A nurse is caring for a child in a pediatrician's office.

Exhibits
Complete the following sentence by using the lists of options.

The nurse should recognize that the findings in the EMR are consistent with
dropdown
as evidenced by
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}

Correct answers: The nurse should recognize that the findings in the EMR are consistent with acute glomerulonephritis as evidenced by urinalysis.

Rationale for correct answers:

Acute Glomerulonephritis (AGN): AGN is a known complication that can occur 1–2 weeks after a streptococcal infection (positive strep test a week ago). The child now has periorbital edema, hypertension (BP 141/88), lethargy, and tea-colored urine- all classic signs.

The urinalysis shows proteinuria, hematuria, and cloudy tea-colored urine, which are hallmark findings in AGN.

Rationale for incorrect answers:

Urinary tract infection: Typically causes dysuria, urgency, frequency, and often a positive leukocyte esterase or nitrites.

Mononucleosis: Would show lymphadenopathy, sore throat, and fatigue but is not consistent with current urinary findings or hypertension.

A delayed allergic reaction: Would be more likely to present with urticaria, pruritus, or respiratory compromise.

Congestive heart failure: Rare in children with no cardiac history and wouldn't explain the urinalysis findings.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Depressed scalp veins

Scalp veins would likely be distended or prominent due to increased intracranial pressure, not depressed.

B. Sunken anterior fontanels

The fontanelle would be bulging, not sunken, in hydrocephalus due to increased intracranial pressure.

C. Bulging eyes

Hydrocephalus does not typically cause bulging eyes. "Sunsetting eyes" (downward gaze with visible sclera above the iris) may be seen instead.

D. Separated cranial sutures

Increased intracranial pressure from excess cerebrospinal fluid (CSF) causes the sutures to separate due to skull expansion in infants.

A. Cold compresses to painful areas B. Bed rest C. Blood type and cross match D. NPO status E. Morphine IV

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

Explanation

Cold compresses to painful areas: Expected

Nonpharmacologic method to help reduce pain and inflammation during vaso-occlusive crisis.

Bed rest: Expected

Conserves oxygen and prevents further sickling.

Blood type and cross match: Expected

Anticipated if anemia is severe or if transfusion is needed (Hemoglobin 7.6 g/dL).

NPO status: Unexpected

No GI procedures planned; child should stay hydrated to prevent sickling.

Morphine IV: Expected

Opioids are often necessary for severe sickle cell pain management.

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A nurse is caring for a child in a pediatrician's office. Exhibits Complete the following sentence by using the lists of options. The nurse should recognize that the findings in the EMR are consistent with dropdown as evidenced by dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect?

Correct Answer is D

Explanation

The nurse is caring for a child in the emergency department (ED). Exhibits For each potential provider's order, click to specify if the potential order is expected or unexpected for the client.

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

Explanation

A nurse is caring for a child in the emergency department (ED). Exhibits For each potential intervention, click to specify if the potential intervention is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

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A nurse is assessing an infant who has intussusception. Which of the following manifestations should the nurse expect?

A nurse is caring for a toddler in the emergency department (ED). Exhibits The nurse is providing discharge instructions to the toddler's parent. Which of the following information should the nurse include. Select All That Apply.

A charge nurse is assisting a newly licensed nurse with the preoperative care of a 2-year-old toddler who has a Wilms tumor. Which of the following actions by the newly licensed nurse indicates an understanding of the needed care?

A nurse is educating the parent of an 18-month-old toddler how to administer otic drops. Which of the following parent statements indicates an understanding of the teaching?

A nurse is providing teaching to the parent of a child about home care following a cardiac catheterization. Which of the following statements should the nurse include?

A nurse is caring for a child in a pediatrician's office.

Exhibits
Complete the following sentence by using the lists of options.

The nurse should recognize that the findings in the EMR are consistent with
dropdown
as evidenced by
dropdown