Pediatric Final Exam & all Quizzes Together.docx

Learning Module_2 Exam ( Pediatria ) PEDIATRIA FINAL TEST 1. Question 1 / 0.8 A pediatric nurse preceptor working on an oncology floor goes to see if the new graduate nurse caring for a 3-year-old terminally ill child requires assistance. The preceptor finds the new nurse in the lounge crying. What...

Learning Module_2 Exam ( Pediatria ) PEDIATRIA FINAL TEST 1. Question 1 / 0.8 A pediatric nurse preceptor working on an oncology floor goes to see if the new graduate nurse caring for a 3-year-old terminally ill child requires assistance. The preceptor finds the new nurse in the lounge crying. What is the preceptor's best action? Hide answer choices 1. Give the graduate some privacy. 2. Ask the graduate what has caused the crying. Correct answer 3. Offer to call the chaplain to offer the graduate support. 4. Let the nurse manager know about the situation. Feedback Good work 2. Question 2 / 0.8 The mother of a toddler asks the nurse what she should do with her toddler when he has a temper tantrum. Which suggestion would be most appropriate? Hide answer choices 1. Punish the toddler for having a temper tantrum. 2. Try to talk the toddler out of the tantrum. 3. Leave the toddler alone during the tantrum as long as he is safe. Correct answer 4. Move the toddler to a time-out chair. Feedback Good work 3. Question 3 / 0.8 Which statements would indicate that the parents of a child being treated with antibiotics for an ear infection understand the reason for a follow-up visit after the child completes the course of therapy? Hide answer choices 1. "The health care provider wants to make certain she has taken all the antibiotics." 2. "Her hearing needs to be checked to see if the infection has done any damage." 3. "We need to make sure that her ear infection has completely cleared." Correct answer 4. "She needs to get another prescription for second course of antibiotics." Feedback Good work 4. Question 4 / 0.8 A nurse is caring for a toddler in respiratory distress requiring endotracheal intubation. When gathering supplies, which item should the nurse obtain that is most important for this child? Hide answer choices 1. pain medication 2. curved blade laryngoscope 3. nasogastric tube 4. uncuffed endotracheal tube Correct answer Feedback Good work 5. Question 5 / 0.8 A nurse is providing health teaching to the parents of a 2-year-old child who has been diagnosed with benign febrile seizures. What is the most important information for the nurse to give the parents about this disorder? Hide answer choices 1. Benign febrile seizures will result in a developmental delay for the child. 2. The seizures will continue throughout the child's life. 3. A respiratory or ear infection is usually present. Correct answer 4. This diagnosis often progresses to one of epilepsy. Feedback Good work 6. Question 6 / 0.8 While interviewing a preschool-age girl who has been sexually abused about the event, which approach would be most effective? Hide answer choices 1. Name the perpetrator. 2. "Play out" the event using anatomically correct dolls. Correct answer 3. Describe what happened during the abusive act. 4. Draw a picture and explain what it means. Feedback Good work 7. Question 7 / 0.8 A 13-month-old client is admitted to the pediatric unit with gastroenteritis. The toddler has experienced vomiting and diarrhea for the past 3 days, and laboratory tests reveal dehydration. Which nursing interventions are correct to prevent further dehydration? Select all that apply. Hide answer choices 1. Encourage the child to eat non-salty soups and broth. Correct answer 2. Monitor the intravenous (IV) solution per the physician's order. Correct answer 3. Give clear liquids in small amounts. Correct answer 4. Withhold all solid food and liquids until the symptoms pass. 5. Give milk in small amounts. 6. Encourage the child to eat a balanced diet. Feedback Good work 8. Question 8 / 0.8 A physician orders meperidine, 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size? Hide answer choices 1. 18G 2. 20G 3. 23G Correct answer 4. 27G Feedback Good work 9. Question 9 / 0.8 A toddler is hospitalized for treatment of injuries that the staff believes were caused by child abuse. A staff member states that the parents "shouldn't be allowed to visit because they caused the child's injuries." When responding to this staff member, the nurse should base the comments on which understanding? Hide answer choices 1. The parents should be encouraged to visit frequently and should be welcomed by the staff. Correct answer 2. The parents shouldn't visit until the child is ready for discharge. 3. The parents should visit on a schedule established by the health care team and should be supervised during visits. 4. The parents shouldn't be allowed to visit the child. Feedback Good work 10. Question 10 / 0.8 A child with cystic fibrosis has been admitted to the pediatric unit. What type of diet should the nurse request for the client? Hide answer choices 1. high-calorie, high-protein Correct answer 2. high-carbohydrate, high-protein 3. high-calorie, high-carbohydrate 4. high-fat, high-carbohydrate Feedback Good work 11. Question 11 / 0.8 A preschool-age child with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure. Which comment by the nurse would be most appropriate? Hide answer choices 1. "You were very good not to cry with the needle." 2. "That really didn't hurt, did it?" 3. "It's okay to cry when something hurts." Correct answer 4. "We are mean to hurt you that way." Feedback Good work 12. Question 12 / 0.8 On the second postoperative day after repair of a cleft palate, wwhat should the nurse use to feed a toddler? Hide answer choices 1. large-holed nipple 2. straw 3. cup Correct answer 4. rubber-tipped syringe Feedback Good work 13. Question 13 / 0.8 A nurse discussing injury prevention with a group of workers at a daycare center is focusing on toddlers. When discussing this age-group, the nurse should stress that Hide answer choices 1. toddlers can distinguish right from wrong. 2. toddlers will always chase a ball that rolls into the street. 3. the risk for homicide is highest among toddlers. 4. accidents are the leading cause of death among toddlers. Correct answer Feedback Good work 14. Question 14 / 0.8 A mother asks the nurse, "How did my children get pinworms?" The nurse explains that pinworms are most commonly spread by which route? Hide answer choices 1. animals 2. toilet seats 3. food 4. hands Correct answer Feedback Good work 15. Question 15 / 0.8 The parents of a child with rheumatic fever express concern that their other children will develop the disease. Which response from the nurse is best? Hide answer choices 1. "Your other children are as likely to develop this disease." 2. "Your other children are girls, so they are less likely to get it." 3. "Medicine is available to prevent this, so check with your primary care provider." 