ACCS Pediatric Home Health Test
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1. A three-month old infant is monitored for increased intracranial pressure. It's noted that the anterior fontanel hasn't closed and is soft and flat. Which action should you take?
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2. An infant has bronchiolitis and is monitored for signs of dehydration. Choose the best method to determine fluid loss.
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3. Which medication should be administered first to a child who had an acute asthma attack in a home care setting?
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4. What position should a mother position her new infant for sleeping to prevent SIDS?
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5. Monitoring a pediatric client for volume deficit you know that the fluid volume is for:
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6. Feeding instructions for your pediatric client with gastroesophageal reflux (GER) to reduce episodes of emesis include:
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7. Choose the most appropriate method to collect a urine sample from an eight-month old infant.
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8. One of the following statements is included in a teaching session for acquired immunodeficiency syndrome (AIDS). Choose the correct answer.
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9. An HIV infected child is receiving zidovudine (AZT, Retrovir). Select the laboratory study that would indicate that the child is experiencing a positive reaction to this treatment.
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10. The safe pediatric dosage of the Phenobarbarbital sodium (Luminal Sodium) Medication is 1 to 6 mg/kg/day. The nurse determined that this prescribed medication dosage of 25 mg PO BID, for child with febrile seizures and weighs 7.2 kg is:
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11. Determine how many milliliters will be administered to a child prescribed to receive Cloxacillin (Tegopen) at 100 mg PO QID. The medication label shows: 125 mg per 5mL.
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12. A child with an infection has been prescribed penicillin G procaine (Wycillin), 1,000,000 U IM. The medication label shows: 1,200,000 U per 2 mL. What is the milliliter amount to administer per dose?
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13. Acetaminophen (Tylenol) liquid, 450 mg PO every 4 hours PRN, is ordered for pain relief. The medication label shows: 160 mg/5mL. How many milliliters will be administered for one dose?
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14. Your 5 yr old patient with cerebral palsy has not voided in 4 hours what action do you take?
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15. While assessing the skin of your wheelchair dependent 13 year old patient, you notice a reddened area on her right hip. What action do you take?
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16. The best time to perform a skin assessment on your pediatric client is:
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17. When suctioning your pediatric patient with a tracheostomy you should:
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18. Which of the following is a sign of respiratory infection?
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19. What is the importance of providing humidification in a person with an artificial airway?
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20. Which of the following are indications for suctioning a patient with a trach?
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21. A tracheotomy change should be done using:
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22. While documenting the care of your home health client you realize you did not document some important observations during your shift yesterday. What action do you take?
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23. Nurses completing incident reports following medication errors should be sure to do all of the following except:
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24. Which of the following observations would indicate that the nurse should withhold a tube feeding>
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25. What intervention can a nurse take with a 2yr old client with a g-tube who continues to pull at the tube
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26. Before beginning a tube feeding via an NG tube in your 1 year old client the nurse should:
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27. Your pediatric client has a low grade fever of 100.5, is pulling at her right ear, is refusing her bottle, and is irritable. You call the doctor because you suspect:
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28. Your client is admitted to the hospital with RSV. Which of the following is appropriate teaching for the family?
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29. When assessing the respiratory rate of a 10 month old infant:
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30. Your pediatric client is having a grand mal seizure. You:
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31. The same client in question 30 has stopped seizing. What is your first priority?
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32. Your 10 year old cerebral palsy patient has blood in her diaper (no stool is present). What action do you take?
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33. A toddler is taking an anti-hypertention medication. What B/P reading would alarm you?
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34. Your 6 month old client has RSV. The best way to prevent the spread of the infection is:
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35. During a g-tube change you meet resistance when inserting the new tube. What actions do you take first?
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36. The best way for a nurse to develop a good relationship with a client's family is by:
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37. What is a nurse's legal responsibility for reporting suspected child abuse or neglect?
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