solved

1. An infant returns from surgery for esophageal atresia with fistula with a gastrostomy tube in place. On the second day postoperative day, the nurse should:
Leave the tube as it is.
Plug the tube.
Secure the tube above the level of the stomach.
Return the tube to gravity drainage.
2. Interdisciplinary members a nurse would expect to be a part of the team involved with an infant
who has a cleft lip and his/her family are (Select all that apply.):
Occupational therapist
Pharmacist
Pediatric urologist
Schoolteacher
Registered nurse
Dietitian
3. The nurse knows that full-term infants are at a high risk for developing iron-deficiency anemia at
what age?
12 months
6 weeks
4 months
9 months
4. A four-week-old is brought to the hospital by her mother, who is concerned about her weight
loss and frequent crying. Pyloric stenosis is the suspected diagnosis. The nurse assessing the
infant should know that the most obvious sign or symptom of this condition is:
Frequent diarrhea.
Constant hunger and fussiness.
Peristaltic waves passing left to right after a feeding.
Spitting up after a feeding.
5. The nurse is caring for a 16­year­old boy admitted for chemotherapy. The nurse
recognizes that adolescents are most interested in which psychosocial issues? (Select
all that apply.)
6. A toddler with a diagnosis of sickle cell disease is being discharged home with his parents. Which intervention should take priority?
7. An infant was given a diagnosis of a lumbar mylemeningocele at birth. The nurse knows
that this is a:
8. A nurse is caring for a toddler who has meningitis. Which of the following is the skin
change that may be seen in bacterial meningitis?
9. An infant is being admitted for a cleft lip repair tomorrow morning. The nurse collecting
data from the mother will expect to obtain information about:
10. A 2­year­old infant is diagnosed with severe croup. The nurse caring for this child
identifies essential therapeutic measures as being hospitalization and:
11. Signs and symptoms of ketoacidosis that the nurse would teach a diabetic with a new
diagnosis of diabetes would include:
12. A 9­year­old girl who has a known seizure disorder is admitted to the hospital for
adjustment of medication dosage. A nurse witnesses the onset of a grand mal seizure
and implements the seizure plan. This would include which steps? (Select all that
apply.)
13. A nurse is caring for a school­age child with acute glomerulonephritis who is taking
potassium­sparing diuretics. The nurse anticipates discussing the diet with the child and
his parents. The diet should include:
14. A child is admitted with bronchial asthma. The respiratory signs that the nurse would
expect to see include:
15. A nurse is assisting with the admission of a toddler who has nephrotic syndrome. Which
of the following objective data should the nurse anticipate collecting from the child?
16. A mother brings her 2­year­old child to the clinic. The child is drooling, agitated, and
appears to be in repiratory distress. The pediatrician suspects epiglottitis. What action
by the nurse is best?
17. The nurse is making midmorning rounds on a child to whom she administered insulin at
7:30 a.m. What symptom would alert the nurse that the child might be hypoglycemic?
18. A 6­month­old patient is suspected of having cystic fibrosis. What diagnostic tests does
the nurse expect to be ordered for this patient? (Select all that apply.)
19. The nurse is caring for a patient with nephrotic syndrome. What assessment finding
does the nurse expect to find?
20. The nurse is assessing a newly admitted patient. What clinical manifestations would
probably indicate that the child has autism? (Select all that apply)
21. The nurse is answering questions from a parent whose child has acute
glomerulonephritis. Which explanation of the disease is most accurate?
22. A 5­year­old patient is admitted to the pediatric unit in sickle cell crisis. Which nursing
intervention will be included in the plan of care? (Select all that apply.)
Strenuous exercise of the extremities to increase oxygen to the area
Administration of analgesics as ordered
Administration of IV fluid to improve circulation and hydration
Administer oxygen as ordered
Applying heat pads to the affected areas
23. A 7­year­old patient has a diagnosis of recurrent abdominal pain (RAP). What nursing
interventions would be most appropriate to include in the plan of care? (Select all that
apply.)
Encourage the parents to maintain a normal schedule for their child with regard to
school.
Support the parents in deemphasizing their child’s complaints.
Educate the parents to contact the health care provider if symptoms worsen.
Help the parents choose appropriate exercise for the child.
Discourage the praent from allowing the child to play with other children until symptoms
subside.

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