QUESTION 1 A nurse is caring for a child who is receiving oxygen therapy. Which of the following findings indicates oxygen toxicity? Hyperventilation Decreased PaCO2 Increased blood pressure...

QUESTION 1

A nurse is caring for a child who is receiving oxygen therapy. Which of the following findings indicates oxygen toxicity?

1. Hyperventilation


2. Decreased PaCO2


3. Increased blood pressure


4. Unconsciousness

QUESTION 2

 A 7-year-old boy is being discharged from having a tonsillectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Please select all that apply

1. Encourage the child to cough every 4 to 5 hours to prevent pneumonia


2. Observe the child for continuous swallowing


3. Administer an analgesic such as acetaminophen for pain


4. Observe the child for restlessness or difficulty breathing


5. Encourage the child to take spin of cool, clear liquids

QUESTION 3

Parents brought a 6-month old infant into a well-child clinic for complaints of vomiting and failure to grow. His birth weight was 7Ibs, and now he weighs 8Ibs, 6oz. The infant's mother reports that he is taking 4-8 oz every 4-5 hours, but he “spits up a lot after eating and then is hungry again”. The child is noted to be alert but appears to be malnourished. The mother reports that his stools are brown in color and he has 1 to 2 bowel movements every day. Based on the findings, the nurse anticipates the infant has:

1. Hirschsprung disease


2. Hypertrophic pyloric stenosis


3. Intussusception


4. Celiac disease

QUESTION 4

The nurse observes a 16-year-old child in the pediatric emergency department having a seizure. The neurologist wants to know the subjective data will help her determine the type of seizure. Which of the following symptoms is a SUBJECTIVE finding provided by the parent?

1. The patient stated the presence or absence of an era


2. Certain activity such as walking or running after the seizure


3. Presence of vomiting after the seizure


4. Patients head is bleeding from a laceration

QUESTION 5

At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds:

1. A rapid increase in head circumference


2. Narrow sutures


3. Increase in weight since last visit


4. Sunken fontanels