Questions on Nursing Care and Application
Question 1
What is the priority nursing diagnosis for a child with a cleft lip and palate PRIOR to surgery?
Imbalanced nutrition, Less than body requirements
Attachment, Risk for Impaired
Caregiver Role Strain
Aspiration, RIsk for
Question 2
The nurse is caring for an infant who has had a cleft lip and palate repair. What is included in this child's care? (CHECK ALL THAT APPLY)
Use a cotton tip applicator to clean the child's gums, tongue and oral cavity
Use elbow restraints to prevent injury to the surgical site
Provide adequate pain management
Gently clean the surgical site with normal saline
Advise the parents to provide a pacifier to calm the infant
Question 3
A newborn sneeze, coughs excessive fluids, and becomes cyanotic at the first feeding. What should the nurse do FIRST?
Initate oxygen therapy and notify the physician
Stop the feeding and suction the infant
Call NICU to arrange a transfer
Call respiratory therapy for an impending respiratory arrest
Question 4
The nurse is doing preop teaching to parents of a six week old scheduled for a pyloromyotomy (surgery for pyloric stenosis). What is the nurse's BEST response when they ask "What can our baby eat after surgery?)
We'll have to see how he tolerates the surgery
He can start on clear liquids or dilute breast milk
We will give him thickened formula ,
He won't be able to eat anything for 48 hours
Question 5
The underlying pathology of Hirschsprung's Disease is:
Chronic bacterial infection in the large intestine
Absence of ganglion cells in the colon/rectum
Damage to the celia in the small intestine
Absence of digestive enzymes
Question 6
What is the most significant history question that would help diagnose intussusception in an infant?
How many stools a day is your baby having?
Is your baby eating?
What do your baby's stools look like?
Is your baby vomiting forcefully?
Question 7
A twelve year old is admitted for possible appendicitis. When the nurse enters the room to start an IV of maintenance fluids, the child says that his "stomach is still very upset and he feels like throwing up, but his belly doesn't hurt anymore." What is the nurse's NEXT action?
Administer the ordered antiemetic
Call the provider and start the IV
Chart his pain rating
Explain that the pain meds he received are causing the nausea
Question 8
What are concerns regarding G-tube care that warrant prompt medical follow up in the clinic? (CHECK ALL THAT APPLY)
Macerated skin >two finger breadths in any direction from stoma
Displacement of a new button tube in first six months after placement
Small space between skin surface and G-tube
Excessive leakage of feedings onto clothing or bedding
Slight serous drainage and crusting around stoma
Question 9
Which of the following is included in care for an infant with GERD?
Dilute the infant's formula for easier digestion
Position the infant on his left side after feeding to prevent aspiration
Feed your infant in an upright position
Start pureed baby food at four months to increase absorption of nutrients
Question 10
The nurse is teaching the family about nutrition for their five year old who has just been diagnosed with celiac disease. What statement by the mother indicates she understands the teaching?
We can introduce this diet gradually so he will get used to it
We will be careful about reading food labels
It's good that it's just wheat products we need to avoid.
Our child will develop a tolerance for gluten over tim
Question 11
Which statement by a parent indicates she understand brace care for her child receiving an ankle foot orthosis (AFO)?
I will lotion my child's skin well before applying the brace
If the brace is tight, I can mold it carefully by using a hair dryer
I will need to purchase cotton socks to wear under the brace
My child should initially be able to wear the brace for four hours at a time
Question 12
A newborn has been referred for treatment for talipes equinovarus (club foot). What materials should the nurse expect to assemble for this infants plan of care?
An admission check list for surgery tomorrow
A Pavlik harness
Casting supplies
Fitting for corrective shoes
Question 13
The nursing role when working with a NEWLY diagnosed hip dislocation in a newborn is:
Group of answer choices
Explain the surgery for an open hip reduction
Teach the parents how to tightly swaddle the infant
Teach the parents about spica cast care
Teach the use of a Pavlik harness
Question 14
A two and a half year old is in a spica cast post operatively for a reduction of a congenitally dislocated hip. What is an appropriate play activity for this child while they are in the cast?
Colored macaroni art project
Paint by number art project
Large piece wooden puzzles
Legos
Question 15
A fifteen year old male with scoliosis is just returning to the unit from PACU after a spinal fusion with instrumentation. Besides respiratory and pain management, which of the following is the nursing PRIORITY at this time?
