RN Nursing Care of Children Proctored Exam 2019

RN Nursing Care of Children Proctored Exam 2019

A nurse is providing education about dietary modifications to the parent of a school age child who has glomerulonephritis. Which of the following information should the nurse include in the teaching?

• Increase the child calcium intake
• Decrease the Child's sodium intake
• Increase the child's intake of carbohydrates
• Decrease the child's fat intake

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

• Minimize movement of the limbs
• Insert a tongue blade between the teeth
• Clear the area of hard object
• Place the child in a prone position

A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?

• HbA1C 11.5%
• cholesterol 189 mg/dL
• Preprandial blood glucose 124 mg/dL
• Glycosuria

A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first?

• Varicella
• measles, mumps, rubella
• Inactivated poliovirus
• Hepatitis A tetra

A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect?

• Creatinine 0.3 mg/dL - normal
• Hbg 18 g/dL -this is elevated, Hbg should be decreased
• Urine casts absent - urine should be positive for casts, blood and protein
• BUN 28 mg/dL

A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? (ATI pg. 126)

• Administer furosemide IV twice per day.
• Apply warm compresses to the affected areas

• Decrease the child's fluid intake
• Initiate contact precautions.

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider?

• Rhinorrhea - Expected
• Tachypnea
• Pharyngitis - Expected
• Coughing (and sneezing) - Expected

A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?

• You can drink milk on an empty stomach.
• You should consume flavored yogurt instead of plain yogurt.
• You can tolerate plain milk better than chocolate milk.
• You can replace milk with nondairy source of calcium

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider?

• Skin temperature 36C (96.8 F)
• Pedal and posterior tibial pulses of 2+
• Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL
• Drainage from the chest tube of 22 mL in the last hour

A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicate an understanding of the teaching?

• My daughter can't drink orange juice - has nothing to do with anything
• I will steam carrots and cut them into small pieces for her."
• I should ensure that my daughter eats one ounce of meat every day." - avoid high

protein

• I will switch her to whole milk now that she is old enough." - avoid high protein

A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?

• Your child will be on a gluten-free diet for the rest of her life."
• Your child will need to follow a low-protein diet temporarily."
• You should place your child on a high-fiber diet when she has an exacerbation."
• You should replace white flour with wheat flour when preparing meals for your child."

A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider?

• Respiratory rate 24 /min - expected/normal finding for this age child
• Peak flow rate of 80% - this is in the green zone, expected/desired finding
• Intercoastal retractions
• Elevated heart rate - expected side effect of albuterol

A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.)

• Administer an analgesic to the child on a scheduled basis.
• Observe the child for frequent swallowing
• Provide cranberry juice to the child.
• Maintained a child in supine position.
• Discourage the child from coughing

A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.)

• Tachycardia
• Weight loss
• Cyanosis
• Dyspnea
• Bounding peripheral pulses

A nurse in an emergency department is assisting a toddler who has a head injury.Which of the following findings should the nurse report to the provider?

• Glasgow coma scale score of 15 - desired finding, GCS is 3-15
• Respiratory rate 25/min - within normal limits (24-40)
• Vomiting-
• Negative Babinski reflex - positive babinski 0-12 months; expected negative in

toddlers

A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate?

• Talk to your child about the meaning of death."
• Encourage your child's friends to visit."
• Stay close to your child."
• Change your child's schedule every day."

A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should the nurse administer? (Round to the nearest whole number. Using a leading Zero if applies.Do not use a trailing zero.) - 11 mL

During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas?A.Sternocleidomastoid muscle

• Posterior fontanel
• Trapezius muscle
• Cervical vertebrae

A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources?

• Respite childcare
• Parent management training - this is a treatment center for aggressive, 'troubled'

kids/teens

• Support group for postpartum depression
• Parent enhancement center

A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding?

• Regurgitation
• Wheezing
• Excessive crying
• Weight loss

A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect?

• Capillary refill 3 seconds - >4seconds
• Rapid respirations - respiratory alkalosis compensation
• Bradycardia - it would be tachycardia
• Warm extremities - cold extremities is expected.

A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?

• Consume 1,500 to 1,700 calories per day."
• Decrease your vitamin D intake once you start to menstruate."
• Increase the amount of your dietary iron intake."
• Limit your sodium intake to 3,000 grams per day."

A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

• Provide a pacifier coated with an oral sucrose solution prior to the injections.
• Inject the immunizations into the deltoid muscle
• Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the

injections. - no, 60 minutes before hand

• Use a 20-gauge needle for the injections. - no, use 22-25gauge needle, 1/2"-1" long -