A nurse is admitting an 8-year-old child to the pediatric unit.

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 disease process.

Pain

Lymph nodes

Skin

Neurologic

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B,C"},"C":{"answers":"B,C"},"D":{"answers":"B"}}

Bacterial Meningitis (Most Likely Diagnosis). Headache, nausea, irritability, lethargy, nuchal rigidity → Signs of meningeal irritation Petechiae → Possible meningococcal sepsis. Fever, chills, elevated WBC count (14,000/mm³) → Indicates an infection. Irregular respirations, agitation, capillary refill 4 seconds → Signs of worsening perfusion, possible sepsis

Hodgkin Lymphoma (Possible but Less Likely). Enlarged lymph nodes → Common in lymphoma but does not explain acute symptoms like fever, petechiae, or neurologic signs.

Acute Lymphoblastic Leukemia (ALL) (Possible but Less Likely). Petechiae → Possible due to thrombocytopenia, but child’s platelet count (350,000) is normal.. Enlarged lymph nodes → Can occur in leukemia but is not the primary concern given the acute symptoms.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Monitor for constipation." Constipation is not a common adverse effect of gentamicin. More concerning side effects include nephrotoxicity and ototoxicity.

B. "Maintain strict I&O." Gentamicin can cause nephrotoxicity, so it is essential to monitor intake and output (I&O) closely to assess kidney function and detect early signs of renal impairment.

C. "Initiate airborne precautions." Gentamicin is an antibiotic and does not require airborne precautions. Airborne precautions are used for infections like tuberculosis, measles, and varicella.

D. "Encourage bed rest." Gentamicin does not require bed rest. However, if the child experiences dizziness due to ototoxicity (another adverse effect), activity may need to be limited.

A. "You will need to give your child a course of corticosteroids." B. "Your entire home will need to be thoroughly cleaned." C. "Any person who has been in close contact with the child needs treatment." D. "Place your nonwashable items in sealed plastic bags for up to 5 days."

Correct Answer is C

Explanation

A. "You will need to give your child a course of corticosteroids." Corticosteroids are not used to treat scabies. Treatment involves topical permethrin cream or oral ivermectin, not steroids.
B. "Your entire home will need to be thoroughly cleaned." While cleaning bedding, clothing, and personal items is important, a full deep-cleaning of the home is not necessary because mites do not survive long away from human skin.
C. "Any person who has been in close contact with the child needs treatment." Scabies is highly contagious, and all household members and close contacts should be treated simultaneously to prevent reinfestation.
D. "Place your nonwashable items in sealed plastic bags for up to 5 days." Scabies mites can survive off the body for up to 3 days, so items should be bagged for at least 3 days, not 5.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting an 8-year-old child to the pediatric unit. For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to the guardian of a toddler who has scabies. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 lb) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take?

A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device. Which of the following actions should the nurse take?

A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer. Which of the following statements by the guardian demonstrates positive adjustment?

A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?

A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

A nurse is providing teaching about nutrition to the guardian of a school-age child who has lactose intolerance. The nurse should identify which of the following foods as the best source of calcium?

A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

A nurse is admitting an 8-year-old child to the pediatric unit.

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 disease process.