Title Care of Child and Adolescent - At Risk or with Problems.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 CLASSIFIED EXAMINATION FOR CRITICAL TEST ANALYSIS Care of Child and Adolescent (At Risk or with Problems) Philippine Nurses Licensure Examination Warning: This material is protected by Copyright Laws. Unauthorized use shall be prosecuted in the full extent of the Philippine Laws. For exclusive use of CBRC reviewees only. 1. A 2-day-old neonate has not been eating well, is irritable, and has a temperature of 38OC axillary. The nursery nurse anticipates that the physician will MOST likely prescribe which tests? A. CSF, CBC, and blood culture B. Urinalysis C. Blood and throat culture D. CBC and ABG analysis 2. A female neonate was delivered by elective CS birth from a 25-year-old primigravid mother. The nurse places the neonate under the warmer unit. In addition to routine assessments, the nurse should closely monitor this neonate for: A. Temperature instability due to type of birth B. Respiratory distress due to lack of contractions C. Signs of acrocyanosis D. Unstable blood glucose level 3. Which finding suggests sepsis in an infant? A. Hepatomegaly B. Distended abdomen C. Gastric retention D. Blood in the stool 4. A newborn is brought to the nursery. Upon assessment, the nurse finds that the child has short palpebral fissures, thinned upper lip, and hypoplastic philtrum of the upper lip. Based on these data, the nurse suspects that the newborn is MOST likely showing the effects of: A. Lead toxicity B. Chronic toxoplasmosis C. Fetal alcohol syndrome D. Down syndrome 5. Suppose Maia’s baby develops a torticollis, and she is distraught by her baby’s appearance. What care measure would BEST relieve the infant’s physical anomaly and Maia’s distress? A. Teach Maia how to perform her baby’s neck stretching exercises. B. Wrap the infant’s neck in a warm towel for 15 minutes twice daily. C. Assure Maia that the anomaly will resolve spontaneously. D. Administer 80 mg of aspirin with each of his bottle feedings 6. The primary healthcare provider for Maia’s baby asks the nurse to observe him for signs that he is developing increased intracranial pressure while he waits for surgery. What vital sign changes should most prompt the nurse to report the findings to the primary care provider? A. Decreased temperature and increased blood pressure B. Increased respirations and decreased pulse rate C. Increased temperature and decreased pulse rate D. Decreased blood pressure and increased temperature 7. The nurse wants to encourage Becky to drink a lot of water to promote hydration. During the most recent rounds, Becky drank an entire 10-oz glass at once and vomited several minutes later. Considering the failed attempt to encourage oral hydration, what would be the nurse’s BEST next course of action? A. Teach Becky about the consequences of failing to drink sufficient water. B. Set up a plan with Becky and her parents to provide small glasses of water frequently. C. Continue to offer her large glasses of water so she does not have to drink so often. D. Alert her that if she does not increase her fluid intake she will likely have to receive IV fluids. 8. Becky’s mother is worried Becky will have a traumatic hospital experience. Which of the following would the nurse advise her to do to help make Becky’s hospitalization less traumatic? A. Suggest she keep her visits short so Becky can spend time with her nurse. B. After visiting, don’t tell Becky she is leaving. Just try to slip quietly away. C. Insist Becky have blood drawn by her bed because she fears the treatment room. D. Take Becky to the playroom, a place where she can feel free from being hurt. 9. The nurse gives acetaminophen (Tylenol) to the pediatric patient in the emergency department and she has no ID band currently in place. The nurse determines which identification method is BEST? A. Asking her what her name is B. Stating a need to know her name C. Asking a parent to provide two identifiers (name and date of birth) D. Asking to see her school student card 10. Although Terry is 8 years old, she doesn’t know how to swallow pills. If the nurse needs to delegate the administration of an oral medication to a licensed practical nurse, what instruction would the nurse provide to her colleague? A. “Draw a picture of a child swallowing medicine and talk about it.” B. “Tell the child that all medicines taste sweet so she’ll take it readily.” C. “Give the child a small ice chip to use to practice swallowing.” D. “Tip the child’s head forward to avoid the possibility of choking.” 11. The algorithm on the pediatric unit for addressing pain in children includes teaching Robin guided imagery to help reduce pain. What is the rationale for using this technique to manage children’s pain? A. Children’s pain is generally not as acute as that of adults. B. IV pain relief is poorly distributed in children. C. Children’s imaginations are at their peak in life. D. Children are typically more relaxed than adults