NURS 405 Exam 3 questions with correct answers
The nurse is caring for a 4-year-old with oral vesicles and ulcers from
herpangina. The child is refusing fluids due to the pain and the mother is
concerned about his hydration status. Which of the suggestions would be
most appropriate?
"Try some Anbesol or Kank-A."
"Offer him some orange juice."
"Encourage him to have some soda."
"Offer 'magic mouthwash' followed by a popsicle." Correct
Answer-"Offer 'magic mouthwash' followed by a popsicle."
A child is scheduled for a urea breath test. The nurse understands that
this test is being performed for which reason?
evaluate gastric pH
confirm pancreatitis
determine esophageal contractility
detect Helicobacter pylori Correct Answer-detect Helicobacter pylori
A child is hospitalized with dehydration as a result of rotavirus. When
reviewing the plan of treatment, what can the nurse anticipate will be
included? Select all that apply.
monitor of intake and output
antibiotic therapy
daily weight assessment
IV fluid administration
,antidiarrheal agents Correct Answer-monitor of intake and output
daily weight assessment
IV fluid administration
An adolescent is diagnosed with hepatitis A. Which problem should be
considered when planning care?
The adolescent's urine will be dark and infectious.
The adolescent will become fatigued easily.
The adolescent will be very irritable and perhaps require sedation.
Hypothermia is common. Correct Answer-The adolescent will become
fatigued easily.
The nurse is caring for a 2-year-old child with a gastrointestinal
infection resulting in 4 to 5 liquid stools per day over the past 3 days.
Based on this information, which important concern(s) will the nurse
address in the child's care? Select all that apply.
undernourishment risk: malnutrition
fluid deficiency risk: dehydration
diarrhea and loss of electrolytes
availability of parents to care for the child
the risk for skin maceration in the perineum Correct Answer-fluid
deficiency risk: dehydration
diarrhea and loss of electrolytes
the risk for skin maceration in the perineum
,The parent reports that the health care provider said that the infant had a
hernia but cannot remember which type. When recalling what the health
care provider said, the parent said that a surgeon will repair it soon and
there is no problem with the testes. Which hernia type is anticipated?
umbilical hernia
diaphragmatic hernia
hiatal hernia
inguinal hernia Correct Answer-inguinal hernia
Which assessment finding would suggest that a child's postoperative
feeding schedule following pyloric stenosis surgery should be slowed?
Flatulence
Vomiting
Falling asleep at each feeding
Semiformed bowel movements Correct Answer-Vomiting
The nurse is caring for an infant recently diagnosed with oral candidiasis
(thrush) who has been prescribed nystatin. Which statement by the
infant's mother would suggest a need for further education?
"I will watch for diaper rash."
"I will add the nystatin to her bottle four times per day."
"I will use a cotton tipped applicator to apply the medication to her
mouth."
"I will make sure to clean all of her toys before I give them to her."
Correct Answer-"I will add the nystatin to her bottle four times per day."
, An 18-month-old infant is brought to the emergency department with
flu-like symptoms. The infant is diagnosed with pneumonia secondary to
aspiration of stomach contents. The nurse explains to the parents that
pneumonia is a condition that often occurs secondary to:
Hirschsprung disease.
inflammatory bowel disease.
gastroesophageal reflux disease.
cystic fibrosis. Correct Answer-gastroesophageal reflux disease.
A parent brings a 2-year-old child to the health clinic with reports of
diarrhea, vomiting, and abdominal pain. The father tells the nurse that he
is a single parent and his child is enrolled in a local day care center.
Based on this information, what gastrointestinal condition might the
nurse suspect?
Appendicitis
Gastroenteritis
Hirschsprung disease
Pancreatitis Correct Answer-Gastroenteritis
A child is experiencing an acute exacerbation of Crohn disease for
which she is prescribed prednisone. The nurse teaches the parents and
child about this medication. Which statement by the parents indicates
that the teaching was successful?
"We might notice some of the medication in her stool."
"She might lose some weight initially."
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