• 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
... [Show More] 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.
• 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.
• 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
• 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
• 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 analog
A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include?
e) Ensure that a padded tongue blade is at the child's bedside.
f) Allow the child to play video games on a tablet computer.
g) Allow the child to take a tub bath independently.
h) Ensure the oxygen source is functioning in the child's room.
• A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first?
a) A toddler 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
• 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."
• 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
• 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 [Show Less]