5) A nurse is receiving change-of-shift report for four children. Which of the following
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children should the nurse assess first?
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a. A toddler who
... [Show More] 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
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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
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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.)
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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."
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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 heelstick.
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 themedication?
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 schoolage child. Which of the following considerations is the nurses priority?
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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 analog
23) A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures
above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral
suspension 100mg/5mL. How many mL should the nurse administer to the infant per
dose?
i) 2 mL
24) A nurse is assessing a 6-month-old infant during a well-child visit. Which of the
following findings should the nurse report to the provider?
a. Presence of a central incisor tooth
b. Presence of strabismus
c. Presence of an open anterior fontanel
d. Presence of external cerumen
25) A school nurse is caring for a child following tonic-clonic seizure. Which of the
following actions should the nurse take first?
a. Check the child for a head injury.
b. Observe for oral bleeding.
c. Check the child's respiratory rate.
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d. Observe for extremity weakness.
26) A nurse is planning developmental activities for a newly admitted 10-year-old child
who has neutropenia. Which of the following actions should the nurse plan to take?
a. Provide the child with a book about adventure.
b. Arrange frequent visits from family members and peers.
c. Give the child a large-piece puzzle.
d. Use puppets to entertain the child.
27) A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. Which of the following actions should the nurse
take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone.
d. Treat the adolescent without a consent form.
28) A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the childs respirations, which of the following
actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring.
29) A nurse is performing hearing screenings for children at a community health fair.
Which of the following children should the nurse refer to a provider for a more
extensive hearing evaluation?
a. An 18-month-old toddler who has unintelligible speech
b. A 3-month-old infant who has an exaggerated startle response
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c. A 4-year-old preschooler who prefers playing with others rather than alone
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d. An 8-month-old infant who is not yet making babbling sounds
30) A nurse is providing discharge teaching to the guardian of a school-age child who has
undergone a tonsillectomy. Which of the following statements by the guardian indicates
an understanding the teaching?
a. "My child can resume usual activities since this was just an outpatientsurgery."
b. "My child will be able to drink the chocolate milkshake I promised to get for
them tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat."
31) A community health nurse is assessing an 18-month-old toddler in a community day
care. Which of the following findings should the nurse identify as a potential indication
of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when their parent leaves
c. Has multiple bruises on their knees
d. Poor personal hygiene
32) A nurse assessing a school-age child who has an infratentorial brain tumor. Which of the
following findings should the nurse identify as a manifestation of increased intracranial
pressure?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia
33) A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which
of the following statements by the adolescent indicates an understanding of the
teaching?
a. "I should buy plastic shoes to wear at the swimming pool."
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b. "I should wear sandals as much as possible."
c. "I should place the permethrin cream between my toes twice daily."
d. "I should seal my nonwashable shoes in plastic bags for a couple of weeks."
34) A nurse is caring for a school-age child who has diabetes mellitus and was admitted
with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment,
which of the following findings should the nurse expect?
a. Deep respirations of 32/min
b. Shallow respirations of 10/min
c. Paradoxic respirations of 26/min
d. Periods of apnea lasting for 20 seconds
35) A nurse is planning n educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan to
include?
a. "Allow your child to play outside during the hours between 10:00 a.m. and
2:00 p.m."
b. "Choose a waterproof sunscreen with a minimum SPF of 15."
c. "Dress your child in loose weave polyester fabric prior to sun exposure."
d. "Reapply sunscreen every 4 hours."
36) A nurse is providing teaching to the parents of a preschooler who has heart failure and
a new prescription for digoxin twice daily. Which of the following instructions should
the nurse include in the teaching?
a. "Use a kitchen teaspoon to measure the medication."
b. "Brush the child's teeth after giving the medication."
c. "Double the next dose if the child misses a dose."
d. "Repeat the dose if the child vomits."
37) A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which if the following instructions should the nurse include in the
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teaching?
a. "Limit movement of the child's large joints."
b. "Encourage the child to perform independent self-care."
c. "Provide the child with a soft mattress forsleeping."
d. "Schedule a 2-hour daily nap for the child in the afternoon."
38) A nurse is creating a plan of care for a child who has varicella. Which of the
following interventions should the nurse include?
a. Maintain the child's room temperature at 80° F.
b. Prepare the child for a lumbar puncture.
c. Administer aspirin to the child for a temperature greater than 38.3° C (101° F).
d. Initiate airborne precautions for the child.
39) A nurse is assessing a school-age child who has an acute spinal cord injury following a
sports injury 1 week ago. Identify the area the nurse should tap to elicit the bicep reflect.
i) Correct answer is A [Show Less]