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Question 1

How would a patient demonstrates a loss of independence and ability to self care after recovering from a major illness

Answer 1

The patient is demonstrating the concept that loss and its meaning vary with individuals

Question 2

How would you guide a patient’s rehabilitation when they have end-stage emphysema but refuse PT and still smoke

Answer 2

Values are examined and limitations are put into perspective over time

Question 3

What principle would guide the rehabilitation of a difficult patient

Answer 3

Personality problems are generally related to personality characteristics of the older person before being disabled

Question 4

What principle should guide the rehab after having a leg Amputation

Answer 4

Most severe emotional reactions are produced when the disability is traumatic

Question 5

What interventions should be part of a patient plan of care when a stroke has affected the ability to move and ambulate

Answer 5

Encourage weightlifting exercises to increase strength

Question 6

What interventions would be supportive for a patient in a long term care that has ulcers on the coccyx and both hips

Answer 6

Addressed with dressing changes twice a day

Question 7

What interventions would be appropriate for a patient prescribed bedrest for an extended period of time

Answer 7

Perform active range of motion and weight lifting exercises in bed

Question 8

What factors for influence of patients motivation and desire for successful rehabilitation

Answer 8

Positive self-esteem and self image

Question 9

When creating educational plans for older patients needing Rehabilitation what would be the focus of the plan

Answer 9

Health measures to obtain and retain function

Question 10

What would be considered a functional difficulty for an elderly person patient

Answer 10

Functional

Question 11

What supportive items in the bathroom would assist one independent bathing to promote independence and self-care

Answer 11

Shower chair

Question 12

What home care items would help with self-care in a patient with a spinal cord injury

Answer 12

Lower the sinks counters and mirrors

Question 13

What can help assist when putting on shoes for a patient having difficulty

Answer 13

Use a long handled shoehorn

Question 14

What are some muscle skeletal changes that can affect an early person rehabilitation and restorative care

Answer 14

Muscle atrophy, decreased bone mass, subcutaneous fat loss, decreased joint flexibility

Question 15

What items can help with being successful in a walking program

Answer 15

Daily foot care, properly fitted shoes

Question 16

The nurse is assisting with the physical exam on a 2-year-old child. The nurse predicts the order of the exam will be in which sequence

Answer 16

Head and neck, eyes, ears, nose, mouth, then the back and extremities

Question 17

‘The mother of 2-year-old triplets is anxious and worried because one of the trio does not seem to be developing at the same rate as the other two. Which assessment finding would lead the nurse to question the need for further diagnostic testing for this child?

Answer 17

The top of her ears or below the corners of her eyes

Question 18

The nursing student is preparing to explain the appropriate steps for assessing an infant. The instructor determines the student’s presentation is successful after illustrating which location as appropriate for obtaining an apical pulse?

Answer 18

Between the sternum and the left nipple

Question 19

A 5-yr-old child is scheduled for a dressing change that will produce moderate pain. What pre-procedural intervention should the nurse prioritize?

Answer 19

Administer pain medication prior to the procedure

Question 20

What assessment tools should the nurse prioritize to measure pain in children? Select all that apply.

Answer 20

The color scale, faces scale, PCA scale 

Question 21

The nurse is administering an intramuscular injection of an antibiotic to a 3-month-old child. Which would be the best site for the nurse to give this medication

Answer 21

Thigh

Question 22

A nurse is preparing to administer an intramuscular (IM) injection to a child. Which of the following muscle groups is contraindicated?

Answer 22

Dorsogluteal

Question 23

If the child is following a normal development process, visual acuity gradually increases from birth. What is most accurate regarding the age children develop 20/20 vision?

Answer 23

Children usually Develop 2020 vision by the age of five

Question 24

A symptom often seen in the child diagnosed with Haemophilus influenzae meningitis occurs when the child has a stiff neck. This symptom is referred to as which of the following

Answer 24

Nuchal rigidity

Question 25

The nurse is collecting data on an 18-month-old child admitted with a diagnosis of possible seizures. When interviewing the caregivers, which questions would be most important for the nurse to ask?

Answer 25

Have you checked the child’s temperature?

Question 26

The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the emergency department at 2 AM on a cold winter night to say that the child has awakened with a barking cough and an elevated temperature; she seems blue around her mouth. The nurse would most appropriately recommend what action to the caregiver?

Answer 26

Bring the child the emergency room immediately

Question 27

In caring for the child with asthma, the nurse recognizes that bronchodilator medications are administered to children with asthma for which reason?

