UNIT 3

Question 1

The nurse is caring for children in a healthcare provider’s office where health supervision is practiced. Which are some points of focus of health supervision? Select

all that apply.

A) Making referrals for all healthcare needs

B) Monitoring disease incidence

C) Optimizing the child’s level of functioning

D) Monitoring quality of care provided

E) Teaching parents to prevent injury
F) Providing care developed from national guidelines

Answer 1

C E F

Question 2

The nurse is providing care for children in a pediatric medical home. What is a characteristic of care in these types of facilities?
A) All insurance except Medicaid is accepted.

B) Ambulatory care is not provided
C) A centralized database contains all child information.

D) Continuity of care is provided from infancy through adulthood.

Answer 2

C

Question 3

The nurse is preparing a presentation to a local parent group about pediatric health supervision. Which would the nurse emphasize as the focus?
A) Injury prevention

B) Wellness

C) Health maintenance

D) Developmental surveillance

Answer 3

B

Question 4

A large portion of the nurse’s efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

A) An urgent care center

B) A pediatric practice

C) A mobile outreach immunization program

D) A dermatology practice

Answer 4

B

Question 5

The nurse strives to provide culturally competent careafor children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

A) The nurse treats all children the same regardless of their culture.

B) The nurse negotiates a care plan with the child and family.

C) The nurse researches the child’s culture and provides care based on the findings.

D) The nurse provides future-based care for culturally diverse children

Answer 5

B

Question 6

The nurse is aware that the community affects the health of its members. Which statements accurately reflect a community influence of health t care? Select all that apply.

A) A community can be a contributor to a child’s health or be the cause of his
or her illnesses.

B) The child’s health should be separated from the health of the surrounding community.

C) Community support and resources are necessary. for t children with significant problems.

D) Poverty has not been linked to an increase in health/ problems in communities.

E) The breakdown of community and family support systems can lead to depression and violence.

F) Ideally, the child’s medical home is located outside the community.

Answer 6

A C E

Question 7

The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider’s office for a check-up. Which psychosocial issues may be assessed? Select all that apply.

A) Health insurance coverage

B) Transportation to healthcare facilities

C) School’s response to the chronic illness

D) Past medical history

E) Future treatment plans

F) Health maintenance needs

Answer 7

A B C

Question 8

The nurse is examining a 2-year-old child who was adopted from Guatemala. What

would be a priority screening for this child?

A) Screening for congenital defects

B) Screening for abuse

C) Screening for childhood illnesses

D) Screening for infectious diseases

Answer 8

D

Question 9

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided
by the nurse?

A) “Are you having concerns about depression in your son?”

B) “Screening in at risk teens should be completed annually after age 14.”

C) “Children should be screened for depression every year beginning at age 11.”

D) “If you notice that your son is having mood issues, we can certainly refer him for an evaluation with a therapist.”

Answer 9

C

Question 10

During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse’s best response?
A) “I’ll be able to tell you more after I do his physical.”

B) “Fill out the questionnaire and then I can let you know.” C) “Tell me what concerns you.”
D) “All mothers worry about their babies. I’m sure he’s doing well.”

Answer 10

C

Question 11

A 3-year-old child is scheduled for a hearing screening. The nurse would prepare

the child for screening by which method?

A) Auditory brainstem response

B) Evoked otoacoustic emissions

C) Visual reinforcement audiometry

D) Conditioned play audiometry

Answer 11

D

Question 12

A 2-week-old child responds to a bell during an initial health supervision examination. The child’s records do not show that a newborn hearing screening was done. Which is the best action for the nurse to take?

A) Do nothing because responding to the bell proves he does not have a hearing deficit.
B) Immediately schedule the infant for a newborn hearing screening.

C) Ask the mother to observe for signs that the infant is not hearing well.
D) Screen again with the bell at the 2-month-old health supervision visit.

Answer 12

B

Question 13

The nurse is performing developmental surveillance for . children at a medical home. Which infants aremost at risk for developmental delays? Select all that apply.

A) A child whose birthweight was 1,600 g

B) A child whose parent has a mental illness

C) A child raised by a single parent

D) A child with a lead level above 10 mg/dL

E) A child with hypertonia or hypotonia
F) A child with gestational age more than 33 weeks

Answer 13

B C D E

Question 14

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse’s best intervention in this case?

A) Schedule a full evaluation since this may indicate a neurologic disorder.

