JACKLINE
MEDICAL SURGICAL NURSING: Exam Set WITH QUESTIONS AND 100% SURE ANSWERS
Terms in this set (100)
Nurse Ann is assessing a 3 month old infant during C. 4 and 5
a pediatric clinic visit. The nurse believes the infant
is demonstrating early manifestations of
respiratory distress. Which clinical manifestations
should the nurse document? Select all that
applies.
1. Bradypneia
2. Acrocyanosis
3. Intercostal retractions
4. Nasal Congestions
5. Tachypneia
a. 1 and 2
b. 3 and 4
c. 4 and 5
d. 3 and 5
MEDICAL SURGICAL NURSING: Exam Set
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,9/2/24, 4:49 AM
When caring for a child with acute bronchitis D. 1,2,3,4,5,6
which nursing interventions should be included in
the plan of care? Select all that applies.
1. Encourage fluid intake
2. Administer oxygen
3. Suction the nose
4. Administer Antibiotics
5. Follow contact precautions
6. Encourage activity
a. 1,2,3,4,6
b. 1,2,3,5
c. 2,3,4,5
d. 1,2,3,4,5,6
The nurse is assisting in the development of a plan A. 1 and 2
of care for a child with asthma. In planning care,
many goals would be appropriate for this child
and or family caregiver. Which two goals would
be the highest priority for this child or family?
1. The child will maintain a clear airway.
2. The child will have adequate fluid intake.
3. The child and the family will connect with
families living with the same diagnosis.
4. The child and the family will improve knowledge
and understanding of varied pharmacologic
options.
5. The child will maintain adequate pain control.
a. 1,2
b. 3,4
c. 1,5
d. 2,4
e. 4,5
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,9/2/24, 4:49 AM
A 1 year old with tetralogy of Fallot turns blue A. Place the child in the knee chest position
during temper tantrum. What will the nurse do
first?
a. Place the child in the knee chest position
b. Assess for irregular heart rate
c. Listen for an increased respiratory rate
d. Explain to the child the need to calm down
We have an expert-written solution to this problem!
The nurse is caring for a child with rheumatic fever C. Increased erythrocyte sedimentation rate
who has polyarthritis. which lab result would the
nurse most anticipate with this child's diagnosis
and symptoms.
a. increase clotting time
b. decreased white blood cell count
c. increased erythrocyte sedimentation rate (ESR)
d. decreased leukocyte
We have an expert-written solution to this problem!
The parents of a 10 year old boy bring the child to A. He had a pretty bad sore throat 10 days ago.
the clinic for an evaluation. Which statement by
the parents would alert the nurse the possibility of
rheumatic fever?
a. He had a pretty bad sore throat 10 days ago
b. His fever has been running around 100F (38.7C)
the past 2 days.
c. We noticed a white, thick coating on his tongue
yesterday.
d. He's been tired the last several; days.
MEDICAL SURGICAL NURSING: Exam Set
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, 9/2/24, 4:49 AM
Nurse Gina sees a 10 year old child in an A. knee pain, abdominal rash, subcutaneous nodules
ambulatory setting because of rheumatic fever.
Which of the following would the nurse expect t
find revealed by the health history?
a. knee pain, abdominal rash, subcutaneous
nodules
b. an elevated temperature, back pain, loss hair
c. fatigue, slow pulse, frequent urination
d. loss of weight, abdominal pain, chest pain
Nurse Boyet is caring for a 7 year old child with C. Swab throat culture
reports of generalized joint pain and pharyngitis.
During assessment, the nurse notes a cardiac
murmur. Which action by the nurse is priority?
a. Administer penicillin
b. Assess skin for rash
c. Swab throat culture
d. Evaluate C-reactive protein
We have an expert-written solution to this problem!
After teaching a class about the hemodynamic b. Atrial septal defect
characteristics of congenital heart disease, the
instructor determines that the teaching has been
successful when the class identifies which defect
as an example of a disorder involvinh increased
pulmonary flow?
a. Tetralogy of Fallot
b. Atrial septal defect
c. Hypoplastic left heart syndrome
d. Transposition of the great vessels
MEDICAL SURGICAL NURSING: Exam Set
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