The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?

The child has grown in height since the previous shunt placement.

The child is afebrile with normal vital signs postoperatively.

An intracranial pressure (ICP) monitoring probe is in place.

The child reports no evidence of continuous headaches.

Answer and Explanation

The Correct Answer is D

The absence of continuous headaches in the child indicates that the VP shunt is functioning normally. A VP shunt is used to treat hydrocephalus by draining excess cerebrospinal ﬂuid from the brain to the abdomen. If the shunt is functioning properly, it should relieve pressure on the brain and reduce symptoms such as headaches. The other options (A, B, and C) do not directly indicate whether the shunt is functioning normally or not.

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Correct Answer is B

Explanation

Albuterol is a beta-adrenergic agonist agent that is used to open the airways in people with bronchial asthma. The mother's use of this medication to open her son's airway when he is having trouble breathing is appropriate. Overuse of the drug may cause side eﬀects, but it does not cause chronic bronchitis (A)

Albuterol helps to relax the muscles in the airways, but it does not reduce airway inﬂammation (C)There is no indication that the child needs immediate evaluation (D)

A. Speaks in simple sentences with four or more words. B. Recognizes most letters and numbers. C. Uses gestures with 1-to-2-word sentences. D. Uses 1-word sentences.

Correct Answer is A

Explanation

At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.

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The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open his son's airway when he is having trouble breathing. What is the nurse's best response?

Correct Answer is B

Explanation

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Correct Answer is A

Explanation

A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?

The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?

A 9-week-old infant is scheduled for a cleft lip repair. Which information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

The parents of a child with Wilms tumor ask the nurse why surgery is necessary before a biopsy is performed. Which information should the nurse provide?

The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?