A 16-year-old male with cystic fibrosis is hospitalized for 2 weeks for IV antibiotics. Which action will most enhance his psychosocial development?

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Certified Pediatric Nurse Exam Practice Questions Questions

Question 1 of 5

A 16-year-old male with cystic fibrosis is hospitalized for 2 weeks for IV antibiotics. Which action will most enhance his psychosocial development?

Correct Answer: B

Rationale: Peer interactions are crucial during adolescence; having friends visit helps him feel connected and 'normal.'

Question 2 of 5

Which type of leukemia has been MOST likely developed in a 2-year-old child with Down syndrome in the neonatal period?

Correct Answer: D

Rationale: Transient myeloproliferative disorder in neonates with Down syndrome can evolve into AML M6.

Question 3 of 5

The nurse is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:

Correct Answer: B

Rationale: A diagnosis of breast cancer is confirmed through a biopsy, which involves removing a sample of tissue or cells from the lump in the breast and examining it under a microscope. Fine needle aspiration is a minimally invasive procedure where a thin needle is used to remove cells from the lump for examination. This diagnostic method allows for the confirmation of breast cancer by analyzing the cells for signs of malignancy. While breast self-examinations, mammography, and chest x-rays are important tools for detecting breast abnormalities, they are not definitive in confirming a diagnosis of breast cancer.

Question 4 of 5

The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:

Correct Answer: B

Rationale: Standard precautions are guidelines put in place to prevent the transmission of infectious agents. When caring for a client with AIDS, it is important for the nurse to wear gloves when providing mouth care to prevent the transmission of any potential infectious agents through contact with the client's saliva or blood. Maintaining strict isolation, keeping the client in a private room, or wearing a gown when delivering the client's possible food tray are not necessary as part of standard precautions for a client with AIDS.

Question 5 of 5

While managing a client after a medical or surgical procedure for bladder stones, for what rise in the temperature should the nurse notify the physician?

Correct Answer: C

Rationale: A rise in temperature is concerning after a medical or surgical procedure as it can indicate infection or other complications. A temperature above 102F is typically considered a significant fever, especially in the postoperative period. It is essential to notify the physician promptly to assess the patient's condition and provide appropriate interventions to address the underlying cause of the fever.

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