Other
NRN 22 Pediatrics Finals Practice Questions
- Course
- NRN 22
- Institution
- Riverside City College
Detailed Pediatrics F Practice questions
[Show more]
Content preview
Ch 44Chapter 44
1. The nurse is teaching the mother of a 5-year-old boy with a myelomeningocele who has
developed a sensitivity to latex. Which response from his mother indicates a need for further
teaching?
A. "He needs to get a medical alert identification."
B. "I will need to discuss this with his caregivers."
C. "A product's label indicates whether it is latex-free."
D. "He must avoid all contact with latex."
Answer: C
3. The nurse is caring for a 10-year-old with Duchenne muscular dystrophy. As part of the plan
of care, the nurse focuses on maintaining his cardiopulmonary function. Which intervention
would the nurse implement to best promote maximum chest expansion?
A. Deep-breathing exercises
B. Upright positioning
C. Coughing
D. Chest percussion
Answer: B
6. The nurse has developed a plan of care for a 6-year-old with muscular dystrophy. He was
recently injured when he fell out of bed at home. Which intervention would the nurse suggest
to
prevent further injury?
A. Recommend the bed's side rails be raised throughout the day and night.
B. Suggest a caregiver be present continuously to prevent falls from bed.
C. Encourage a loose restraint to be used when he is in bed.
D. Recommend raising the bed's side rails when a caregiver is not present.
Answer: D
8. The nurse is teaching a group of students about myelinization in a child. Which statement by
the students indicates that the teaching was successful?
A. Myelinization is completed by 4 years of age.
B. The process occurs in a head-to-toe fashion.
C. The speed of nerve impulses slows as myelinization occurs.
D. Nerve impulses become less specific in focus with myelinization.
Answer: B
9. When developing the plan of care for a child with cerebral palsy, which treatment would the
nurse expect as least likely?
A. Skeletal traction
,B. Physical therapy
C. Orthotics
D. Occupational therapy
Answer: A
11. A child with Duchenne muscular dystrophy is to receive prednisone as part of his treatment
plan. After teaching the child's parents about this drug, which statement by the parents
indicates
the need for additional teaching?
A. "We should give this drug before he eats anything."
B. "We need to watch carefully for possible infection."
C. "The drug should not be stopped suddenly."
D. "He might gain some weight with this drug."
Answer: A
12. What information would the nurse include in the preoperative plan of care for an infant with
myelomeningocele?
A. Positioning supine with a pillow under the buttocks
B. Covering the sac with saline-soaked nonadhesive gauze
C. Wrapping the infant snugly in a blanket
D. Applying a diaper to prevent fecal soiling of the sac
Answer: B
17. A nursing instructor is preparing for a class discussion on spinal muscular atrophy (SMA).
When describing type 2 SMA, which information would the instructor include? Select all that
apply.
A. Onset before 6 months of age
B. Weakness most severe in shoulders and hips
C. Difficulty with swallowing
D. Slowly progressing condition
E. Genetic disease with autosomal recessive inheritance
Answer: B, D, E
18. An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m.
The fracture was reduced in the emergency department and her arm placed in a cast. At 11 p.m.
her mother brings her back to the emergency department due to unrelenting pain that has not
been relieved by the prescribed narcotics. Which action would be the priority?
A. Notifying the doctor immediately
B. Applying ice
C. Elevating the arm
D. Giving additional pain medication as ordered
, Answer: A
26. The nurse is caring for an infant with osteogenesis imperfecta and is providing instruction on
how to reduce the risk of injury. Which response from the mother indicates a need for further
teaching?
A. "I need to avoid pushing or pulling on an arm or leg."
B. "I must carefully lift the baby from under the armpits."
C. "I should not bend an arm or leg into an awkward position."
D. "We must avoid lifting the legs by the ankles to change diapers."
Answer: B
27. The nurse is developing a teaching plan for a child who is to have his cast removed. What
instruction would the nurse most likely include?
A. Applying petroleum jelly to the dry skin
B. Rubbing the skin vigorously to remove the dead skin
C. Soaking the area in warm water every day
D. Washing the skin with dilute peroxide and water
Answer: C
29. The school nurse is presenting a class to a group of students about common overuse
disorders. Which disorder would the school nurse include?
A. Dislocated radial head
B. Transient synovitis of the hip
C. Osgood-Schlatter disease
D. Scoliosis
Answer: C
30. The nurse is assessing a child with a possible fracture. What would the nurse identify as the
most reliable indicator?
A. Lack of spontaneous movement
B. Point tenderness
C. Bruising
D. Inability to bear weight
Answer: B
32. A child has undergone surgery using steel bar placement to correct pectus excavatum. What
position would the nurse instruct the parents to avoid?
A. Semi-Fowler
B. Supine
C. High Fowler
D. Side-lying
Answer: D
33. A newborn is diagnosed with metatarsus adductus. The parents ask the nurse how this
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.89. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53340 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now