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Flashcards in Final comprehensive Deck (180)
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1

The nurse should be aware that the criteria used to make decisions and solve problems within families are based primarily on family:
A. Rituals and customs
B. Values and beliefs
C. Boundaries and channels
D. Socialization processes

B. Values and beliefs

2

Pediatric nursing differs from adult nursing in that the nurse must (SATA)
A. Use unique pediatric assessment tools
B. Evaluate developmental milestones
C. Assess psychosocial needs
D, Monitor Growth and Development

A, B, D
A. Use unique pediatric assessment tools
B. Evaluate developmental milestones
D, Monitor Growth and Development

3

Core concepts of family centered care include which of the following? (SATA)
A. Participation in care of the family
B. Information sharing with the family
C. Collaboration with the family to plan and provide care
D. Responsibility for driving the plan of care resides with parents only
E. Dignity and respect for the child and family

A, B, C. E
A. Participation in care of the family
B. Information sharing with the family
C. Collaboration with the family to plan and provide care
E. Dignity and respect for the child and family

4

Discharge planning begins:
A. At the time of admission
B. On the morning of discharge
C. At the beginning of every shift
D, Only when the family asks for it

A
A. At the time of admission

5

Family centered care:
A. Is not possible in pediatric intensive care units
B. Directs the family through the hospital process
C. Allows only the family to make the decisions in the delivery care model
D. Integrates the family, child, and caregivers into the decision making and care delivery model

D
D. Integrates the family, child, and caregivers into the decision making and care delivery model

6

Culturally competent care includes:
A. Treating others exactly how you would like to be treated
B. Seeing each individual as unique
C. Treating individuals within the same cultural group the same
D. Providing care without concerns for your own values

B
B. Seeing each individual as unique

7

Spiritual assessments should be performed:
A. as needed
B. During every contact with the health-care providers
C. During hospitalizations
D. Annually

B
B. During every contact with the health-care providers

8

The nurse is creating a care plan for palliative care for a terminal 6-year old child in the hospital and is aware that an essential intervention and assessment that needs to be included in which of the following?
A. Pain
B. Developmental needs
C. School needs
D, Discharge

A.
Pain

9

When a child is at the end stage of life, the nursing priority should be:
A. Restoration of health
B. Health education
C. Patient comfort
D. Developmental assessment

C
Patient comfort

10

What safety instruction addresses a major cause of accidental death among people from all development levels?
A. Resist pressure to engage in high-risk activities
B. Rise slowly to a standing position
C. Wear a seatbelt
D. Cut food into small pieces

C
Wear a seatbelt

11

Which assessment does a nurse interpret as a transfusion reaction?
A. crackles in dependent lobes of lungs
B. High fever, severe hypotension
C. Anxiety, itching, confusion
D. Chills, tachycardia, flushing

D.
Chills. tachycardia, flushing

12

After teaching a client who is prescribed a restricted sodium diet, a nurse asses the client's understanding. Which food choice for lung indicates the client correctly understands the teaching?
A. Slices of smoked ham with potato salad
B. Bowl of tomato soup with a grilled cheese sandwich
C. Salami and cheesed on whole wheat crackers
D. Grilled chicken breast with glazed carrots

D. Grilled chicken breast with glazed carrots

13

A client is prescribed 1000mL of normal saline over 24 hours. At what rate should the nurse set the pump (mL/hr) to deliver this infusion? (round to whole number)

42

14

A client is prescribed 250mL of normal saline to infuse over 4 hours. The drip factor is 15 drops/mL. How many drops per minute will the nurse infuse?
Round to whole number

250/4=62.5ml/hr * 60min/1hr=1.014666666mL/min * 15gtt/min=15.625= 16

15

A nurse is preparing to assess pediatric clients on a step down unit should know that, compared with an adult, an infant has which amount of fluid per total body weight?
A. Less fluid per total body weight
B. More fluid per total body weight
C. Double the fluid per total body weight
D. The same amount of fluid per body weight

B. More fluid per total body weight

16

A nurse evaluates a client who has received a diuretic therapy for fluid volume excess. Which should indicate to the nurse that the therapy has been effective?
A. Decreased in body weight
B. Increase in respiratory rate
C. Decrease in urine output
D. Increased in blood pressure

A. Decreased in body weight

17

A nurse is recording intake and output for an adult client. The client reports consuming 600-mL soft drink out of a bottle, has received 500 mL of IV fluids, and has voided 350 mL if urine. Determine the clients intake in mL as a whole number.