4. "This disease is not contagious." Correct answer Feedback Good work 16. Question 16 / 0.8 When a nurse assesses a client with suspected dehydration, which condition should be reported to the physician immediately? Hide answer choices 1. capillary refill less than 2 seconds 2. tachycardia, dry skin, and dry mucous membranes 3. decreased blood pressure Correct answer 4. irritability for the past 12 hours Feedback Good work 17. Question 17 / 0.8 A nurse working in the emergency department is caring for a 2-year-old child with a skull fracture. The parent states that the child rolled off the sofa, but the injuries do not match the story that the parents tell. Which of the following is the most appropriate action by the nurse? Hide answer choices 1. asking the child if someone has hurt him/her 2. reporting suspected child abuse to appropriate agencies Correct answer 3. instruct the parents in head injury care after discharge 4. instructing parents in home safety precautions for toddlers Feedback Good work 18. Question 18 / 0.8 When performing a physical assessment on an 18-month-old child, which measure would be best? Hide answer choices 1. Carry out the assessment from head to toe. 2. Assess the ears and mouth first. 3. Assess motor function by having the child run and walk. 4. Have a parent hold the toddler. Correct answer Feedback Good work 19. Question 19 / 0.8 After undergoing a tetralogy of Fallot repair, a preschool child is transferred to the pediatric floor. Which intervention does the nurse tells the family to expect? Hide answer choices 1. limiting visitation to parents only 2. an activity restriction for several days 3. assignment to an isolation room 4. a reduced sodium diet Correct answer Feedback Good work 20. Question 20 / 0.8 A caller asks the pediatric nurse about a child's status. This caller does not know the predetermined code word that would positively identify the caller as a person who could receive information about the child. The nurse should inform the caller that: Hide answer choices 1. the call will be transferred to the child's room because the caller is the child's parent. 2. the caller will be put on hold while the nurse asks the child if the child wishes to talk to the caller. 3. the child's condition is stable, because this is not releasing any real information about the child. 4. nurses are not permitted to divulge information to a caller who doesn't know the code word for identification. Correct answer Feedback Good work 21. Question 21 / 0.8 The inability of an 18-month-old child to perform what activity would cause the nurse to be concerned? Hide answer choices 1. playing with pull toys Correct answer 2. building a tower of eight blocks 3. playing tag with other children 4. copying a circle Feedback Good work 22. Question 22 / 0.8 A client is diagnosed with iron deficiency anemia. When teaching the caregivers about using supplemental iron elixir, the nurse should provide which instruction? Hide answer choices 1. "Monitor the child for episodes of diarrhea." 2. "Give the elixir with water or juice." Correct answer 3. "Give the iron preparation with milk." 4. "Give the iron preparation before meals." Feedback Good work 23. Question 23 / 0.8 During a well-baby visit, a toddler's parent states that the parent keeps all medications out of the toddler's reach in the kitchen cabinet. Which is an appropriate response by the nurse? Hide answer choices 1. "Medications should be kept in the bathroom medicine cabinet." 2. "Medications should be kept in a locked location." Correct answer 3. Incorrect: "Keeping medications out of reach is a good idea." 4. "Medications should be kept out of the toddler's sight." Feedback That's not correct 24. Question 24 / 0.8 During assessment of a child with celiac disease, the nurse should most likely note which physical finding? Hide answer choices 1. protuberant abdomen Correct answer 2. tender inguinal lymph nodes 3. periorbital edema 4. enlarged liver Feedback Good work 25. Question 25 / 0.8 The nurse works with the health care team to establish a policy regarding sleep positions for infants with gastroesophageal reflux. What information should the nurse search for first? Hide answer choices 1. policies from other hospitals 2. published national standards Correct answer 3. data from retrospective studies 4. expert opinions Feedback Good work 26. Question 26 / 0.8 Which night clothes would the nurse recommend for an infant with atopic dermatitis? Hide answer choices 1. a woolen sleeper with feet and mittens 2. a diaper and short-sleeved shirt 3. one-piece cotton pajamas with long sleeves Correct answer 4. two-piece flannel pajamas with short sleeves Feedback Good work 27. Question 27 / 0.8 After undergoing surgical correction of pyloric stenosis, an infant is returned to the room in stable condition. While standing by the crib, the mother says, "Perhaps if I had brought my baby to the hospital sooner, the surgery could have been avoided." What is the nurse's best response? Hide answer choices 1. "Try not to worry; your baby will be fine." 2. "Surgery is the most effective treatment for pyloric stenosis." 3. "Do you think that earlier hospitalization could have avoided surgery?" Correct answer 4. Incorrect: "Do you feel that this problem indicates that you are not a good mother?" Feedback That's not correct 28. Question 28 / 0.8 A 6-month-old child is discharged with a urinary stent after a procedure to repair a hypospadias. What instructions should the nurse give the parents? Hide answer choices 1. Avoid tub baths until the stent is removed. Correct answer 2. Measure urinary output in the urinary bag. 3. Clean the tip of the penis three times a day with soap and water. 4. Avoid giving fruit juice. Feedback Good work 29. Question 29 / 0.8 The nurse is assessing the development of a 7-month-old. The child should be able to perform which skill? Hide answer choices 1. Sit without support. Correct answer 2. Say two words. 3. Wave bye-bye. 4. Play pat-a-cake. Feedback Good work 30. Question 30 / 0.8 A nurse performs cardiopulmonary resuscitation (CPR) for 2 minutes on an infant without calling for assistance. In reassessing the infant after 2 minutes of CPR, the nurse finds the infant still isn't breathing and has no pulse. The nurse should then: Hide answer choices 1. call for assistance. Correct answer 2. resume CPR beginning with chest compressions. 3. reposition the infant. 4. resume CPR beginning with breaths. Feedback Good work 31. Question 31 / 0.8 A mother brings her 4-month-old infant to the clinic for a wellness checkup. Which immunizations should the infant receive? Select all that apply. Hide answer choices 1. haemophilus influenzae type B (Hib) Correct answer 2. diphtheria, tetanus, and pertussis (DTaP) Correct answer 3. pneumococcal (PCV) Correct answer 4. hepatitis B (HepB) 5. inactivated polio virus (IPV) Correct answer 6. rotavirus (RV) Correct answer Feedback That's not correct 32. Question 32 / 0.8 The parent of a 2-month-old infant with colic states, "I don't know what to do anymore. She's up in the middle of the night crying all the time." What should the nurse tell the parent to do? Hide answer choices 1. Allow the infant to cry it out in her crib. 2. Take the infant for a short drive in the car. Correct answer 3. Walk the floor with the baby at night. 4. Offer cereal to fill the baby's stomach. Feedback Good work 33. Question 33 / 0.8 A diagnosis of hemophilia A is confirmed in an infant. Which of the instructions should the nurse provide the parents as the infant becomes more mobile and starts to crawl? Hide answer choices 1. Sew thick padding into the elbows and knees of the child's clothing. Correct answer 2. Administer one-half of a children's aspirin for a temperature higher than 101° F (38.3° C). 