A nurse is teaching a class for mothers of premature infants, and is asked about, *a shot for information about palivizumab is correct?
A It is recommended for infants who meet established high-risk criteria?
B It provides protection for one year with a single injection.
C It must be repeated every two months to be effective.
D It is a required immunization for all infants under the age of 3 months.
It is recommended for infants who meet established high-risk criteria.
The parent of an 11-year-old client who has juvenile idiopathie artitis tells the nurse, become dependent on pain medication, so f only allow taking the medication wien tie information is most important for the nurse to provide this parent?
• A Giving pain medication around the clock helps control the pain.
B Encourage quiet activities such as watching television as a pain distracter
C The child should be encouraged to rest when experending pain.
D The use of hot baths can be used as an alternative for pain medication.
Giving pain medication around the clock helps control the pain
mother brings her 2-month-old to the well-baby clinic. She informs the nurse that when she kisses het taty. Th infant’s skin tastes salty. The nurse should prepare the mother for which standard diagnostic test to screen for oyste fibrosis (CF)?
A Fecal-fat test.
B Potassium chloride test.
C Sweat-chloride test.
D Pulmonary-function test.
Sweat-chloride test.
7earold child is admitted to the hospital with a diagnosis of acute rheumatic from the childs mother, the recent occurrente of which illness s most signintan
Sore throat
The nurse is providing education to the parents of an infant with iliary atresia uto is now 5 m statement should the nurse include in the education plan?
• A Supplemental protein will be added in the meal plan.
• B Vitamin and medium chain triglycerides supplements remain necessary.
• C Intake of calories will need to be lower than normal limits.
• D Foods that the family consumes should be provided
Vitamin and medium chain triglycerides supplements remain necessary.
3-year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the nurse to provide for this chidn
A Remote-controlled car.
• B Duck that squeaks.
• C Coloring book with crayons.
D Bouncy ball.
Coloring book with crayons.
parent of a child with iron deficiency anemia calls the nurse and reports that the prescribed iron supplements are causing vomiting and diarrhea. Which instruction should the nurse provide to the parent?
• A Administer the iron with meals.
B Discontinue the iron supplements.
C Provide oral rehydration solution.
D Give an antiemetic with the iron.
Administer the iron with meals.
The mother of a 6-year-old girl is concerned about her child’s obesity. The child’s weight plots at this 75 percentle, and height at the 25 percentile. The child’s body mass index (BMI) is at the 85 percentile for age and gender Which intervention(s) should the nurse implement? Select all that apply.
A Obtain the child’s 3-day diet history based on the mother’s input.
B Tell the mother that girls hit their growth spurt before boys so eating more is expected
C Explain that the child is likely to grow into her weight.
D Determine the child’s usual physical activity pattern.
E Inquire as to whether or not the school has a physical education program.
A Obtain the child’s 3-day diet history based on the mother’s input.
D Determine the child’s usual physical activity pattern.
E Inquire as to whether or not the
he nurse is admitting a child with a diagnosis of untreated hypoparathyroidiss hypocalcemia should the nurse report to the healthcare provider?
A Rapid weight gain.
B Muscular weakness.
C Positive Chvostek sign.
D Positive Coombs test.
Positive Chvostek sign.
14-month-old child who is hospitalized dus to febrie ures. Which information should the nürse convey
• A Avoid excessive visual stimuli because it can precipitate seizure achity.
• B Provide the child with a sponge bath for temperatures over 100.5* F (08. 1° C)
• C Reassure the parents that febrile seizures decrease as the child grows sides
D Ibuprofen should be used prophylactically to prevent febrile seizures
Reassure the parents that febrile seizures decrease as the child grows
older.
assessing a child with suspected bacterial meningitis, the nurse should anicipate a rocer
A Stomach upset,
B Chickenpox.
C Fracture.
D Ear ache.
Ear ache
six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, co admitting nurse, is particularly helpful in planning care for this child?
A Mother’s use of alcohol, drugs, or cigarettes during pregnancy.
• B Reactions to any previous hospitalizations.
C A history of rubella, rubeola, or chicken pox
D List of achievement timeline for developmental milestones.
Reactions to any previous hospitalizations.
infant is admitted for surgery who has a Wilms’ tumor. Which nursing intervention should the nurse implement during the preoperative period?
® A Administer pain medication based,on the FACES pain scale.
• B Careful bathing and handling that avoids abdominal manipulation.
• C Give antiemetic medications to prevent nausea and vomiting.
• D Include the prone position in the every 2 hour turning schedule.
Careful bathing and handling that avoids abdominal manipulation.
nurse is assessing a preschool-aged child who presents with flank pain, dysuria, and low grade fever. Which additional information should the nurse gather from the parent to determine a possible urinary tract infection?
