Nokea
The hospital is responding to a mass casualty disaster with adult and pediatric victims. After reallocating staff, the charge nurse on the pediatric floor should:
- A. Ask parents to leave to free up the parent sleep areas for incoming victims.
- B. Review the census for clients that are candidates for early discharge.
- C. Initiate paper charting back-up.
- D. Change taking all vital signs to every 8 hours.
Correct Answer: B
Rationale: Reviewing for early discharges optimizes bed availability for new patients.
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Which intervention should the nurse prioritize for an infant with failure to thrive?
- A. Administer IV fluids.
- B. Establish a feeding schedule.
- C. Order a developmental evaluation.
- D. Increase room temperature.
Correct Answer: B
Rationale: A consistent feeding schedule addresses poor intake, promoting weight gain. IV fluids are for acute dehydration, developmental evaluation is secondary, and room temperature is less relevant.
A child with a known seizure disorder is hospitalized for an appendectomy. While assisting the child back from the restroom, the child begins tonic-clonic movements. The nurse should take which actions in order of priority from first to last?
- A. Note the time.
- B. Clear the area of potentially harmful objects and pad the head.
- C. Ease the child to the floor.
- D. Roll the child to the side.
Correct Answer: C,B,D,A
Rationale: Easing the child to the floor prevents injury, clearing objects and padding the head ensures safety, rolling to the side maintains airway, and noting the time tracks seizure duration.
After discussing asthma as a chronic condition, which of the following statements by the father of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease?
- A. I try to keep him happy at all costs; otherwise, he has an asthma attack.
- B. We keep our child away from other children to help cut down on infections.
- C. Although our child's disease is serious, we try not to let it be the focus of our family.
- D. I'm afraid that when my child gets older, he won't be able to care for himself like I do.
Correct Answer: C
Rationale: The statement 'Although our child's disease is serious, we try not to let it be the focus of our family' reflects a positive adjustment, indicating the family is managing the chronic condition without letting it dominate their lives.
During a clinic visit, the mother of an infant with hydrocele states that the infant's scrotum is smaller now than when he was born. After teaching the mother about the infant's condition, which of the following statements by the mother indicates that the teaching has been effective?
- A. I guess keeping his bottom up has helped.
- B. Massaging his groin area is working.
- C. It seems like the fluid is being reabsorbed.
- D. Keeping him quiet and in an infant seat has helped.
Correct Answer: C
Rationale: Fluid reabsorption is a natural resolution process.
Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons?
- A. A sensitivity to the drug is less likely if it is used over a period of time.
- B. Fewer side effects occur as the body slowly adjusts to a new substance over time.
- C. Fewer allergic reactions occur if the drug is maintained at the same level long-term.
- D. The growth of the causative organism into new cells is prevented with long-term use.
Correct Answer: D
Rationale: Long-term use of griseofulvin ensures eradication of the fungus by inhibiting its growth.