Question 1

What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?

Accepted Answer

A)  Using ear plugs during takeoff 
B)  Omitting the meal just before takeoff 
C)  Letting the infant nurse during descent 
D)  Applying ear drops before takeoff 
A)  Using ear plugs during takeoff 
B)  Omitting the meal just before takeoff 
C)  Letting the infant nurse during descent 
D)  Applying ear drops before takeoff C

Question 2

What symptom leads the nurse caring for a 5-month-old with viral influenza to suspect the development of Reye's syndrome?

Accepted Answer

A)  Respirations drop from 18 to 14 breaths/min 
B)  Falling asleep after feeding 
C)  Sudden vomiting without effort 
D)  Development of a macular rash 
A)  Respirations drop from 18 to 14 breaths/min 
B)  Falling asleep after feeding 
C)  Sudden vomiting without effort 
D)  Development of a macular rash C

Question 3

The nurse is planning to teach parents about prevention of Reye's syndrome.What information would the nurse include in this teaching?

Accepted Answer

A)  Use aspirin instead of acetaminophen for children with viral illness. 
B)  Advise parents to have their children immunized against Reye's syndrome. 
C)  Avoid giving salicylate-containing medications to a child who has viral symptoms. 
D)  Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy. 
A)  Use aspirin instead of acetaminophen for children with viral illness. 
B)  Advise parents to have their children immunized against Reye's syndrome. 
C)  Avoid giving salicylate-containing medications to a child who has viral symptoms. 
D)  Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy. C

Question 4

What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?

Accepted Answer

A)  Use gestures and signs as much as possible. 
B)  Let the child's parents communicate for her. 
C)  Face the child and speak clearly in short sentences. 
D)  Recognize that the child's ability to communicate will be on a 6-year-old child's level. 
A)  Use gestures and signs as much as possible. 
B)  Let the child's parents communicate for her. 
C)  Face the child and speak clearly in short sentences. 
D)  Recognize that the child's ability to communicate will be on a 6-year-old child's level.

Question 5

A child is diagnosed with nonparalytic strabismus.How will this disorder most likely be corrected?

Accepted Answer

A)  Patching the unaffected eye 
B)  Corrective lenses 
C)  Laser treatment 
D)  Surgery 
A)  Patching the unaffected eye 
B)  Corrective lenses 
C)  Laser treatment 
D)  Surgery

Question 6

Which assessment finding in a child with meningitis should be reported immediately?

Accepted Answer

A)  Irregular respirations 
B)  Tachycardia 
C)  Slight drop in blood pressure 
D)  Elevated temperature 
A)  Irregular respirations 
B)  Tachycardia 
C)  Slight drop in blood pressure 
D)  Elevated temperature

Question 7

What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

Accepted Answer

A)  "I will continue using the medication until symptoms are relieved." 
B)  "I will share the medicine with siblings if their symptoms are the same." 
C)  "I will give the medication with a glass of milk." 
D)  "I will administer prescribed doses until all the medication is used." 
A)  "I will continue using the medication until symptoms are relieved." 
B)  "I will share the medicine with siblings if their symptoms are the same." 
C)  "I will give the medication with a glass of milk." 
D)  "I will administer prescribed doses until all the medication is used."

Question 8

The nurse is caring for a 3-year-old with a head injury.Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)?

Accepted Answer

A)  Temperature increase from 37.2° C (99° F) to 37.7° C (100° F) 
B)  Increase in blood pressure with an attendant decrease in pulse 
C)  Increase in respirations 
D)  Equilateral pupils 
A)  Temperature increase from 37.2° C (99° F) to 37.7° C (100° F) 
B)  Increase in blood pressure with an attendant decrease in pulse 
C)  Increase in respirations 
D)  Equilateral pupils

Question 9

The sign that suggests possible damage to the cortex of the brain is ____________ posturing.

Accepted Answer

decorticate
Decorticate postur

Question 10

An adolescent has just had a generalized seizure and collapsed in the school nurse's office.When should the nurse should call 911?

Accepted Answer

A)  The seizure lasts more than 5 minutes. 
B)  The child is sleepy and lethargic after the seizure. 
C)  The child fell at the onset of the seizure. 
D)  The child is confused and has slurred speech after the seizure. 
A)  The seizure lasts more than 5 minutes. 
B)  The child is sleepy and lethargic after the seizure. 
C)  The child fell at the onset of the seizure. 
D)  The child is confused and has slurred speech after the seizure.

Question 11

What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?

Accepted Answer

A)  Guide the child to the floor if the child is standing, and then go for help. 
B)  Move objects out of the child's immediate area. 
C)  Stick a padded tongue blade between the child's teeth. 
D)  Manually restrain the child. 
A)  Guide the child to the floor if the child is standing, and then go for help. 
B)  Move objects out of the child's immediate area. 
C)  Stick a padded tongue blade between the child's teeth. 
D)  Manually restrain the child.

Question 12

What will the nurse teach parents when giving instructions for acute conjunctivitis?

Accepted Answer

A)  Apply cool compresses to the affected eye several times a day. 
B)  Instill topical steroid eye drops for 1 week. 
C)  Clear drainage from the inner to the outer aspect of the eye. 
D)  Keep the eye patched until the inflammation resolves. 
A)  Apply cool compresses to the affected eye several times a day. 
B)  Instill topical steroid eye drops for 1 week. 
C)  Clear drainage from the inner to the outer aspect of the eye. 
D)  Keep the eye patched until the inflammation resolves.

