Questions 51

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ATINur2708 Pediatrics Final Exam Questions

Extract:

12-year-old client with an ankle sprain.


Question 1 of 5

A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?

Correct Answer: D

Rationale: D: Applying ice for 48 hours reduces swelling and pain, indicating correct understanding of sprain care.

Extract:

5-year-old child with meningitis.


Question 2 of 5

A nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?

Correct Answer: C

Rationale: C: Headache and vomiting are classic signs of increased intracranial pressure in a 5-year-old with meningitis.

Extract:

8-year-old child with sickle cell disease, prescribed hydroxyurea 20 mg/kg per dose, weighs 55 lb.


Question 3 of 5

A health care provider has prescribed hydroxyurea 20 mg/kg per dose by mouth to an 8 year old child as part of a treatment regimen for sickle cell disease. This is a safe dose. The child weighs 55 lb. How many milligrams should the nurse administer? Enter only the number.

Correct Answer: A

Rationale: Weight: 55 lb/ 2.2 = 25 kg. Dose: 25 kg x 20 mg/kg = 500 mg. Correct answer: A (500 mg).

Extract:

13-year-old daughter reporting headaches, grades dropped, sleeping late and going to bed early.


Question 4 of 5

A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?

Correct Answer: A

Rationale: A: A history and physical examination is the priority to rule out medical causes for headaches and behavioral changes.

Extract:

Risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).


Question 5 of 5

What are some risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).

Correct Answer: A,B,C

Rationale: A: Intrauterine transfusions risk premature labor. B: Incomplete treatment may worsen isoimmunization. C: Invasive procedures increase infection risk.

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