Pregunta 1
Pregunta
The nurse is planning education for a high school class. The topic is substance use and abuse such as tobacco, alcohol and other drugs. Which of the following should the nurse incorporate to help ensure the success of the teaching? Select all that apply.
Respuesta
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peer-to-peer education
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how the substance affects appearance
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what could happen in 20 years as a result of use
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social consequences of using the substance
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the financial cost of using the substance
Pregunta 2
Pregunta
The nurse suspects Munchausen Syndrome by Proxy has been occurring with a 4 year old patient who is in the emergency room. Which of the following is most appropriate for the nurse to do as an advocate for the child?
Respuesta
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ask for a consult with a social worker to do an abuse assessment
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interview the parents individually to evaluate their claims
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monitor the parents when they are with the child
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call the police to report the abuse
Pregunta 3
Pregunta
An adolescent has been brought to the nurse's office because of threats of suicide. Even though this student has contemplated [blank_start]suicide[blank_end] in the past, no [blank_start]threat[blank_end] should be ignored. If the student has a [blank_start]plan[blank_end] for taking her life, this increases the student's risk. Even so, anyone considering suicide needs [blank_start]intervention[blank_end] whether or not a plan has been made.
Respuesta
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suicide
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napping
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threat
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complaint
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crying
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plan
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reason
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intervention
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a hug
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medication
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hospitalization
Pregunta 4
Pregunta
Which of the following are typical signs or symptoms of a child or adolescent who is being bullied? Select all that apply.
Pregunta 5
Pregunta
A 14 month old would be most emotionally upset by [blank_start]a change in normal routine[blank_end].
Pregunta 6
Pregunta
A preschooler is likely to describe death as something that [blank_start]doesn't last forever[blank_end].
Respuesta
-
doesn't last forever
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hurts
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is only in bad dreams
Pregunta 7
Pregunta
The nurse is painting with a child who has a terminal illness. This is likely to help the child
Pregunta 8
Pregunta
The emergency department nurse is caring for an adolescent who was in a motor vehicle accident. When the patient's parents arrive at the hospital the nurse should have the parents wait until after surgery to see their child due to the child's appearance from his injuries.
Pregunta 9
Pregunta
Which of the following is the correct order of some of the steps in the grieving process?
Respuesta
-
shock and disbelief; anger and guilt; deprivation and loss;
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anticipatory waiting; shock and disbelief; mourning
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anticipatory waiting; anger and guilt; deprivation and loss;
Pregunta 10
Pregunta
The nurse is planning an educational session for a 10 year old who was recently diagnosed with type 1 diabetes. Which of the following is the most appropriate nursing intervention?
Respuesta
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encourage the parents to provide monitoring and care for the child
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educate the parents on blood glucose monitoring
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educate the child on blood glucose monitoring
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ensure that the family has an appointment with the endocrinologist to learn blood glucose monitoring
Pregunta 11
Pregunta
Which approach should the nurse employ when working with toddlers and preschoolers who are ill?
Respuesta
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Be flexible and easy going to avoid upsetting the child
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Have the child do minimal activities and self-care
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Offer a choice between two options when appropriate
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Have the child be as active as possible to build endurance
Pregunta 12
Pregunta
A child has leg pain and a limp due to cancer. Which of the following does the child likely have?
Respuesta
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Ewing sarcoma
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Wilm's tumor
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Hodgkin Disease
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retinoblastoma
Pregunta 13
Pregunta
Urticaria is also known as
Respuesta
-
tingling sensation
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ringing in the ears
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hives
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vertigo
Pregunta 14
Pregunta
A child who has been receiving chemotherapy has a platelet count of 90,000. Which of the following should be discussed with the child and parents?
Respuesta
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Avoid crowds and places attended by large numbers of people
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Avoid eating raw produce
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Take the prescribed stool softener every day
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Avoid activities that could cause bruising or injury
Pregunta 15
Pregunta
An adolescent is scheduled to begin chemotherapy. Based upon development and adolescent characteristics the nurse knows to include which of the following?
Respuesta
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"You could be at more risk for infection."