3. Check the color of the child's urine every day. 4. Expect the eruption of the primary teeth to produce moderate to severe bleeding. Feedback Good work 34. Question 34 / 0.8 A nurse is assessing an 8-month-old infant during a wellness checkup. Which action is a normal developmental task for an infant this age? Hide answer choices 1. eating with a spoon 2. sitting without support Correct answer 3. playing patty-cake 4. saying two words Feedback Good work 35. Question 35 / 0.8 The nurse assesses a 6-month-old infant who is lethargic and suspected to be severely dehydrated. Which additional information is a priority for the nurse to determine? Hide answer choices 1. the infant's current weight 2. number of wet diapers in the last 24 hours 3. number of feeds in the last 24 hours 4. blood pressure and capillary refill time Correct answer Feedback Good work 36. Question 36 / 0.8 When positioning a neonate with an unrepaired myelomeningocele, which position is most appropriate? Hide answer choices 1. prone with hips in abduction Correct answer 2. supine with the hips at 90-degree flexion 3. right side-lying position with the knees flexed 4. supine in semi-Fowler's position with chest and abdomen elevated Feedback Good work 37. Question 37 / 0.8 Before a routine checkup, an 8-month-old infant sits contentedly on the parent's lap, chewing on a toy. When preparing to examine this infant, what should the nurse plan to do first? Hide answer choices 1. Elicit the pupillary reaction. 2. Auscultate the heart and lungs. Correct answer 3. Measure the head circumference. 4. Weigh the child. Feedback Good work 38. Question 38 / 0.8 While providing care for a hospitalized infant, a nurse is summoned to the phone. The caller requests information about the infant's condition. Which of the following is the correct action by the nurse? Hide answer choices 1. Transfer the call to the infant's room so that the parents can talk them. 2. Determine if the infant's parents want information released to the caller. Correct answer 3. Divulge no information to the caller at all. 4. Update the caller with nonspecific information. Feedback Good work 39. Question 39 / 0.8 A nurse is teaching caregivers how to select appropriate toys for their 10-month-old infant. Which statements by the caregivers indicate effective teaching? Select all that apply. Hide answer choices 1. "We'll get the baby a push toy." Correct answer 2. "We'll get a rattle for the baby to play with." 3. "We'll get the baby some shape sorters." Correct answer 4. "We'll get some simple puzzles." 5. "We'll get a ride-on toy." Feedback Good work 40. Question 40 / 0.8 A parent brings a 2-month-old infant to the clinic for a well-baby checkup. To best assess the interaction between the parent and infant, the nurse should observe them: Hide answer choices 1. as the infant sleeps. 2. as the parent feeds the infant. Correct answer 3. as the infant plays. 4. as the parent rocks the infant. Feedback Good work 41. Question 41 / 0.8 The mother of an older infant reports stopping the prescribed iron supplements after 2 weeks of treatment. Which response by the nurse is most appropriate? Hide answer choices 1. "Bring the child in so that we can retest him." 2. "No more medication is needed at this time." 3. "You need to continue the iron for several more weeks." Correct answer 4. "Let's start a diet that is high in iron." Feedback Good work 42. Question 42 / 0.8 A 4-year-old child is admitted to the hospital for surgery. The nurse applies interventions to address what major stressor for a child of this age? Hide answer choices 1. loss of control 2. separation from family Correct answer 3. fear of pain 4. fear of bodily injury Feedback Good work 43. Question 43 / 0.8 An infant is to be discharged after surgery for intussusception. What information should the nurse include in the discharge teaching plan? Hide answer choices 1. The infant will continue to experience abdominal cramping for a few days. 2. The infant can return to the prehospital routine immediately. 3. Incorrect: The infant needs to ingest more calories at home than what was consumed in the hospital. 4. The infant will experience a change in the normal home routine. Correct answer Feedback That's not correct 44. Question 44 / 0.8 The nurse is performing an assessment of a 1-week old infant. Which findings would correlate with a need to plan measures to prevent skin breakdown? Select all that apply. Hide answer choices 1. sunken fontanelles Correct answer 2. Babinski response 3. epicanthal folds 4. reddened perineum Correct answer 5. café-au-lait spots Feedback Good work 45. Question 45 / 0.8 The nurse is caring for an infant that is awaiting cardiac surgery to correct a congenital heart defect. Which assessment findings does the nurse determine is an early indicator that the infant is developing heart failure? Hide answer choices 1. diminished breath sounds 2. sleeping heart rate 168 beats/minute Correct answer 3. respiratory rate 70 breaths/minute 4. poor weight gain Feedback Good work 46. Question 46 / 0.8 Before corrective surgery, a nurse places a neonate with tracheoesophageal fistula (TEF) on his back in a crib with his head and shoulders elevated. Which finding indicates the positioning has been effective? Hide answer choices 1. reduced cardiac workload that has been increased by the anomaly 2. enhanced pooling of secretions in the bottom of the upper esophageal pouch Correct answer 3. relief of the pressure of the distended abdominal contents on the diaphragm 4. air has escaped from the fistula into the trachea to reduce gastric distention Feedback Good work 47. Question 47 / 0.8 The breastfeeding mother of a 1-month-old diagnosed with cow's milk sensitivity asks the nurse what she should do about feeding her infant. Which recommendation would be most appropriate? Hide answer choices 1. Change to a soy-based formula exclusively, and begin solid foods. 2. Incorrect: Discontinue breastfeeding, and start using a predigested formula. 3. Limit breastfeeding to once per day, and begin feeding an iron-fortified formula. 4. Continue to breastfeed, but eliminate all milk products from your own diet. Correct answer Feedback That's not correct 48. Question 48 / 0.8 An infant diagnosed with increased intracranial pressure (ICP) on a regular diet vomits while eating dinner. What should the nurse do next? Hide answer choices 1. Wait a few minutes, and then refeed the child. Correct answer 2. Administer the prescribed antiemetic. 3. Call to report this event to the health care provider (HCP). 4. Put the child on nothing-by-mouth (NPO) status for 4 hours. Feedback Good work 49. Question 49 / 0.8 When developing the teaching plan for an adolescent with insulin-dependent diabetes, the nurse should include what information about the relationship between exercise, diet, and insulin? Hide answer choices 1. "Don't eat your snack before running because you'll get a stomachache." 2. "Before running, inject your insulin into the leg muscle for quicker absorption." 3. "You'll need to take extra insulin before you go running." 4. "If your blood glucose is 240 mg/dL (13.3 mmol/L) or above, do not run." Correct answer Feedback Good work 50. Question 50 / 0.8 The nurse discovers that an adolescent client with anorexia nervosa is taking diet pills rather than complying with the diet. What should the nurse do first? Hide answer choices 1. Inquire about worries of the client's family concerning the client's health. 2. Talk with the client about how weight loss worries the health care providers (HCPs). 3. Explain to the client how diet pills can jeopardize health. 