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NURSING 212 Pediatric/Gero Set 1 EXAM (Peds,, bacterial meningitis,
Intravenous therapy) | Already Rated A+
The nurse places a child in the supine position and flexes his neck, the nurse notes he flexes his knees and hips. This is referred to as: Type: Multiple Choice Points Awarded: 0/ Your Answer(s): The Kernig sign. Correct Answer(s): The Brudzinski sign. (correct) Cushing's triad. The Kernig sign. Nuchal rigidity. Question 2: The nurse is caring for a preschooler with a superficial, partial thickness burn. All of the following are included in the plan except? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Administer morphine Correct Answer(s): Apply a clean dressing Clean with tepid water Apply cool, wet compresses to stop the burning process Administer morphine (correct) Rationale: Morphine is given for major burns Question 3: Identify the priority assessments for a preschooler being admitted to the hospital? Type: Multiple Choice Points Awarded: 1/ Your Answer(s):
Identify the child's routine from home. Correct Answer(s): Assess the parenting method used by the care providers Assess the understanding of the child about hospitalization Identify the child's routine from home. (correct) Rationale: All assessments are valuable however, a routine gives the child a sense of security. Identify the child's flexibility when separating from the parents. Question 4: A 16 - year-old male is hospitalized for IV antibiotics. Which action best promotes his psychosocial development? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Encourage the parents to invite the teen's friends to visit him in the hospital. Correct Answer(s): Email the teen's teacher, and have her send his homework. Encourage the parents to invite the teen's friends to visit him in the hospital. (correct) Rationale: Adolescents want to be like their peers. Encouraging visits from friends will help him feel he is still part of the school and social environment. Encourage the teen's grandparents to visit frequently. Allow the teen to text his friends. Question 5: A nurse cares for a family who has a toddler with autism. How can the nurse best support this child? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Introduce the environment to the child slowly Correct Answer(s): Use video games as an incentive for good behavior
Calcium gluconate Flumazenil Question 8: A 1 - month-old has to undergo a painful procedure. Which nursing intervention is most appropriate? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): The nurse offers a nipple dipped in sucrose solution and gives ordered meds. This is developmentally appropriate and creates a distraction during the procedure Correct Answer(s): The nurse may use a distraction to support therapeutic play with dolls and medical equipment, and medications as ordered. The nurse offers a nipple dipped in sucrose solution and gives ordered meds. This is developmentally appropriate and creates a distraction during the procedure (correct) Rationale: Sucrose elicits an endogenous release of opioids (endorphins) for approx. 5- 8 minutes Speak softly to the infant and restrain the baby if necessary The nurse should reinforce to the parents that the baby will not remember the experience Question 9: What is the best way to administer an oral antibiotic to a 6 month old baby? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Sit the baby upright and use a plastic syringe Correct Answer(s): Mix medication in 30mls of formula Sit the baby upright and use a plastic syringe (correct) Rationale: This positions minimizes the risk for aspiration and allows for accurate dosing of the medication.
Place baby in supine position and place medication in an empty nipple Mix the medication in juice Question 10: A child has a tonic-clonic seizure. Which finding is the priority nursing assessment? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Respiratory rate Correct Answer(s): Blood Pressure Heart Rate Respiratory rate (correct) Rationale: Respiratory rate: ABC's breathing before circulation Temperature Question 11: The nurse uses which techniques to distract a 10 - year-old who is having a tonsillectomy and is NPO? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Play a board game. Correct Answer(s): The nurse suggests using the telephone to call peers. Watch a movie. Play a board game. (correct) Rationale: A board game is an optimal choice for school-age children because they enjoy being engaged in an activity with others that requires some skill and challenge. Read a pamphlet about being NPO.
