1. A nurse is assessing a school-age child who has heart failure and is taking
furosemide.
Which of the following findings should the nurse identify as
... [Show More] an indication thatthe
medication is
effective?
a. An increase in venous pressure b. a
decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
2. A nurse is assessing an infant who has acute otitis media. Which of the
following findings
should the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph nodec.
Crying
d. Restlessnesse.
fever
3. a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine
lontophoresis Testing for Cystic Fibrosis. Which of the following statementsshould the
nurse
include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hourperiod
b. The test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
4. A nurse in an urgent care clinic is prioritizing care for children. Which ofthe
following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of200
mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg(11 lb)
5 .A nurse is providing teaching to the parents of a toddler who is to undergoa sweat
chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during thetest
c. during the test, your child will be in a room that is coldd. your
child sweat will be collected over 24 hours
6. A nurse in the emergency department is caring for an adolescent who is requesting
testing for STI. Which of the following action is appropriate for thenurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are presentd. obtain
written consent from the client
7. A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions should
the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
8. A nurse is providing teaching to a 10 year old child with scheduled for an arterial
cardiac catheterization. Which of the following information should thenurse include in
the teaching?
a. You will have your dressing removed 12 hours after the procedureb. you
will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure9.
10. A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child
is now ready to resume oral intake which of the following dietary choices
should the nurse offerthe
child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
11. A nurse is caring for an infant who has Patent ductus arteriosus. Thenurse
should identify
that the defect is a switch of the following locations of the heart. ( you willfind hot spots
to select
in the artwork below. Select only the hot spot that corresponds to youranswer)Answer:
B
12. A nurse is caring for a 10 month old child was brought to the emergency
department by his parents following a head injury. Which of the following actions
should the nurse take first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severetrauma
=
urgent, after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
13. A charge nurse is planning care for an infant who has failure to thrive.
Which of the following
actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment c. use
half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
14. A nurse is providing teaching about home care to the parent of a child who has
scabies. Which of the following instruction should the nurse includein the teaching?
a. Wash your clients hair with shampoo containing Ketoconazoleb. soak
Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
15. A nurse is caring for a preschooler who refuses to take a start dose of
oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction ( too much “Adult”
terminology/
jargon for pre schooler to understand)
d. sometimes, when a child has to take medication, they feel sad.
16. A nurse is teaching the parent of a school-age child about bicycle safety.Which of
the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seatedon the
bicycle
c. you should try to keep the bicycle at least three feet from the curb whileriding in
the
street
d. your child should ride the bicycle against the flow of traffic
17. A nurse is caring for a school-age child following the application of a castto a
Fractured right tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain medicationd.
Elevate the child's leg
18.
19. A nurse is preparing a school-age child for an invasive procedure. Whichof the
following actions should the nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in the playroom
d. demonstrate deep breathing and Counting exercises20.
21. A nurse is preparing to collect a urine specimen from a female infant using a
urine collection bag. Which of the following actions should the nursetake?
-Apply lidocaine gel to the perineum before attaching the bag
-Position the opening of the bag over the urethra and the anus
-Stretch the perineum taught when applying the bag
-Place a snuff fitting diaper over the drainage bag
22. A nurse is planning care for a toddler who has developed oral ulcers inresponse
to
chemotherapy. Which of the following actions should the nurse include in theplan of
care?
a. Schedule routine Oral Care every 8 hours b.
Cleanse the gums with saline soaked gauze
c. more sending me closer with lemon glycerin swabs
d. administer oral viscous lidocaine
23. A nurse is providing discharge teaching to the parents of an infant who isat risk
for sudden infant death syndrome (SIDS). Which of the following statements by the
parent indicates an understanding of the teaching?
a. I will have my baby sleep next to me in the bed during the night
b. Elmo my baby stuffed animal to the corner of her crib while she sleepsc. I will
dress my baby in lightweight clothing to sleep
d. I will lay my baby on her side to sleep for her naps
24. A nurse is monitoring an infant who is receiving opioids for pain. Which ofthe
following findings should indicate to the nurse that the medication is having a
therapeutic effect?
a. Increased blood pressure
b. Limb withdrawal
c. relaxed facial expression
d. bradycardia
25. A nurse is caring for a three-month-old infant who has cleft of the softpalate.
Which of the following actions should the nurse take?
a. discontinue feeding if the client's eyes become watery
b. postpone burping the infant until after completing each feeding
c. Elevate the infant’s head to a 10 degree angle during feedings
d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day
26. A nurse is caring for a child who has hyponatremia. Which of the
following findings should the nurse expect?
a. Tetany
b. weight gain
c. Elevated heart rate
d. excessive diaphoresis
27. A nurse is preparing to administer an enteral feeding to an adolescent who has
an NG tube. Which of the following actions should the nurse take first?
a. Set the administration rate on the feeding pump
b. flush the tube with water
c. check the pH of the gastric secretion
d. attach the feeding bag tubing to the end of the NG Tube
28. A nurse is caring for an adolescent who is 1 hour post-operative followingan
appendectomy. Which of the following findings should the nurse report to theprovider?
a. Heart rate 63 / minuteb.
muscle rigidity
c. temperature 36.4 Celsius (97.5 Fahrenheit)
d. abdominal pain
29. A nurse in a provider's office is preparing to administer immunization to a12 year
old client during a well-child visit. Which of the following immunization should the
nurse plan to administer?
a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV)
c. Varicella
d. hepatitis A [Show Less]