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RN Preschoolers
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Exam study book Nursing Care of Children of Susan R. James, Kristine Nelson, Jean Ashwill - ISBN: 9781455703678 (RN Preschoolers)
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RN Preschoolers_EAQ EXIT EXAM 2022After having a blood sample drawn, a 5-year-old child insists that the site be covered
with a bandage. When the parent tries to remove the bandage before leaving the
office, the child screams that all the blood will come out. The nurse encourages the
parent to leave the bandage in place and tells the parent that the child's reaction is
based on which factor?
lacking understanding of body integrity
attempting to regain control
expressing severe pain
fearing another procedure - ANSWER: lacking understanding of body integrity
A nurse manager in a pediatric intensive care unit notices an increase in healthcare-
associated infections. What should the nurse manager do next?
Gather data on possible reasons for this increase.
Talk with the hospital administrator about the concerns.
Contact infection control to obtain infection rates of other units in the facility.
Report the issue to the Centers for Disease Control and Prevention. - ANSWER:
Gather data on possible reasons for this increase.
The mother of a 4-year-old child asks about dental care for her child. "I help brush
her teeth every day, and her teeth look healthy," the mother states. "When should I
take her to see a dentist?" Which response would be most appropriate?
"Your child doesn't need to see the dentist until she starts school."
"A dental checkup is a good idea even if no problems are noticeable."
"Ideally she should have seen a dentist already, but it's still not too late."
"Because you help brush her teeth, there is no need to see a dentist right now." -
ANSWER: "A dental checkup is a good idea even if no problems are noticeable."
Parents of a preschooler with chickenpox ask the nurse about measures to make
their child comfortable. The nurse instructs the parents to avoid administering
aspirin or any other product that contains salicylates. When given to children with
chickenpox, aspirin has been linked to which disorder?
rheumatic fever
Reye's syndrome
scarlet fever
Guillain-Barré syndrome - ANSWER: Reye's syndrome
The nurse assesses the family's ability to cope with the child's cerebral palsy. Which
action should alert the nurse to the possibility of their inability to cope with the
disease?
limiting interaction with extended family and friends
requesting teaching about cerebral palsy in general
learning measures to meet the child's physical needs
seeking advice on coping on social media - ANSWER: limiting interaction with
extended family and friends
, A mother tells the nurse that her 4-year-old boy has developed some strange eating
habits, including not finishing meals and eating the same food for several days in a
row. She would like to develop a plan to correct this situation. When developing
such a plan, what should the nurse and mother do?
Allow him to make some decisions about the foods he eats.
Restrict the availability of foods to those served at meal times.
Do not allow him to leave the table until he has eaten the food.
Decide on a good reward for finishing the meal. - ANSWER: Allow him to make some
decisions about the foods he eats.
The parents of a 5-year-old child who stutters ask the nurse how to best manage the
child's language skills. What recommendation(s) will the nurse make? Select all that
apply.
Seek opportunities for the child to speak outside the home.
Ensure that family members don't draw attention to the stutter.
Resist the urge to interrupt the child or fill in words.
Discuss the speech problems with the child.
Repeatedly instruct the child to speak slowly. - ANSWER: Ensure that family
members don't draw attention to the stutter.
Resist the urge to interrupt the child or fill in words.
A child is admitted to the emergency department with an acute asthma attack.
Which early assessment finding does the nurse expect?
inspiratory stridor
decreased respiratory rate
expiratory wheezing
cyanosis - ANSWER: expiratory wheezing
A preschooler has vomiting, diarrhea, and a potassium level of 3 mEq/L (3 mmol/L).
Which prescribed order will the nurse implement first?
nasogastric tube to low intermittent suction
promethazine topical gel 12.5 mg
I.V. infusion of 500 ml of dextrose 5% in water and half-normal saline solution with
20 mEq (20 mmol/L) of potassium chloride at 100 ml/hr
loperamide 15 ml by mouth - ANSWER: I.V. infusion of 500 ml of dextrose 5% in
water and half-normal saline solution with 20 mEq (20 mmol/L) of potassium
chloride at 100 ml/hr
A nurse is teaching the parents of a young child how to handle suspected poisoning.
If the child ingests poison, the parents should first
call the poison control center.
punish the child for being bad.
administer ipecac syrup.
call an ambulance. - ANSWER: call the poison control center.
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