Answer 27

Relief of acute symptoms

Question 28

The nurse is teaching the caregivers of a child with cystic fibrosis. What is most important for the nurse to teach this family

Answer 28

Encourage everyone in the family to use good hand hand washing techniques ‘

Question 29

The nurse is caring for a child with congestive heart failure and is administering the drug digoxin. At the beginning of this drug therapy, the process of digitalization is done for which reason?

Answer 29

To go to blood level to a therapeutic level

Question 30

The care provider has ordered the drug furosemide to treat a child diagnosed with congestive heart failure. The nurse knows that this drug will be used to

Answer 30

Eliminate Excessive fluid

Question 31

In developing a plan of care for the child diagnosed with rheumatic fever, the nursing intervention that takes highest priority for this child is to

Answer 31

Promote bed rest and rest.

Question 32

The nurse is caring for a child with leukemia. Which nursing intervention would be the highest priority for this child?

Answer 32

Follow the guidelines for protective isolation

Question 33

The nurse has admitted a child with a diagnosis of severe gastroenteritis. To help prevent the risk of transmitting infection to other clients, the nurse should:

Answer 33

standard precaution

Question 34

A nurse stops at her friend’s house one evening to visit. Her friend isn’t home but a teenager watching TV says she is babysitting for the family’s three children. The nurse notices that one of the children is chewing several pieces of something white. He is also drooling and crying. A container that looks like an empty pill bottle is on the floor. The first action by the nurse would be to:

Answer 34

Remove the substance from the child’s mouth

Question 35

The nurse is caring for a child admitted to the emergency center in diabetic ketoacidosis. Which clinical manifestations would the nurse most likely note in this child?

Answer 35

Drowsiness and fruity odor to breath

Question 36

The nurse is caring for a child diagnosed with a urinary tract infection. The caregiver asks the nurse why it is so important for the child to have so much fluid. The nurse tells the caregiver that the most important reason the child needs increased fluids is to:

Answer 36

Dilute the urine and flush the bladder

Question 37

The nurse is caring for a child who is being evaluated for a possible nephroblastoma. Which nursing intervention would be important for this child

Answer 37

Protect the child from having the abdomen palpated.

Question 38

The caregiver of a 2-year-old who has a polyurethane resin cast on her arm calls the clinic to report that her child is crying and says that the cast has sand in it. The caregiver states that she has had casts herself and knows how badly they can itch. She says she always used a hanger to scratch but is worried that it will be too sharp for the child. Which statement would be appropriate for the nurse to make to this caregiver?

Answer 38

Nothing should be put into the cast. You can blow cold air into it with a hairdryer

Question 39

The nurse is caring for a child admitted with juvenile idiopathic arthritis (JIA). Which of the clinical manifestation would likely have been noted in the child with this diagnosis?

Answer 39

Inflammation of the joints

Question 40

In discussing the treatment for children with scoliosis, a group of pediatric nurses makes the following statements. Which statement is most accurate related to the treatment of scoliosis?

Answer 40

Children treated for scoliosis by using braces have to wear the brace almost all the time

Question 41

The caregiver of a fifth-grade boy calls the pediatrician’s office and reports that her son has been scratching at his groin for a week or so. Despite his need for privacy, he’s finally allowed the caregiver to look at the groin area. The caregiver describes the area to the nurse saying, “It looks like black pin dots that seem to have dark tails.” The nurse suspects that the child may have which of the following?

Answer 41

Scabies

Question 42

A school-aged child is brought to the office of the camp nurse with a small, superficial burn. Which action by the nurse would be the most appropriate action for the nurse to do first?

Answer 42

Administer acetaminophen

Question 43

The nurse is discussing medications to be given to a child who has been diagnosed with candidiasis. Which of the following medications would most likely be prescribed for the child?

Answer 43

Nystatin

Question 44

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?

Answer 44

The nurse follows contact precaution

Question 45

What are some signs of abuse or neglect that may be assessed on a child? Select all that apply.

Answer 45

The child has a spinal fracture, the child is suffering from malnutrition, attending school in shorts and T-shirt in January while it’s snowing

Question 46

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse. Which finding might alert the nurse to this possibility that the child may have been abused?

Answer 46

The child has a friend that has not been treated

Question 47

The nurse is collecting data on an 18-month-old old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

Answer 47

The child does not make eye contact

Question 48

The nurse in the well-child clinic observes that a 5-year-old child in the waiting room is having trouble using a crayon to color. During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. Each time the nurse reminds him he says, “Oh, yeah,” and happily climbs back up. The nurse suspects that the child has:

Answer 48

Adhd