga6-month-oldinfantwhohasrespiratory

syncytialvirus.thenurseshouldimmediatelyreportwhichofth

e folowingfindingstotheprovider?

anspharyngitisortachypnea??

11. anurseinanurgentcareclinicisprioritizingcareforfourchildren.

whichofthefolowingchildrenshouldthenurseasesfirst?

ans.apreschol-agechildwhohasamuffledvoiceandnospontaneous

cough

12.anurseisprioritizingcareforfourclientswhichofthefolowing

clientsshouldthenurseasesfirst?

ans.anadolescentwhohassicklecelanemiaandsluredspeech

13.anurseispreparingtoadministerimmunizationstoa3-

monthold infant.whichofthefolowingisanap

ropriateactionforthenurse

totaketodeliveratraumaticcare?

ans.provideapacifiercoatedwithoralsucrosesolutionpriortothe

injections

14.anurseisreviewingthelaboratoryresultsofachildwhowas

recentlyadmitedforsuspectedrheumaticfever.thenurseshoul

d

identifythatwhichofthefolowinglaboratorytestscancontribut

eto confirmingthisdiagnosis?(selectalthataply.)

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.

ansantistreptolysino(aso)titer

erythrocytesedimentationrate(esr

) c-reactiveprotein(crp)

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°

I

.

15anurseintheemergencydepartmentiscaringforachildwhohasa

temperatureof39.1c(102.4°f)andasuspecteddiagnosisof

bacterialmeningitis.whichofthefolowingactionsshouldthenurse

takefirst?

ans.mplementdropletprecautionsforthechild

16. anurseisplan

ingtoteachanadolescentwhoislactoseintolerant

aboutdietaryguidelines.whichofthefolowinginstructionsshoul

d thenurseincludeintheteaching?

ans.“youcanreplacemilkwithnondairysourcesofcalcium.”

17. anurseisperformingacranialnerveasesmentonaschol-age

child.whichofthefolowingindicatesproperfunctionofthechild’s

trigeminalnerve?

ansthechildhassymmetricaljawstrengthwhenbitingdown???

18. anurseiscaringfora4-year-oldchildwhohasmeningitisandis

receivinggentamicin.whichofthefolowinglaboratoryvalues

shouldthenursereportotheprovider?

ans.creatinine1.4mg/dl

19. anurseischeckingthevitalsignsofa3-year-oldchildduringawelchildvisit.whichofthefolowingfindingsshouldthenursereporto

theprovider?

ans.respirations30/minute

20. anurseataclinicispreparingtoadministerimmunizationstoa5-

yearoldchild.whichthefolowingimmunizationsshouldthenurse

plantogive?

ans.diptheria,tetanus,&pertusis(dtap)

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21. anurseisreviewingthelaboratoryreportofascholagechildwho

hasrheumaticfever.whichofthefolowinglaboratoryfindings

shouldthenursereportotheprovider?

ans.musclerigidity

22. achargenurseisplaningcareforaninfantwhohasfailureto

thrive.whichofthefolowingactionsshouldthenurseincludeinth

e planofcare?

ans.usehalf-strengthformulawhenfeedingtheinfant.

23. anurseisprovidingdischargeteachingtotheparentsofaninfan

t whoisatriskforsud

eninfantdeathsyndrome.whichofthe

folowingstatementsbytheparentsindicatesanunderstandingof

the teaching?

ans.“iwildresmybayinlightweightclothingtosleep”

24. anurseisprovidingteachingtotheparentsofaninfantwhoisto

undergopilocarpineiontophoresistestingforcysticfibrosis.whichof

thefolowingstatementsshouldthenurseincludeintheteaching

?

ans."thetestwilmeasuretheamountofchlorideinyourbaby'ssweat"

25. anurseinapacuiscaringforaschol-agechildimmediately

folowingatonsilectomy.whichofthefolowingactionshouldthe

nursetake?

ans.placetheclientinasidelyingposition

26. anurseintheemergencydepartmentiscaringforanadolescentw

ho isrequestingtestingforstis.whichofthefolowingisap

ropriate forthenursetotake?

ans.obtainwritenconsentfromtheclient

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.

s s r r r

.

.

y

27anurseispreparingtoadministeranenteralfeedingtoanadolesce

nt

whohasanngtube.whichofthefolowingactionsshouldthenurs

e takefirst?

anscheckthephofthegastricsecretions

28. anurseisprovidingteachingtotheparentsofa2montholdinfan

t

whohasdevelopmentaldysplasiaofthehipandhasaprescription

forapavlikharnes.whichofthefolowingstatementsbytheparen

ts indicatesanunderstandingoftheteaching?

an.wewilplacediaperundetooveheharnesstraps???

29. anurseisplaningcareofratod

lerwhohasdevelopedoralulcers

inresponsetochemotherapy.whichofthefolowingactionsshoul

d thenurseincludeintheplanofcare?

ans.cleansethegumswithsalinesoakedgauze

30. anurseisdiscusingcopingmechanismswithaparentofa3-

month

oldinfant.whichofthefolowingtherapeuticquestionsshouldth

e nurseasktheparent?

ans."whatdoyoudowhenyourinfantisfusy?"

31. anurseisadmitingachildwhohasacuteepiglotitis.whichofthe

folowingactionsshouldthenursetake?

ans.initiatedropletisolationprecautions

32anurseisreviewingthemedicalrecordofa15-month-oldchildwho

isscheduledtoreceivethemeasles,mumps,andrubela(mmr)

vacinewhichofthefolowingfindingsshouldthenurseidentifyas

acontraindicationforeceivingthisvacine?

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ans.alerg toneomycin

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33.anurseinanemergencydepartmentiscaringforapreschol-age

childwhohasacuteacetylsalicylicacidpoisoning.whichofthe

folowingshouldthenurseexpect?

ans.hyperpyrexia

34anurseispreparingaschol-agechildforaninvasiveprocedure.

whichofthefolowingactionsshouldthenurseplantotake?

ansexplaintheproceduretothechildwhentheyareintheplayrom