Test 7 Flashcards

1
Q

A child’s provider has ordered a diphtheria, teanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question administration:

A. afebrile otitis media
B. evidence of sensitivity to egg antigens
C. temperature of 104.9 F after last DTaP
D. new onset of seizure disorder in the child’s sibling.

A

C. temperature of 104.9 F after last DTaP

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2
Q

The partner of an older adult client reports that he has had to speak louder than usual for his spouse to be able to hear. him The client has stopped actively participating in social activities and group conversations. The nurse should recognize that these findings are likely due to which of the following:

A. mastoiditis
B. prebycusis
C. prebyopia
D.

A

B. prebycusis

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3
Q

A nursing is planning care for a hospitalized 4 year old child. The nurse should include providing a:

A. plastic stethoscope
B. brightly colored mobile
C. jigsaw puzzle
D. helium filled latex balloon

A

A. plastic stethoscope

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4
Q

A parent tells the nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The client is at risk for which of the following:

A. iron deficiency anemia
B. rickets
C. diabetes mellitus
D. obesity

A

A. iron deficiency anemia

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5
Q

For an infant who ingested lye, which of the following is an appropriate action of a nurse:

A. observe for increasing restlessness
B. induce vomiting
C. administer a chelating agent
D. monitor liver enzymes

A

A. observe for increasing restlessness

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6
Q

A 10 year old client who will need to be hospitalized for an extended period of time. Which of the following is appropriate for meeting the client’s psychosocial needs:

A. arrange for the teacher to prepare lesson plans for him.
B. allow him to select his own food from the menu.
C. encourage visits from his friends.
D. provide a daily session with a play therapist.

A

A. arrange for the teacher to prepare lesson plans for him.

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7
Q

A two year old has a tantrum when the parent leaves. Which of the following therapeutic toys is most appropriate for the nurse to provide:

A. set of building blocks
B. toy hammer with a pounding board
C. picture book about hospitals
D. stuffed animal

A

B. toy hammer with a pounding board

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8
Q

When reinforcing teaching to a parent of a toddler about dealing with temper tantrums. Which of the following statements by the parent indicates understanding of the teaching:

A. I should turn on the tv as a distraction
B. I should limit his options until he is older
C. I should honor his original request
D. I should ignore the tantrum behavior.

A

D. I should ignore the tantrum behavior.

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9
Q

Which of the following toys is developmentally appropriate for a 6 month old infant:

A. a set of colorful stacking rings of different sizes.
B. a colorful crib mobile that plays music
C. a soft toy that squeaks or crackles when squeezed.
D. a wooden farm animal puzzle with large pieces.

A

C. a soft toy that squeaks or crackles when squeezed.

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10
Q

Which of the following toys meet the developmental needs of a 12 month old on contact precautions:

A. push-pull toy
B. crib gym
C. stuffed animal
D. coloring book

A

A. push-pull toy

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11
Q

Which of the following measures should a nurse take first when assisting in planning the care of an older adult client in a long-term care facility.

A. explaining the roles of the RN, PN, and assistive personnel.
B. understanding the client’s routine for his own care at home
C. determining the client’s mobility
D. introducing health care team members to the client

A

B. understanding the client’s routine for his own care at home

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12
Q

A nurse is reinforcing teaching about nutrition to a parent of a toddler. Which of the following should be included in the teaching:

A. toddlers have increased appetite
B. toddlers have a decrease nutritional need.
C. offer foods that are mixed together.
D. fill the plate with multiple food choices

A

B. toddlers have a decrease nutritional need.

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13
Q

A nurse is assessing the psychosocial development of a toddler. The nurse is aware that this stage is characterized by which of the following:

A. imaginary playmates
B. Erikson’s stage of initiative versus guilt
C. demonstrations of sexual curiosity.
D. negative behaviors characterized by the need for autonomy

A

D. negative behaviors characterized by the need for autonomy

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14
Q

Which of the following lunch choices is appropriate for a 14 month old child

A. chicken nuggets and green beans
B. commercially prepared formula
C. chicken and strained beans
D. hamburger and french fries

A

A. chicken nuggets and green beans

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15
Q

By which of the following ages is the birth weight typically doubled:

A. 3 months
B. 6 months
C. 9 months
D. 12 months

A

B. 6 months

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16
Q

Which major developmental task is important during adolescence:

A. building a sense of trust
B. learning to utilize creative energies
C. learning to defer gratification
D. defining a sense of self

A

D. defining a sense of self