4. Listen to the client discuss fears of losing control of eating while being treated. Correct answer Feedback Good work 51. Question 51 / 0.8 A 14-year-old client with acne vulgaris asks what causes it. Which factors should the nurse identify for this client? Select all that apply. Hide answer choices 1. chocolates and sweets 2. growth of anaerobic bacteria Correct answer 3. fatty foods 4. increased hormone levels Correct answer 5. caffeine Feedback Good work 52. Question 52 / 0.8 A shy 12-year-old girl who must change school systems just before she begins junior high school begins cutting her arms to relieve the stress that she feels about leaving long-standing friends, having to develop new friendships, and meeting high academic standards in her new school. After she has been cutting for a few weeks, her parent discovers the injuries and takes her to a psychiatrist mental health provider who prescribes a therapeutic group at the local mental health center and medication to help decrease her anxiety. Which findings indicate that the girl had made appropriate progress toward recovery? Select all that apply. Hide answer choices 1. The girl's grades are good, and her hours of study are not excessive. Correct answer 2. The girl begins saying she must study hard so she can get into a good university. 3. The girl indicates that she had joined three clubs at school and agreed to be an officer in one of them. 4. The girl wears short-sleeved and/or sleeveless tops when the weather is warm. Correct answer 5. The girl says she has developed a friendship with a girl in her class and one in her therapy group. Correct answer Feedback Good work 53. Question 53 / 0.8 A 17-year-old adolescent with a history of muscular dystrophy is admitted with aspiration pneumonia. The client's medical history reveals that this is the third time in the past 6 months that the client has been diagnosed with pneumonia. Which topics should the nurse plan to address for teaching? Hide answer choices 1. need for good hand hygiene 2. need for a feeding tube Correct answer 3. need for an advance directive 4. need to avoid crowds and large gatherings Feedback Good work 54. Question 54 / 0.8 A 14-year-old is admitted to the hospital with a diagnosis of acute rheumatic fever. The nurse should assess the client for which signs and symptoms? Select all that apply. Hide answer choices 1. skin rash Correct answer 2. migraine headaches 3. sore throat Correct answer 4. peripheral edema 5. fatigue Correct answer Feedback Good work 55. Question 55 / 0.8 A 16-year-old client is in the emergency department for treatment of minor injuries from a car accident. A crisis nurse is with the client because the client became hysterical and was saying, "It's my fault. My Mom is going to kill me. I don't even have a way home." What should be the nurse's initial intervention? Hide answer choices 1. Say, "Calm down. The police can take you home." 2. Say, "Your mother is not going to kill you. Stop worrying." 3. Put a hand on her shoulder and say, "It wasn't your fault." 4. Hold her hands and say, "Slow down. Take a deep breath." Correct answer Feedback Good work 56. Question 56 / 0.8 When assessing a 17-year-old client with depression for suicide risk, which question would be best? Hide answer choices 1. "What movies about death have you watched lately?" 2. "Has anyone in your family ever committed suicide?" 3. "Can you tell me what you think about suicide?" 4. "Are you thinking about killing yourself?" Correct answer Feedback Good work 57. Question 57 / 0.8 Which information would the nurse include in a teaching plan about treatments for sexually transmitted infections? Hide answer choices 1. Chlamydia trachomatis infections are usually treated with penicillin. 2. Metronidazole is used to treat condylomata acuminata. 3. Ceftriaxone sodium may be used to treat Neisseria gonorrhoeae infections. Correct answer 4. Acyclovir can be used to cure herpes genitalis. Feedback Good work 58. Question 58 / 0.8 Which of the following is a normal response from an adolescent who has just returned to her room after an open appendectomy? Hide answer choices 1. "I do not want to have any pain." 2. "What will my boyfriend say about the scar?" 3. "I will need plastic surgery for this scar." 4. "I am worried about the size of my scar." Correct answer Feedback Good work 59. Question 59 / 0.8 To establish a good interview relationship with an adolescent, which strategy is most appropriate? Hide answer choices 1. discussing the nurse's own thoughts and feelings about the situation 2. writing down everything the teen says 3. asking personal questions unrelated to the situation 4. asking open-ended questions Correct answer Feedback Good work 60. Question 60 / 0.8 A 16-year-old client requires chemotherapy for leukemia. The client's parents support the health care provider's recommendation, but the client is refusing treatment. What is the nurse's best initial action? Hide answer choices 1. Advise the client to take the treatment because the health care provider knows best. 2. Inform the client that if the parents agree with the treatment plan, their consent will be honored. 3. Request that the health care provider thoroughly explain the benefits and consequences of treatment to the client. Correct answer 4. Give advice to the client's parents on the best method of convincing the client to take the treatment. Feedback Good work 61. Question 61 / 0.8 An adolescent client reports right lower quadrant pain, nausea, vomiting, and a low-grade fever for the past 12 hours. A physical examination reveals rebound tenderness and a positive psoas sign. Based on these findings, what should the nurse suspect? Hide answer choices 1. cholecystitis 2. pancreatitis 3. appendicitis Correct answer 4. constipation Feedback Good work 62. Question 62 / 0.8 A school nurse is teaching an adolescent client about acne. Which of the following statements by the adolescent indicate to the nurse that the teaching has been understood? Select all that apply. Hide answer choices 1. "Picking or squeezing acne lesions may increase symptoms." Correct answer 2. "Diet plays a significant role in acne production." 3. "Some cosmetics may cause an increase in lesion formation." Correct answer 4. "There's no relationship between stress and acne formation." 5. "Excessive face washing is not necessary to prevent acne." Correct answer Feedback Good work 63. Question 63 / 0.8 A 14-year-old client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. When planning care, the nurse should take into account the client's need to achieve what developmental milestone? Hide answer choices 1. identity Correct answer 2. initiative 3. industry 4. autonomy Feedback Good work 64. Question 64 / 0.8 A nurse is caring for a 16-year-old male client who needs an appendectomy. His parents are not present at the hospital. Prior to the surgery, the nurse needs to ensure that informed consent is obtained. Which situations allows the healthcare provider to obtain an informed consent from an adolescent? Hide answer choices 1. The adolescent is under the protection of a court guardian. 2. The adolescent has declared himself emancipated. Correct answer 3. The adolescent has a power-of-attorney document. 