22. A child admitted with epiglottitis is not responding to…
Question 22. A child admitted with epiglottitis is not responding to… 22. A child admitted with epiglottitis is not responding to humidified oxygen. Which procedure does the nurse anticipate will be ordered?- Emergency tracheostomy-Chest x-ray- BiPAP- Antibiotics 29. A nurse is assessing a school age child in the oncology clinic. The child reports soreness in the mouth and refuses to eat. The inspection of the mouth revels a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?- Dematitis – Stomatitis- candidiasis- Epiglottis 30. A nurse working in a school-based health clinic is preparing weekly report of Nationally Notifiable Diseases to send the State Health Department. Which of the following should be reported?- Suspected Chlamydia cases- Only confirmed Syphilis cases- Possible pennatal exposures to HIV- Suspected cases of Conjunctivitis 31. In treating sexually- transmitted diseases (STDs), which of the following strategies can be used to reduce the spread?- Efficient contact tracing- Prophytactic antibiotics to sexually-active teens- Treating STDs as symptoms anse- Abstaining from sex unless within monogamous relationships 33. A nurse is assessing a child with suspected otitis media. Which clinical finding supports this diagnosis?- Intense itching in the ear canal- External edema and difficulty visualizing tympanic membrane- Otorrhea- Bulging tympanic membrane and nasal stuffiness 34. A child with Cystic Fibrosis has just completed chest physiotherapy. Which of the following outcomes would not be expected?- Increase wheezing bilaterally- Improved breath sounds bilaterally – Productive cough- Resting quietly in a chair 35. A mother of a child suspected of having Cystic Fibrosis asks the nurse how testing for Cystic Fibrosis is done. Which would be the best response by the nurse?- Testing for cystic fibrosis is done using a painless swab of the cheek- Testing for cystic fibrosis is done by completing two sweat stimulation tests- Testing for cystic fibrosis is done by testing stool for the presence of fat- Testing for cystic fibrosis is done through a standard blood test for chlorine. 36. A nurse in the PACU caring for a child post-tonsillectomy notices that the child is frequently swallowing over the period of minute. Which complication should the nurse immediately assess for?- Hemorrhage- Halitosis- Infection- Impaired airway 37. A nurse is giving post-op discharge instructions to a parent following their child’s tonsillectomy. Which of the following statements demonstrates the parent understand the teaching?- “I will allow the child to choose whichever foods they want from the pantry”- “I will provide the child soft foods, like mashed potatoes and ice cream”- “I will encourage the child to use a straw with all beverages”- “I will provide the child to with a liquid diet for the next week” 38. A teen is asking the nurse what to expect post-tonsillectomy. Which of the following should the nurse discuss as normal expectation? (Select all that apply)- a.) Halitosis- b.) Sleep apnea- c.) Swollen tongue- d.) White scabs in the back of the throat – e.) Bleeding for 5 to 10 days after surgery 39. A nurse is planning IV antibiotic therapy for an infant. Which of the following is not correct? (Select all that apply)- a.) Always require dilute medications with 100 ml sterile water- b.) Medications are usually given in weight-based doses- c.) Infants rarely have allergic reactions to medications so checking allergies is not important- d.) An IV cannot be left in an infant, so a new one needs to be started for each administration- e.) IV medications should be given using a pump 40. In caring for a child with pertussis, which nursing actions would be supportive of airway management?- Feeding small, frequent meals – Placing the child to droplet precautions- Reducing fluid intake- Encouraging family members to get vaccinated 41. In caring for a child with varicella, which nursing actions would be supportive of pruritus management? – Encouraging food and fluids- Monitoring lesions for secondary bacterial infection- Administering an antipyretic – Bathing the child in oatmeal or cornstarch 43. A nurse is conducting a community-based class on Sudden Infant Death Syndrome (SIDS). Which of the following home safety teachings are recommended?- Place the baby on their back to sleep- Use padding in the crib to prevent babies from rolling over- Remove pillows and stuffed animals from cribs- Have the baby sleep next to an adult to know if they stop breathing at night-Avoid smoking near the infant 44. A nurse is working in a dermatology office is preparing a flyer for a daycare on reducing sun exposure in toddlers. Which of the following statements is not correct?- Use SPF 30 or higher on children- Sunscreen is water-resistant and does not need to be reapplied after swimming- Limit sun exposure during 11 am to 3 pm- Wear long-sleeves and a wide-brimmed hat for extended periods of sun exposure 45. A nurse is working with a mother to develop a care plan for a child with night terrors. Which of the following interventions should be included?- Reduce daytime activities to prevent overstimulation at night- Wake the child up during night terrors to reduce distress- Provide large meals just before bed to encourage staying asleep- Pick up all toys in the bedroom before bedtime for safety 46. A nurse is assessing a child that came back positive for lead during a routine screening at 2 years of age. Which of the following is a symptom of lead poisoning? – The child says “No” in response to every question- The child has a limited vocabulary of 10 words- The parent reports a limited diet of finger foods and fruit- The child is able to state their name 47. A nurse is assessing a 5-month old infant at a regular check-up. Which of the following assessment findings requires follow-up evaluation?- The infant smiles when the nurse comes into the room- The infant responds to sounds by making their own sounds- The infant does not visually track objects- The infant rolls over in both directions 48. In administering immunizations to a 2-month old infant, which of the following pain management techniques is the most appropriate for the nurse to use?- Topical lidocaine applied 15 minutes prior to the procedure- Providing a pacifier during and post-procedure- A one-time dose of oral morphine prior to the procedure- Distracting the infant using a loud, colorful toy 49. A 10-year-old child is being prepared for an influenza vaccine. The child asks the nurse if the injection will hurt. Which is the best response? – Change the subject and say “It’s a beautiful day outside, isn’t it?”- Be honest and answer, “Yes, for a little bit”- Say “NO, because you’re a big kid. It wont hurt a bit”- Smile broadly and ask, “What do you think”? 50. A school-nurse us supervising drop-off and pick-up at the elementary school. Which of the following behaviors by the children could indicate a need for community education?- An older child is noticed to be waiting for a younger child prior to walking home- Bicycle helmets are inconsistently worn, and most are ill-fitting- The parent pick-up car line begins 15 minutes prior to school release- Children going on the bus arrive early and wait outside for the cafeteria to open Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