B) Note the regression in the child’s chart and recheck in another month.

C) Document the findings as a developmental delay. sincet this is a normal occurrence.

D) Ask the parents if they have changed the child’s schedule to a less active one.

Answer 14

A

Question 15

.During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. When is the correct time for / the dentist visit?

A) By the first birthday

B) By the second birthday

C) By entry into kindergarten

D) By entry into first grade

Answer 15

A

Question 16

A mother and her 4-week-old infant have arrived for abhealth maintenance visit. Which activity will the nurse perform?

A) Assess the child for an upper respiratory infection. m/test

B) Take a health history for a minor injury.

C) Administer a varicella injection.

D) Plot the child’s head circumference on a growth chart.

Answer 16

D

Question 17

The nurse is screening a 6-year-old child for mental ability. Which test would the nurse use to assess intelligence?

A) Denver Articulation Screening
B) Denver PRQ

C) Goodenough–Harris Drawing Test

D) Parents’ Evaluation of Developmental Status (PEDS)test

Answer 17

C

Question 18

When assessing the vision of a 2-month-old, what would thet nurse use?

A) Black-and-white checkerboard

B) Red and blue circles

C) Gray and blue animal drawings

D) Green and yellow letters

Answer 18

A

Question 19

The nurse is performing a risk assessment of a 5-year-old and determines the child has a risk factor for cystic fibrosis. What type of screening would the nurse

perform to confirm or rule out this disease?

A) Universal screening

B) Selective screening

C) Hyperlipidemia screening

D) Developmental screening

Answer 19

B

Question 20

The nurse is caring for an infant who had hyperbilirubinemia requiring exchange transfusion. Based on this information, this infant is at risk for what type of disorder?

A) Vision loss

B) Hearing loss

C) Hypertension

D) Hyperlipidemia

Answer 20

B

Question 21

The nurse is performing a vision screening for a 4-year-old child. Which screening chart would be best for determining the child’s visual acuity?/test

A) Snellen

B) Ishihara

C) Allen figures

D) Color Vision Testing Made Easy (CVTME)

Answer 21

C

Question 22

The nurse isexplaining the difference between active and passive immunity to the student nurse. Which statement accurately describes a characteristic of the process of immunity?

A) Active immunity is produced when the immunoglobulins of one person are
transferred to another.

B) Passive immunity can be obtained by injection of exogenous immunoglobulins.
C)Active immunity can be transferred frommothers to infants viacolostrum or the placenta.

D) Passive immunity is acquired when a person’s own immune system generates the immune response.

Answer 22

B

Question 23

The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type of vaccine?

A) Killed vaccines

B) Toxoid vaccines

C) Conjugate vaccines

D) Recombinant vaccines

Answer 23

D

Question 24

The nurse is discussing vaccination for Haemophilus influenzae type B (Hib) with the mother of a 6-month-old child. Which comment provides the most compelling reason to get the vaccination?

A) “These bacteria live in every human.”

B) “Young children are especially susceptible to these bacteria.”

C) “You have a choice of two excellent vaccines.”birb.com/test

D) “Your child needs this final dose for protection.”

Answer 24

B

Question 25

The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which comment provides themosttcompelling reason for the vaccine?

A) “The most common side effect is injection site soreness.”

B) “This is a recombinant or genetically engineered vaccine.”

C) “Immunizations are needed to protect the general population.”

D) “This protects your child from infection that can cause liver disease.”

Answer 25

D

Question 26

After teaching the mother about follow-up immunizations for her daughter, who received the varicella vaccine at age 14 months, the nurse determines that the teaching was successful when the mother states that a follow-up dose should be

given at which time?

A) When the child is 20 to 36 months of age

B) When the child is 4 to 6 years of age

C) When the child is 11 to 12 years of age

D) When the child is 13 to 15 years of age

Answer 26

B

Question 27

The nurse working in a community clinic attempts to establish a free vaccination program to refer low-income families. What is the key strategy for success when implementing a health promotion activity?

A) Partnership development

B) Funding for projects

C) Finding an audience

D) Adequate staffing

Answer 27

A

Question 28

The nurse is providing anticipatory guidance to an obese teenager. Which intervention would be most likely to promote healthy weight in teenagers?

A) Make the focus of the program weight centered.

B) Begin directly advising children about their weight at age 6.

C) Focus physical activity on competitive sports and activities.

D) Obtain nutritional histories directly from the school-age child and adolescent.

