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Flashcards in Exam 2 Practice Questions Deck (16):

An 8-year-old has a cast applied for a fractured radius. The nurse recognizes that which of the following findings must be reported to the clinician immediately?

1) Edema in the affected fingers that resolves with elevation
2) Pain that decreases with elevation of the affected extremity
3) Child is using the affected extremity to play on the phone
4) Capillary refill of 4-5 seconds on the affected hand



The nurse recognized that which of the following may be a sign of slipped capitol femoral epiphysis?

1) Pain in the hip of a pre-adolescent child
2) Acute onset of knee pain
3) Presence of a limp in a pre-school-age child
4) Painful external rotation of the affected leg



The clinician has written the following orders for a child with Duchene muscular dystrophy who is being hospitalized for bacterial pneumonia. The nurse should question the order for which of the following?

1) Physical therapy
2) Antibiotic therapy
3) Strict bed rest
4) Passive range of motion exercises



A nurse for a 4-year-old with spastic cerebral palsy may tell the parents that their child may have special dietary needs due to:

1) The paralysis of the child’s muscles decreased their caloric need.
2) The spasticity of the child’s muscles increases their caloric need.
3) The hypotonic muscles make eating difficult.
4) The child’ inactivity increases the risk of obesity.



A 6-year-old is admitted to the hospital with a diagnosis of viral meningitis. What is the priority action for the care of this child?

1) Monitor for seizures
2) Administer antibiotics
3) Keep the lights bright to observe skin pigmentation
4) Keep the child active by providing toys in his room



You, the nurse, are providing discharge instruction for a child who has suffered a head injury within the last four hours. You determine that there is a need for additional teaching when the mother says:

1) “I will all my clinician immediately if my child starts vomiting.”
2) “I won’t give my child anything stronger than Tylenol for headache.”
3) “My child should sleep for at least 8-hours without arousing after we get home.”
4) “I recognize that continued amnesia about the injury is common.”



The opening between the pulmonary artery and the aorta is called:

1) Ductus arteriosus
2) Foreman ovale
3) Atrial septal defect
4) Ventricular septal defect



A 12-year-old child has recently had a strep throat infection and is now complaining of chest pain. On exam, you note that the patient has swollen joints, and a rash on his chest. The child likely has:

1) Congestive heart failure
2) Rheumatic fever
3) Kawaski Disease
4) Tetralogy of Fallot



What should the nurse assess prior to administering digoxin?

1) Oral mucosa
2) Bowel sounds
3) Apical heart rate
4) Liver function tests



A newborn has been diagnosed with hypoplastic left heart syndrome. What medication is given to keep the ductus arteriosus patent?

1) Digoxin
2) Lasix
3) Aspirin
4) Prostaglandins



Which cardiac anomaly may result in significantly different upper and lower extremity blood pressures?

1) Transposition of the great arteries
2) Coarctation of the aorta
3) Tetralogy of Fallot
4) Patient Ductus Arteriosus



The parent of an infant with cystic fibrosis asks the you how to help with the increased nutritional needs. Your best response is:

1) You may need to increase the number of fruits and vegetables.
2) You may need to keep the child on whole milk longer due to the increased amount of fat.
3) You may need to change your baby to higher calorie formula.
4) You may need to provide the baby with more carbohydrates.



An 8-month-old, otherwise healthy baby has a low fever, nasal congestion, and mild cough. Your nursing management for this patient includes:

1) Avoiding contact with family members.
2) Using saline nasal drops and a bulb syringe.
3) Sending the patient to the emergency room.
4) Changing from formula to water.



Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching their breath?

1) Prednisone
2) Singulair
3) Albuterol
4) Flovent



The clinician orders a test for respiratory syncytial virus (RSV). The nurse obtains the test by:

1) Blood culture
2) Based on symptoms
3) Nasal swab
4) Throat culture



You are the on-call nurse. A parent calls and tells you their otherwise healthy 2-year-old has a barky cough which gets worse at night. You suggest:

1) Taking the child to the emergency department
2) Taking the child for a walk in the humid night air
3) Give a cough suppressant
4) Provide honey to soothe the throat.