1. A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include?
"Place the infant in a prone position to sleep." "Allow the infant to sleep on a large pillow." "Use a soft mattress in the infant...
RN NURSING CARE OF CHILDREN ONLINE
PRACTICE 2019 A WITH NGN
1. A nurse is teaching the parent of an infant about ways to prevent sudden
infant death syndrome (SIDS). Which of the following instructions should the
nurse include?
"Place the infant in a prone position to sleep."
"Allow the infant to sleep on a large pillow."
"Use a soft mattress in the infant's crib."
"Give the infant a pacifier at bedtime.": "Give the infant a pacifier at bedtime."
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping.
2. A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priorityaction
by the nurse?
Elevate the head of the child's bed.
Insert a large bore IV catheter for the child.
Determine the allergen that caused the child's reaction.
Administer epinephrine IM to the child.: Administer epinephrine IM to the child.
When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority action is administering epinephrine IM to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately this causes decreased blood return to the
heart.
3. A nurse is caring for a preschooler whose father is going home for a
few hours while another relative stays with the child. Which of the following
statements should the nurse make to explain to the child when their father will
return?
"Your daddy will be back at 7 p.m."
,RN NURSING CARE OF CHILDREN ONLINE
PRACTICE 2019 A WITH NGN
"Your daddy will be back after he takes care of your brother."
"Your daddy will be back in the morning."
"Your daddy will be back after you eat.": "Your daddy will be back after you eat."
Preschoolers make sense of time best when they can associate it with an expecteddaily routine,
such as meals and bedtime. Therefore, the child comprehends time best when it is explained to
them in relation to an event they are familiar with, suchas eating..
4. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
,RN NURSING CARE OF CHILDREN ONLINE
PRACTICE 2019 A WITH NGN
Potassium 2.9 mEq/L
Sodium 140 mEq/L
Urine specific gravity 1.035
BUN 25 mg/dL: Sodium 140 mEq/L
The nurse should identify that a sodium level of 140 mEq/L is within the expected reference
range of 134 to 150 mEq/L and indicates the current treatment regimen the infant is receiving
for dehydration is effective.
5. A nurse is creating a plan of care for a school-age child who has heart disease
and has developed heart failure. Which of the following interventionsshould the
nurse include in the plan?
Provide small, frequent meals for the child.
Schedule time in the play room for the child.
Weigh the child weekly.
Maintain the child in a supine position.: Provide small, frequent meals for thechild.
The metabolic rate of a child who has heart failure is high because of poor cardiacfunction.
Therefore, the nurse should provide small, frequent meals for the child because it helps to
conserve energy.
6. A nurse is admitting a school-age child who has pertussis. Which of the
following actions should the nurse take?
Place the child in a room with positive-pressure airflow.
Place the child in a room with negative-pressure airflow.
Initiate contact precautions for the child.
Initiate droplet precautions for the child.: Initiate droplet precautions for the child.
The nurse should initiate droplet precautions for a child who has pertussis, also known as
whooping cough. Pertussis is transmitted through contact with infected large-droplet nuclei
that are suspended in the air when the child coughs, sneezes,or talks.
, RN NURSING CARE OF CHILDREN ONLINE
PRACTICE 2019 A WITH NGN
7. A school nurse is assessing an adolescent who has scoliosis. Which of the
following findings should the nurse expect?
Increase in anterior convexity of the lumbar spine
Increased curvature of the thoracic spine
Lateral flexion of the neck
A unilateral rib hump: A unilateral rib hump
When assessing an adolescent for scoliosis, the school nurse should expect to seea unilateral rib
hump with hip flexion. This results from a lateral S- or C-shaped curvature to the thoracic
spine resulting in asymmetry of the ribs, shoulders, hips, or
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