600+500=1100mL

18

A nurse is caring for a client diagnosed with congestive heart failure secondary to fluid volume excess. Which factors, if exhibited by the client, should the nurse associate with FVE? SATA
A. Increased cardiac output
B. Decreased fluid output
C. Decreased fluid intake
D. Increased sodium intake
E. Decreased sodium intake

B. Decreased fluid output
D. Increased sodium intake

19

A nurse assess a client who reports vomiting and diarrhea. Which information is most important for the nurse to obtain?
A. when the client ate or drank last
B. What medications the client is taking
C. Who has been caring for the client at home
D. How long the client has had these symptoms

D. How long the client has had these symptoms

20

A nurse is caring for a child in the pediatric unit. Which of the following factors is most important when communicating with children?
A. The type of illness the child is experiencing
B. The presence or absence of the child's parent
C. The child's developmental level
D. The child's nonverbal behaviors

C. The child's developmental level

21

The nurse is assessing a child in the pediatric unit. According to the National Center for Health Statistics criteria, which body mass index for age percentile indicates a risk for the child being overweight?
A. 9th percentile
B. 95th
C. 100th
D, 85th

D. 85th

22

The nurse is caring for a 6yr old in the pediatric clinic. Which action is most likely to encourage parents to talk about feelings related to their child's illness?
A. Be sympathetic
B. Use direct questions
C. Use open-ended questions
D. Avoid periods of silence

C. Use open-ended questions

23

A 3yr old has been admitted to the pediatric unit. What is an important consideration for the nurse who is communication with the child?
A. Speak loudly, clearly, and directly
B. Use transition objects such as a doll
C. disguise own feelings, attitudes, and anxiety
D. perform all nursing care

B. Use transition objects such as a doll

24

The nurse is caring for a 2yr old following inguinal hernia repair. Which pain assessment tool should the nurse use to assess the child for the presence of pain?
A. numeric scale
B. FACES
C. Visual analog scale
D. FLACC pain assessment tool

D. FLACC pain assessment tool

25

Which statement confirms that the patient understands the rehabilitation goals?
A. The plan is to see how well I can function with my new disability before I can go home.
B. With rehabilitation I'll be my old self again
C. I will work hard to learn to use my left hand to do everything now.
D. This place will keep me until my nursing home is ready.

A. The plan is to see how well I can function with my new disability before I can go home.

26

The nurse is caring for a child in the pediatric unit. An appropriate approach to performing a physical assessment on a toddler is to:
A. perform traumatic procedures first
B. Demonstrate use of equipment
C. Use minimal physical contact initially
D. Always proceed in a head-to-toe direction

C. Use minimal physical contact initially

27

The nurse is caring for an older adult who is ambulatory and independent. What intervention by the nurse would be most helpful in preventing falls in this patient?
A. Keep the light on in the bathroom at night
B. Order a bedside commode for the patient
C. Put the patient on a toileting schedule
D. Use side rails to keep the patient in bed

A. Keep the light on in the bathroom at night

28

The nurse is admitting an older adult who lives at home with family. The patient has several bruises and pressure ulcers on her skin. Which action by the nurse is most appropriate?
A. Notify adult protective services.
B. Ask the family how these problems occurred
C. call the police department and file a report
D. Report the findings per agency policy

D. Report the findings per agency policy

29

The nurse is providing education regarding high-fiber foods to an older adult with chronic constipation. Which food selection would require further teaching?
A. White rice
B. Black beans
C. Whole Wheat bread
D. Barley soup

A. White rice

30

The nurse has provided a home safety assessment for an older adult. There are steps from the house to the backyard. Which intervention would be most helpful in keeping the older adult safe on the steps?
A. Install contrasting color strips at the edge of each step
B. Have the patient use a walker or cane on the steps
C. Instruct the patient to use the garage door instead
D. Tell the patient to use a two-footed gait on the steps

A. Install contrasting color strips at the edge of each step