Answer 28

D

Question 29

.Amother of threebrings her children in for their vaccinations.Themother tells the nurse that her mother recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply.

A) The mother rarely looks at her infant when the nurse is assessing the child.
B)The mother voices pride in the academic accomplishments of her 7-year-old child.

C) The mother becomes very frustrated and tellsathe nurse she can’t handle her toddler’s temper tantrum.

D) The mother asks if the nurse has suggestions on ways to potty train her toddler.

E) The mother utilizes the correct size of infant car seat for her 3-month-old

child.

Answer 29

A C

Question 30

Three children in a family, ages 7 months, 4 years, and 9 years have been tested for lead poisoning. The two younger children’s tests reflect elevated lead levels and they will be undergoing treatment. The children’s mother questions why her younger children were not “spared” as their older sibling was. What response by the nurse is most correct?

A) “Some children are better able to metabolize toxins such as lead after exposure.”

B) “Your older child has a stronger liver and kidneys, which have helped her to better rid her body of the lead.”
C) “Younger children are often impacted because of their play behaviors place them on the floors and they often put things into their mouths.”

D) “It is likely your older child may have haDd elevated levels earlier in life but has gotten over the condition.”

Answer 30

C

Question 31

The nurse caring for a 6-year-old client enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response
by the nurse?

A) Ask the child to try swallowing the pill and offer a choice of drinks to take

with it.

B) Crush the pill and add it to applesauce.

C) Request that the healthcare provider prescribebthe medication in liquid

form.

D) Call the pharmacy and ask if the pill can be crushed.est

Answer 31

D

Question 32

The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

A) The nurse identifies the child by checking the name on the child’s chart.

B)The nurse makes sure the medication isgiven within the hour of the ordered time.

C) The nurse checks the documented time of the last dosage administered.

D) The nurse calculates the dosage according to the child’s weight.

E)The nurse explains the therapeutic effects of the medication to the child and
parents.

F) The nurse administers the medication even though the child is adamant
about not taking it.

Answer 32

C D E

Question 33

The nurse is teaching the student nurse the factors that affect the

pharmacodynamics of the medications being administered. What is a factor affecting

this property of medication in children?

A) Immature body systems

B) Weight

C) Body surface

D) Body composition

Answer 33

A

Question 34

When describing the differences affecting the pharmacokinetics of drugs

administered to children, which would the nurse include?

A) Oral drugs are absorbed more quickly in children . than adults.

B) Absorption of intramuscularly administered drugs is fairly constant.

C) Topical drugs are absorbed more quickly in young children than adults.

D) Absorption of drugs administered by subcutaneous injection is increased.

Answer 34

C

Question 35

The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a nasogastric feeding tube. The nurse is reviewing interventions to
promote growth and development. Which response from the mother indicates a need for further teaching?

A) “I will give him a pacifier during feeding time.”
B) “We need to keep feeding time very quiet.”

C) “We need to make sure he doesn’t lose the desire to t eat by mouth.”

D) “Sucking produces saliva, which aids in digestion.”

Answer 35

B

Question 36

The nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. The safe dose for children is 50 to 100 mg/kg/day divided in dosestadministered every 6

hours. What would be the low single safe dose and high singlet safe dose per day for

this child?

A) 50 to 100 mg per dose

B) 100 to 500 mg per dose

C) 500 to 1,000 mg per dose

D) 1,000 to 5,000 mg per dose

Answer 36

C

Question 37

The nurse is preparing to administer a medication to a 5-year-old who weighs 35 lb.

The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range
for this child?

A) 8 to 16 mg

B) 16 to 32 mg

C) 35 to 70 mg

D) 70 to 140 mg

Answer 37

B

Question 38

The nurse is administering a crushed tablet to an 18-month-old infant. What is a

recommended guideline for this intervention?

A) Mix the crushed tablet with a small amount ofaapplesauce.

B) Place the crushed tablet in the infant’s formula.

C) Mix the crushed tablet with the infant’s cereal.birb.com/test

D) Crushed tablets should only be mixed with water.

Answer 38

A

Question 39

The nurse is preparing to administer medication to a child with t a gastrostomy tube in place. What is a recommended guideline for this procedure? Select all that apply.

A) Verify proper tube placement prior to instilling medication.

B) Mix liquid medications with a small amount of water and add directly into

the tube.

C) Mix powdered medications well with cold water first.

D) Crush tablets and mix with warm water to prevent tube occlusion.

