Week 2 HESI/ EAQs Flashcards
Which of the school nurse’s observations are consistent with the diagnosis of bronchitis?
A dry cough that becomes productive.
The absence of fever or sore throat.
Exercise intolerance.
Response to β2-agonists.
A dry cough that becomes productive.
Bronchitis is characterized by a dry hacking cough that becomes productive over 2 to 3 days. The cough associated with asthma is nonproductive.
The child’s caregiver asks the school nurse to explain the pulmonary function test. Which of the following information is accurate?
Pulmonary function tests are only accurate in children ages 8 and older who can blow a big breath out.
While helpful, pulmonary functions tests are an expensive alternative to careful history and physical assessment.
Pulmonary function tests are used to detect airflow limitation even when no symptoms are clinically evident.
Pulmonary function tests are of use at the time of diagnosis so the client will need no further testing.
Pulmonary function tests are used to detect airflow limitation even when no symptoms are clinically evident.
In developing plan of care goals, the school nurse recognizes what level of activity is appropriate for children with asthma?
Sports involving running are contraindicated because of the potential for airway constriction.
Children with asthma who have a history of emergency department visits should limit physical activity.
Children with asthma should participate fully in all activities if they are in the green zone.
Children should participate in recess but cannot participate in organized sports.
Children with asthma should participate fully in all activities if they are in the green zone.
Holding the breath for ____ seconds after inhalation enhances medication delivery to the lungs.
5 to 10
The red zone signifies less than ___% of the child’s personal best. This is a medical emergency because it signifies that airway narrowing may be occurring.
The yellow zone signifies 50-79% of the personal best and indicates that the asthma is not well controlled and an acute exacerbation could occur.
The green zone is 80-100% of the child’s personal best and indicates that the asthma is under reasonably good control.
50
Which action would the nurse take to facilitate a preschool child’s cooperation with a blood pressure measurement?
Coach the parent to perform the procedure.
Tell the child that this procedure will help them get well more quickly.
Encourage the child to handle equipment before putting the cuff in place.
Explain how the blood flows through the arm and why the blood pressure is important.
Encourage the child to handle equipment before putting the cuff in place.
Which action would the nurse take when a preschooler is fearful of a vaccination?
Request a staff member sit beside the child.
Tell the child they can pick the bandage color.
Give a favorite toy to the child for distraction.
Tell the child bleeding will stop in a few seconds.
Tell the child they can pick the bandage color.
Through which is the nurse’s best approach for effective communication with a preschool age child?
Play
Actions
Speech
Drawing
Play
The nurse is caring for an immobilized preschool child. During this period of immobilization, which is the nurse’s best action?
Encourage wearing pajamas.
Let the child have few behavioral limitations.
Keep the child away from other immobilized children if possible.
Take the child outside of the room by wagon.
Take the child outside of the room by wagon.
The nurse is providing care for a preschool child with edema. Which would the nurse use to record the urine output in the child?
Collection bag
Weighing wet pads
Collection container
Suprapubic aspiration
Weighing wet pads
The nurse is preparing to administer an intramuscular immunization to a 5-year-old child. Which would be the best response by the nurse when the child says, “Please don’t do that. My blood can leak out from my body and I may die.”
“I will apply a bandage; it will not allow blood to come out.”
“Blood is in blood vessels and heart, so it will not come out.”
“Blood will not come out, as clotting factors form a clot to stop it.”
“Only a minimal amount of blood comes out in intramuscular injections.”
“I will apply a bandage; it will not allow blood to come out.”
Which is the primary psychosocial task of the preschool period according to Erikson?
Identity
Intimacy
Initiative
Industry
Initiative
A preschool child watches a nurse pour medication from a tall, thin glass to a short, wide glass. Which statement is developmentally appropriate for this age group?
“The amount of medicine is less.”
“Pouring medicine makes the medicine hot.”
“The glass changed shape to accommodate the medicine.”
“The amount of medicine did not change, only its appearance.”
“The amount of medicine is less.”
The __________ of the food consumed is more important than the quantity.
quality
Which growth and developmental change in a preschooler would the nurse include during a parent educational camp?
Incapability of differentiating gender
Curiosity about sexual reproduction
Uninterested in mingling with peers
Uninterested in playing indoor games
Curiosity about sexual reproduction
