Test Prep for Nursing Exam about Pediatric Nursing (61-65)

61. A nurse is planning care for a newborn of a diabetic mother. A priority nursing diagnosis for this infant:

a) hyperthermia related to excess fat and glycogen
b) risk for injury related to low blood glucose levels
c) risk for delayed development related to excessive size
d) risk for aspiration related to impaired suck and swallow  

62. A nursing instructor asks a nursing student to describe the procedure for administering erythromycin (0.5% Ilotycin) ointment on the eyes of a neonate. The instructor determines that the student needs to research this procedure further if the student state that:

a) I will flush the eyes after instilling the ointment
b) I will cleanse the neonate's eyes before instilling the ointment
c) administration of the eye ointment is within 1 hour after delivery
d) I will instill the eye ointment into each of the neonate's conjunctival sacs

63. Which statement would indicate the "law and order orientation" found in level two of Kohlberg's theory of moral development?

a) If I skip down the hall, will the teacher be mad at me?
b) We will spend time talking about the activities for the week
c) I don't like it when you yell while I am talking to my friend. Here are some activities to do until I am finished talking
d) If you do all of your class work today without bothering others in the class, you will get an extra seed for your good garden.

64. A home health nurse visits a 70-year old woman weekly. At each visit, the client reminisces about pas t life experiences in a positive way. Using Erickson's psychosocial development theory, the home health nurse interprets this behavior as:

a) a mental status alteration
b) a normal psychosocial response
c) requiring a psychiatric consultation
d) a sensory deficit requiring social activities

65. Which of the following car safety devices should be used for a child who is 8-years old and is 4 feet tall?

a) seat belt
b) booster seat
c) rear-facing convertible seat
d) front-facing convertible seat



ANSWERS AND RATIONALE

61) B
- the neonate born to a diabetic mother is at risk for hypoglycemia so risk for injury related to low blood glucose levels would be priority nursing diagnosis. The infant would also be at risk for hyperbilirubinemia, respiratory distress, hypocalcemia, and congenital anomalies. Hyperthermia, risk for delayed development, and risk for aspiration are not expected problems.

62) A
- eye prophylaxis protects the neonate against Neisseria gonorrhoeae and Chlamydia tranchomatis. The eyes are not flushed after instillation of the medication because the flush will wash away the administered medication. Option B, C and D are correct statements regarding the procedure for administering eye medication to the neonate.

63) A
- in the law and order orientation of Kohlberg's theory, the child has more concern with society as a whole and emphasis is on obeying laws to maintain social order. The child wants to be considered "good" by persons whose opinions matter to them. Option A is the only option that reflects these criteria. Option B, C, and D are unrelated to the law and order orientation.

64) B
- according to Erickson, late adulthood is the period of old age. The adult reminisces about past life experiences, viewing them in a positive way. The adult needs to feel good about accomplishments, see successes in life, and feel that he or she has made a contribution to society. Option A, C, and D are incorrect interpretations.

65) B
- children should remain in a booster seat until the are 8 to 12 years old and at least 4 feet, 9 inches tall. An infant should ride in a car in a semi reclined, rear-facing position in an infant-only seat or a convertible seat until they weigh at least 20 lb and are at least 1 year of age. The transition point for switching to the forward-facing position is defined by the manufacturer of the convertible car safety seat bu is generally at a body weight of 9 kg (20lb) and 1 year of age. Convertible car safety seats are used until the child weighs at least 40 lb. 


Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (66-70) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.