E) Open up capsules and mix the contents with warm water.

F) Flush the tube with water after administering medications.

Answer 39

A D E F

Question 40

The nurse is administering immunizations to children in a neighborhood clinic.

What is the most frequent route of administration?

A) Oral

B) Intradermal

C) Intramuscular

D) Topical

Answer 40

C

Question 41

The nurse is preparing to administer insulin to a diabetic child.Which would be the

recommended route for this administration?

A) Subcutaneous

B) Intradermal

C) Intramuscular

D) Oral

Answer 41

A

Question 42

The nurse is caring for an 8-year-old girl who requires medication that is only

available in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which statement indicates a i need for further teaching?

A) “I can encourage her to place it on the back of her tongue.”
B) “I can pinch her nose to make it easier to swallow.”

C) “We cannot crush this type of pill as it will affectbthe/tdelivery of the medication.”

D) “We can place the tablet in a spoonful of applesauce.”t

Answer 42

B

Question 43

The nurse is providing teaching on how to administer nasal drops. Which response by the parents indicates a need for further teaching?

A) “We need to be careful not to stimulate a sneeze.”
B) “She needs to remain still for at least 10 minutes after administration.”

C) “Our daughter should lie on her back with her head hyperextended.”

D) “We must not let the dropper make contact with the nasal membranes.”

Answer 43

B

Question 44

The nurse is administering a liquid medication to a 3-year-old using an oral

syringe. Which action would be most appropriate?

A) Direct the liquid toward the anterior side of thei mouth.

B) Keep the child’s hand away from the oral syringe when squirting the

medication.

C) Give all of the drug in the syringe at one time with one squirt.

D) Allow the child time to swallow the medication in . between amounts.

Answer 44

D

Question 45

After administering eye drops to a child, the nurse applies gentle pressure to the

inside corner of the eye at the nose for which reason?

A) To promote dispersion over the cornea

B) To enhance systemic absorption

C) To ensure the medication stays in the eye

D) To stabilize the eyelid

Answer 45

C

Question 46

The nurse is preparing to administer an intramuscular injection to an 8-month-old

infant. Which site would the nurse select?

A) Rectus femoris

B) Vastus lateralis

C) Dorsogluteal muscle

D) Deltoid

Answer 46

B

Question 47

The nurse is caring for children who are receiving IV therapyt in the hospital

setting. For which children would a central venous device be indicated?

A) A child who is receiving an IV push

B) A child who is receiving chemotherapy for leukemia
C) A child who is receiving IV fluids for dehydration

D) A child who is receiving a one-time dose of a medication

Answer 47

B

Question 48

The nurse is determining the amount ofIV fluids to administer in a 24-hour period

to a child who weighs 40 kg. How many milliliters should i the nurse administer?

A) 1,000 mL

B) 1,500 mL

C) 1,750 mL

D) 1,900 mL

Answer 48

D

Question 49

A nurse has just administered medication via an orogastric tube. What is the

priority nursing action following administration?

A) Check tube placement.

B) Retape the tube.

C) Flush the tube.

D) Remove the tube.

Answer 49

C

Question 50

A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin

breakdown and irritation at the insertion site. Which would. be/ the most appropriate method to clean and secure the gastrostomy tube?

A) Make sure the tube cannot be moved in and out of thet child’s stomach.

B) Use adhesive tape to tape the tube in place and prevent movement.

C) Place a transparent dressing over the site whether there is drainage or not.

D) If any drainage is present, use a presplit 2 × 2 and place it loosely around

the site.

Answer 50

D

Question 51

The nurse is explaining to the student nurse the therapeutic effects of total

parenteral nutrition (TPN). What accurately describes ther use/ of TPN?

A) It is used short term to supply additional calories and nutrients as needed.

B) It is delivered via the peripheral vein to allow rapid dilution of hypertonic

solution.

C) It is a highly concentrated solution of carbohydrates, electrolytes, vitamins,

and minerals.

D) It is usually used when the child’s nutritional status iss within acceptable

parameters.

Answer 51

C

Question 52

The nurse is caring for a 6-year-old child who has multisystem trauma due to a

motor vehicle accident. The child is receiving total parenteral nutrition (TPN). What is

a recommended nursing intervention for children on TPN?

A) Initially, check blood glucose levels frequently, such as every 4 to 6 hours,

to evaluate for hyperglycemia.