Neurovascular assessment of his extremities
Assessment of bowel tones
Monitoring electrolytes
Monitoring intake and output
Question 16
What is a PRIORITY nursing diagnosis for children with osteogenesis imperfecta?
Injury, RIsk for
Infection, risk for
Mobility, impaired
Self image, altered
Question 17
A first grader with diagnosed Legg Perthes disease presents in the school nurse's office after recess limping and complaining of knee pain. Assuming the assessment of his knee is unremarkable, what is the nurse's BEST response to this child?
Let's put some ice on your knee for a few minutes
I bet if you go back to class, you will feel better.
It's normal for your knee to hurt.
Let's have you rest, and we'll call your paren
Question 18
A two year old is admitted with JIA. During the nurse's focused assessment she notes:
Group of answer choices
Increased irritability and unwillingness to bear weight on the affected extremity
Pallor, coolness and swelling of the joints
The child's complaints of joint tenderness and stiffness
The child's description of how hard it is to get around in the morning
Question 19
The nurse on the orthopedic unit receives morning report on the following patients. Which patient should the nurse check FIRST?
Fifteen year old male six hours post op pinning for slipped femoral capital epiphysis complaining of an eight on the pain scale. Vitals signs are BP 110/60, P 76, RR 16. Toes pink and warm with cap refill < 2 seconds. Dressings dry and intact. Full sensation on operative side
Ten year old 18 hours post op with open reduction of fractured humerus. Brachial nerve block with bupivacaine on continuous pump. BP 102/60. P 80 RR 18. Reports pain as a 2 on the pain scale. Taking fluids well. No drainage on his dressing. Fingers on operative side slightly swollen and slightly pale. Sensation has diminished on the operative side since 0400.
Stable two year old female post op application of a spica cast with discharge planned when parent teaching completed. Mom notes there is some redness around the top of the cast, and her toddler is irritable. Toes pink and warm and move when tickled. No swelling noted in lower extremities. Tolerating fluids p.o. and voiding q.s.
Question 20
Common misconceptions about children and sports include: (Check all that apply)
Children can vigorously exercise without conditioning
Children are very flexible and don't need much warm up activity
Some skills in sports are developmentally inappropriate for younger age groups.
School aged children in contact sports usually don't get injured if using protective gear
It is safe to assume that all coaches are prepared to deal with sports related injuries.
Question 21
Match the term on the right to the corresponding term on the left. There is only one answer for each item.
- Non infections oily scalp lesions
- Results in severe itching that can last after treatment is complete
- Nuisance insect infestation that usually does not cause illness
- Fungal infection that necessitates the use of antibiotics
- Infection that necessitates the use of antibiotics
- Common infection immune suppressed individuals or children who use steroid inhalers
- viral infection that often resolves on its own.
- Lice
- Scabies
- Impetigo
- Ringworm
- Seborrhea
Question 22
The nurse's neighbor's child came home with a case of head lice. What would be included in the nurse's teaching to the neighbor? (CHECK ALL THAT APPLY)
Head lice usually doesn't cause any disease
Shampoo your child's hair daily with an insecticide shampoo for one week
Send all the child's blankets and pillows to the cleaners to be dry cleaned
Spend time removing nits from your child's hair with a fine toothed comb
Throw away any of your child's stuffed animals
Question 23
The nurse is teaching new parents about diaper rash (diaper dermatitis) in infants. Which statement by the parent indicates a need for more teaching?
a) Any commercially made wipes are good to prevent diaper rash.
b) I should keep OTC cortisone cream on hand for any diaper rash
c) I can use Butt Paste or Desitin to protect my baby's diaper area
d) Exposure to air will help if my baby gets a diaper rash.
c & d
Question 24
Which of the following history questions is the MOST important when the provider is considering isotretinoin (Accutane) for a fifteen year old female with acne?
What have you done in the past to treat your acne?
Are you sexually active and/or pregnant?
What is your expectation about the results of this medication?
How often are you willing to get blood tests?
