1. A three-month-old infant is doing well after repair of a

1. A three-month-old infant is doing well after repair of a cleft…  1.         A three-month-old infant is doing well after repair of a cleft lip. The nurse wants to provide her with appropriate stimulation. What is the best toy for the nurse to give her?               1.         A colorful rattle.            2.         A string of large beads.            3.         A mobile with a music box.            4.         A teddy bear with button eyes. 2.         Which toys would be best for a five-month-old infant who also has infantile eczema?                   1.         Soft, washable toys.            2.         Stuffed toys.            3.         Puzzles and games.            3.         Toy cars. 3.         The mother of a two-year-old child asks the nurse how to cope with the child’s frequent temper tantrums when he does not get what he wants immediately. The best response for the nurse should include which information?                       1.         As long as the child is safe, ignore him during the tantrum.            2.         If the child’s demands are reasonable give him part of what he wants.            3.         Spank the child if the tantrum continues for more than five minutes.            4.         Explain to the child why he cannot have what he wants and promise him a reward when he stops crying. 4.         A three-year-old is admitted to the pediatric unit for diagnostic tests.  His mother is discussing his hospitalization with the nurse.  She is concerned about her other two children at home. Which nursing action will most help the child adjust to being in the hospital?  Suggest to his mother that she                 1.         Not visit him until he is discharged to avoid upsetting him when she leaves.            2.         Spend the night in the hospital.            3.         Bring his teddy bear to him.            4.         Buy him gifts so he won’t mind being in the hospital. 5.         The parents of a three-year-old are leaving for the evening. Which behavior would be normal for a child of this age to exhibit?                        1.         Wave good-by to them.            2.         Cry.            3.         Hide her head under the covers.            4.         Ask to go to the playroom. 6.         A six-year-old is admitted for a tonsillectomy. Considering her age, which of the following would be the most important to include in a preoperative physical assessment?                        1.         Characteristics of tongue, gum or lip sores.            2.         Any sign of tonsilar inflammation.            3.         The number and location of any loose teeth.            4.         The location and presence of tenderness in any swollen lymph nodes. 7.         The nurse is preparing a 6-year-old for cardiac surgery. Which would be the best preoperative teaching technique?            1.         Have him practice procedures that will be performed postoperatively such as coughing and deep breathing.              2.         Arrange for him to tour the operating room and ICU.            3.         Encourage him to draw pictures illustrating his understanding of the operation.            4.         Arrange for him to discuss heart surgery and postoperative events with a group of children who have undergone heart surgery. 8.         A 10-year-old girl is being treated for rheumatic fever. Which of the following would be an appropriate activity while she is on bed rest?                   1.         Putting together a six piece wooden puzzle.            2.         Engaging in a pillow fight.            3.         Making craft items from felt.            4.         Watching television. 9.         A 10-year-old who is immobilized in a cast following an accident has been squirting other children and the staff with a syringe filled with water. The nurse wants to provide other activities to help him express his aggression.  Which activity would be most appropriate?            1.         Cranking a wind up toy.            2.         Pounding clay.            3.         Putting charts together.            4.         Writing a story 10.      The nurse is planning care for an 11-year-old who has a fractured femur and is in traction. Which activity would be most appropriate?            1.         Dramatizing with puppets.            2.         Building with popsicle sticks.            3.         Watching television.            4.         Coloring with crayons or colored pencils.    12.      An 8-year-old is admitted with possible appendicitis.  The nurse must make an appropriate assessment of his pain. Which of the following would be the best indicator for the nurse to rely on when evaluating the severity of his pain?            1.         The frequency of pain medication requests.            2.         The degree to which the child complains of pain.            3.         The parent’s perception of the child’s pain.            4.         The degree of change in the child’s behavior. 13.      At the time of discharge the nurse gave the parents of a hospitalized 6-month-old infant information about the need for immunizations. Six weeks after discharge the parents bring him to the clinic and he still has not been immunized.  Which of these actions would be indicated?                        1.         Repeat the instructions again more clearly.            2.         Scold her for not getting the immunizations.            3.         Make an appointment at the clinic to have the immunizations done.            4.         Assess why the parents have not taken the child for immunizations. 14.      A 4-year-old is admitted to the emergency room with a fractured right humerus.  Upon doing an admission history, the nurse notes that his parents give contradictory explanations as to how the fractures occurred.    Because of the suspicion of child abuse noted on the emergency room notes, the nurse should expect that which of the following will be ordered?            1.         Long bone x-rays.            2.         Brain scan.            3.         Repeat CBC.            4.         Placement in foster care. 15.      The nurse plans her interactions with the parents of a child who is thought to be the victim of child abuse taking into account the knowledge that parents who abuse their children are often characterized as                1.         Having reasonable expectations of their child’s developmental skills.            2.         Having been abused or neglected themselves as children.            3.         Able to manage stressful situations appropriately.            4.         Having well developed support systems among families and friends. 16.      The nurse’s plan of care for a toddler whose parents are thought to abuse him should include which of the following?                      1.         Allowing his parents to visit 4 hours every day.            2.         Assigning one person on each shift to care for him.            3.         Encouraging the child to interact with many different people.            4.         Placing him in a room with several toddlers and encouraging peer interaction. 17.      Parents bring their one-month-old daughter to the emergency room.  She apparently had stopped breathing while she was asleep.  All efforts at resuscitation are futile.  The physician tells the parents that she has died of sudden infant death syndrome (SIDS).  After the physician tells the parents that their baby is dead, the child’s mother turns to the nurse and says, “I know she is not dead, She is too healthy.”  Which of the following actions should the nurse take initially?            1.         Talk to the parents about SIDS.            2.         Take the parents to their baby so they can touch and see her.            3.         Find a private area where the parents can express their grief.            4.         Ask if they would like their clergyman at this time. 18.      The father of an infant who has recently died of sudden infant death syndrome asks the nurse what causes SIDS. Which response is the best explanation for the nurse to give?                        1.         “The infant’s nervous system is not mature enough for raising its head. Suffocation can occur when it is placed on the stomach.”            2.         “There is a theory that the infant’s immune system cannot withstand an unknown virus that attacks the upper respiratory system.”            3.         “Some babies have a congenital weakness of the diaphragm and intercostal muscles, which results in problems with breathing.”            4.         “The exact cause of the deaths is unknown, but we do know that they suffer periods of apnea, which means they stop breathing during this time.” 19.      A parent calls the pediatrician’s office stating that her 3-year old            swallowed about a dozen antidepressant pills.  The child is alert at the            present time. What should the office nurse do initially?Have the parent get the child to the emergency room now.Have the parent bring the child to the pediatrician’s office.Suggest the parent give the child syrup of Ipecac to induce vomiting.Suggest the parent wait to see if the child shows any unusual symptoms. 20.      The parents of a three-month old ask the nurse why their infant is not            getting the MMR vaccine being given to their fifteen-month old child. What            should the nurse include when responding to the parents?The infant only gets immunizations at 2, 4, and 6 months.The infant is not old enough to develop antibodies to the vaccine.The shot contains too much volume to be given to such a small infant.The infant gets too many vaccines during the first yearHealth Science Science Nursing MED SURG 200

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