Exam Review
- A nurse is caring for a child who has Kawasaki disease. Which of the following systems is primarily affected by this disease?A)CardiovascularB)IntegumentaryC)GastrointestinalD)Respiratory
- Which principle should the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia?A)Allow the preparation to mix with saliva and bathe the teeth before swallowing.B)Administer in the bottle of formula.C)Warm the medication before administering.D)Administer between meals.
- A nurse is caring for an 8-year-old child who has sickle cell anemia and is recovering from a vaso-occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching?A)Maintain an updated haemophilus influenza type B immunization.B)Assume postural drainage positions every 6 hr.C)Avoid playground activities at school.D)Drink eight glasses of fluid daily.
- A nurse is caring for a toddler who has laryngotracheobronchitis. For which of the following findings should the nurse monitor to detect airway obstruction?A)Increased heart rateB)Decreased temperatureC)Decreased stridorD)Decreased restlessness
Exam Review
- Children with hemophilia should avoid:A)swimming.B)analgesics.C)citrus fruits.D)salicylates.
- When the patient experiences apprehension and urticaria while receiving a blood transfusion, the nurse:A)slows the transfusion and takes the patient's vital signs.B)observes the child for further transfusion reactions.C)stops the transfusion, allows normal saline solution to run slowly, and notifies the charge nurse.D)stops what he or she is doing and obtains the patient's history.
- The nurse is caring for a child with a low platelet count. What skin assessments would alert the nurse to bleeding? (Select all that apply.)(SATA)A)LymphadenopathyB)PurpuraC)EcchymosisD)HematomaE)Petechiae
- A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?A)BradycardiaB)ConstipationC)PainD)Vomiting
Exam Review
- The nurse is dealing with a preschool child with a life-threatening illness. What should the nurse remember the child's concept of death is at this age?A)That it is finalB)Only a fear of separation from her parentsC)An understanding based on simple logicD)That a person becomes alive again soon after death
- What is a characteristic manifestation of Hodgkin's disease?A)Enlarged lymph nodesB)Erythematous rashC)PetechiaeD)Pallor
- How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?A)5 yearsB)10 yearsC)2 yearsD)1 year
- A 6-year-old child with leukemia asks, "Who will take care of me in heaven?" What is the best response by the nurse?A)"Your mom will know more about that than I do."B)"Why are you asking me that?"C)"Your grandparents and God will take care of you."D)"Who do you think will take care of you?"
Exam Review
- A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottitis. A priority nursing responsibility would be to:A)have a tracheotomy set at the bedside.B)restrain the child's arms.C)immobilize the child's head.D)have oxygen available.
- A nurse is collecting data from a child who has ẞ-thalassemia. Which of the following findings should the nurse expect?A)Flushed skinB)Increased appetiteC)FeverD)Hyperactivity
- On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm3. What is the priority nursing intervention?A)Assessing neurological statusB)Monitoring vital signs during platelet transfusionsC)Providing family education about how to prevent bleedingD)Inserting an intravenous line
- A nurse is reinforcing teaching with new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements by a parent indicates an understanding of the teaching?A)"I do not plan to offer my baby a pacifier during naps or at bedtime."B)"My baby will be placed on her back when sleeping."C)"Our baby will sleep in my bed because I am breastfeeding."D)"We will place an antique quilt in our baby's crib."
Exam Review
- The nurse notes that a 4-year-old child's gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms?A)Platelet count of 25,000/mm3B)Leukocyte count of 14,000/mm3C)Hemoglobin level of 8 g/dLD)Hematocrit level of 36%
- The parent of an 8-year-old child being treated at home for right lower lobe pneumonia calls the clinic nurse. The parent tells the nurse that the child complains of discomfort on the right side and that ibuprofen is ineffective. Which instruction would the nurse provide to the parent?A)Increase the dose of ibuprofen.B)Increase the frequency of ibuprofen.C)Encourage the child to lie on the right side.D)Encourage the child to lie on the left side.
- A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?A)"It's okay for my child to ride his bike in a few days."B)"It's okay for my child to have plenty of ice cream."C)"I'll help my child gargle with salt water a few times a day."D)"I'll call the doctor if my child is swallowing continuously."
Exam Review
- Thalassemia major (Cooley's anemia) is treated primarily with:A)oxygen therapy.B)a diet high in iron.C)bed rest until the sedimentation rate is normal.D)multiple blood transfusions.
- A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?A)Chronic hypoxemiaB)Weak pulsesC)Machine-like murmurD)Cyanosis with crying
- When caring for a child on steroid therapy, it is important to seek immediate medical attention if the child:A)skips a meal.B)develops a fever.C)loses her hair.D)vomits.
- A nurse is preparing to administer amoxicillin 30 mg/kg/day divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer every 12 hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)