RN Nursing Care of Children Online Practice 2019 A

RN Nursing Care of Children Online Practice 2019 A Related

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A young mother asks if her 9-month-old can begin drinking cow's milk instead of formula. You explain that:

  • A. Cow's milk is easier to digest than formula
  • B. Breast milk or formula should be used for now because whole cow's milk is not recommended for infants under 1 year
  • C. As long as whole milk is given and not skim milk, it is okay
  • D. Cow's milk will decrease the chance of iron deficiency anemia
Correct Answer: B

Rationale: Breast milk or formula should be used for now because whole cow's milk is not recommended for infants under 1 year. Cow's milk is not suitable for infants under 1 year of age as it lacks essential nutrients like iron and can lead to iron deficiency. Therefore, it is important to continue with breast milk or formula to ensure the baby's nutritional needs are met. Choice A is incorrect as cow's milk is not easier to digest than formula for infants. Choice C is incorrect as the type of milk, whether whole or skim, is not the primary concern at this age. Choice D is incorrect as cow's milk can actually increase the risk of iron deficiency anemia in infants.

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The child is admitted to the hospital unit newly diagnosed with retinoblastoma. Which clinical manifestation does the nurse anticipate upon assessment?

  • A. A white reflex
  • B. Blue-tinged sclerae
  • C. A red reflex
  • D. Yellow-tinged sclerae
Correct Answer: A

Rationale: The correct answer is A: A white reflex. The 'white reflex' or leukocoria is a common sign of retinoblastoma. It occurs when the light reflects off the tumor in the eye, giving the pupil a white appearance instead of the normal red reflex. Blue-tinged sclerae (choice B) and yellow-tinged sclerae (choice D) are not typical manifestations of retinoblastoma. A red reflex (choice C) is the normal reflection seen in the eye when light is shone on it and is not associated with retinoblastoma.

A parent brings their 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?

  • A. Prominent abdomen
  • B. Forward curve of the spine in the sacral area
  • C. Increase in height of 5 inches in the past year
  • D. Total weight gain of 15 lb in the past year
Correct Answer: D

Rationale: The correct answer is D. A total weight gain of 15 lb in one year for a 2-year-old is excessive and may indicate an underlying issue such as a metabolic disorder or overfeeding. This rapid weight gain can put the child at risk for health problems. Choices A, B, and C are not typically concerning findings in a 2-year-old. A prominent abdomen can be normal at this age due to a toddler's slightly protruding belly, a forward curve of the spine at the sacral area is a typical finding in young children, and an increase in height of 5 inches in a year is within the expected range of growth for a 2-year-old.

What is the first sign of puberty in girls?

  • A. Acne
  • B. Hair growth in the pubic area and underarms
  • C. Thelarche
  • D. Menarche
Correct Answer: C

Rationale: The correct answer is C, Thelarche. Thelarche refers to the onset of breast development, which is typically the first sign of puberty in girls. This occurs before menarche (the first menstrual period). Choices A and B, acne and hair growth in the pubic area and underarms, are not the first signs of puberty in girls. While acne can be a common occurrence during puberty, it usually appears after other physical changes. Hair growth in the pubic area and underarms also occurs later in the puberty process.

In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)

  • A. Oliguric renal failure
  • B. Increased intracranial pressure
  • C. Mechanical ventilation
  • D. All above
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

What laboratory finding should the nurse expect in a child with an excess of water?

  • A. Decreased hematocrit
  • B. High serum osmolality
  • C. High urine specific gravity
  • D. Increased blood urea nitrogen (BUN)
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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