Need help with Ontario RPN exam review (1)

[xoxoxox]

Hi all, I'm going to take RPN exam in Ontario this Sep, I did some review questions which very similar with CNO exam for RPN, but I do not have the right answers...

Could you give me some idea or hints?

Sean is an 8 month old infant who is fed via a gastro tube. He is brought to hospital with diarrhea and dehydration.

1.His rectal temp is 37.5. He also has developed an irritated rectal area. Which one of the following should the nurse consider when planning Sean's morning bath?

a. a tub bath would sooth his irritated skin

b. a bed bath should be performed to maintain his gastrostomy tube patency

c. a tepid bath whould decrease his temp

d. a bed bath should be performed to maintain medical asepsis

2. Sean's mom is unable to visit for long periods and Sean cries when she is not there. What should the RPN do to communicate care and concern to Sean?

A. Provide Sean with a cuddly teddy bear

B. Distract Sean with a colorful mobile

C. Stroke Sean's head and upper back

D. Ask a volunteer to sit with Sean.

Thanks:heartbeat

[xoxoxox]

anyone help ?

[Silverdragon102, BSN]

Moved to the Canadian forum

What are your ideas on right answers?

[dishes, BSN, RN]

xoxoxo

question 1

ask yourself what will happen as a result of an 8 month old having a fever?

what will happen as a result of an 8 month old having a rash?

which is the priority?

question 2

What should the RPN do to communicate care and concern.

in which answer is the RPN communicating?

dishes

[NotReady4PrimeTime, RN]

Some more hints... 1) There is no reason why a child with a healed gastrostomy site cannot be given a tub bath. And to follow dishes' train of thought, is 37.5C rectally a fever? 2) What would Sean's mother do if she was there?

[xoxoxox]

My thoughts:

1. I did research and 37.5C rectal for an infant is not a fever...so tepid bath is unnecessary, i think it's A. tub bath sooth irritated skin

2. I think is C, but some classmates think it should be D, cause they think an infant need someone around him, but i think both C and D are reasonable

so any more ideas?

[NotReady4PrimeTime, RN]

Good thinking. My personal inclination for #2 is C. Actually it's what I DO!

[loriangel14, RN]

I would pick a) for #1 and c) for #2.

[5cats]

Again, if you don't know the answer, try to exclude obviously the wrong ones.

Look for similar answers, like give a teddy near and use a colorful mobile, same things. There is only one answer where YOU communicate with the child.

Looking at the bathing questions, there's only 1 answer that does address the problem that was mentioned in the question, irritated skin, that's a good hint. Plus some are obviously wrong, so try getting that approach in your head, look up test taking strategies.

5cats

[katiesue13]

question 1 answer is a) a tub bath would

question 2 is c

[Fiona59]

This thread is over one year old.

But remember it is the NATIONAL exam for Practical Nurses written across the country, it's NOT the Ontario exam. Ontario is the only province that uses the designation RPN for a Practical Nurse.

My first thought was "YEAAA, it's about Psychiatric Nurses".