B) Be vigilant in monitoring the infusion rate, changeothe rate as necessary,

and report any changes to the healthcare provider or nurse practitioner.

C) If for any reason the TPN infusion is interrupted ior stops, begin an infusion

of a 10% saline at the same infusion rate as the TPN.

D)Administer TPN continuously over an 8-hour period, or after initiation it may

be given on a cyclic basis, such as over a 12-hour period during the night.

Answer 52

A

Question 53

The nurse is caring for a child who is receiving total parenteral nutrition (TPN) for failure to thrive. Which nursing action might the nurse take to prevent complications
from this therapy?

A) Adhere to clean technique when caring for the catheter and administering

TPN.

B) Ensure that the system remains an open system at all times.

C) Secure all connections and open the catheter during/ttubing and cap changes.

D) Use occlusive dressings and chlorhexidine-impregnated sponge dressings.

Answer 53

D

Question 54

A healthcare provider orders a medication dosage thatbis above the normal dosage. The nurse administers the medication without questioning the dosage. What error did the nurse make?

A) The nurse violated one of the “rights” of medication administration.

B) The nurse performed an act outside the scope of practice for nursing.

C) The nurse has not made an error, but the healthcare provider did by ordering the wrong dosage of medication.

D) The nurse has committed an act of maleficence by administering the

medication.

Answer 54

A

Question 55

The nurse notes that a child with a swallowing difficulty is receiving a continuous

tube feeding. The child is very active, and the feeding frequently gets interrupted because the tube becomes disconnected. What should the nurse discuss with the healthcare provider about the tube feeding?

A) The nurseshould ask the healthcare provider if the client couldreceive total

parenteral nutrition.

B) The nurse should ask the healthcare provider ifi the client could receive

bolus rather than continuous tube feedings.

C) The nurse should ask the healthcare provider if the client could receive the

tube feedings during the night rather than continuously during all hours.

D)The nurse should ask the healthcare provider if thecclient couldbe given oral

rather than tube feedings.

E) The nurse should ask the healthcare provider ifi the client could be given a

sedative in order to prevent disruption of the tube feedings.

Answer 55

B C

Question 56

The parents of a child receiving total parenteral nutrition ask the nurse why their

child must have their blood glucose monitored so frequently since they are not diabetic. What is the best response by the nurse?

A) “We like to keep a close check on the blood glucose for all children receiving total parenteral nutrition.”

B) “It is important to monitor the blood glucose level because the solution has a high concentration of carbohydrates that convertr to glucose.”

C)“This is a good time for us to monitor your child in case they start developing

signs of diabetes related to receiving total parenteral nutrition.”

D) “I would suggest you ask the healthcare provider why blood glucose checks have been ordered so frequently.”

Answer 56

B

Question 57

The student nurse is preparing to administer eye drops to a 2-year-old child.

Which actions indicate the need for additional instruction? Select all that apply.
A) The student nurse explains the medication regimen to the child’s parents.

B)The nurse holds the medication bottle 3 inches from the child’s nurse during

administration.

C) The child is instructed to look down during the instillation of the medication

in the eyes.

D) The student nurse seeks assistance to hold thebchild /during the medication administration.

E) The child is turned so the medication flows towardothe outer corner of the eye.

Answer 57

B C E

Question 58

The nurse is monitoring the output for a 10-year-old child. The medical record

indicates the child weighs 78 lb (35 kg). How much uriner can /be anticipated for this child for a 12-hour period?

A) 300 to 1200 mL

B) 360 to 900 mL

C) 420 to 840 mL

D) 600 to 1200 mL

Answer 58

C

Question 59

The nurse if checking placement on a child’s feeding tube./ When the pH is

checked, it is 5.3. What action by the nurse is indicated?

A) Remove the tube.

B) Document the findings as normal.

C) Contact the healthcare provider.

D) Reevaluate the pH again in 2 hours.

Answer 59

C

Question 60

The nurse will be administering a medication to a child that is primarily excreted by the kidney. The nurse is aware that this action is especially dangerous until the child reaches what age? Record your answer in years.

Answer 60

AGE 2

Question 61

The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret as most indicative of sepsis?
A. Rash on face B. Edematous neck
C. Hypothermia D. Coughing

Answer 61

C

Question 62

The nurse is preparing a plan of care for a 5-year-old boy with chickenpox. Which nursing intervention should be questioned?
A. Administer antipyretics as ordered. B. Keep the child’s fingernails short.
C. Monitor fluid intake and output. D. Provide alcohol baths as needed.

