Practise practise Practise!!

Question 1

Your patient currently has an intravenous infusion of Normal Saline 0.9% running
at 125mls/hr. You know that Normal Saline is a Isotonic solution that

Answer 1

“Has a solute concentration equivalent to the cell and therefore remains in the extracellular space without drawing water from the cell”

Question 2

Hypovolaemic shock is a genuine risk for patients with extensive burn injuries.
This is primarily caused by:

Answer 2

Increased oncotic pressure in the interstitial space related to increased vessel wall permeability due to burns

Question 3

The doctor prescribes a crystalloid solution to be administered to restore blood
volume. The nurse knows that a crystalloid solution is:

Answer 3

A water-based solution that passes across semi-permeable membranes via osmosis.

Question 4

1. Probenecid is prescribed in conjunction with penicillin as treatment for syphilis because probenecid helps

Answer 4

a) Inhibit excretion of penicillin

Question 5

1. in education this client, the nurse should emphasise that in women gonorrhoea

Answer 5

a) may not cause symptoms until complications occur

Question 6

1. as winstons condition worsens, his rising intracranial pressure would be indicated by

Answer 6

a) rising blood pressure and falling pulse rate

Question 7

1. When assessing josies respiratory status, which of the following symptoms may be an early indicator of hypoxia

Answer 7

Restlessness

Question 8

1. Baby john was admitted with streptococcal pharyngitis. Upon discharge his mother was told to return to the doctors in 2 weeks with a urine specimen. The urine would mostly be examined

Answer 8

For protein to determine if acute glomerulonephritis is developing

Question 9

Eriksons theory of human development describes

Answer 9

Eight psycholocial crises all people are thought to

Question 10

1. While caring for a child recovering from viral penumonia, you examine his lungs for evidence of exudate and fluid. Which finding would suggest cause for concern

Answer 10

a) Dullness of his lower lobes heard on percussion

Question 11

1. Bronchiolitis is a common __________ infection, which peaks in incidence in children aged __________. Symptoms usually peak around day __________

Answer 11

Viral, less than two years of age, three to five

Question 12

1. Which of the following statements is NOT true of bacterial meningitis

Answer 12

There is usually no associated temperature rise

Question 13

1. Which of the following would the nurse explain to the mother of a child receiving digoxin (lanoxin) as the primary reason for giving this drug

Answer 13

a) To improve the strength of the heartbeat

Question 14

1. During the acute state of meningitis, a 3 year old child is restless and irritable. Which of the following would be most appropriate to institute

Answer 14

a) Hemorrhagic skin rash

Question 15

1. Which of the following would first alert the nurse to suspect that a child with severe gastroenteritis who has been receiving intravenous therapy for the past several hours may be developing circulatory overload

Answer 15

a) Auscultation of moist crackles

Question 16

1. A 10 year old child with a history of asthma uses an inhaled bronchodilator only when needed. He takes no other medications routinely. His best peak expiratory flow rate is 270 L/min. the childs current peak flow reading is 180 L/min. the nurse interprets this reading as indicating which of the following

Answer 16

a) The child needs to begin treatment with inhaled cromolyn sodium (intal) for asthma control

Question 17

a) The child needs to begin treatment with inhaled cromolyn sodium (intal) for asthma control

Answer 17

a) Achieving age appropriate social skills

Question 18

Which of the following statements obtained from the nursing history of a toddler would alert the nurse to suspect the child has had a febrile seizure

Answer 18

Which of the following statements obtained from the nursing history of a toddler would alert the nurse to suspect the child has had a febrile seizure

Question 19

1. The nurse judges that the mother understands the term cerebral palsy when she describes it as a term applied to impaired movement resulting from which of the following

Answer 19

a) Non progressive brain damage caused by injury

Question 20

1. When developing the plan for care for a child with early duchennes muscular dystrophy, which of the following would the nurse identify as the primary nursing goal for the child

Answer 20

Maintaining function of unaffected muscles

Question 21

1. Which of the following would be an important assessment finding for an 8 month old infant admitted with severe diarrhea

Answer 21

a) Depressed anterior fontanel

Question 22

1. Which of the following age groups are most susceptible to meningococcal meningitis

Answer 22

Children below 5 years of age

Question 23

1. When developing the postoperative plan of care for an adolescent who has undergone an appendicectomy for a ruptured appendix, in which of the following positions would the nurse expect to place the client during the early postoperative period

Answer 23

a) The semi fowlers position