NursGuru

    Exam Review

    1. A nurse is taking care of a child with a possible diagnosis of meningitis. The nurse knows to look for which laboratory results to verify the diagnosis?
      A)
      Decreased pressure and cloudy cerebrospinal fluid with a high protein level.
      B)
      Clear cerebrospinal fluid with a high protein and low glucose.
      C)
      Cloudy cerebrospinal fluid with a low protein and low glucose.
      D)
      Cloudy cerebrospinal fluid with a high protein and low glucose levels.
    2. A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?
      A)
      Haemophilus Influenza Type B (HIB) Vaccine and TDAP
      B)
      Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV)
      C)
      DTAP and Varicella Vaccine
      D)
      Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine)
    3. A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?
      A)
      Whooping cough
      B)
      Fifth disease
      C)
      Chickenpox
      D)
      Mumps
    4. Down Syndrome is caused by which additional chromosome?
      A)
      20
      B)
      21
      C)
      22
      D)
      19

    Exam Review

    1. A nurse is reinforcing teaching with a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include?
      A)
      Preschool children experience fear related to the disease process.
      B)
      Preschool children understand death completely.
      C)
      Preschool children have no concept of death.
      D)
      Preschool children perceive death as temporary.
    2. The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?
      A)
      "I know that my child will need to have a companion when swimming."
      B)
      "I will make my child wear a medical identification bracelet."
      C)
      "I will need to give antiseizure medications when my child has a seizure."
      D)
      "I will have my child wear a bike helmet when riding a bike or skateboard."
    3. A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)
      (SATA)
      A)
      Febrile episode
      B)
      Low Blood lead levels
      C)
      Sodium imbalance
      D)
      Presence of diphtheria
      E)
      Hypoglycemia
    4. A nurse is collecting data from an 8-month-old infant who has increased intracranial pressure (ICP). Which of the following manifestations should the nurse expect?
      A)
      Insomnia
      B)
      Positive Babinski reflex
      C)
      Bulging fontanel
      D)
      Low-pitched cry

    Exam Review

    1. A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
      A)
      Speak slowly while facing the child.
      B)
      Talk directly into the child's impaired ear.
      C)
      Stand above the child's eye level when speaking.
      D)
      Speak loudly to the child.
    2. A nurse is collecting data from a 4-month old infant who has meningitis. Which of the following findings should the nurse expect?
      A)
      Depressed anterior fontanel
      B)
      High Pitched cry
      C)
      Constipation
      D)
      Presence of the rooting reflex
    3. Which of the following is a common treatment for seizures?
      A)
      Anticonvulsants
      B)
      Anticoagulants
      C)
      Antibiotics
      D)
      Antidepressants
    4. A nurse is reviewing the cerebral spinal fluid analysis for a group of clients who have suspected meningitis. Which of the following analysis findings would be consistent with a diagnosis of bacterial meningitis? (Select three answers that apply).
      A)
      Clear CSF
      B)
      Cloudy CSF
      C)
      Negative gram stain.
      D)
      Decreased glucose content.
      E)
      Positive gram stain.

    Exam Review

    1. A nurse is preparing to administer liquid mycostatin 600,000 units PO every 8 hr. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?
      A)
      Apply oxygen by nasal cannula.
      B)
      Turn the client to a lateral position.
      C)
      Administer an anticonvulsant medication.
      D)
      Check the client's oxygen saturation.
    3. Which diagnostic test is the most definitive test used to detect meningitis?
      A)
      CBC
      B)
      Urinalysis
      C)
      CT scan
      D)
      Lumbar puncture
    4. A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?
      A)
      "I promise I won't tell anyone about this."
      B)
      "Let's discuss what you have told me with your family members."
      C)
      "Your family is bad for doing this to you."
      D)
      "It is not your fault that this happened."

    Exam Review

    1. An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?
      A)
      The child is confused and cannot remember anything regarding the seizure.
      B)
      The child fell at the onset of the seizure
      C)
      The seizure lasts more than 5 minutes.
      D)
      The child is sleepy and lethargic after the seizure
    2. A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
      A)
      Clear the area of hard objects.
      B)
      Place a tongue depressor in the child's mouth.
      C)
      Place the child in prone position.
      D)
      Loosen restrictive clothing.
    3. A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the following strategies should the nurse use to elicit the child's cooperation?
      A)
      Hide the medication in apple slices.
      B)
      Offer the child an ice pop prior to administering the medication.
      C)
      Tell the child the medicine tastes like candy.
      D)
      Inform the child that if he does not take the medication he will need a shot.
    4. A nurse is caring for a preschooler who is the hospital for sickle cell disease. Which of the following should the nurse identify as an expected behavior of a preschool-age-child?
      A)
      Describing manifestations of the illness.
      B)
      Relating fears to magical thinking
      C)
      Awareness of body function.
      D)
      Understanding cause of illness

    Exam Review

    1. A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply.)
      A)
      Dropping held object
      B)
      Loss of consciousness
      C)
      Falling to the floor
      D)
      Appearance of daydreaming
    2. A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?
      A)
      "Give her acetaminophen, not aspirin."
      B)
      "You'll have to call your physician."
      C)
      "Give her no more than three baby aspirin every 4 hours."
      D)
      "Follow the directions on the aspirin bottle for her age and weight."
    3. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
      A)
      Reduce environmental stimuli.
      B)
      Document intake and output.
      C)
      Administer antibiotics when available.
      D)
      Maintain seizure precautions.
    4. Which of the following is a common symptom of a seizure?
      A)
      Uncontrollable shaking of the body
      B)
      Difficulty breathing and shortness of breath
      C)
      Dizziness and lightheadedness
      D)
      Rapid heart rate and chest pain