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A six-year-old child has been newly diagnosed with cystic fibrosis. During discharge
teaching, the nurse is instructing the parents on nutritional requirements specifically
related to the child's decreased ability to absorb fats. The nurse teaches the family that
the child will need supplementation with vitamins that are fat soluble, such as:
1. Vitamin K.
2. Riboflavin.
3. Vitamin B12.
4. Thiamin.
An infant has been diagnosed with a mild heart defect. Surgery to correct the defect will
not be performed for at least two years. The nurse teaches the parents that a child with a
mild heart defect should:
1. Have a low-grade fever until the defect is repaired.
2. Maintain normal activity.
3. Not develop congestive heart failure.
4. Not be given antipyretics.
A young child admitted to the pediatric unit has fever, irritability, and vomiting. The
physician suspects bacterial meningitis. The nurse would expect the cerebrospinal fluid
(CSF) to show:
1. Decreased protein count.
2. Clear, straw-colored fluid.
3. Positive for RBCs.
4. Decreased glucose level.
A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy.
Which diuretic would the nurse expect to give?
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Aquazide)
3. Spironolactone (Aldactone)
4. Mannitol (Osmitrol)
The home health nurse is visiting a family at home when the toddler has an "accident"
and has a bowel movement in his diaper. The mother becomes angry with the child and
calls him a baby for messing himself. The nurse considers Erikson's theory and
recognizes that the mother's behavior may have an effect on the child's:
1. Cognitive development.
2. Sense of independence.
3. Conscience.
4. Development of superego.
A hospitalized three-year-old needs to have an IV restarted. The child begins to cry
when carried into the treatment room by the mother. Which is the most appropriate
nursing diagnosis?
1. Knowledge deficit of the procedure
2. Fear related to the unfamiliar environment
3. Anxiety related to anticipated painful procedure
4. Ineffective individual coping related to an invasive procedure
A pregnant woman is planning to breastfeed. The nursing intervention that will promote
breastfeeding in the new mother is:
1. Facilitating breastfeeding within the first 30 to 60 minutes of life.
2. Telling the mother that the physician strongly advises new mothers to breastfeed their
newborns.
3. Encouraging the mother to attend breastfeeding classes before discharge from the
hospital.
4. Giving the woman literature on breastfeeding as soon as she enters the labor room.
A five-year-old child is admitted to the pediatric unit for surgery. The parents request to
stay with their child. Which is the best response by the nurse?
1. Tell the parents they can stay in the hospital but not on the unit.
2. Read the rules and regulations of rooming in with the child.
3. Let the parents know they are allowed to stay with the child.
4. Explain to the parents why they cannot stay with the child.
The new mother tells the nurse that sometimes her infant seems to become frantic when
crying and asks what she can do when this happens. Which actions would the nurse
recommend?
Standard Text: Select all that apply.
1. Offer breast or bottle if it has been two hours or longer since the last feeding.
2. If the infant is not hungry or wet, allow the infant to cry it out.
3. Swaddle the infant in a blanket and rock the infant.
4. Try patting the infant on the back to help the baby expel gas.
5. Take the infant to a different room or outside to distract the infant.
The nurse is visiting with a school-age child in the clinic. The child states to the nurse,
"Friends are giving me cigarettes to smoke." What is the best response by the nurse?
1. "Tell them 'no,' don't do it again, and don't tell anyone."
2. "Smoking occasionally will not hurt you."
3. Show the child a model of lungs with smoke damage then have the child try to
breathe through a straw.
4. Explain to the child the risks associated with smoking.
A premature infant is admitted to the Neonatal Intensive Care Unit. The infant is in
critical condition, and the outcome is questionable. Nursing behaviors that will promote
visitation include:
1. Explaining to the parents that everything possible is being done for their infant.
2. Smiling at the parents and making them welcome when they come to visit.
3. Allowing alone time with their infant when they visit.
4. Introducing the parents to the other parents visiting their babies.
The recommendation for an infant's sleeping position is now "back to sleep." Which
nursing intervention is needed to prevent flattening of the occipital bones?
1. Place an infant hat on the head of the infant during sleep for the first three months of
life.
2. Allow the infant to sleep on his abdomen while an adult is present and observing the
infant during sleep.
3. Alternate the head position from left to right during sleep.
4. Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes
each day.
When a parent reports multiple male miscarriages, the nurse should confer with the
health care provider about a possible genetics referral for which type of conditions?
1. Anticipation autosomal dominant conditions
2. X-linked recessive conditions
3. X-linked dominant conditions
4. Autosomal recessive conditions
As children grow and develop, their interests and activities change. Place the following
childhood activities in order from interests of a 5-year-old to interests of a 12-year-old.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Hass-defined hobbies such as model building, building with wood,
needlepoint
Choice 2. Colors in coloring book, mostly staying inside the lines
Choice 3. Learns to ride a two-wheel bicycle without training wheels; reads first
readers
Choice 4. Belongs to the basketball team or cheerleading squad at school
Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child
would discuss the parents' work environment as part of an assessment of that child's:
1. Chronosystem.
2. Mesosystem.
3. Macrosystem.
4. Exosystem.
