PHN 201 Healing 2 TEST 2 PDF

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Test 2 Question 1 Croup is considered one of the respiratory disorders that can lead to complications in children. Epiglottitis is one of the croup syndromes characterized by which of the following? A. Caused by H. influenza type B. B. Occurs in children between the age of 3 to 6 years of age. C. The onset is rapid and abrupt. D. The vocal chords begin to narrow and swell up. E. All of the above. Question 2 Peter’s mother is called by the daycare assistant requesting to have him picked up. He has been having episodes of diarrhea throughout the morning. The most common noninfectious cause of diarrhea includes: A. High amounts of urea B. Formula preparation C. Food tolerance D. Overfeeding Question 3 Evelyn, an RPN has her placement at a respiratory and chest clinic. She is creating a teaching brochure about asthma. Which of the following is a long-term management intervention to be included? A. Maintain near-normal pulmonary function. B. Promote self-care management and monitoring of treatment. C Prevent chronic signs and symptoms and acute exacerbations of asthma. . D All of the above. . Question 4 The parents of 4 years old Franklin is complaining to the community pediatric nurse about Franklin's gait. They ask what the possible cause of this problem is. Which is the most appropriate nursing response can the nurse provide? A. "I think this is a valid concern. There should be some testing like an x-ray to be done." B. "Many minor abnormal-appearing alignments will spontaneously resolve with activity."

C. "This is a sign that he will soon experience some growing pains. It is completely normal." D. "Children who do not walk independently by 18 months should be referred to a specialist." Question 5 Sue has sustained a fall from the monkey bars at her school’s playground. In the emergency department, the x-ray confirms that Sue has sustained a fracture of the tibia. Your assessment will include the following: A. Ability to put on her clothes with minimal assistance B. Medications are ordered for pain management. C. Any signs of discoloration and limited movement. D. The fracture report is dictated and ready for discharge package.

Question 6 Tim, 6 years old is admitted in the pediatric unit due to a fractured arm. He is scheduled to be assessed in the fracture clinic for an application of a cast. The nurse prepares Tim for the procedure by: A. Suggests to not worry as medications will be given if Paul feels pain.

B. Teens are not interested in knowing the details. C Asks that the doctor at the fracture clinic to speak to Paul. . D Explains the treatment or procedure through use of pictures. . Question 7 Blaine, 6 years old has been admitted with nausea and vomiting x 7 days. As the nurse assigned to Blaine, the RPN is aware that the priority goal of care for vomiting and diarrhea includes: A. Education of infection prevention B. Restoring fluid and electrolyte balance.

C. Determine the proper handling of food items. D. Treatment is focused in identifying the cause. Question 8 Emily, 5 years old, had fallen while playing on the monkey bars at school. She has sustained a fracture of her right arm which resulted in having a cast applied. Which of the following is interventions are most important to implement? A. Elevate the extremity on the pillow. B. Perform frequent neurovascular checks to the affected limb. C. Teach cast care to the parents or care providers. D. Demonstrate safe use of transfers from chair or bed. E. All of the above.

Question 9 Jefferson, 15 years old, presents in the emergency department with abdominal pain concentrated around the right lower quadrant area. He describes the pain when lifting his thigh while in supine position. Which of the following conditions is Jefferson experiencing? A. Bowel / gas pains. B. Appendicitis C. Enterococci infection D. Growing pains Question 10 Jen, 7 years old has frequent recurrence of Otitis Media (OM), persisting over a period of 3 months. The paediatrician is concern that ongoing use of antibiotics may not be the solution to her condition. Which of the following is a complication of OM: A. Sinus infection B. Bronchitis C Upper respiratory infection .

D Hearing loss . Question 11 Nurse A is taking care of Brian who has Otitis media (OM). The mother asks you about OM. OM can be described by one of the following statements: A. Inflammation of the middle ear. B. Mastoid sinuses result to congestion and pain to the ear canal. C. Also known as swimmer’s ears. D. Occurs often after an URI and affects children between 6 and 24 months

Question 12 Marissa, an RPN is teaching a group of parents about management of diarrhea. In her education, which of the following information is important for her to include: A. Clear fluids for fluid replacement. B. Fruit juice without pulp is appropriate. C. Parents are to keep the child on a food and drink regime to ensure sufficient intake. D. Chicken broth is effective with the high sodium content to retain the water in the body.

Question 13 Luis, 5 years old is presently receiving his treatment in the hospital. Upon his parent’s visit, they observe that he has not greeted them and displayed greater interest in his toys and surroundings. As a nurse, Luis is exhibiting which type of behavior? A. Protest

B. Denial or detachment C. Despair D. Effective coping Question 14 Fluid electrolyte imbalance is one of the common diagnosis for infants/children with dehydration or experiencing severe fluid loss. Which of the following statements can be the 'related to factor' when writing the diagnosis? A. The metabolic rate and heat production are two to three times greater in infants. B. Enterocolitis - an inflammation of the colon and small intestines. C Abnormal blood work and electrolyte levels. . D All of the above. . Question 15 Asthma is one of the leading causes of absenteeism for school children. Which of the following nursing interventions would a nurse implement when caring for an asthmatic child in respiratory distress? A. Encourage oral fluids at room temperature. B. Avoid milk products. C Keep mealtimes slow to give lots of time to eat. . D All of the above . Question 16 As part of the nursing care plan on diabetes, the nursing care of a child with diabetes should include which of the following interventions: A. Serve meals and snacks on time. B. Teach a child to carry extra sugar when exercising and playing sports.

C. Teach child no swimming alone D. Monitor fluid intake and output.

E. All of the above.

Question 17 Christopher was taken to the emergency room (ER) due to high fever for five days. During the ER visit, Christopher throws up and complaints of feeling weak. His parents are very anxious about the hospitalization. Which of the following is the most appropriate intervention should the nurse implement? A. Listen to parental concerns and acknowledges the legitimacy of their feelings. B. Encourage & support parents & family members, stresses their importance to the child’s recovery. C. Understands that parents have these common reactions every time a child is brought to the hospital. D. A and B E. A and C Question 18 Clark, a student RPN is assessing his patient on a Buck's extension. Which of the following nursing interventions are priority for Clark to consider? A. The bed should be placed on a semi-Fowler's position. B. The child must not slip down in the bed. C. Apply the counter-traction using pulleys. D. All of the above. Question 19 Ana was taken to the doctor by her mother to check for Urinary tract infection (UTI). UTI is characterized by which of the following signs and symptoms:

A. Nocturia B. Urinary frequency and burning sensation C. Pressure on voiding with foul urine odor

D. Hematuria and polyuria Question 20 Hospitalization of an ill child can cause a lot of uncertainties and fear for the child and family. With hospitalization, the nurse implements which of the most appropriate nursing intervention? A. Try to meet the needs of the child while preventing excess frustration. B. The parents know their child’s needs best and will teach the health care team C. Visiting hours are followed to ensure resting period. D. Children are resilient and will adjust....