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"Your will start losing your hair after the third treatment."
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"We will administer anti-nausea medication before each treatment."
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"You might get sores inside your mouth."
Pregunta 16
Pregunta
An assessment that reveals injuries in multiple stages of healing is a red flag for physical abuse?
Pregunta 17
Pregunta
The nurse in a pediatric clinic educates parents on the risks of childhood poisoning. Which of the following should be included in this teaching?
Respuesta
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Most deaths from poisoning occur in teens who have ingested prescription medication.
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Pesticides are the most common substance causing poisoning in young children.
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Mercury poisoning can occur if children play with smoke detectors.
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If there is suspicion that your child has ingested a poisonous substance administer syrup of ipecac.
Pregunta 18
Pregunta
A child of what age is most at risk for physical abuse?
Respuesta
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under 3 yrs
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3 yrs - 4 yrs
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4 yrs - 5 yrs
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5 yrs - 6 rs
Pregunta 19
Pregunta
The nurse is discussing childhood behavior with a parent. The technique most likely to result in positive behavior change is?
Respuesta
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utilizing time outs on a regular basis
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reinforcing teaching about negative behaviors
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utilizing a reward system for appropriate behavior
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having the child give examples of expected behavior
Pregunta 20
Pregunta
Which of the following is correct regarding methylphenidate (Ritalin)?
Respuesta
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It is prescribed for attention deficit disorder.
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it is a prescription stimulant that may be discontinued in the summer for some children
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It tends to increase appetite.
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It is prescribed only for those under age 18.
Pregunta 21
Pregunta
[blank_start]Neutropenia[blank_end] is a type of [blank_start]leukopenia[blank_end] that can increase risk for [blank_start]infection[blank_end].
Respuesta
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Neutropenia
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thrombocytopenia
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leukopenia
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leuko penia
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bacterial infection
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neutro penia
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infection
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bleeding
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insomnia
Pregunta 22
Pregunta
Palliative care can include curative therapies.
Pregunta 23
Pregunta
A child aged 5 years is at a health surveillance visit with his father. Which of the following topics of discussion is most appropriate for this situation?
Respuesta
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Protective gear such as helmets, knee pads, and elbow pads
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Preventing burns while using the stove
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Avoidance of cell phone usage
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How to face a bully at school
Pregunta 24
Pregunta
Which of the following is most likely to result in a presentation that could also result from physical abuse?
Respuesta
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acupuncture
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coining
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acupressure
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contact dermatitis
Pregunta 25
Pregunta
Autism spectrum disorder (ASD) involves impairments in socialization, communication, and behavior. Which of the following are signs or behaviors typical of children with ASD?
Respuesta
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absence of babbling and response to name by 9 months of age
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absence of two-word phrases by 2 years of age
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rigid or repetitive movement
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avoidance of eye contact
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inappropriate, overly-friendly socialization
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favoring of routine without change
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echlalia
Pregunta 26
Pregunta
An individual with Down syndrome will exhibit physical signs of [blank_start]oblique palpebral fissures[blank_end] (up-slanting eyes), a flattened bridge of the nose, [blank_start]low-set[blank_end] ears, a [blank_start]protruding[blank_end] tongue, and transverse [blank_start]palmar[blank_end] creases. Cognitively, those with Down syndrome display [blank_start]intellectual impairment[blank_end].
Pregunta 27
Pregunta
Who, of the following patients, is most likely to be giving away some of their possessions, even favorite items?
Respuesta
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The adolescent who is feeling rebellious
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The child who understands that they are nearing death.
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The toddler who is learning to share.
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The toddler who sees a crying child.
Pregunta 28
Pregunta
An 8-year-old who has cystic fibrosis has formal plan in place at school to help ensure he gets available services and is as successful as possible in school. Which plan does this child have?
Pregunta 29
Pregunta
Which of the following is an expected platelet count?
Respuesta
-
150000/mcL - 400000/mcL
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250000/mcL - 400000/mcL
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4500/mcL - 11,000/mcL
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1500/mcL - 3800/mcL