Question 1

A 2-year-old child in septic shock is receiving nitroprusside (Nipride). Which of the following findings indicates the need to increase the nitroprusside dosage?

Options :

A : Systolic BP greater than or equal to 78 mm Hg

B : Urine output is 7 cc/hr

C : Systemic vascular resistance is 1820 dynes/sec/cm##

D : HR is 180

Answer: C

Question 2

What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?

Options :

A : Provide the parents a video to watch and include them in ADL care

B : Demonstrate tracheostomy care daily and address the parent’s concerns and questions thoroughly

C : Give the parents written instructions and answer their questions

D : Use the parents' preferred method of learning and evaluate as they perform care

Answer: D

Question 3

A patient is postoperative day 1 from a laparotomy for appendicitis. Which intervention best prevents surgical wound infection?

Options :

A : Apply a dressing with plastic tape over the wound, encourage handwashing, and offer a high-calorie diet

B : Shower twice daily, apply betadine to the skin around the wound, and maintain NPO status

C :

Encourage nutritional support as early as possible, bathe daily with pH-balanced cleanser, and encourage mobility

D : Cleanse the wound with antibacterial soap and water, maintain NPO status, and encourage mobility

Answer: C

Question 4

When evaluating the effectiveness of a new skin care protocol, a nurse should assess the:

Options :

A : Preventive measures implemented

B :

Change in nursing care hours

C : Presence of lesions, ulcers, or erythema

D : Documentation of nursing interventions

Answer: C

Question 5

A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea. A nurse should suspect:

Options :

A :

Hepatorenal syndrome

B : Hemolytic uremic syndrome

C : Nephrotic syndrome

D : Acute glomerulonephritis

Answer: B

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