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A child with a cast should be taught to report
- A. Discomfort
- B. Numbness
- C. Tingling
- D. All of the above
Correct Answer: D
Rationale: All D may indicate circulation issues, per document p28, .
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Vitamin B1 deficiency causes
- A. Beriberi
- B. Mumps
- C. Pellagra
- D. Scurvy
Correct Answer: A
Rationale: Beriberi A results from B1 deficiency, per document p14, 8.
Immediate priority for a 6-year-old with pneumonia is
- A. Nutrition
- B. Medication
- C. Reassurance
- D. Rest
Correct Answer: D
Rationale: Rest D reduces respiratory demand, per document p18, 4.
A 2-year-old with croup requires
- A. Antibiotics
- B. Cool mist
- C. Hot steam
- D. Oxygen therapy
Correct Answer: B
Rationale: Cool mist B relieves croup symptoms, per document p22, 4.
A nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage is also noted on the posterior dressing. The initial nursing action is to:
- A. Recheck the vital signs in 1 hour
- B. Place the child in Trendelenburg's position
- C. Document the findings
- D. Notify the registered nurse (RN)
Correct Answer: D
Rationale: Increased pulse, low BP, and bloody drainage suggest hemorrhage or ICP; notify RN (D) immediately. Waiting (A), Trendelenburg (B), or documenting only (C) delays care. Document: 'Most tumors create increased ICP… [requiring] immediate action.'
A nurse is providing parental instruction for a 24-hour urine collection for a hospitalized child. Which of the following statements by the child's parent needs further instruction?
- A. This test is to evaluate kidney function.'
- B. This test is timed with the first urine collection.'
- C. This container can be kept in the unit refrigerator.'
- D. The container comes from the laboratory.'
Correct Answer: C
Rationale: Urine collection containers should be kept cool but not in a shared refrigerator due to contamination risks; a specific cooler is used, indicating a need for clarification.