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
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