RN Nursing Care of Children Online Practice 2019 A

RN Nursing Care of Children Online Practice 2019 A Related

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The LPN is caring for a 1-month-old patient post-surgery. Which pain scale is expected to be used to evaluate post-op pain?

  • A. Oucher
  • B. Wong-Baker FACES
  • C. FLACC
  • D. 0-10 pain scale
Correct Answer: C

Rationale: The FLACC (Face, Legs, Activity, Cry, Consolability) scale is commonly used to assess pain in infants and young children who are unable to verbally communicate their pain. This scale is particularly useful in assessing post-operative pain in infants as it evaluates different behaviors and physiological responses to pain. The Oucher scale is more commonly used with children who are older and can provide self-report of pain intensity. Wong-Baker FACES scale is primarily used with children who are older and can indicate their pain level by pointing to facial expressions. The 0-10 pain scale is typically used with older children and adults who can rate their pain on a numerical scale.

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Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?

  • A. Feet and hands
  • B. Bridge of nose
  • C. Circumoral area
  • D. Mucous membranes
Correct Answer: A

Rationale: Nonpathologic cyanosis in newborns shortly after birth is typically present in the feet and hands, known as acrocyanosis. This is a normal finding due to the immature peripheral circulation in newborns. Cyanosis of the bridge of the nose, circumoral area, and mucous membranes indicates generalized cyanosis, which suggests a potential underlying distress or major abnormality. Therefore, choice A is correct as it describes the expected location for nonpathologic cyanosis in newborns, while choices B, C, and D represent areas associated with abnormal cyanosis.

A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He denies any trauma to the scrotum. What is the most appropriate nursing action?

  • A. Refer him for immediate medical evaluation
  • B. Administer analgesics and recommend scrotal support.
  • C. Apply an ice bag and observe for increasing pain.
  • D. Reassure the adolescent that occasional pain is common with the changes of puberty.
Correct Answer: A

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

Chemicals, agents, or factors that cause physical defects in the developing embryo and are most harmful during organogenesis are:

  • A. Teratogens
  • B. Heterozygous
  • C. Inborn errors
  • D. Multifactorial
Correct Answer: A

Rationale: Teratogens are substances that can cause congenital abnormalities, especially during the first trimester when organogenesis occurs. Choice A, Teratogens, is the correct answer as it specifically refers to substances that cause physical defects in the developing embryo. Choices B, Heterozygous, C, Inborn errors, and D, Multifactorial, are incorrect as they do not directly relate to substances that cause physical defects in embryos during organogenesis.

When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?

  • A. Recreation
  • B. Ritualism
  • C. Physical activity
  • D. Rules
Correct Answer: D

Rationale: The correct answer is D: Rules. When discussing play in school-aged children, rules are essential as they help in structuring games and social interactions. Rules provide a framework for play, ensuring fairness and cooperation among children. Choice A, recreation, is too broad and doesn't specifically address the importance of rules in play. Choice B, ritualism, is unrelated to the concept of play in school-aged children. Choice C, physical activity, is important for overall health but doesn't capture the specific aspect of rules that are crucial in the play of school-aged children.

What physiologic state(s) produces the clinical manifestations of nervous system stimulation and excitement, such as overexcitability, nervousness, and tetany?

  • A. Metabolic acidosis
  • B. Respiratory alkalosis
  • C. Metabolic and respiratory acidosis
  • D. Metabolic and respiratory alkalosis
Correct Answer: D

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

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