4. The adolescent is the appropriate age to sign an informed consent. Feedback Good work 65. Question 65 / 0.8 The nurse is caring for a 17-year-old male client with Duchenne muscular dystrophy. When assisting the client during a hospitalization for pneumonia, which anticipated nursing interventions would reflect client specific care? Select all that apply. Hide answer choices 1. Assisting the client to a Fowler's position for a breathing treatment Correct answer 2. Clearing a path to the bathroom for safe and easy access Correct answer 3. Crushing pills for morning medication administration 4. Feeding the client a high-calorie breakfast 5. Providing directions to the client's educational level Correct answer 6. Completing a bed bath to conserve energy Feedback Good work 66. Question 66 / 0.8 An adolescent sustains a head injury and develops diabetes insipidus. The healthcare provider orders desmopressin, 10 mcg subcutaneously (SubQ). When does the nurse assess the client to determine the need for an addional dose? Hide answer choices 1. 2 to 4 hours 2. 15 to 30 minutes 3. 4 to 7 hours Correct answer 4. 30 minutes to 2 hours Feedback Good work 67. Question 67 / 0.8 An obese adolescent tells the nurse that he would like to lose weight and asks the nurse's opinion on how to accomplish his goal. Which suggestion would be most appropriate? Hide answer choices 1. Cut down on sweets and other snacks. 2. Exercise more often. 3. Participate in an adolescent weight-reduction program. Correct answer 4. Strictly limit calorie intake. Feedback Good work 68. Question 68 / 0.8 The nurse assigned to telephone triage returns a call from a parent whose teenager experienced a hard tackle last night. The parent reports, "He seemed dazed after it happened and the coach had him sit out the rest of the game, but he's fine now." What is the most appropriate instruction for the nurse to give? Hide answer choices 1. "If he seems fine now and has had no other symptoms, it probably was not a concussion." 2. "He can't return to play until he has been evaluated by a health care provider." Correct answer 3. "Take him immediately to the emergency department." 4. "Watch him closely and call us back if you see any changes." Feedback Good work 69. Question 69 / 0.8 An adolescent girl with a seizure disorder controlled with phenytoin and carbamazepine asks the nurse about getting married and having children. Which response by the nurse would be most appropriate? Hide answer choices 1. "Your children will not necessarily have an increased risk of seizure disorder." 2. "When you decide to have children, talk to the health care provider about changing your medication." Correct answer 3. "You probably should not consider having children until your seizures are cured." 4. "Women who have seizure disorders commonly have a difficult time conceiving." Feedback Good work 70. Question 70 / 0.8 An adolescent client visits the school nurse reporting back pain, fatigue, and dyspnea. The nurse suspects scoliosis. Which action does the nurse take before developing a further plan of care? Hide answer choices 1. Inspect for uneven shoulder height or hip height. Correct answer 2. Send the client home for rest. 3. Ask the parents to see the healthcare provider immediately. 4. Arrange for urgent spinal X-rays. Feedback Good work 71. Question 71 / 0.8 Which symptom reported by an adolescent's parents suggests that the adolescent may be abusing amphetamines? Select all that apply. Hide answer choices 1. Excessive nasal drainage 2. watery eyes 3. talkativeness Correct answer 4. fatigue 5. excessive perspiration Correct answer 6. restlessness Correct answer Feedback Good work 72. Question 72 / 0.8 The nurse assesses an adolescent client with lethargy, retractions of the intercostal spaces, a persistent expiratory wheeze, diminished breath sounds, tachycardia, and tachypnea. Arterial blood gas results are pH 7.10; PCO2 80 mm Hg (10.64 kPa); PO2 35 mm Hg (4.66 kPa), HCO3 29 mEq/l (29 mmol/l). What is the priority condition the nurse must address? Hide answer choices 1. breathing pattern 2. increased heart rate 3. respiratory acidosis Correct answer 4. change in mental status Feedback Good work 73. Question 73 / 1 A 13-month-old client is admitted to the pediatric unit with gastroenteritis. The toddler has experienced vomiting and diarrhea for the past 3 days, and laboratory tests reveal dehydration. Which nursing interventions are correct to prevent further dehydration? Select all that apply. Hide answer choices 1. Encourage the child to eat non-salty soups and broth. Correct answer 2. Encourage the child to eat a balanced diet. 3. Withhold all solid food and liquids until the symptoms pass. 4. Give clear liquids in small amounts. Correct answer 5. Monitor the intravenous (IV) solution per the physician's order. Correct answer 6. Give milk in small amounts. Feedback Good work 74. Question 74 / 1 An 18-month-old child with acquired immunodeficiency syndrome is seen in the clinic for health maintenance. Which vaccines should the nurse anticipate administering to this toddler? Select all that apply. Hide answer choices 1. measles, mumps, and rubella (MMR) 2. varicella 3. influenza vaccine Correct answer 4. diphtheria-tetanus-acellular pertussis Correct answer 5. inactivated poliovirus vaccine Correct answer Feedback Good work 75. Question 75 / 1 A 3-year-old child with cystic fibrosis is admitted to the hospital with bronchopneumonia. Identifying which factors would be most helpful in planning care for this child? Select all that apply. Hide answer choices 1. constipation 2. fever Correct answer 3. cough Correct answer 4. weight gain 5. dysuria Feedback Good work 76. Question 76 / 1 A child has viral pharyngitis. What should the nurse advise the parents to do? Select all that apply. Hide answer choices 1. Place the child on secretion precautions. 2. Administer acetaminophen Correct answer 3. Offer a soft-to-liquid diet. Correct answer 4. Use a cool mist vaporizer. Correct answer 5. Administer amoxicillin. Feedback Good work 77. Question 77 / 0.8 A 12-year-old client who has had type 1 diabetes since infancy tests his glucose level before lunch and has a reading of 245 mg/dL (13.6 mmol/L). What will the nurse do next? Select all that apply. Hide answer choices 1. Ask client to take the prescribed bolus dose plus additional aspart insulin per the sliding scale. Correct answer 2. Incorrect: Ask the client if there are any symptoms of hyperglycemia, such as polyuria or polydypsia. 3. Incorrect: Recheck the client's blood glucose level to be sure the client's result is accurate. 4. Ensure the client's lunch tray is present on the unit prior to giving insulin. Correct answer 5. Give the client 4 oz (118 mL) of milk and two graham crackers with peanut butter. Feedback That's not correct 78. Question 78 / 0.8 The parents of a 12-year-old girl ask why their daughter, who is not sexually active, should receive the human papillomavirus (HPV) vaccine. What should the nurse should tell the parents? Hide answer choices 1. "Parents are never sure when their child might become sexually active." 2. "HPV is most common is teens and women in their late 20s." 3. "The vaccine is most effective against cervical cancer if given before becoming sexually active." Correct answer 4. "If your daughter is sexually assaulted, she may be exposed to HPV." Feedback Good work 79. Question 79 / 0.8 A school-age child who has received burns over 60% of his body is to receive 2,000 mL of IV fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump? Record your answer as a whole number. 