Question 25
Prevention of impetigo includes: (CHECK ALL THAT APPLY)
Treating ALL exposed individuals with systemic antibiotics
Careful cleaning of contact sports equipment and clothing
Excluding infected athletes from participation until adequately treated
Teach coaches and athletes to recognize impetigo
Avoid sharing towels and toiletries with infected individuals
Question 26
The nurse is teaching new parents about sun protection in infants. Which of the following statements would be included in the teaching?
Group of answer choices
A light covering of sunscreen over exposed parts is enough sun protection for infants.
It is important that you keep your baby covered with light clothing and a hat when in the sun
Sun screen is unconditionally approved by the AAP for infants and children of all ages
There are sunscreen preparations specific for infants under six months of age
Question 27
Initial assessment of a severely burned child includes ABC's. What other important assessment findings are significant in this initial assessment? (CHECK ALL THAT APPLY)
Singed facial and nasal hair
Sooty sputum
Hypothermia
Neurologic impairment
Circumferential burns
Question 281 pts
Care for children with major burns include which of the following? (CHECK ALL THAT APPLY)
Physical therapy to prevent contractures
Administration of hypertonic IV fluids
Infection control
Nutrition management
Psychosocial support
Question 291 pts
What are characteristics of a full thickness burn that differentiates it from partial thickness burns?
Full thickness burns are unable to regenerate normal tissue
Full thickness burns are extremely more painful
Full thickness burns are more susceptible to infection
Full thickness burns generally involve more body surface are
Question 30
A middle schooler was severely burned on his hands and lower arms when setting off fireworks. In the healing process, what snacks would the nurse recommend to this child?
Carrots, celery sticks, raw snow peas
Apples, oranges, melon slices
Cheese slices, peanut butter, yogurt
Raisins and other dried fruits
Multiple Choice Questions
Name
Institutional Affiliation
Course name & number
Professor
Due date
Question 1
What is the priority nursing diagnosis for a child with a cleft lip and palate PRIOR to surgery?
Imbalanced nutrition, Less than body requirements
Attachment, Risk for Impaired
Caregiver Role Strain
Aspiration, Risk for
Question 2
The nurse is caring for an infant who has had a cleft lip and palate repair. What is included in this child’s care? (CHECK ALL THAT APPLY)
Use a cotton tip applicator to clean the child’s gums, tongue, and oral cavity
Use elbow restraints to prevent injury to the surgical site
Provide adequate pain management
Gently clean the surgical site with normal saline
Advise the parents to provide a pacifier to calm the infant
Question 3
A newborn sneeze, coughs excessive fluids and becomes cyanotic at the first feeding. What should the nurse do FIRST?
Initiate oxygen therapy and notify the physician.
Stop the feeding and suction the infant.
Call NICU to arrange a transfer.
Call respiratory therapy for an impending respiratory arrest.
Question 4
The nurse is doing preop teaching to parents of a six-week-old scheduled for a pyloromyotomy (surgery for pyloric stenosis). What is the nurse’s BEST response when they ask, “What can our baby eat after surgery?)
We'll have to see how he tolerates the surgery.
He can start on clear liquids or dilute breast milk
We will give him thickened formula,
He won’t be able to eat anything for 48 hours
Question 5
The underlying pathology of Hirschsprung’s Disease is:
Chronic bacterial infection in the large intestine
Absence of ganglion cells in the colon/rectum
Damage to the Celia in the small intestine
Absence of digestive enzymes
Question 6
What is the most significant history question that would help diagnose intussusception in an infant?
How many stools a day is your baby having?
Is your baby eating?
What do your baby's stools look like?
Is your baby vomiting forcefully?
Question 7
A twelve-year-old is admitted for possible appendicitis. When the nurse enters the room to start an IV of maintenance fluids, the child says that his “stomach is still very upset and he feels like throwing up, but his belly doesn’t hurt anymore.” What is the nurse’s NEXT action?
Administer the ordered antiemetic
Call the provider and start the IV
Chart his pain rating
Explain that the pain meds he received are causing the nausea
Question 8
What are concerns regarding G-tube care that warrant prompt medical follow-up in the clinic? (CHECK ALL THAT APPLY)
Macerated skin >two finger breadths in any direction from stoma
Displacement of a new button tube in first six months after placement
Small space between the skin surface and G-tube
Excessive leakage of feedings onto clothing or bedding
Slight serous drainage and crusting around stoma
Question 9
Which of the following is included in care for an infant with GERD?
Dilute the infant’s formula for...
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