1. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching? • “I will ... have my child rest.” • “I will compress the site.” • “I will apply heat.” • “I will elevate the affected part.” 2. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? • Body weight • Skin integrity • Blood pressure • Respiratory rate 3. Which of the following children should the nurse identify as a potential action of abuse? • A child who has frequent visitors • A child who uses the call light frequently • A child who has a BMI indicating obesity • A child whose parents answer questions for the child 4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching? • “My child will take the enzymes to improve her metabolism.” • “My child will take the enzymes 2 hours before meals.” • “My child will take the enzymes following meals.” • “My child will take the enzymes to help digest the fat in foods.” 5. A nurse is assessing a 3 month old. Which of the following findings should he report to the provider? • Unable to pick up an object with his fingers • Unable to sit without support • Unable to raise head when in prone position • Unable to bring an object to mouth 6. A nurse is admitting a 6 month old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has confirmed the fluid imbalance?• 2 mL/kg/hr. • 0.5 mL/kg/hr. • 7.5 mL/kg/hr. • 15 mL/kg/hr. 7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical ? Which of the following interventions should the nurse include in the plan of care? • Maintain the infant in the supine position • Provide a latex free environment • Limit visitors to immediate family members • Initiate contact precautions 8. A nurse is caring for a child who has just died. The parents ask to be left alone so that they ? The nurse should: • Discourage this because it will only prolong their grief • Grant their request • Kindly explain that they need to say good bye to their child now and leave • Assess why they feel that this is necessary 9. A nurse is educating new parents on risk factors for sudden infant death syndrome (SIDS). Which of the following statements by a parent would indicate a need for additional teaching? • “I will give my baby a pacifier during naps and at bedtime.” • “Our baby will sleep in my bed because I am breastfeeding.” • “My baby will be placed on her back when sleeping.” • “We will remove blankets and toys from the crib.” 10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client would indicate to the nurse a need for further teaching? • “I only need to catheterize myself twice every day.” • “I only use a suppository every night to have a bowel movement.” • “I do wheelchair exercises while watching TV.” • “I carry a water bottle with me because I drink a lot of water.” [Show More]
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