Question 13

A child is brought to the emergency department after he fell and hit his head on the ground.Which nursing assessment suggests the child has a concussion?

Accepted Answer

A)  Sleepy but easily arousable 
B)  Complaining of a stiff neck 
C)  Cannot remember what happened to him 
D)  Pupils react sluggishly to light 
A)  Sleepy but easily arousable 
B)  Complaining of a stiff neck 
C)  Cannot remember what happened to him 
D)  Pupils react sluggishly to light

Question 14

The nurse observes a child's position is supine with his arms and legs rigidly extended and the hands pronated.How does the nurse identify this posture?

Accepted Answer

A)  Correct anatomical position 
B)  Decorticate 
C)  Decerebrate 
D)  Opisthotonos 
A)  Correct anatomical position 
B)  Decorticate 
C)  Decerebrate 
D)  Opisthotonos

Question 15

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space.Of which type of seizure is this behavior a characteristic?

Accepted Answer

A)  Absence 
B)  Akinetic 
C)  Myoclonic 
D)  Complex partial 
A)  Absence 
B)  Akinetic 
C)  Myoclonic 
D)  Complex partial

Question 16

What intervention(s)would the nurse caring for a child with infectious meningitis include?

Accepted Answer

A)  Isolation precautions 
B)  Provision of brightly lit room 
C)  Observation for increasing intracranial pressure 
D)  Preparation for spinal tap 
E)  Seizure precautions 
A)  Isolation precautions 
B)  Provision of brightly lit room 
C)  Observation for increasing intracranial pressure 
D)  Preparation for spinal tap 
E)  Seizure precautions

Question 17

An 8-year-old near-drowning victim is rushed into the ED.What priorities of care will be implemented?

Accepted Answer

A)  Parental education regarding prevention 
B)  Respiratory support 
C)  Cardiovascular support 
D)  Controlled rewarming 
E)  Adequate cerebral oxygenation 
A)  Parental education regarding prevention 
B)  Respiratory support 
C)  Cardiovascular support 
D)  Controlled rewarming 
E)  Adequate cerebral oxygenation

Question 18

What will the nurse include then documenting a grand mal seizure?

Accepted Answer

A)  Presence of incontinence 
B)  Current dose of antispasmodic medication 
C)  Activity level prior to and following seizure 
D)  Level of consciousness following seizure 
E)  Length of seizure 
A)  Presence of incontinence 
B)  Current dose of antispasmodic medication 
C)  Activity level prior to and following seizure 
D)  Level of consciousness following seizure 
E)  Length of seizure

Question 19

What assessment does the school nurse recognize as the cardinal sign of a hyphema?

Accepted Answer

A)  Opacity of the lens 
B)  A yellow-white reflex on the pupil 
C)  A dark-red spot in front of the iris 
D)  Inflamed mucous membranes of the eyelids 
A)  Opacity of the lens 
B)  A yellow-white reflex on the pupil 
C)  A dark-red spot in front of the iris 
D)  Inflamed mucous membranes of the eyelids

Question 20

A child is admitted to the hospital because she had a seizure.Her parents report that for the past few weeks she has had headaches,with vomiting,that are worse in the morning.What does the nurse suspect?

Accepted Answer

A)  Meningitis 
B)  Reye's syndrome 
C)  Brain tumor 
D)  Encephalitis 
A)  Meningitis 
B)  Reye's syndrome 
C)  Brain tumor 
D)  Encephalitis

Exam 23: The Child with a Sensory or Neurological Condition

What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?

What symptom leads the nurse caring for a 5-month-old with viral influenza to suspect the development of Reye's syndrome?

The nurse is planning to teach parents about prevention of Reye's syndrome.What information would the nurse include in this teaching?

What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?

A child is diagnosed with nonparalytic strabismus.How will this disorder most likely be corrected?

Which assessment finding in a child with meningitis should be reported immediately?

What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

The nurse is caring for a 3-year-old with a head injury.Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)?

The sign that suggests possible damage to the cortex of the brain is ____________ posturing.

An adolescent has just had a generalized seizure and collapsed in the school nurse's office.When should the nurse should call 911?

What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?

What will the nurse teach parents when giving instructions for acute conjunctivitis?

A child is brought to the emergency department after he fell and hit his head on the ground.Which nursing assessment suggests the child has a concussion?

The nurse observes a child's position is supine with his arms and legs rigidly extended and the hands pronated.How does the nurse identify this posture?

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space.Of which type of seizure is this behavior a characteristic?

What intervention(s)would the nurse caring for a child with infectious meningitis include?

An 8-year-old near-drowning victim is rushed into the ED.What priorities of care will be implemented?

What will the nurse include then documenting a grand mal seizure?

What assessment does the school nurse recognize as the cardinal sign of a hyphema?

A child is admitted to the hospital because she had a seizure.Her parents report that for the past few weeks she has had headaches,with vomiting,that are worse in the morning.What does the nurse suspect?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

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The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

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The Child with a Respiratory Disorder

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The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

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Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

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Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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