A New onset bedwetting.
) B Increased fluid intake.
C Voiding every 4 hours.
D Pale urine.
New onset bedwetting
The nurse is caring for an adolescent with scoliosis who is recovering afer a surgi technique should the nurse use when moving this client?
• A Raise the hips
• B Perform a log roll.
• C Flex the knees
• D Cross the arms and legs
Perform a log roll
The school nurse is presenting a seminar to parents about child safety that focuses on prevention of spinal cord injuries. Which information is most important for the nurse to include in the teaching plan?
A Seat belt and car seat laws for use in motor vehicles should be reinforced.
B Trampoline activities of school aged children should be supervised by adults.
C Monkey bars should be removed from school playgrounds to reduce falls.
D Protective gear to prevent neck flexion should be worn during contact sports.
Seat belt and car seat laws for use in
motor vehicles should be reinforced.
The nurse is caring for a toddler who is the only survivor in the family of a fatal motor vehicle collision 2 days ago.
Which action should the nurse take?
A Maintain routines and promote continuity in the staff assigned to the toddler.
B Provide the toddler with anticipatory guidance to reduce uncertainty.
C Contact extended family to offer support with practical arrangements.
D Help the toddler make sense of this loss given the egocentricity of this stage.
Maintain routines and promote continuity in the staff assigned to the toddler.
breastfeeding infant, screened for congenital hypothyroidism, is found to have low leveis of thyroxine (Tal and tig levels of thyroid stimulating hormone (TSH). Which is the best explanation for this finding?
A High thyroxine levels normally occur in breastfeeding infants.
• B The TSH is high because of the low production of Ta by the thyroid.
• C The thyroid gland does not produce normal levels of thyroxine for several weeks after birth
• D The thyroxine level is low because the TSH level is high.
The TSH is high because of the low production of T4 by the thyroid.
an adolescent with a congenital heart defect is admitted for diagnostic testing with surgery scheduled in 3 days. Which Intervention should the nurse implement to best support the client’s psychosocial needs?
A Allow family and friends to be present during assessments.
B Enable limited time for cell phone use
C Deliver 3 meals and snacks each day upon request.
D Provide an activity room to spend time with other adolescents.
Provide an activity room to spend time with other adolescents.
The nurse is caring for an infant scheduled for reduction of an intussusceptir procedure the infant passes a soft-formed brown stool. Which intervention stor
• A Ask the parents about recent changes in the infant’s diet.
B Notify the healthcare provider of the passage of brown stool, C Obtain a stool specimen for laboratory analysis.
D Instruct the parents that the infant needs to be NPO.
Notify the healthcare provider of the passage of brown stool
The healthcare provider prescribes amoxicillin 500 mg every 8 hours for a child who weighs 88 pounds. The recommended maximum safe dose is 50 mg/kg/24 hour. The available suspension is labeled, “Amoxicilin Suspension 250 mg/5 mL”. Based on this child’s weight, how many mL should the nurse administer? (Enter numerical value only. it rounding is required, round to the whole number.)
15
18-year-old female who is a cross country runner presents to the emergency room with a fractured libia and the x ray indicates osteopenia. Which information should the nurse obtain to assess for female athlete triad? Select all that apply.
A Calcium and vitamin D levels.
B Integrity of the dental arc.
C Menstrual pattern.
D Iron and vitamin C levels.
E Dietary and eating patterns.
A Calcium and vitamin D levels.
C Menstrual pattern.
E Dietary and eating patterns.
infant who is developmentally delayed has a ventricular peritoneal (VP) stunt for tydoc uke Y a postoperative home visit to assess the child’s progress. During the vist, the mother folin the nurs is removed, the pressure in my baby’s head will be gone.” Which response should the nurse prid
A “The shunt will have to be reinserted only if an infection or blockage develops.”
B “Other pathways in the brain will drain fluid after the shunt is removed”
C “Many infants outgrow the need for a shunt after the neonatal period.”
D “The shunt will be replaced as your child grows to reduce pressure in the brain.”
“The shunt will be replaced as your child grows to reduce pressure in the brain.”
The nurse plans to conduct a physical assessment of a loddler. Which protocol is best for the nurse to implement
A Help the child take off his/her clothes, removing underwear only to conduct examination of the genitalia B Prior to helping the child remove his/her clothing, use a paper doll to demonstrate removal of clothing.
C Have the parent remove the child’s outer clothing and remove the diaper or training pants when necessar
D Ensure that the room is warm and undress the child completely.
Have the parent remove the child’s outer clothing and remove the diaper or training pants when necessary.
