RN Nursing Care of Children Online Practice 2019 A

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RN Nursing Care of Children Online Practice 2019 A Questions

Question 1 of 5

When checking the intravenous (IV) site on a child, the nurse should take which action?

Correct Answer: C

Rationale: Looking at and palpating the IV site helps assess for signs of infiltration or infection, such as swelling, redness, or pain. Simply looking or asking the child may miss subtle signs, and removing all the tape unnecessarily disrupts the site.

Question 2 of 5

What is the most consistent and commonly used indicator of pain in infants?

Correct Answer: D

Rationale: Facial expression has consistently been validated as an indicator of pain in infants. Behavioral pain measures are most reliable for sharp procedural pain in infants. Increased heart rate and respirations are indicative of a generalized and complex response to stress, not specific for pain in infants. Thrashing of arms and legs is a reliable indicator in young children, not specifically in infants.

Question 3 of 5

A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?

Correct Answer: B

Rationale: Showing the child the equipment before the procedure helps build trust and reduces fear. Using an 18-gauge needle is too large for a child, and multiple attempts can increase trauma. Restraining completely can increase fear and anxiety.

Question 4 of 5

An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which situation?

Correct Answer: C

Rationale: These symptoms are indicative of dehydration or water depletion, which is common in infants and can rapidly lead to severe consequences if not addressed promptly.

Question 5 of 5

In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)

Correct Answer: D

Rationale: Conditions like oliguric renal failure, increased intracranial pressure, and mechanical ventilation significantly alter fluid requirements in children. These conditions either restrict fluid output or require careful fluid management to avoid worsening the condition.

Similar Questions

In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)
Chemicals, agents, or factors that cause physical defects in the developing embryo and are most harmful during organogenesis are:
When checking the intravenous (IV) site on a child, the nurse should take which action?
During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. What action should the nurse take?
The nurse is admitting a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the doctor to order initially to replace fluids?

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