Treatment is every other day for 1 week and a follow-up treatment 14 days later Correct Answer(s): Never repeat shampoo as the shampoo is absorbed through the scalp Clothing and bedding only require soap and water to decontaminate them Treatment is every other day for 1 week and a follow-up treatment 14 days later (correct) Rationale: Kwell is toxic and can be absorbed through the scalp. It can be repeated after 5 - 7 days. Application of the shampoo is done until there are no more lice visible Question 15: A nurse is explaining a preschool sibling's response to dying. Preschoolers: Type: Multiple Choice Points Awarded: 1/ Your Answer(s): believe thoughts can cause events like death and may view death as temporary Correct Answer(s): believe thoughts can cause events like death and may view death as temporary (correct) Rationale: Preschoolers may exhibit magical thinking and feel guilty for a sibling's death mirror parental reactions express grief differently than adults Have little or no understanding of death Question 16: A nurse is planning interventions for a child with a lead exposure level of 3 mcg/dl. They include: Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Recommend a diet rich in calcium Correct Answer(s): Chelation therapy Call Social work for suspicion of child abuse
Administer a yearly lead screening Recommend a diet rich in calcium (correct) Rationale: Calcium is leached from the body with increased lead levels. There is no safe level of lead. Chelation therapy happens at 45mcg/dl. This level is too low to suspect child abuse. The child has identified exposure so a screening test is not helpful. Question 17: A mother of a 3 - year-old is having a hard time dealing with temper tantrums. The nurse most appropriately tells the mother to: Type: Multiple Choice Points Awarded: 0/ Your Answer(s): This is normal finding at this age period. Correct Answer(s): Punish the child to change the behavior This is normal finding at this age period. Set limits on the behavior (correct) Ignore the behavior Question 18: What is the intervention administered for lead poisoning? Type: Multiple Choice Points Awarded: 0/ Your Answer(s): N-acetylcysteine Correct Answer(s): Activated charcoal Vitamin K Chelation therapy using calcium EDTA (calcium disodium versenate) (correct) N-acetylcysteine
Deltoid (correct) Rationale: The deltoid can be used after three years of age Ventrogluteal Vastus lateralis Dorsogluteal Question 22: Which toy is most therapeutic for a 12 - month-old? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Musical rattle. Correct Answer(s): Baby doll. Musical rattle. (correct) Rationale: A musical rattle is a good toy for this child. Infants enjoy auditory, psychomotor and visual stimulation. Board Book. Colorful Beads. Question 23: How does the nurse restrain an infant when giving an injection? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Swaddle the infant and have the parents hold the infant Correct Answer(s): Give a sucrose solution Swaddle the infant and have the parents hold the infant (correct) Rationale: Swaddling restrains the infant and can make them feel secure
Get another RN to hold the infant Administer EMLA cream to the injection site Question 24: Which medication treats spasticity in cerebral palsy (CP)? Type: Multiple Choice Points Awarded: 0/ Your Answer(s): Phenytoin (Dilantin) Correct Answer(s): Dexamethasone (Decadron). Baclofen. (correct) Diclofenac (Volatren). Phenytoin (Dilantin) Question 25: An 8 - month-old child should be able to achieve this milestone? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Sitting unsupported Correct Answer(s): Use a pincer grasp Sitting unsupported (correct) Rationale: A milestone is the latest time a child should do something. The average sitting up time is six months, if the child is eight months there is a delay Fill containers Use thick crayons Question 26: The nurse suggests the following iron-rich foods for iron deficiency except:
Correct Answer(s): Growth spurts (correct) Acne Hirsutism Mood swings Question 29: An adolescent has a terminal illness and may die within 12 hours. Which finding is an expected finding? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Decreased muscle tone Correct Answer(s): Increased urine output Tachycardia Decreased muscle tone (correct) Rationale: Muscle tone goes due to poor perfusion, poor nutrition, and inadequate fluids. Bounding pulses Question 30: Which of the following is in the plan of care for a newborn who has myelomeningocele? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Position the child in the prone position with a sterile moist dressing over the defect. Begin intravenous fluids to prevent dehydration. Correct Answer(s): The nurse positions the child in the prone position and uses a sterile dry dressing over the anomaly. Place the child in the prone position and a sterile dry dressing over the defect. Begin intravenous fluids to prevent dehydration.
