119768677-Pediatric-Review-QUestions

119768677-Pediatric-Review-QUestions - Pediatric Review...

Info icon This preview shows pages 1–11. Sign up to view the full content.

View Full Document Right Arrow Icon
Pediatric Review Questions Ana H. Corona, MSN, FNP-C Instructor December 2007 InformIt2005, NCLEX Test Review center 2007
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Question 1 THE 6-MONTH-OLD CLIENT WITH A VENTRAL SEPTAL DEFECT IS RECEIVING DIGITALIS FOR REGULATION OF HIS HEART RATE. WHICH FINDING SHOULD BE REPORTED TO THE DOCTOR? A. BLOOD PRESSURE OF 126/80 B. BLOOD GLUCOSE OF 110MG/DL C. HEART RATE OF 60 BPM D. RESPIRATORY RATE OF 30 PER MINUTE
Image of page 2
Answer 1 Answer C is correct. A heart rate of 60 in the baby should be reported immediately. The dose should be held if the heart rate is below 100bpm. The blood glucose, blood pressure, and respirations are within normal limits; thus answers A, B, and D are incorrect.
Image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Question 2 THE NURSE IS TEACHING BASIC INFANT CARE TO A GROUP OF FIRST-TIME PARENTS. THE NURSE SHOULD EXPLAIN THAT A SPONGE BATH IS RECOMMENDED FOR THE FIRST 2 WEEKS OF LIFE BECAUSE: A. A.NEW PARENTS NEED TIME TO LEARN HOW TO HOLD THE BABY. B. THE UMBILICAL CORD NEEDS TIME TO SEPARATE. C. NEWBORN SKIN IS EASILY TRAUMATIZED BY WASHING. D. THE CHANCE OF CHILLING THE BABY OUTWEIGHS THE BENEFITS OF BATHING.
Image of page 4
Answer 2 Answer B is correct. The umbilical cord needs time to dry and fall off before putting the infant in the tub. Although answers A, C, and D might be important, they are not the primary answer to the question.
Image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Q 3 A 4-MONTH-OLD IS BROUGHT TO THE WELL-BABY CLINIC FOR IMMUNIZATION. IN ADDITION TO THE DTP AND POLIO VACCINES, THE BABY SHOULD RECEIVE: A. HIB Vaccine B. MMR & MUMPS VACCINE C. Varicella Vaccine D. Influenza Vaccine
Image of page 6
A 3 Answer A is correct. The (HIB) Hemophilus influenza vaccine is given at 4 months with the polio vaccine. Answers B, C, and D are incorrect because these vaccines are given later in life.
Image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Q 4 A 6-YEAR-OLD CLIENT IS ADMITTED TO THE UNIT WITH A HEMOGLOBIN OF 6G/DL. THE PHYSICIAN HAS WRITTEN AN ORDER TO TRANSFUSE 2 UNITS OF WHOLE BLOOD. WHEN DISCUSSING THE TREATMENT, THE CHILD'S MOTHER TELLS THE NURSE THAT SHE DOES NOT BELIEVE IN HAVING BLOOD TRANSFUSIONS AND THAT SHE WILL NOT ALLOW HER CHILD TO HAVE THE TREATMENT. WHAT NURSING ACTION IS MOST APPROPRIATE? A. ASK THE MOTHER TO LEAVE WHILE THE BLOOD TRANSFUSION IS IN PROGRESS B. ENCOURAGE THE MOTHER TO RECONSIDER C. EXPLAIN THE CONSEQUENCES WITHOUT TREATMENT D. NOTIFY THE PHYSICIAN OF THE MOTHER'S REFUSAL
Image of page 8
A 4 Answer D is correct. If the client’s mother refuses the blood transfusion, the doctor should be notified. Because the client is a minor, the court might order treatment. Answer A is incorrect. Because it is not the primary responsibility for the nurse to encourage the mother to consent or explain the consequences, so answers B and C are incorrect.
Image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Q 5 THE 5-YEAR-OLD IS BEING TESTED FOR ENTEROBIASIS (PINWORMS). TO COLLECT A SPECIMEN FOR ASSESSMENT OF PINWORMS, THE NURSE SHOULD TEACH THE MOTHER TO: A.
Image of page 10
Image of page 11
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern