Question 1

Following placement of a central venous catheter, a mechanically ventilated child develops acute tachycardia, hypotension, and arterial desaturation. A nurse should evaluate the need for:

Options :

A : Administration of a sedative

B : Insertion of a chest tube

C : An increase in the ventilator rate

D : An IV fluid bolus

Answer: B

Question 2

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 3

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

Question 4

A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:

Options :

A : Ask the family member to visit before work

B : Ask the family member to visit during scheduled visiting hours

C : Not allow the visit, as the patient will be sleeping

D : Allow the family member to visit after setting behavioral limits

Answer: D

Question 5

Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?

Options :

A : PAOP monitoring and dobutamine

B : O# therapy and RBC transfusion

C : PAOP monitoring and sodium nitroprusside

D : O# therapy and alkalinization

Answer: D

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