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6. A nurse is developing a plan of care for a school-age child with a knowledge deficit related to the use of inhalers and peak flow meters. The best expected outcome to be included in the plan of care is that the child will:
a) deny shortness of breath or difficulty breathing
b) have regular respirations at a rate of 28 to 22 breaths per minute
c) watch the educational video and read printed information provided
d) express feelings of mastery and competence with the breathing devices
7. Levothyroxine sodium (Synthroid) is administered to a hospitalized child with congenital hypothyroidism. The child vomits 10 minutes after administration of the dose. The best nursing action is to:
a) contact the physician
b) hold the dose for today
c) repeat the prescribed dose
d) give two doses of the prescribed medicine on the next day
8. A child is sent to the school nurse by the teacher. On assessment, the school nurse notes that the child has a rash. The nurse suspects that the child has erythema infectiosum (fifth disease) because the skin assessment revealed a rash that is:
a) a discrete rose-pink maculopapular rash on the trunk
b) a highly pruritic, profuse macule to papule rash on the trunk
c) an erythema on the face that has a "slapped face" appearance
d) a discrete pinkish red maculopapular rash that is spreading to the trunk
9. The parents of a 6 month-old male report that the infant has been screaming and drawing the knees up to the chest and has passed stools mixed with blood and mucus that are jelly-like. A nurse recognizes these signs and symptoms as indicative of:
d) hirsprung's disease
10. A nurse employed in a preschool agency is planning a staff education program to prevent the spread of an outbreak of an intestinal parasitic disease. The nurse includes which priority prevention measure in the educational session?
a) all food will be cooked before eating
b) only bottled water will be used for drinking
c) all toileting areas will be cleansed daily with soap and water
d) staff will practice standard precautions when changing diapers and assisting children with toileting
Newborn NCLEX Questions
Answers and Rationale
- School-age children strive for mastery and competence to achieve the developmental task of industry and accomplishment. Options A and B do not relate to the knowledge deficit. Option C may be a component of the teaching-learning process, but it is a passive process. Option D indicates more active participation on the part of the child, and expressing feelings of mastery and competence with the breathing devices indicates that learning took place.
- Levothyroxine sodium (Synthroid) is the medication of choice for hypothyroidism. The most significant factor adversely affecting the eventual intelligence of children born with congenital hypothyroidism is inadequate treatment. Therefore, compliance with the medication regimen is essential. If the infant or child vomits after the administration of the medication, the physician is notified.
- The classic rash of erythema infectiosum, or fifth disease, is the erythema on the face. The discrete rose-pink maculopapular rash is the rash of exanthema subitum (roseola). The highly pruritic, profuse macule to papule rash is the rash of varicella (chickenpox). The discrete pinkish red maculopapular rash is the rash of rubella (German measles).
- The classic signs and symptoms of intussusception are acute, colicky abdominal pain with currant jelly–like stools. Clinical manifestations of Hirschsprung's disease include constipation, abdominal distention, and ribbon-like, foul-smelling stools. Peritonitis is a serious complication that may follow intestinal obstruction and perforation. The most common symptom of appendicitis is colicky, periumbilical or lower abdominal pain in the right quadrant.
- The fecal-oral route is the mode of transmission of an intestinal parasitic disease. Standard precautions prevent the transmission of infection. Cleaning with soap and water is not as effective as the use of bleach. Water and fresh foods can be vehicles for transmission, but municipal water sources are usually safe. Some fresh foods do not need to be cooked as long as they are washed well and weren't grown in soil contaminated with human feces.
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Newborn NCLEX Questions (1-5)
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Newborn NCLEX Questions (11-15)