250 Correct Acceptable answer for BLANK-1 is 250 Responses must be an exact match Feedback Good work 80. Question 80 / 0.8 A child with sickle cell crisis is being discharged. As part of discharge teaching to prevent further crisis, what should the nurse advise the parent to do? Hide answer choices 1. Weigh the child every day. 2. Take the child's temperature every morning. 3. Encourage the child to drink lots of liquids. Correct answer 4. Offer the child a high-protein diet. Feedback Good work 81. Question 81 / 0.8 A physician orders meperidine 30 mg I.M. as preoperative medication for a school-age child who weighs 66 lb (30 kg). The meperidine is supplied as 50 mg/mL. How much meperidine should the nurse administer? Hide answer choices 1. 0.3 mL 2. 0.5 mL 3. 0.6 mL Correct answer 4. 0.8 mL Feedback Good work 82. Question 82 / 0.8 A child has chickenpox. The parent asks how to care for the lesions. What should the nurse tell the parent? Hide answer choices 1. Take acetaminophen, and use an antibiotic ointment on the lesions. 2. Soak in a hot tub for 30 minutes three times a day. 3. Remove lesions' crusts as they form. 4. Take an antihistamine, and use calamine lotion on the closed lesions. Correct answer Feedback Good work 83. Question 83 / 0.8 The parent asks the nurse about a 9-year-old child's apparent need for between-meal snacks, especially after school. What information should the nurse include in the teaching plan? Hide answer choices 1. The child will instinctively select nutritional snacks. 2. The child should help with preparing the snacks. Correct answer 3. The child does not need to eat between-meal snacks. 4. The child should eat the snacks the mother thinks are appropriate. Feedback Good work 84. Question 84 / 0.8 What information should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is being treated with naproxen? Hide answer choices 1. Within 24 hours, the child will have anti-inflammatory relief. 2. Anti-inflammatory effect will occur in approximately 8 weeks. 3. The nurse should be called before giving the child any over-the-counter medications. Correct answer 4. If a dose is forgotten or missed, that dose is not made up. Feedback Good work 85. Question 85 / 0.8 What nursing action is appropriate to perform first when preparing a child with appendicitis for surgery? Hide answer choices 1. Administer an enema. 2. Insert a nasogastric tube. 3. Administer antibiotics. 4. Obtain vital signs. Correct answer Feedback Good work 86. Question 86 / 0.8 A nurse is providing injury-prevention education to the parents of a school-aged child. The parents state that they keep a gun in their home. Which of the nurse's statements is most appropriate? Hide answer choices 1. Incorrect: "Store ammunition in the same locked area as the gun." 2. "The gun should be stored unloaded in a locked cabinet." Correct answer 3. "Your child should attend a community gun-safety program." 4. "Remind your child that only a parent may touch the gun." Feedback That's not correct 87. Question 87 / 0.8 A school health nurse is teaching a group of 7-year-old girls about preventing urinary tract infections. What is the most appropriate education for the nurse to include in the teaching? Hide answer choices 1. Tell the girls to avoid bubble baths and other perfumed bath additives. Correct answer 2. Encourage the girls to drink cranberry juice throughout the day. 3. Recommend that the girls wear lightweight nylon undergarments. 4. Teach the girls to wipe from back to front after going to the bathroom. Feedback Good work 88. Question 88 / 0.8 Caregivers request anticipatory guidance in planning play activities for a school-age client. When the nurse is developing a care plan to address this matter, which activities should be included that will be appropriate for this client's cognitive development? Select all that apply. Hide answer choices 1. join a community sports league Correct answer 2. encourage pretend play and "dress up" 3. begin a stamp collection Correct answer 4. make homemade musical instruments 5. enroll in a community-organized age-appropriate group Correct answer Feedback Good work 89. Question 89 / 0.8 A nurse should evaluate a school-age child for signs and symptoms of adverse effects from morphine. The nurse should assess for which ones? Select all that apply. Hide answer choices 1. constipation Correct answer 2. anemia 3. pruritus Correct answer 4. nausea and vomiting Correct answer 5. hyperglycemia Feedback That's not correct 90. Question 90 / 0.8 When developing the plan of care for a school-age child with acute poststreptococcal glomerulonephritis who has a fluid restriction of 1,000 mL/day, which fluid should the nurse consider as most appropriate for the client's condition and effective for preventing excessive thirst? Hide answer choices 1. lemonade 2. ice chips Correct answer 3. diet cola 4. tap water Feedback Good work 91. Question 91 / 0.8 Which of the following should the nurse expect to include in the plan of care for a child who is diagnosed with rheumatic fever and carditis and admitted to the hospital? Hide answer choices 1. Encouraging participation in age-appropriate activities. 2. Ensuring continuous parental presence at the child's bedside. 3. Providing the child with periods of rest. Correct answer 4. Advising the child to eat as much as possible. Feedback Good work 92. Question 92 / 0.8 A 10-year-old boy is at a clinic for followup after being diagnosed with rheumatic fever (RF) several months ago. The child's symptoms have resolved, but antibiotics will continue for several years. The nurse teaches the parents to seek medical attention for recurrence of rheumatic fever if what signs or symptoms develop? Select all that apply. Hide answer choices 1. papular, itchy rash over torso 2. loss of coordination Correct answer 3. runny nose and excessive tearing 4. arthritis in a single joint Correct answer 5. nausea and vomiting 6. temperature ≥100.4oF (≥ 38oC) Correct answer Feedback That's not correct 93. Question 93 / 0.8 A 9-year-old child is admitted to the pediatric unit for treatment of cystic fibrosis. A nurse assessing the child's respiratory status should expect to identify: Hide answer choices 1. stridor. 2. production of thick, sticky mucus. Correct answer 3. harsh, nonproductive cough. 4. unilateral decrease in breath sounds. Feedback Good work 94. Question 94 / 0.8 The nurse teaches the parent of a child with sickle cell anemia about managing the disease and preventing complication. What statement by the parent indicates the need for further education about sickle cell anemia? Hide answer choices 1. "I know she doesn't have as much pain as she acts like she has." Correct answer 2. "When my child runs a high fever, I'll need to call the primary care provider." 3. "I need to stop at the health food store to pick up medicines that I told my healthcare provider I was trying." 