Version-1
5) A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first?
a. A toddler
... [Show More] who has a concussion and an episode of forceful vomiting
b. An adolescent who has infective endocarditis and reports having a headache
c. An adolescent who was placed into halo traction 1 hr ago and reports
pain as 6 on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and brown-colored urine
6) A nurse is providing dietary teaching to the guardian of a school-age child
who has cystic fibrosis. Which of the following statements should the nurse
make?
a. "You should offer your child high-protein meals and snacks
throughout the day."
b. "You should decrease your child's dietary fat intake to less than
10% of their caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly."
7) A nurse is providing discharge teaching to the guardians of a toddler who had
lower leg cast applied 24 hr ago. The nurse should instruct the guardians to
report which of the following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
8) A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the sound
as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi
9) A nurse is caring for a preschooler who has congestive heart failure. The nurse
observes wide QRS complexes and peaked T waves on the cardiac monitor.
Which of the following prescriptions should the nurse clarify with the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride
10) A nurse is planning an educational program for school-age children and their
parents about bicycle safety. Which of the following information should the
nurse plan to include?
a. The child should be able to stand on the balls of their feet when
sitting on the bike.
b. The child should ride their bike 2 feet to the side of other bike riders.
c. The child should wear dark-colored clothing with a fluorescent stripe
when riding at night.
d. The child should ride the bike facing traffic when it is necessary to
ride in the street.
11) A nurse is an emergency department is caring for a school-age child
who has epiglottitis. Which of the following actions should the nurse
take?
a. Obtain a throat culture from the child.
b. Monitor the child's oxygen saturation.
c. Put a warm mist humidifier in the child's room.
d. Place the child in the supine position
12) A nurse in an emergency department is caring for a school-age child who has
sustained a minor superficial burn from fireworks on their forearm. Which
of the following actions should the nurse take?
a. Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
b. Apply an antimicrobial ointment to the affected area.
c. Leave the burn area open to air.
d. Place an ice pack on the affected area.
13) A nurse in a providers office is caring for a school-age child who has
varicella. The parents asks the nurse when their child will no longer be
contagious. Which of the following responses should the nurse make?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your child."
c. "When your child's lesions are crusted, usually 6 days after they appear."
d. "Two to three weeks, when your child's lesions completely disappear."
14) A nurse is providing discharge teaching to the parent of a school-age child
who has moderate persistant asthma. Which of the following instructions
should the nurse include?
a. "You should give your child their salmeterol inhaler every 4 hours
when they are having an acute episode of wheezing."
b. "You should monitor your child's weight weekly while they are
receiving inhaled corticosteroid therapy."
c. "Pulmonary function tests will be performed every 12 to 24
months to evaluate how your child is responding to
therapy."
d. "When using the peak expiratory flow meter, record your child's
average of three readings."
15) A nurse is admitting an infant who has intussusception. Which of the
following findings should the nurse expect? (Select all that apply.)
a. Steatorrhea
b. Vomiting
c. Lethargy
d. Constipation
e. Weight gain
16) A nurse is reviewing the laboratory results of a school-age child who is 1
week postoperative following an open fracture repair. Which of the
following findings should the nurse identify as an indication of a potential
complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/L
d. RBC count 4.7 million/mm3
17) A nurse is providing discharge teaching to the parents of a 3-month old
infant following a cheiloplasty. Which of the following instructions should
the nurse include?
a. "Clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "Expect your baby to swallow more than usual over the next few days."
c. "Inspect your baby's tongue for white patches using a tongue
depressor every 8 hours."
d. "Apply a thin layer of antibiotic ointment on your baby's
suture line daily for the next 3 days."
18) A nurse is discussion organ donation with the parents of a school-age child
who has sustained brain death due to a bicycle crash. Which of the following
actions should the nurse take first?
a. Inform the parents that written consent is required prior to organ donation.
b. Provide written information to the parents about organ donation.
c. Ask the provider to explain misconceptions of organ donation to the parents.
d. Explore the parents' feelings and wishes regarding organ donation.
19) A nurse is caring for a 1-month-old infant who is breastfeeding and requires a
heel stick. Which of the following actions should the nurse take to minimize the
infants pain?
a. Use a manual lancet to obtain the heel blood sample.
b. Apply an ice pack to the infant's heel prior to obtaining the sample.
c. Allow the mother to breastfeed while the sample is being obtained.
d. Apply a topical lidocaine cream prior to obtaining the sample.
20) A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
a. Reports an absence of nausea and vomiting
b. Reports experiencing an onset of loose stools within 15 min of administration
c. Serum potassium level 4.1 mEq/L
d. Blood pressure 86/52 mm Hg
21) A charge nurse is preparing to make a room assignment for a newly admitted
school- age child. Which of the following considerations is the nurses priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability
22) A nurse is assessing the pain level of a 3-year-old toddler. Which of the
following pain assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual [Show Less]