A nurse is evaluating 4-year –old child who has cystic fibrosis and has been receiving chest physiotherapy treatments

A nurse is evaluating 4-year –old child who has cystic fibrosis and has been receiving chest physiotherapy treatments
1. A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse priority?
a. Cholesterol 189mg/dl
b. Glycosuria.
HbA1c11.5%.
d. pre-prandial blood glucose.124mg/dL.
2. A nurse is planning to admit a preschooler from the PACU following removal of a Wilms’ tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler ?
a. A child who has a fractured left femur.
b. A child who has cellulites of the right radius.
c. A child who has impetigo.
d. A child who has viral pneumonia.
3.A nurse is planning to administer immunizations to a 2-month –old infant. Which of the following actions should the nurse take to decrease the infant pain.
a. apply a warm pack to the injection site prior to administration.
b. Ask the parent to leave the room during the injections.
c. Administer the injections in the deltoid muscle.
d. Administer the injections while the infant is breastfeeding.
4. A nurse is caring for a 4-year old child who is postoperative following an appendectomy. Which of the following pain rating scales should the nurse use to assess the child’s need for pain medication ?
a. word –graphic
b. Visual analog
c. FACE
d. Numeric
5. A nurse is reviewing the medical record of a 15-month –old child who is schedule to receive the measles. Mumps. And rubella MMR vaccine. Which of the following finding should the nurse identify as a contraindication for receiving this vaccine.
a. Allergy to neomycin
b. Temperature of 37.2. C (99.F) .
C. Family history of seizures.
d. upper respiratory infection 2days ago.
6. A nurse is caring for a child who received partial –thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following action should the nurse take? ( select all that apply.).
a. provide a high-calories diet.
b. Administer analgesics IM .
monitor intake and output
d. remove splints during sleep.
e. change dressing using aseptic technique.
7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunization should the nurse include in the plan?
a. pneumococcal conjugate (PCV13)
b. Respiratory syncytial virus (RSV).
c. Measles, Mumps, and rubella MMR
d. Rotavirus.
8. A nurse is assessing an client who has Hodgkin’s lymphoma .which of the following finding s should the nurse expect?
a. unexplained weight gain
b. Flushed skin
c. decrease body temperature
d. night sweat.
9. A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infant should receive the first dose of which of the following immunizations.at 12 months of age.
a. human papillomavirus.
b. inactivated polio virus
c. hepatitis B
Varicella.
10. A nurse in a community clinic is reviewing the laboratory result of four client s. the nurse should identify that which of the following sexually transmitted infections is nationally notifiable. ?
a. Bacterial vaginosis trichinosis’s.
b. Gonorrhea
c. Human Papilloma virus.
d. Genital Herpes Simplex- virus.
11.A nurse is caring for a group of client s. which of the following findings should the nurse report to the provider ?
a. An 18 –month –old toddler who has a heart rate of 68/min.
b. A school-age child who has a rectal body temperature of 37.3C ( 99.1F).
c .A 3-month old infant who has a respiratory rate of 30/min.
d. An adolescent who has a BP of 132/82 mm/Hg.
12. A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider.
A. diplopia.
b. Pruritus
c. hyperactivity.
d. Nightmare.
13. a nurse is admitting a child who has acute epiglottitis. Which of the following action should the nurse take?
a. initiate droplet isolation precaution.
b. Assist the child into supine position.
c. check oxygen saturation every 4 hr.
d. obtain a throat culture.
14. A nurse is caring for an infant who has increase intracranial pressure (ICP). Which of th following should the nurse identify as late finding of (ICP) ?
a. Flexion posturing
b. increase sensory response to painful stimuli.
C increase heart rate
d. Tachypnea.
15. A nurse is assessing a 24- month –old toddler. Which of the following finding should the nurse report to the provider ?
a. Has a vocabulary of 30 words.
b. sleep 11 to 12 hr. per day.
c. Eats a large amount of food one day then very little the next
d. hold his breath when having a temper tantrum.
16. A nurse is teaching about growth and development to a parent of 12 year-old child .the nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescent.
a. decelerating growth rate
b. increase self-esteem.
c. emotional separation from parent.
d. mood swing.
17. A nurse is evaluating 4-year –old child who has cystic fibrosis and has been receiving chest physiotherapy treatments the nurse should identify which of the following finding as an indication that the therapy has been effective ?
a. increase urine output
b. increase heart rate
increase expectoration
d. reduce pain.
18. A nurse is providing teaching to the guardians of an infant who require a pavlik harness. Which instructions should the nurse include ?
a apply baby power under the hardness straps daily.
b. place the diaper under the straps of the hardness.
c. adjust the hardness straps daily.
massage lotion into the skin under the hardness twice per daily.
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