Exam Review
- The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?A)Turner syndromeB)Trisomy 18C)Spina bifidaD)Trisomy 21
- The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?A)"My child needs to stay home from school for at least 2 weeks to complete the entire prescription of eye drops"B)"My child cannot return to school until free from discharge"C)"My child will need to stay home from school until my child has received the eye medication for at least 24 to 48 hours"D)"My child can return to school immediately because my child is not contagious"
- The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?A)Myocardial infarctionB)Pulmonary congestionC)Roth spotsD)Arthralgia
- The nurse is assessing a 4-year old client who was sent to the emergency department from urgent care. Assessment reveals tripod positioning, blue lips, mottled skin, inspiratory stridor, and excessive drooling. Vital signs are: Temp: 39 C (102.2 F) HR: 188 RR: 46 02: 81% What is the priority action for the nurse to take at this time?A)Keep the child him and call for emergency airway equipmentB)Assess the throat for a cherry red epiglottisC)Place the child on a knee to chest positionD)Obtain IV access and start IV fluids
Exam Review
- The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?A)Absence of spontaneous cough and dysphoniaB)Generalized skin flushingC)Coarse tremors and splenomegalyD)Harsh, productive cough and rhinorrhea
- The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -A)Extreme fatigueB)An airway obstructionC)Presence of painD)Presence of dehydration
- The nurse is assessing a 2-year-old client with symptoms of excessive drooling, respiratory distress, difficulty swallowing, and difficulty speaking. Based on these assessment findings, which conditions does the nurse suspect?A)CroupB)EpiglottitisC)BronchiolitisD)Laryngotracheobronchitis
- The nurse is caring for a child diagnosed with ventricular septal defect (VSD) who is scheduled for a surgical repair tomorrow morning. When the nurse auscultates the child's lungs sounds, the nurse notes diffuse crackles and rales throughout the lung fields. The nurse interprets this assessment as which of the following?A)Foreign body aspirationB)Systemic congestionC)PneumoniaD)Pulmonary congestion
Exam Review
- Tetralogy of Fallot (TOF) involves which defects? Select all that apply.(SATA)A)Right ventricular hypertrophyB)Left ventricular hypertrophyC)Patent ductus arteriosus (PDA)D)Ventricular septal defect (VSD)E)Pulmonary stenosis (PS)F)Overriding aorta
- The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?A)Respiratory Syncytial Virus (RSV)B)Haemophilus influenzae type BC)AdenovirusD)Rhinovirus
- A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.A)Household smokingB)A history of urinary tract infectionsC)Exposure to illness in daycare centers or schoolsD)Native American ethnicityE)Absence of breastfeedingF)Craniofacial anomalies
- The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching? Select all that apply.A)"When I am having an asthma attack, my airway is constricting and it can become dangerous"B)"should try to identify what causes me to have an asthma attack and avoid those activities if possible"C)"I’ve really been wanting to sleep with my dog and my asthma attacks will not stop me"D)"I will take albuterol prior to exercising to avoid an attack"E)"When I am having an asthma attack, I should call 911 before doing anything else"
Exam Review
- A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?A)Itching and tenderness when manipulating the affected ear lobeB)Fullness in the ear and a clogged sensation without other systemic findingsC)Edema and erythema of the external canal onlyD)Pulling on the affected ear, acute onset of fever and otalgia
- In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?A)Aortic stenosis (AS)B)Transposition of the Great Vessels (Arteries)C)Coarctation of the Aorta (COA)D)Tetralogy of Fallot (TOF)
- After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?A)Transposition of The Great ArteriesB)Coarctation of the AortaC)Patent Ductus ArteriosusD)Tetralogy of Fallot
- While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:A)Kawasaki diseaseB)Tricuspid AtresiaC)Tetralogy of FallotD)Patent Ductus Arteriosus (PDA)
Exam Review
- The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?A)Place the patch on the right eye for several hours dailyB)Place the patch on the left eye for several hours dailyC)Place the patch on the right eye for one hour dailyD)Alternate the patch from the right to the left eye hourly
- A nurse is planning care for an adolescent who was admitted from the emergency department. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address the condition, and 2 parameters the nurse should monitor to assess the client’s progress