4. "I'll be sure to give her a lot of fluids when she gets sick." Feedback Good work 95. Question 95 / 0.8 When teaching safety measures to 10-year-old children and their parents, the nurse should particularly stress which safety precautions? Select all that apply. Hide answer choices 1. use of protective sports equipment Correct answer 2. firearm safety 3. use of a helmet when riding a bicycle Correct answer 4. medication safety 5. plant safety Feedback Good work 96. Question 96 / 0.8 The nurse is caring for a school-age child who is in pain due to a second-degree burn injury. The parents are distraught and arguing about the child's condition. What interventions are appropriate for the nurse to take to help the parents cope? Select all that apply. Hide answer choices 1. Offer to stay with the child while the parents take a break. Correct answer 2. Provide an opportunity for the parents to discuss their concerns. Correct answer 3. Encourage the parents to help plan the child's care for the day. Correct answer 4. Allow the parents to observe delivery of care when requested. Correct answer 5. Incorrect: Ensure the child remains pain free and comfortable at all times. Feedback That's not correct 97. Question 97 / 0.8 When developing the plan of care for a school-age child with a suspected diagnosis of appendicitis who has severe abdominal pain, the nurse should expect to include which measure in the child's plan of care? Hide answer choices 1. application of a heating pad 2. administration of an intravenous narcotic 3. insertion of a rectal tube 4. application of an ice bag Correct answer Feedback Good work 98. Question 98 / 0.8 A nurse assesses an 8-year-old child and obtains a heart rate of 80 beats/minute. Which of the following is the appropriate action by the nurse? Hide answer choices 1. Contact the client's physician regarding the child's bradycardia. 2. Continue with the assessment; this is a normal finding. Correct answer 3. Assess for signs and symptoms of heart failure. 4. Contact the client's physician regarding the child's tachycardia. Feedback Good work 99. Question 99 / 0.8 Which intervention should the nurse implement to help minimize joint pain in a child with rheumatic fever? Hide answer choices 1. Apply ice to the affected joints. 2. Massage the affected joints. 3. Limit movement of the affected joints. Correct answer 4. Encourage progressive weight bearing. Feedback Good work 100. Question 100 / 0.8 A nurse is planning care for a 10-year-old child in the acute phase of rheumatic fever. Which activity is most appropriate for the nurse to schedule in the care plan? Hide answer choices 1. reading books Correct answer 2. playing ping-pong 3. ambulating without restrictions 4. climbing on play equipment in the playroom Feedback Good work 101. Question 101 / 0.8 A preschool child immobilized in a hip spica cast has trouble breathing after meals. Which action would be best? Hide answer choices 1. Teach the child pursed-lip breathing. 2. Offer the child small feedings several times a day. Correct answer 3. Give the child a laxative after meals. 4. Encourage the child to drink more between meals. Feedback Good work 102. Question 102 / 0.8 The nurse is caring for a child with a new diagnosis of diabetes. The nurse teaches blood glucose monitoring by allowing the child to practice checking the blood sugar of a toy bear dressed in a hospital gown. The nurse recognizes this approach to be appropriate for what age level? Hide answer choices 1. toddler (1 to 3 years) 2. adolescence (10 to 19 years) 3. preschool age (3 to 5 years) Correct answer 4. school age (5 to 10 years) Feedback Good work 103. Question 103 / 0.8 A child, age 3, is admitted to the pediatric unit with dehydration after 2 days of nausea and vomiting. The parent tells the nurse that the child's illness "is all my fault." How should the nurse respond? Hide answer choices 1. "Maybe next time you'll bring the child in sooner." 2. "Don't be so upset. Your child will be fine." 3. "Tell me why you think this is your fault." Correct answer 4. Incorrect: "Try not to cry in front of the child. It'll only upset the child." Feedback That's not correct 104. Question 104 / 0.8 A 4-year-old child is seen at the clinic for a mild iron deficiency anemia caused by a poor diet. The parents ask the nurse what type of treatment to expect. What is the most appropriate response by the nurse? Hide answer choices 1. iron replacement and change of diet Correct answer 2. transfusion of packed red blood cells 3. splenectomy and steroid therapy 4. preparation for bone marrow transplant Feedback Good work 105. Question 105 / 0.8 While assessing a preschooler brought by her parents to the emergency department after ingestion of kerosene, the nurse should be alert for which complication? Hide answer choices 1. pneumonitis Correct answer 2. carditis 3. hepatitis 4. uremia Feedback Good work 106. Question 106 / 0.8 The parents of a child tell the nurse that they feel guilty because their child almost drowned. Which remark by the nurse would be most appropriate? Hide answer choices 1. "Tell me a little bit more about your feelings of guilt." Correct answer 2. "You should not have taken your eyes off of your child." 3. "You should focus on the fact that your child will be all right." 4. "I can understand why you feel guilty, but these things happen." Feedback Good work 107. Question 107 / 0.8 A 3-year-old client is admitted to the pediatric unit with pneumonia. The child has a productive cough and appears to have difficulty breathing. The parents tell the nurse that the child has not been eating or drinking much and has been very inactive. Which interventions to improve airway clearance should the nurse include in the care plan? Select all that apply. Hide answer choices 1. Encourage coughing and deep breathing. Correct answer 2. Maintain humidification with a cool mist humidifier. Correct answer 3. Perform chest physiotherapy as ordered. Correct answer 4. Keep the head of the bed flat. 5. Limit fluid intake. 6. Perform postural drainage. Correct answer Feedback Good work 108. Question 108 / 0.8 A nurse is providing care to a 5-year-old child with a fractured femur whose nursing diagnosis is imbalanced nutrition: less than body requirements. Which nutritional change is most likely to occur with this condition? Hide answer choices 1. increased calorie intake 2. increased digestive enzymes 3. decreased protein catabolism 4. increased carbohydrate need Correct answer Feedback Good work 109. Question 109 / 0.8 The nurse observes a parent of a child with cystic fibrosis performing chest percussion. The nurse determines that the skill is being done correctly when the parent uses which technique? Hide answer choices 1. percussing over an area from the umbilicus to the clavicle 2. firmly but gently striking the chest wall to make a popping sound Correct answer 3. gently striking the chest wall to make a slapping sound 4. placing a blanket between the parent's hand and the child's chest Feedback Good work 110. Question 110 / 0.8 When assessing a child's cultural background, the nurse should keep in mind that Hide answer choices 1. heritage dictates a group's shared values. 2. cultural background usually has little bearing on a family's health practices. 3. physical characteristics mark the child as part of a particular culture. 4. behavioral patterns are passed from one generation to the next. Correct answer Feedback Good work 111. Question 111 / 0.8 After discussing asthma as a chronic condition, which statement by the parent of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease? Hide answer choices 1. "We keep our child away from other children to help cut down on infections." 