Exam (elaborations)
RN Nursing Care of Children 2016 B
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RN Nursing Care of Children 2016 B RN Nursing Care of Children 2016 B RN Nursing Care of Children 2016 B
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RN Nursing Care of Children 2016 BA nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental
milestones should the nurse expect to observe
Identifies right from left hand
Uses a utensil to spread butter
Cuts a shape using scissors
Draws a stick figure with seven body parts - CORRECT ANS Cuts a shape using scissor
The nurse should recognize that an expected developmental milestone for a 4-year-old child is using
scissors to cut out a shape.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who
weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer
per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero - CORRECT ANS 1
A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the
following findings should the nurse expect? (Select all that apply
Increased temperature
Gingival hyperplasia
Xerophthalmia
Bradycardia
Cervical lymphadenopathy - CORRECT ANS increased temperature, xerophthalmia, cervical
lymphadenopathy
,A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes mellitus. The nurse
should identify which of the following statements by the child as understanding the teaching
"I will puncture the pad of my finger when I am testing my blood glucose."
"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
"I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."
"I will decrease the amount of fluids I drink when I am sick." - CORRECT ANS "I will give myself a shot of
regular insulin 30 minutes before I eat breakfast
The child should administer regular insulin 30 min before meals so that the onset coincides with food
intake.
A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the
nurse expect
Increase in anterior convexity of the lumbar spine
Increased curvature of the thoracic spine
Lateral flexion of the neck
A unilateral rib hump - CORRECT ANS a unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to see a unilateral rib hump
with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic spine resulting in
asymmetry of the ribs, shoulders, hips, or pelvis. Scoliosis can be the result of a neuromuscular or
connective tissue disorder, or it can be congenital in nature.
A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial
meningitis. Which of the following results should the nurse identify as a finding associated with bacterial
meningitis
, Decreased cerebrospinal fluid pressure
Decreased WBC count
Increased protein concentration
Increased glucose level - CORRECT ANS increased protein concentration
The nurse should recognize that an increased protein concentration in the spinal fluid is a finding
associated with bacterial meningitis.
A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions
should the nurse include in the plan
Administer pancreatic enzymes 2 hr after meals.
Decrease pancreatic enzymes if steatorrhea develops.
Limit fluid intake to 750 mL per day.
Increase fat content in the child's diet to 40% of total calories. - CORRECT ANS Increase fat content in the
child's diet to 40% of total calories
A child who has cystic fibrosis is unable to properly digest fats due to fibrosis of the pancreas and limited
secretion of pancreatic enzymes. The nurse should increase the child's fat intake to equal 40% of total
caloric intake.
A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration.
Which of the following findings should the nurse address first
Skin breakdown
Hypotension
Hyperpyrexia
Tachypnea - CORRECT ANS tachypnea
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