The nurse is giving preoperative instructions to a 14 year y/o female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery"
B. "I have h...
Pediatrics Practice HESI
The nurse is giving preoperative instructions to a 14 year y/o female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery"
B. "I have had surgery before when I broke my wrist in a bike acdient, so I know what to expect"
C. "All the things people have told me will help me take care of my back"
D. "I understand that I will be in a body cast and I will show you how taught me to turn" - correct
answersD
Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an
understanding but can also provide a return demonstration (D)
A: 14 y/o might not do that
B: Spinal surgery is different from wrist surgery
C: Client may be saying what the nurse wants to hear w/o expressing any real understanding of what to
do after surgery
A 2 y/o with Down syndrome is brought to the clinic for his regular physical examination. The nurse
knows which problem is frequently associated with Down syndrome?
A. Congenital heart disease
B. Fragile X chromosome
C. Trisomy 13
D. Pyloric stenosis - correct answersA
B: Causes mental retardation
D: Not associated with Down syndrome
When assessing a child with asthma, the nurse should expect intercostal retractions during...
A. Inspiration
B. Coughing
C. Apneic episodes
D. Expiration - correct answersA.
Intercostal retractions result from respiratory effort to draw air into restricted airways
Which behavior would the nurse expect a 2 y/o child to exhibit?
A. Build a house with blocks
B. Ride a tricycle
C. Display possessiveness of toys
D. Look at a picture book for 15 minutes - correct answersC
Remember 2 y/o are egocentric aka everything is about them so they are unable to share with other
children
ABC are behaviors of a preschooler
, The mother of a preschool-aged child asks the nurse if it all right to administer Pepto Bismol to her son
when he "has a tummy ache". After reminding the mother to check the label of all OTC drugs for
prescence of aspirin, which instruction should the nurse include when replying to this mother's
question?
A. If the child's tongue darkens, d/c the Pepto Bismol immediately
B. Don't give if the child has chicken pox, the flu, or any other viral illness
C. Avoid the use of Pepto Bismol until the child is at least 16 y/o
D. Pepto Bismol may cause a rebound hyperacidity, worsening the tummy ache - correct answersB
Pepto Bismol contains aspirin and there is the potential of Reye's syndrome.
A: Is a common effect of Pepto bismol doesn't warrant d/c
C: Pepto Bismol doesn't cause rebound hyperacidity
D: Complication of antacids containing calcium
The nurse observes a 4 y/o boy in a daycare setting. Which behavior should the nurse consider normal
for this child?
A. Has a temper tantrum when told he must shares his toys
B. Plays by himself most of the day
C. Demonstrates aggressiveness by boasting when telling a story
D. Begins to cry & is fearful when separated from his parents - correct answersC
4 y/o children are aggressive in their behavior and enjoy "tale telling".
AD: Typical of toddlers. The play of preschooler is cooperative, so playing B is not typical
A burned child is brought to the ER. In estimating the % of the body burned, the nurse uses a modified
"rule of nines". Which part of a child's body is calculated as a larger percentage of total body surface
than an adult's?
A. Head & Neck
B. Arms & Chest
C. Legs & abs
D. Back & Abdomen - correct answersA
The nurse receives a lab report stating a child with asthma has theophyline level of 15 mcg/dl. Which
action will the nurse take?
A. Pass the information on in the report
B. Notify the healthcare provider bc the value is high
C. Repeat the lab study because the value is too high
D. Hold the next dose of theophyline - correct answersA.
Therapeutic level of theophyline is 10-20 mcg/dl, so the child's level is within the therapeutic range. This
information evaluates the prescribed therapy & should be communicated in the nurse's report
A 12 month old boy is admitted with a respiratory infection and possible pneumonia. He is place din a
mist tent with oxygen. Which nursing intervention has the greatest priority for this infant?
A. Give small, frequent feedings of fluids
B. Accurately chart observations regarding breath sounds
C. Have a bulb syringe readily available to remove secretions
D. Encourage older siblings to visit - correct answersC
Airways is always the priority. A: maintains hydration & prevent tiring but an open airway has a higher
priority
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 EWLindy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
