The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment?
- A. Denver Developmental Screening Test
- B. Stanford-Binet Intelligence Scale
- C. Wechsler Intelligence Scale
- D. Miller's Analogies
- E. Strong Personality Assessment
Correct Answer: A,B,C
Rationale: The Denver, Stanford-Binet, and Wechsler are standard intelligence tests that aid in the diagnosis of a cognitively impaired child.
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How should the nurse measure urinary output for an infant with dehydration?
- A. Attaching a urine collecting bag
- B. Wringing out the diaper
- C. Weighing the diaper
- D. Inserting a catheter
Correct Answer: C
Rationale: Wet diapers are weighed to assess the amount of output.
What other congenital defects are common in children with Down syndrome?
- A. Hypospadias
- B. Pyloric stenosis
- C. Heart defects
- D. Hip dysplasia
Correct Answer: C
Rationale: Many children with Down syndrome have congenital heart defects.
The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD). What is the most important intervention for the nurse?
- A. Have the child enrolled in a special education class.
- B. Allay any feelings of guilt the parents may have.
- C. Counsel the parents that the medications are lifelong.
- D. Teach the parents to set limits.
Correct Answer: B
Rationale: It is most important to allay any feelings of guilt the parents may have.
The nurse instructs the mother of a child, with a ventricular septal defect that she can expect the child to become cyanotic when the child does what?
- A. Experiences an elevation in temperature.
- B. Sleeps on the left side.
- C. Cries vigorously.
- D. Eats.
Correct Answer: C
Rationale: Crying vigorously will increase the pressure in the right ventricle, which will allow unoxygenated blood to enter the circulating volume.
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. Which responses would be the most correct?
- A. The epinephrine given causes nausea and vomiting.
- B. The child is being hydrated with IV fluids.
- C. The child is not hungry.
- D. The child's rapid respirations pose a risk for aspiration.
Correct Answer: D
Rationale: Rapid respirations predispose to aspiration. The child is kept hydrated with IV fluids, but this is not the reason that the child must be kept NPO.
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