Exam Review
- A nurse is preparing to administer 0.9% 1L to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/ml. The nurse should set the manual IV infusion to deliver howmany gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Correct Answer:31 gtt/min
- A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child’s history, what does the nurse recognize as the probable cause?A)Recovery from German measles 2 months agoB)DysuriaC)A sore throat 2 weeks agoD)A history of allergy
- A nurse is assisting in the care of a preschool aged child in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should anticipate a provider prescription for an ▾ IV fluid bolus and ▾ electrolyte replacement .Dropdown 1:Option 1: antiemeticOption 2: antibioticOption 3: IV fluid bolusOption 4: electrolyte replacementOption 5: analgesicOption 6: antipyreticDropdown 2:Option 1: antiemeticOption 2: antibioticOption 3: IV fluid bolusOption 4: electrolyte replacementOption 5: analgesicOption 6: antipyretic
- A nurse is reinforcing teaching with the parents of a child who has a urinary tract infection (UTI). Which of the following should the nurse include? Select all that apply.(SATA)A)Report recurrence of urinary frequencyB)Avoid bubble bathC)Empty bladder completely with each void.D)Wipe perineal area back to frontE)Wear nylon underpants
Exam Review
- A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.A)“The operation will straighten out the kink in then intestine.”B)“I want to learn how to use the feeding tube as soon as possible.”C)“I’m glad my child will have bowel movements now.”D)“I’m glad that the ostomy is only temporary.”
- A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?A)ACE inhibitorB)Loop diureticsC)CorticosteroidsD)NSAIDs
- A nurse is contributing to the plan of care of a 14-month old toddler who is 24 hr postoperative following a cleft palate repair. Which of the following interventions should the nurse include in the plan.A)Suction the toddler nose and mouth every hourB)Give the toddler a hard-tipped sippy cup to drink liquidsC)Provide soft foods for the toddlerD)Maintain elbow restraints on the toddler
- A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?A)JaundiceB)DroolingC)Mucus in stoolsD)Increased appetite
Exam Review
- A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?A)Collect a stool sample from the toddlerB)Determine if the toddler is voidingC)Initiate isotonic fluids with 20 mEq/L potassium chlorideD)Request evaluation of the toddler’s serum electrolytes
- A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?A)Offer chicken brothB)Assit with starting an infusion of a hypertonic solutionC)Assist with initiating oral rehydration therapyD)Keep NPO until diarrhea stops
- What is the treatment of choice for a child with intussusception?A)Air or Barium enemaB)IV fluids until spasm subsidesC)Immediate surgeryD)Gastric gavage
- A child who has never been free of bed-wetting for any extended period of time is defined as?A)Symptoms of UTIB)Gastroesophageal RefluxC)Regressing behaviorD)Primary enuresis
Exam Review
- A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The surgeon prescribes restraints. The nurse should apply which of the following types of restraints to the infant?A)WristB)MummyC)jacketD)Elbow
- A nurse is educating a client about Ambiguous Genitalia. Which of the following statements shows the teaching has been effective?A)I will not provide tub bath for at least 1 week after surgery.B)I will perform tub bath after 3 days of surgeryC)This surgery will mutilate my bodyD)I will engage in physical activities to recover early after the surgery
- A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?A)Educate the parents about potential complications.B)Maintain a saline lockC)Place the child on a no-salt-added diet.D)Check the child's weight daily.
- A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?A)Poor appetiteB)Facial edemaC)Yellow nasal dischargeD)Irritability
Exam Review
- A nurse is reinforcing instructions with the parent of a toddler about foods that are included on a clear liquid diet. Which of the following foods suggested by the parent indicates understanding of the instructions?A)GelatinB)Strained soupC)YogurtD)Pureed fruit
- A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the client's plan of care?A)Feed the infant half-strength formula for the first 48 hr.B)Remove elbow restraints while the infant is sleeping.C)Administer pain medication PRN for the first 48 hr.D)Keep the infant in a side-lying position.
- A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse plan to take?A)Place the infant supine in a crib prior to administration.B)Mix the medication with 10 mL of formula.C)Measure the elixir in a medicine cup before transferring to a syringe.D)Position the syringe to the side of the infant's tongue.
- An antidiuretic hormone used to treat Enuresis by reducing the volume of urine in the bladder is named?A)NitroglycerinB)AtenololC)DiltiazemD)Desmopressin (DDVAP)
Exam Review
- A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?A)Ribbonlike, foul-smelling stoolsB)Projectile vomitingC)Chronic hungerD)Ridged abdomen
- A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?A)Assess fluid balance.B)Maintain fluid therapy.C)Introduce a regular diet.D)Rehydrate
- The nurse is speaking to the parent of a 3 year-old child who has diarrhea. What dietary modification would the nurse advice?A)An oral rehydrating solution, such as PedialyteB)Small amounts of clear fluids such as gelatinC)Chicken soup because its high in sodiumD)soft foods with rice, bananas, toast, and applesauce
- A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?A)"Give your infant an oral rehydrating solution."B)"Burp your child more frequently during feedings."C)"Bring your infant into the clinic today to be seen."D)"You might want to try switching to different formula."