Answer 62

D

Question 63

The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever.
What would the nurse include in this teaching plan?
A. Keeping the child covered and warm

B. Calling the doctor if the child’s fever lasts more than 36 hours C. Ensuring fluid intake to prevent dehydration
D. Observing for changes in alertness resulting from brain damage

Answer 63

C

Question 64

After teaching a mother how to remove a tick from her 6-year-old boy’s arm, the nurse determines that additional teaching is needed when the mother makes what statement? A. “I’ll protect my fingers with a paper towel.”
B. “I’ll grasp the tick and pull it away quickly.” C. “I should put the tick in a plastic bag in the freezer.”
D. “I need to grasp the tick close to the child’s skin.”

Answer 64

B

Question 65

The nurse is performing a physical examination of an 8-year-old girl who was bitten by her kitten. Which assessment would lead the nurse to suspect cat-scratch disease?
A. Swollen lymph nodes B. Strawberry tongue
C. Infected tonsils D. Swollen neck

Answer 65

A

Question 66

A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host? A. Keeping linens dry and clean
B. Maintaining skin integrity
C. Washing hands frequently D. Coughing into a handkerchief

Answer 66

B

Question 67

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. r Which assessment finding would the nurse expect to find?
A. Swelling in the neck B. Confusion and anxiety
C. Ring-like rash on lower leg D. Hypersalivation

Answer 67

C

Question 68

The nurse determines that it is necessary to implement airborne precautions for children with which infection?
A. Measles
B. Streptococcus group A C. Rubella
D. Scarlet fever

Answer 68

A

Question 69

A child is diagnosed with scarlet fever. The nurse is reviewing the child’s medical record, expecting which medication to be prescribed for this child?
A. Ibuprofen B. Acyclovir
C. Penicillin V D. Doxycycline

Answer 69

C

Question 70

A mother brings her 8-year-old son for evaluation because of arrash on t his lower leg. Which finding would support the suspicion that the child has Lyme disease?
A. Playing in the woods about a week ago
B. Rash is papular and vesicular C. High fever occurring about 4 days before the rash
D. Reports of extreme pruritus with visible nits

Answer 70

A

Question 71

After teaching the parents of a child with chickenpox (varicella zoster), the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?
A. After day 5 of the rash
B. When the rash is completely healed
C. Once the rash appears D. After the lesions have crusted

Answer 71

D

Question 72

After teaching a class on the role of white blood cells in infection, the instructor determines that the teaching was successful when the class identifies which type of white blood cells as important in combating bacterial infections?
A. Neutrophils
B. Eosinophils
C. Basophils
D. Lymphocytes

Answer 72

A

Question 73

A nursing instructor is teaching a group of students about the action of antipyretic agents in children. The instructor determines that the teaching has been successful when the students identify which action as the primary action?
A. Cause vasodilation to promote heat loss
B. Decrease the temperature set point C. Block release of histamine
D. Promote prostaglandin production

Answer 73

B

Question 74

A nurse is instructing a parent on how to obtain a stool culture for ova and parasites from a child with diarrhea. What would the nurse include in the teaching plan?
A. “Give the child bismuth and then collect the next specimen.”
B. “Obtain the specimen from the toilet after the child has a bowel movement.” C. “Keep the specimen from coming into contact with any urine.”
D. “Bring the specimen to the laboratory on the third day

Answer 74

C

Question 75

The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which action would be most appropriate for the nurse to do?
A. Apply a cool compress for several minutes before collection. B. Elevate the extremity used after puncturing it.
C. Squeeze the area to facilitate specimen collection. D. Wipe away the first drop of blood with dry gauze.

Answer 75

D

Question 76

The nurse is assessing the tympanic temperature of several children./ The nurse documents that the child with which temperature reading has a fever?
A. 98.2° F (36.8° C) B. 99.2° F (37.3° C)
C. 100° F (37.8° C) D. 100.8° F (38.2° C)

Answer 76

D

Question 77

A school-aged child with an infectious disease is placed on transmission-based precautions. If the child is not dehydrated or otherwise in distress, which nursing diagnosis would be the priority?
A. Impaired skin integrity related to trauma secondary to pruritus and scratching
B. Fluid volume deficit related to increased metabolic demands and insensible losses C. Social isolation related to infectivity and inability to go to the playroom
D. Deficient knowledge related to how infection is transmitted

Answer 77

C

Question 78

When reviewing infectious diseases in the pediatric population, nursing students identify which disease as a common childhood exanthema?
A. Mumps
B. Rabies C. Rubella
D. West Nile virus

Answer 78

C

Question 79

The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge? A. “I can’t believe it. We’re not unclean, poor people.”
B. “We’ll have to get that special shampoo.” C. “Everybody in the house will need to be checked.”
D. “That explains his complaints of itching on his neck.”

