Question

A nurse is teaching a group of parents of children with tonic-clonic seizures about the phases of the seizure. Which statement, made by a parent, indicates understanding of the post-ictal phase?

Answer 1

Correct Answers:

The parent should mention that the post-ictal phase is the period of altered consciousness after the seizure.

Rationale :

🧠The post-ictal phase occurs immediately after seizure activity has ended.

😴During this phase, the child can experience confusion, drowsiness, fatigue, headache, or decreased responsiveness.

⏱️The duration of post-ictal recovery varies according to the seizure’s type, severity, and duration.

🩺The nurse should maintain airway safety and continue neurologic assessment until the child returns to the baseline level of consciousness.

📌Core Message:

The post-ictal phase is the recovery period following a seizure and commonly involves altered consciousness, confusion, drowsiness, and fatigue.

Answer 2

Correct Answers:

Tell the parents that the child will be monitored closely during and after the procedure.
Inform the parents that the child will need to fast before the procedure.
Explain to the parents that the child will receive sedation before the procedure.
Advise the parents that the child will have a small incision made in the groin area.

Rationale :

🩺Continuous cardiac and oxygen monitoring is required during cardiac catheterization and throughout recovery.

🚫Preprocedure fasting reduces the risk of vomiting and aspiration while the child receives sedation or anesthesia.

💉Most pediatric clients receive sedation or anesthesia to promote comfort, immobility, and procedural safety.

🫀The catheter is commonly advanced through a femoral blood vessel in the groin and guided into the heart.

📌Core Message:

Pediatric cardiac catheterization requires fasting, sedation, close monitoring, and preparation for vascular access, commonly obtained through the groin.

Answer 3

Correct Answers:

Check the child's daily weight.

Rationale :

⚖️Daily weight measurement is the most sensitive method for monitoring changes in fluid volume.

🩸Acute glomerulonephritis reduces glomerular filtration, resulting in sodium and water retention.

💧Rapid weight gain can indicate worsening fluid overload before severe edema or respiratory symptoms become evident.

🩺The child should be weighed using the same scale, at the same time, and in similar clothing to ensure measurement accuracy.

📌Core Message:

Daily weight monitoring is the priority for acute glomerulonephritis because it provides the most accurate indication of developing fluid retention.

Answer 4

Correct Answers:

Place the infant in a knee-chest position.
Administer morphine via IV bolus.
Provide 100% oxygen by face mask.

Rationale :

🫀The listed interventions indicate that the infant is experiencing a hypercyanotic spell, commonly associated with tetralogy of Fallot.

🦵The knee-chest position increases systemic vascular resistance and helps direct more blood toward the lungs.

🫁High-concentration supplemental oxygen supports oxygenation and reduces the severity of hypoxemia.

💉Prescribed morphine can decrease agitation, respiratory effort, and catecholamine-driven worsening of the spell.

📌Core Message:

A hypercyanotic spell requires knee-chest positioning, oxygen, calming measures, and prescribed medication to improve pulmonary circulation and oxygenation.

Answer 5

Correct Answers:

Trimethoprim-sulfamethoxazole

Rationale :

💊Trimethoprim-sulfamethoxazole is an antimicrobial medication used to treat susceptible bacterial infections.

🦠The medication inhibits essential steps in bacterial folate metabolism, preventing bacterial growth.

🚽Because a urinary tract infection is commonly bacterial, treatment requires an appropriate antibiotic selected according to local guidance and culture results.

🧪The nurse should verify the child’s allergy history, prescription, and culture sensitivity before administration.

📌Core Message:

Trimethoprim-sulfamethoxazole targets susceptible bacteria causing urinary tract infections, whereas analgesics and anti-inflammatory medications provide only symptomatic relief.

Answer 6

Correct Answers:

Pedialyte

Rationale :

💧Pedialyte is a clear oral rehydration solution containing water and balanced electrolytes.

🍼Following correction of dehydration or surgery, small amounts of oral rehydration solution may be introduced according to the prescribed feeding plan.

⚡The electrolyte content helps replace fluid losses caused by repeated projectile vomiting.

📋Feedings should be advanced gradually according to the infant’s tolerance and the provider’s postoperative prescription.

.

📌Core Message:

Pedialyte is the appropriate clear liquid because it supports gradual oral rehydration while providing balanced electrolytes after pyloric-stenosis treatment.

Answer 7

Correct Answers:

"I will keep my baby in an upright position after feedings."

Rationale :

🍼Holding the infant upright after feeding uses gravity to reduce the backward movement of stomach contents.

⏱️The infant can remain upright and closely supervised for approximately 20 to 30 minutes after feeding.

🤱Infants with reflux can continue receiving breast milk or formula unless the healthcare provider recommends a specific dietary change.

🛏️The infant must still be placed flat on the back for safe sleep, even when reflux is present.

📌Core Message:

Keeping an infant upright after feeding can reduce reflux, but the infant should always be returned to a flat, supine position for safe sleep.

Answer 8

Correct Answers:

Potassium

Rationale :

💊Furosemide is a loop diuretic that increases the urinary elimination of water and electrolytes.

⚡The medication can cause significant potassium loss, leading to hypokalemia.

