Exam Review
- A child weighs 52 lb. The child has a fever and the doctor orders acetaminophen. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe daily dose of the medication the client can receive? Round to the nearest whole number. Record numerical answers only.Correct Answer:1416 mg
- The nurse is educating an adolescent and their parents on the diagnosis of Mononucleosis. What patient education would the nurse provide to the adolescent and their parents?A)It occurs from a streptococcal viral infectionB)Cervical lymphadenopathy is presentC)You need to take the full course of antibioticsD)If contracted you need to stay home from school
- After a Harrington rod surgery, an adolescent has a patient-controlled analgesia (PCA) pump that is set to allow morphine delivery every 6 minutes. Which statement by the family member indicates to the nurse that the family understands instructions about the PCA pump?A)They need to push the PCA button whenever they need pain medicationB)I'll make sure they push the PCA button every 6 minutesC)I'll press the PCA button every 6 minutes so they gets enough pain medication while they are sleepingD)I'll have to wake them up every 2 hours overnight so they can push the PCA button
- Which condition would the nurse suspect in the male client whose laboratory report shows creatine kinase levels higher than the normal range?A)Femur fractureB)Muscular DystrophyC)OsteoporosisD)Scoliosis
Exam Review
- When planning nursing care for a child with acute poststreptococcal glomerulonephritis, which would the nurse emphasize that the child and family must maintain?A)A bland diet high in proteinB)Bed rest lasting at least 4 weeksC)A daily intramuscular dose of penicillinD)Isolation from children with infections
- The nurse is caring for a child diagnosed with scoliosis. What actions by the child would indicate a need for intervention by the nurse? Select all that apply.(SATA)A)States "I need to continue to go to physical therapy"B)Placement of the brace over a t-shirtC)Removal of the brace at bedtimeD)Loosening of the straps on the brace prior to bedtimeE)Removal of the brace while playing a soccer gameF)Reports of, "I feel taller with the brace on"
- Which strategy would the nurse apply when vaccinating a child to decrease pain and anxiety?A)Administering the most painful vaccination firstB)Administering acetaminophen after vaccinationC)Holding the child in a comfort position for the vaccinationD)Aspirating prior to administration of vaccine
- The nurse is completing a physical assessment of an adolescent male. Which assessment finding is consistent with secondary sex characteristics in an adolescent male?A)Enlargement of mamillary tissueB)Completion of skeletal growthC)Increase in height and weightD)Enlargement of testes
Exam Review
- Which information would the nurse share with an adolescent female suffering from severe cystic acne who is placed on isotretinoin?A)Inform the client about the risk of teratogenicityB)Inform the client to apply medication prior to bedC)Inform the client to take a multivitamin dailyD)Inform the client to scrub vigorously prior to application
- Which nursing intervention is most important when caring for minority adolescents?A)Providing counseling to adolescents during rehabilitationB)Identify individuals at risk for substance abuseC)Guiding minority adolescents to prevent injuries and accidental deathsD)Helping ensure improved access to appropriate health care
- Which assessment finding does the nurse expect in a client diagnosed with early acute glomerulonephritis?A)DysuriaB)AnuriaC)PolyuriaD)Hematuria
- The nurse is counseling the family of a female school age child diagnosed with a growth hormone deficiency. What would the nurse include as a complication associated with the disorder if left untreated?A)Precocious pubertyB)Short statureC)Increase in adipose tissueD)Overdeveloped jaw structure
Exam Review
- A client who weighs 138 pounds is to receive intravenous fluids. Calculate the total daily volume of intravenous maintenance fluids using the guidelines below. Round the answer to the nearest whole number. Record numerical answers only. 100 mL/kg/day for the first 10 kg of body weight 50 mL/kg/day for the next 10 kg of body weight 20 mL/kg/day for each kg above 20 kg of body weight
- A client who weighs 76.5 kg is ordered hydromorphone 0.2 mg/kg/day intravenous push divided as needed every 6 hours. Available supply is 1 mg/mL. How many milliliters would the nurse administer in one dose? Round the answer to the nearest tenths place. Record the numeric answers only.
- Which explanation would the nurse provide for the lower overall height differences in adolescent girls compared with boys?A)Maturation of structural appendages of the skinB)Hypertrophy of the laryngeal mucosaC)Increase in overall muscle massD)Closure of epiphyses because of estrogen secretion
- What is the priority nursing intervention on an alert and oriented client who arrived to the emergency department after a head injury that occurred while playing basketball?A)Call for immediate head computed tomographyB)Assess full range of motion to determine injuriesC)Open the airway with the head-tilt chin-lift maneuverD)Immobilize the client's head and neck
Exam Review
- Which action by a parent of a school age child indicates understanding of the vaccination protocol to prevent cervical cancer?A)Client received first vaccination at 8 years of ageB)Had bloodwork obtained for titersC)All three vaccinations were received at intervalsD)Client received booster dose at 16 years of age
- The regulation of type 1 diabetes in an 8 year old is best attained with a combination of therapeutic modalities in addition to the administration of insulin. Which modalities would the nurse include in the teaching plan? Select all that apply.A)Regular exerciseB)Signs of hypoglycemiaC)Blood glucose monitoringD)Use of oral hypoglycemic agentsE)Dietary controlF)Urine testing for ketones
- Which action would the nurse suggest when a client reports feeling faint and lightheaded upon rising to a standing position after a spinal fusion surgery?A)Have the client bed forward to increase blood flow to the brainB)Have the client slide to the floor with assistance to avoid injuring the clientC)Have the client sit on the edge of the bed so the nurse can hold the client uprightD)Have the client lie down immediately so the nurse may obtain the client's blood pressure
- A parent tells the nurse that the 7 year old child has been biting their fingernails since beginning first grade. After analysis, the cause is determined to be increased stress. What advice would the nurse give the parent regarding this behavior?A)Encourage the child to drink more milk for stronger nailsB)Distract the child by teaching a new skill, such as whistlingC)Allow the child to choose a reward for not biting the nailsD)Allow some time every day for the child to talk about new experiences
Exam Review
- A child is admitted to the pediatric unit after reported symptoms of bloody diarrhea, purpura, hypertension and an elevated blood urea nitrogen. Based on the clinical data what orders would the nurse anticipate?A)Insert a Foley catheterB)Administer a broad spectrum antibioticC)Initiate intravenous hydrationD)Monitor blood urea nitrogen and creatinineE)Place the patient on droplet precautionsF)Monitor hemoglobin and hematocrit
- The nurse is assessing a toddler with a large abdominal mass and pink-tinged urine in a diaper. The nurse would contact the provider to report which disorder?A)Nephrotic SyndromeB)NeuroblastomaC)NephroblastomaD)Constipation
- Which action would the nurse take first when caring for a client who is admitted to the emergency department after experiencing a seizure?A)Obtain a history of seizure type and incidenceB)Ask the emergency provider for a prophylactic anticonvulsantC)Observe the client for increased restlessness and agitationD)Ask the client to remove any eyeglasses
- What is the priority nursing action when implementing a transfer of a client with a spinal cord injury?A)Monitoring for autonomic dysreflexiaB)Removing the cervical spine collarC)Administering pain medicationD)Implementing the logrolling technique