Answer 79

A

Question 80

A nurse suspects that an adolescent may have community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA). What would the nurse expect to assess? Select all that apply.
A. Participation in contact sport B. Recent cut on the lower leg
C. History of a recent sore throat
D. Raised fluctuant lesions E. Erythematous rash over the trunk and face

Answer 80

A B D

Question 81

A child is diagnosed with a helminthic infection. Which treatments would the nurse expect to be prescribed? Select all that apply.
A. Erythromycin
B. Albendazole
C. Pyrantel pamoate
D. Acyclovir
E. Metronidazole

Answer 81

B C

Question 82

The client has a heavily draining wound for which there is an order to change the dressing every 4 hours. The nurse becomes busy and does not change the dressing as ordered. Which link in the chain of infection has the nurse allowed to flourish?
A. Susceptible host B. Portal of exit
C. Reservoir
D. Mode of transmission

Answer 82

C

Question 83

The parents of a 7-month-old child with an infection ask the nurse about how to treat their child’s fever. After providing teaching, the parents voice understanding with which statements? Select all that apply.

A. “If my child’s fever is under 102°F , I don’t need to make an appointment with the physician.” B. “Having a temperature over 38°C puts my child at risk for the infection spreading to the bloodstream.”
C. “I can use acetaminophen to help with the symptoms of the infection /but it won’t get rid of the infection.”
D. “Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high.”
E. “Any fever is dangerous and can cause serious damage to brain cells if it goes on too long

Answer 83

A C D

Question 84

. The mother of a 4-year-old boy has contacted the physician’saoffice. / She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided?
A. The illness should be seen in a week if he has been exposed.
B. Symptoms of the disease should show up within 24 to 48 hours of exposure. C. The incubation period for the disease is between 10 and 21 days.
D. Younger children will have longer periods of incubation.

Answer 84

C

Question 85

The nurse is providing education to the parents of a child diagnosed with pinworms. Which statement is most important for the nurse to include in the teaching?
A. “Seal the child’s clothing in a plastic bag for at least 10 days.” birb.com/test

B. “Be sure your child wears shoes at all times.” C. “Make sure your child washes hands before eating.”
D. “After applying this special cream, leave it on for about 8 to 10 hours.”

Answer 85

C

Question 86

A nurse is conducting a health history for a 1-month-old with an infectious disorder. Which segment of the maternal health history would be most helpful for the nurse when determining if
the infant developed the infection from the mother? A. Family history
B. Past medical history C. Home treatments
D. Present illness history

Answer 86

B

Question 87

The nurse is caring for a hospitalized, 1-week-old infant who appears very ill. Which assessment finding(s) will the nurse report to the health care provider? Select all that apply. A. Petchiae
B. Heart rate100 beats/min
C. Respiratory rate 60 breaths/min
D. Axillary temperature 97.6°F (36.5°C)
E. Characteristic of cry

Answer 87

A B C D E

Question 88

While hospitalized, a child develops scarlet fever. Isolation has been prescribed by the health care provider. The nurse would place this child in what type of isolation?
A. Airborne B. Droplet
C. Contact D. Reverse

Answer 88

B

Question 89

The nurse is assessing a 8-month-old infant who has symptoms of poor feeding, a poor gag reflex, listlessness and a weak cry. What is the most important question the nurse should ask the parent about these symptoms?
A. “Have you given your infant any honey?”

B. “When did these symptoms begin?”
C. “Has your infant had any unpasteurized milk to drink?” D. “What is the source of your family’s water supply?”

Answer 89

A

Question 90

A child is being treated for pertussis and is prescribed azithromycin byt the health care provider. Which finding is most important for the nurse to report to the health care provider
before administering this drug?
A. Child has had previous episodes of supraventricular tachycardia (SVT). B. Child has a potassium level of 3.7 mEq/l (3.7 mmol/l). C. Child is also prescribed a proton pump inhibitor (PPI).
D. Child experienced a rash on the back taking this drug previously.

Answer 90

A