2. "I am afraid that when my child gets older, he will not be able to care for himself like I do." 3. "Although our child's disease is serious, we try not to let it be the focus of our family." Correct answer 4. "We try to keep him happy at all costs; otherwise, he has an asthma attack." Feedback Good work 112. Question 112 / 0.8 The nurse is assessing a child with a head injury following a motor vehicle accident. Which assessment leads the nurse to suspect extensive brain stem damage? Hide answer choices 1. hyperextension of the arms and hyperflexion of the legs 2. hyperflexion of both arms and legs Correct answer 3. hyperextension of the legs 4. Incorrect: hyperflexion of the arms and hyperextension of the legs Feedback That's not correct 113. Question 113 / 0.8 How does the nurse describe the movements of a child with spastic cerebral palsy? Hide answer choices 1. slow, wormlike writhing movements 2. tremors and lack of active movement 3. increased muscle tone and stretch reflexes Correct answer 4. wide-based gait and poor muscle coordination Feedback Good work 114. Question 114 / 0.8 A preschooler with pneumococcal meningitis is receiving intravenous antibiotic therapy. When discontinuing the intravenous therapy, the nurse allows the child to apply a dressing to the area where the catheter is removed. The nurse's rationale for doing so is based on the interpretation that a child in this age group has a need to accomplish which goal? Hide answer choices 1. Protect the image of an intact body. Correct answer 2. Find diversional activities. 3. Relieve the anxiety of separation from home. 4. Trust those caring for her. Feedback Good work 115. Question 115 / 0.8 A preschool-age child has a viral illness with fever. Which statement made by the child's mother indicates understanding of the nurse's teaching? Hide answer choices 1. "I will take my child to the hospital if the fever reaches 101°F (38.3°C)." 2. "I will only provide clear fluids while my child has an fever." 3. Incorrect: "If acetaminophen is not effective, I can give ibuprofen 2 hours later." 4. "I will keep my child in lighweight clothing when a fever is present." Correct answer Feedback That's not correct 116. Question 116 / 0.8 A nurse is administering medications to a child. Which laboratory value is most important for the nurse to monitor? Hide answer choices 1. Incorrect: alkaline phosphatase 2. bilirubin 3. serum creatinine 4. glomerular filtration rate Correct answer Feedback That's not correct 117. Question 117 / 0.8 A 5-year-old is admitted to the pediatric unit with diagnosis of possible intussusception. Which assessment data supports this diagnosis? Select all that apply. Hide answer choices 1. abdominal pain Correct answer 2. diarrhea 3. currant jelly stools Correct answer 4. tarry, black stools 5. abdominal distention Correct answer Feedback Good work 118. Question 118 / 0.8 A child underwent a tonsillectomy 4 hours ago. Which assessment finding should make the nurse suspect postoperative hemorrhage? Hide answer choices 1. decreased heart rate 2. frequent swallowing Correct answer 3. refusal to drink clear fluids 4. vomiting of dark brown emesis Feedback Good work 119. Question 119 / 0.8 While assessing a 3-year-old child who has had an injury to the leg, has pain, and refuses to walk, the nurse notes that the child's left thigh is swollen. What should the nurse do next? Hide answer choices 1. Determine the circulatory status of the upper thigh. 2. Obtain the child's vital signs. 3. Notify the health care provider (HCP) immediately. 4. Assess the neurologic status of the toes. Correct answer Feedback Good work 120. Question 120 / 0.8 A nurse is caring for a 5-year-old child with end-stage acquired immunodeficiency syndrome (AIDS). The child confides that the child is ready to go to heaven and see Grandpa. The nurse knows that the child's parents aren't comfortable with the idea of discontinuing treatment. What should the nurse do? Hide answer choices 1. Listen to the child but recognize that the child too young to make these decisions. 2. Tell the physician that the family would like to discontinue treatment. 3. Talk with the parents about the dying process and make the parents aware of what the child has confided. Correct answer 4. Tell the child that the nurse will talk with the parents and change the parents minds. Feedback Good work 121. Question 121 / 0.8 After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which statement would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death? Hide answer choices 1. "He might think he's caused his death because he's misbehaved." Correct answer 2. "He'll understand how much his siblings will miss him." 3. "He'll accept his death as caused by his disease." 4. "He's too young to understand what is happening to him." Feedback Good work 122. Question 122 / 0.8 The nurse is informing the parents of a 5-year-old with a congenital heart defect what actions are necessary if the child experiences cardiopulmonary arrest. Which statements by the parents indicate that the teaching has been understood? Select all that apply. Hide answer choices 1. "I'll call 911 before I start resuscitation efforts." 2. "I have to use compressions to circulate the blood." Correct answer 3. "It's uncommon for a 5-year-old to need CPR." 4. "I'll check for responsiveness before starting CPR." Correct answer 5. "I'll give two breaths for every 30 compressions." Correct answer Feedback Good work 123. Question 123 / 0.8 What actions should the nurse take for a 4-year-old girl who has just had a lumbar puncture? Hide answer choices 1. Encourage the parents to hold the child. Correct answer 2. Administer a narcotic analgesic for insertion-site pain. 3. Incorrect: Ensure that the child lies flat for at least 8 hours. 4. Place a sandbag over the puncture site for 3 hours. Feedback That's not correct 124. Question 124 / 0.8 The parent of a preschooler reports that the child creates a scene every night at bedtime. What is the best course of action? Hide answer choices 1. Establish a set bedtime and follow a routine. Correct answer 2. Give the child a cookie if bedtime is pleasant. 3. Allow the child to stay up later one or two nights a week. 4. Encourage active play before bedtime. Feedback Good wor 1. Question 1 / 0.8 The emergency department nurse has admitted an infant with bulging fontanels, setting sun eyes, and lethargy. Which diagnostic procedure would be contraindicated in this infant? Hide answer choices 1. magnetic resonance imaging 2. lumbar puncture Correct answer 3. arterial blood draw 4. computerized tomography scan Feedback Good work 2. Question 2 / 0.8 The parents of a child with sickle cell anemia ask about the chances of sickle cell disease occurring in future children. What does the nurse determine is the family's risk of having another child with sickle cell anemia? Hide answer choices 1. one chance in three for each pregnancy 2. Incorrect: one chance in two for each pregnancy 3. one chance in five for each pregnancy 4. one chance in four for each pregnancy Correct answer Feedback That's not correct 3. Question 3 / 0.8 The mother of an infant with iron deficiency anemia asks the nurse what she could have done to prevent the anemia. The nurse should teach the mother that it is helpful to introduce solid foods into the infant's diet at which age? Hide answer choices 1. 3 months 2. 6 months Correct answer 3. 8 months 4. 10 months Feedback Good work 4. Question 4 / 0.8 An infant has just had surgery to repair a cleft lip. Which nursing intervention is most important during the immediate postoperative period? Hide answer choices 1. giving the infant a pacifier to suck for comfort 2. cleaning the suture line carefully with a sterile solution after ever