❤️Abnormal potassium levels can produce dangerous cardiac dysrhythmias and muscle weakness.

🧪The nurse should review the current serum potassium level and assess renal function before administering the medication.

📌Core Message:

The nurse must review serum potassium before administering furosemide because loop diuresis can cause hypokalemia and life-threatening cardiac dysrhythmias.

Answer 9

Correct Answers:

Maintaining catheter patency and monitoring urine output closely.

Rationale :

🚽After epispadias repair, uninterrupted urinary drainage protects the reconstructed urethra and surgical site.

🩺Maintaining catheter patency prevents urine retention, pressure, leakage, and disruption of the repair.

📏Frequent monitoring of urine output helps identify catheter obstruction, impaired drainage, or decreased renal perfusion.

🧷The catheter should remain secured and positioned to permit free urine flow without pulling on the surgical area.

📌Core Message:

Following epispadias repair, maintaining catheter patency and monitoring urine output are priorities because obstruction can damage the reconstructed urinary tract.

Answer 10

Correct Answers:

Changes in the oral mucous membranes, such as erythema, "strawberry" tongue

Rationale :

👅Kawasaki disease commonly produces oral mucous-membrane inflammation, including red lips, erythema, cracking, and strawberry tongue.

🌡️The disorder typically involves a persistent fever lasting five or more days with characteristic mucocutaneous findings.

🩸Kawasaki disease is an acute systemic vasculitis that primarily affects young children.

❤️Early recognition and treatment are critical because the disease can cause coronary artery inflammation and aneurysms.

📌Core Message:

Persistent fever with oral erythema, cracked lips, or strawberry tongue strongly supports Kawasaki disease and requires prompt evaluation to prevent coronary complications.

ASN Proctored Pediatrics NSG2530 Exam-2B

No.

1 :
A nurse is teaching a group of parents of children with tonic-clonic seizures about the phases of the seizure. Which statement, made by a parent, indicates understanding of the post-ictal phase?

2 :
Which of these instructions should a nurse include when teaching the parents of a child who is scheduled to have a cardiac catheterization about the procedure? Select All That Apply.

3 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

4 :
A nurse is caring for an infant who has congenital heart disease. Which of the following actions should the nurse plan to take? Select All That Apply.

5 :
A child with a urinary tract infection is prescribed medication. Which medication should the nurse prepare to administer to specifically target the bacterial infection?

6 :
A nurse is caring for an infant with pyloric stenosis. The healthcare provider orders a clear liquids diet. Which of the following fluids should the nurse select for the infant?

7 :
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

8 :
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?

9 :
A nurse is caring for a 5-month-old infant postoperative from epispadias repair. Which nursing intervention should be prioritized to prevent complications and promote optimal healing?

10 :
A nurse is assessing a child who has had a persistent fever for 6 days and exhibits several signs. Which clinical manifestation should the nurse identify as most indicative of Kawasaki disease?

ASN Proctored Pediatrics NSG2530 Exam-2B

No.

1 : A nurse is teaching a group of parents of children with tonic-clonic seizures about the phases of the seizure. Which statement, made by a parent, indicates understanding of the post-ictal phase?

2 : Which of these instructions should a nurse include when teaching the parents of a child who is scheduled to have a cardiac catheterization about the procedure? Select All That Apply.

3 : A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

4 : A nurse is caring for an infant who has congenital heart disease. Which of the following actions should the nurse plan to take? Select All That Apply.

5 : A child with a urinary tract infection is prescribed medication. Which medication should the nurse prepare to administer to specifically target the bacterial infection?

6 : A nurse is caring for an infant with pyloric stenosis. The healthcare provider orders a clear liquids diet. Which of the following fluids should the nurse select for the infant?

7 : A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

8 : A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?

9 : A nurse is caring for a 5-month-old infant postoperative from epispadias repair. Which nursing intervention should be prioritized to prevent complications and promote optimal healing?

10 : A nurse is assessing a child who has had a persistent fever for 6 days and exhibits several signs. Which clinical manifestation should the nurse identify as most indicative of Kawasaki disease?

1 :
A nurse is teaching a group of parents of children with tonic-clonic seizures about the phases of the seizure. Which statement, made by a parent, indicates understanding of the post-ictal phase?

2 :
Which of these instructions should a nurse include when teaching the parents of a child who is scheduled to have a cardiac catheterization about the procedure? Select All That Apply.

3 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

4 :
A nurse is caring for an infant who has congenital heart disease. Which of the following actions should the nurse plan to take? Select All That Apply.

5 :
A child with a urinary tract infection is prescribed medication. Which medication should the nurse prepare to administer to specifically target the bacterial infection?

6 :
A nurse is caring for an infant with pyloric stenosis. The healthcare provider orders a clear liquids diet. Which of the following fluids should the nurse select for the infant?

7 :
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

8 :
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?

9 :
A nurse is caring for a 5-month-old infant postoperative from epispadias repair. Which nursing intervention should be prioritized to prevent complications and promote optimal healing?

10 :
A nurse is assessing a child who has had a persistent fever for 6 days and exhibits several signs. Which clinical manifestation should the nurse identify as most indicative of Kawasaki disease?