Position the child in the prone position and apply a sterile, moist dressing over the opening. Slowly initiate oral gastric feeds to prevent necrotizing enterocolitis. Position the child in the prone position with a sterile moist dressing over the defect. Begin intravenous fluids to prevent dehydration. (correct) Rationale: The child is positioned in the prone position to protect the opening. A sterile moist dressing is kept over the defect to keep it as clean as possible. Intravenous fluids are begun to prevent dehydration. Question 31: A nurse understands possible contraindications to vaccine administration include all of the following: Type: Multiple Choice Points Awarded: 0/ Your Answer(s): Live vaccines such as the MMR for a severely immunocompromised child Correct Answer(s): Live vaccines such as the MMR for a severely immunocompromised child Anaphylaxis A severe, febrile illness The common cold (correct) Question 32: A child with increased intracranial pressure is receiving mannitol (Osmotrol). The nurse monitors the child for which adverse effects? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Dyspnea Correct Answer(s): Hyperkalemia Urine output over 1 ml/kg/hr. Dyspnea (correct)
Rationale: Pillows can become dislodged and suffocate the baby. Question 35: Which nursing interventions does the nurse perform for a child in status epilepticus? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Administer rectal diazepam. Correct Answer(s): Insert an intravenous line, and administer intravenous lorazepam. Administer rectal diazepam. (correct) Rationale: Rectal diazepam is initially administered to stop the seizure long enough to establish an IV, and then IV medication is administered. Administer an oral glucose gel on the side of the child's mouth. Administer oral diazepam. Question 36: A 2 - month-old infant will receive all vaccinations except: Type: Multiple Choice Points Awarded: 1/ Your Answer(s): RV, varicella Correct Answer(s): RV, DtaP Hib, PCV RV, varicella (correct) Rationale: Varicella and MMR are administered at one year IPV, Hep B Question 37: A nurse is assessing a child's trigeminal nerve. All of the following are functions of the trigeminal nerve except:
Type: Multiple Choice Points Awarded: 0/ Your Answer(s): Clenching the teeth Correct Answer(s): Controls facial expression (correct) Gives sensation of touch on the face Gives a perception of pain on the face Clenching the teeth Question 38: The mother of a 10 - month-old with iron deficiency anemia tells the nurse that her infant is currently taking iron. Which comment made by the mother indicates the nurse needs to reinforce teaching? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): I give the iron in the morning 6 - oz bottle. Correct Answer(s): I give the iron at the same time each morning. I give the iron in the morning 6 - oz bottle. (correct) Rationale: Medications are never be mixed in a large amount of food or formula because the parent cannot ensure that the child will take the entire feeding. Formula decreases the absorption of iron. I give the iron 1 hour before I feed the morning bottle. I give the iron in oral syringes toward the back of the cheek. Question 39: A child with a midline brain tumor has increased intracranial pressure (ICP) and voids large amounts of very dilute urine. The nurse expects the provider to order which medication as part of the plan of care?
Premedicates before the procedure and uses ROM exercises afterward. Uses cold water to debride the patient's burn (correct) Rationale: Cool water can make the patient susceptible to hypothermia due to the loss of skin as a protective barrier Question 42: Risk factors for SIDS include all of the following except: Type: Multiple Choice Points Awarded: 0/ Your Answer(s): A soft sleeping surface, being covered by a blanket or co-sleeping in the parent's bed Correct Answer(s): Maternal smoking or second-hand smoke from the family A soft sleeping surface, being covered by a blanket or co-sleeping in the parent's bed Premature birth and/or low APGAR scores Using a baby sling (correct) Question 43: The nurse is caring for a postictal child following a tonic-clonic seizure. All of the following are expected findings during this time except: Type: Multiple Choice Points Awarded: 0/ Your Answer(s): Vomiting or a headache Correct Answer(s): The child can recall some parts of the seizure (correct) Vomiting or a headache Impairment of coordination and fine motor skills Difficult to arouse, sleeps for several hours Question 44:
A nurse is administering medication to an infant. The nursing actions include all of the following except: Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Use an 18- gauge needle Correct Answer(s): Use therapeutic holding or a swaddling Administer medication in the side of the mouth in small amounts Use an 18- gauge needle (correct) Rationale: Infant use a 25- 27 - gauge needle Inject up to 0.5mls of medication Question 45: A health care team has been established to promote client care that relieves suffering and improves quality of life. What term describes this team? Type: Multiple Choice Points Awarded: 1/ Your Answer(s): Palliative care Correct Answer(s): Family-centered care Palliative care (correct) Rationale: Palliative interventions are designed to relieve suffering and to improve quality of life. Ethics committee Spiritual care Question 46: A child with ventriculoperitoneal (VP) shunt complains of a headache and blurry vision. The child is irritable and sleeping more than usual. The parents ask the nurse how they can help their child. Select the nurse's best response?
