N220 Exam 2- Olol - Nclex And Made Up Questions

Front 1

A pt presents with isonatremic dehydration. The nurse knows that this means?

Back 1

That the baby has fluid loss in excess of fluid intake

Front 2

The nurse knows that a baby that is hypertonic may also have?

Back 2

Diabetes

Front 3

A nurse is providing info to parents of children in a local school system regarding s/s of meningitis. The nurse informs the parents that the classic signs of meningitis include which of the following?

Back 3

Severe headache, fever and changes in the level of consciousness, stiff neck

Front 4

A mother of an 18-mth old child tells the clinic nurse that her child has been having some mild diarrhea and describes the child's stools as "mushy". The mother tells the nurse that the child is tolerating fluids and solid foods. The most appropriate suggestion regarding the child's diet would be to give the child?

Back 4

Applesauce, strained bananas, and strained carrots. Soft diet of abc's

Front 5

A nurse provides home care instructions to the mother of a child who had a cleft palate repair. Which statement by the mother indicates the need for further instruction?

Back 5

I need to buy some straws for drinking
Mother needs to know that straws, pacifiers, spoons and fingers must be kept away from the child's mouth for 7-10 days

Front 6

A nurse is preparing to care for an infant with esophageal atresia with trachoesophageal fistula. Surgery is sch to be performed in 1 hr. IV of fluids has been initiated, and a NG tube has been inserted by the MD. The nurse plans care knowing that the intervention of highest priority during this preop period is to?

Back 6

Aspirate the ng tube every 5-10 min-to keep the proximal pouch clear of secretions prevention of aspiration, hob elevated

Front 7

A child is diagnosed with Hirschsprung's dx. The mother asks the nurse about the cause of the dx. The nurse tells the mother that H dx?

Back 7

Results from the absence of special cells in the rectum (ganglion cells)

Front 8

The parents of a child with a cleft palate are concerned and ask the nurse when the palate will be repaired. The nurse plans to base the response on the knowledge that cleft palate

Back 8

Repair usually is performed btw 6 mths and 2 yrs

Front 9

A clinic nurse is obtaining data about a child with a diagnosis of lactose intolerance. Which data would the nurse expect to obtain on assessment?

Back 9

Frothy stools also abd distention, crampy abd pain, and excessive flatus

Front 10

A nurse has provided dietary instructions to the mother of a child with celiac dx. The nurse determines that further instructions are needed if the mother states that she will include which of the following in the child's nutritional plan?

Back 10

Oatmeal-

Front 11

A child is diagnosed with intussusceptions. The nurse performs an assessment on the child, knowing that which of the following is a characteristic of this disorder?

Back 11

Invagination of a section of the intestine into the distal bowel

Front 12

A nurse is caring for a 1 yr old following cleft palate repair. Following feeding, the nurse plans which most appropriate action?

Back 12

Rinsing mouth with water - reduces risk of infection

Front 13

The ER nurse is performing an assessment on a child with a suspected diagnosis of intussusceptions. The nurse asks the parents which assessment questions that most specifically would elicit data related to this disorder?

Back 13

Can you describe the type of pain that the child has?

Front 14

A nurse is reviewing the lab results of an infant suspected of having hypertropic pyloric stenosis. Which of the following would the nurse most likely expect to note in this infant?

Back 14

A blood ph of 7.50 - metabolic alkalosis caused by vomiting.

Front 15

A mother of a school-age-child with Down syndrome brings the child to the ambulatory care center. The child has bruising all over the body. To work most effectively with this child, the nurse first addresses which of the following complications associated with Down syndrome?

Back 15

Children with Down syndrome are more likely to develop acute leukemia than the avg individual

Front 16

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long term effect of cleft palate, a nurse should ask which of the following questions?

Back 16

Is this child unresponsive when given directions? May be experiencing hearing loss

Front 17

A nurse is caring for an infant with spina bifida who had the gibbous (sac on the back containing cerebrospinal fluid, the meninges, and the spin al cord) surgically removed. The nurse plans which of the following in the postoperative period to maintain the infant's safety?

Back 17

Elevating the head with the infant in the prone position

Front 18

The nurse is providing discharge instructions to the mother of a child who had a cleft palate repair. Which of the following statements would the nurse make to the mother?

Back 18

You should use a plastic spoon to feed the child

Front 19

A mother brings her 5 wk old infant to the health care clinic and tells the nurse that the child has been vomiting after meals. The mother reports that the vomiting is becoming more frequent and forceful. The nurse suspects pyloric stenosis and asks the mother which of the following assessment questions to elicit data specific to this condition?

Back 19

Does the vomit contain sour undigested food without bile, and is the infant constipated?

Front 20

A child, age 4, with a recent history of nausea, vomiting, and diarrhea is admitted to the peds unit with a diagnosis of gastroenteritis. During the physical examination, the nurse detects tenting. This finding supports a nursing diagnosis of

Back 20

Deficient fluid volume related to dehydration