uestion 1
A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki
disease. On assessment of the child, the nurse expects to note which clinical manifestation of the
acute stage of th
...
uestion 1
A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki
disease. On assessment of the child, the nurse expects to note which clinical manifestation of the
acute stage of the disease?
Conjunctival hyperemia
Question 2
Which signs and symptoms would lead a nurse to suspect a child has tetralogy of Fallot? Select
all that apply.
Murmur
History of squatting
Cyanosis
Tachypnea
Question 3
A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for
signs of congestive heart failure (CHF). The nurse assess the infant for which early sign of CHF?
Tachycardia
Question 4
A child with Kawasaki disease is receiving low-dose aspirin. The mother calls the clinic and
states that the child has been exposed to influenza. Which recommendation should the nurse
make? Select all that apply.
Stop the aspirin
Watch for fever.
Question 5
Discharge teaching for a 3-month old with a cardiac defect who is to receive digoxin should
include which information? Select all that apply.
Give medications at regular intervals.
Notify the healthcare provider of poor feeding or vomiting.
Notify the healthcare provider if more than two consecutive doses are missed.
Question 6
When developing the discharge teaching plan for a child with chronic renal failure and the
family, the nurse should emphasize restriction of which nutrient?
Phosphorus
Question 7
A nurse is developing a plan of care who is at risk for seizures. Which interventions apply if the
child has a seizure? Select all that apply.
Time the seizure
Stay with the child
Move furniture away from the child
Question 8
A nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care,
the nurse identifies seizure precautions and documents that which items need to be placed at the
child’s bedside.
Suction equipment and oxygen
Question 9
A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority
nursing intervention is to:
Reposition the infant frequently
Question 10
A 10-year-old child with asthma is treated for acute exacerbation in the ER. A nurse caring for
the child monitors for which of the following, knowing it indicates the worsening of the
condition?
Decreased wheezing
Question 11
Which assessment findings should alert the nurse to suspect that a toddler is experiencing
respiratory distress? Select all that apply.
Coughing
Respiratory rate of 45
Restlessness
Diaphoresis
Question 12
When preparing the teaching plan for the mother of a child with asthma, what information should
the nurse include as a sign to alert the mother that her child is having an asthma attack?
Wheezing on expiration.
Question 13
Which factor, if described by the parents of a child with cystic fibrosis, indicates understanding
the underlying problem of the disease?
An abnormality in the body’s mucus secreting glands
Question 14
What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis?
High-calorie diet
Question 15
A new mother expresses concern to a nurse regarding sudden infant syndrome (SIDS). She asks
the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that
the infant should be placed on the:
Back rather than on the stomach.
Question 16
The mother of a hospitalized 2-year-old with CROUP ask a nurse why the physician did not
prescribe antibiotics. The appropriate response is:
“Antibiotics are not indicated unless a bacterial infection is present”
Question 17
A child with laryngotracheobronchitis (CROUP) is placed in a cool mist tent. The mother
becomes concerned because the child is frightened, consistently crying and trying to climb out of
the tent. The appropriate nursing action is to:
Let the mother hold the child and direct the cool mist over the child’s face
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