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1.A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?
A)monitor the child’s sodium
B)Weigh the child daily
C)Determine the childs heart rate
D)Auscultate the child’s breath sounds.

2. A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?
A)Extremities warm to touch
B)Blood pressure 112/66 mm Hg
C)Capillary refill 2 seconds
D)Diminished pulses.

4.A nurse is collecting data from a child who
has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following
finding the nurse expect?
A)Abdominal pain
B)Polyuria
C)Tinnitus
D)Pruritus

5)A nurse is reinforcing teaching with a parent
of a child who has attention deficit hyperactivity
disorder. Which of the following statements
should the nurse include in the teaching to
promote the child’s learning?
A)Offer your child frequent breaks in activity during the day
B)Provide your child with long-term goals to
increase self-esteem.
C)Administer your child’s medication at
bedtime to prevent insomnia
D)Schedule a different routine for your child each day.

6.A nurse is collecting data from a school-
age child who has Cushing’s syndrome. Which of
the following findings should the nurse expect?
A)Rounded facial features
B)Rapid weight loss
C)Hypotension
D)Hypersomnia

7.A nurse is caring for a child who has acute
glomerulonephritis. Which of the following
manifestations should the nurse expect?
A)Hypokalemia
B)Muetercke lines on the nails
C)Hypertension
D)Dehydration

8.A nurse is reinforcing teaching with the
parents of a 2-month-old infant who has
gastroesophageal reflux. The parents are feeding
the infant formula. Which of the following
instructions should the nurse include in the
teaching?
A)Give the infant a bottle immediately before
the infant’s bedtime
B)Limit the infant’s formula feedings to every 6 hours
C)Change the infant’s formula to a soy-based
formula.
D)Keep the infant at a 30° angle for 1 hr
following each feeding

9.A nurse is preparing to perform suctioning
for an infant who has a partial mucus occlusion
of her tracheostomy tube. Which of the following
actions should the nurse plan to take?
A)Select a catheter that fits snugly into the
tracheostomy tube.
B)Use clean technique when performing suctioning
C)Apply suction in 3 to 4 second increments.
D)Instill 2 mL of 0.9% sodium chloride prior to suctioning

10.A nurse is assisting with obtaining informed
consent from the parent of a toddler who is
scheduled for a surgical procedure. Which of the
following actions should the nurse take?
A)Discuss the benefits of the procedure
B)Determine the parent’s understanding of the
procedure.
C)Explain the risks associated with the
procedure
D)Provide detailed information about the
procedure to the parent.

11.A nurse is caring for a toddler whose
guardian reports multiple episodes of diarrhea.
The provider suspects Clostridium difficile. Which
of the following actions should the nurse take?
A)Collect a stool specimen for occult blood,
B)Conduct a tape test
C)Obtain a stool specimen for culture
D)Draw a blood culture

12.A nurse is collecting data from an adolescent
who has hypocalcemia. Which of the following
findings should the nurse expect?
A)Elevated blood pressure
B)Muscle tremors
C)Constipation
D)Tinnitus

13.A nurse is assisting with the plan of care for a
child who is 12 hr postoperative following a
ruptured appendix with peritonitis. Which of the
following actions should the nurse include in the
plan of care?
A)Offer clear liquids
B)Initiate contact isolation.
C)Maintain strict bed rest.
D)Give pain medications on a schedule.

14.A nurse is contributing to the plan of care for
an adolescent client who has sickle cell anemia
and is experiencing a vaso-occlusive crisis.
Which of the following interventions should the
nurse include in the plan?
A)Decrease daily oral fluid intake
B)Maintain bed rest to prevent hypoxemia
C)Administer meperidine to eliminate a fever.
D)Apply cold compresses to painful joints.

15.A nurse is caring for a child who has mild
dehydration due to an Escherichia coli infection.
Which of the following actions should the nurse
take?

A)Give 2 tsp of oral rehydration solution every 5 to 10 mins
B)Encourage Intake of fruit juices.
C)Offer one banana and 1/2 cup of rice with each meal
D)Administer promethazine as needed

16.A nurse is caring for an infant who has heart
failure and a new prescription for digoxin. Which
of the following findings should the nurse report
to the provider?
A)Vomiting twice in 4 hr
B)Heart rate 130/min
C)Weight loss 0.25 kg (0.55 It
D)Respiratory rate 30/min

17.A nurse in a provider’s office is reinforcing
teaching with the parents of a 4-month-old infant
about introducing solid foods to the infant’s die
Which of the following statements by the parents
indicates an understanding of the teaching?
A)I will offer my baby cereal with 2 percent
milk
B)I will introduce fruit juice when my baby is 4
months old.
C)I will introduce eggs when my baby is 6
months old.
D)I will offer my baby a new food every 7 days.

18.A nurse is reinforcing teaching with a parent
of a child who has a sprained wrist. Which of the
following interventions should the nurse instruct
the parent to implement during the first 12 to 24
hr to minimize swelling?
A)Apply warm compresses to the extremity.
B)Wrap the extremity loosely with an elastic bandage
C)Encourage active range of motion of the extremities
D)Elevate the extremity above the level of the
heart

19.A nurse is assisting with the care of an infant
who is immediately postoperative following a
cleft lip repair. Which of the following actions
should the nurse take?
A)Place the infant in prone position for
sleeping
B)Offer the infant a pacifier with sucrose for pain relief
C)Apply elbow immobilizers to the infant.
D)Clean the infant’s suture line with
chlorhexidine solution.

20.A nurse is caring for an adolescent who has
a lower extremity fracture. Which of the following
types of skin traction should the nurse expect
the provider to prescribe.
A)Dunlop
B)Back extension
C)Cervical skin
D)Bryant

21.A nurse is reinforcing teaching about
performing a glucose test with an adolescent
client who has diabetes mellitus. Which of the
following statements by the client indicates an
understanding of the teaching?
A)I will stick the side of my finger with the
lancet instead of the center
B)I will hold the lancet at a 45 degree angle
when piercing my skin
C)I will place my finger under cool water for a
few seconds before the stick!
D)I will collect the first drop of blood by wiping
it on the test strip

22.A nurse observes circumoral cyanosis in an
infant who is choking. Which of the following
actions should the nurse take?
A)Place the infant in a side-lying position and
perform abdominal thrusts.
B)Perform a head tilt and a thin lift and then
give two rescue breaths.
C)Deliver back blows with the infant face
down over the rescuer’s arm
D)Move the infant into an upright position and
suction the airway with a bulb syringe.

23.A nurse is collecting data from an 18-month-
old toddler who is postoperative. Which of the
following rating scales should the nurse use to
identify the toddler’s pain level?
A)Color tool
B)FACES
C)FLACC
D)Visual analog

24.A nurse is collecting data from an 18-month-
old toddler. Which of the following findings
should the nurse report to the provider?
A)Has temper tantrums
B)Jumps in place with both feet
C)Builds a tower of three blocks
D)Speaks four words

25.A nurse is preparing to administer parenteral
iron dextran to a school-age child. Which of the
following administration methods should the
nurse plan to use?
A)Intramuscularly using the Z-track method
B)Subcutaneously into the vastus lateralis
C)intramuscularly using a 20 gauge needle
D)Subcutaneously into the deltoid

26.A nurse is caring for an 18-month-old toddler
who has acute diarrhea caused by Clostridium
difficile bacteria. Which of the following actions
should the nurse take?
A)Use a bleach-based solution to clean the bedside table
B)Place the toddler in a negative-airflow room.
C)Administer loperamide 1 mg PO
D)Encourage family members to use hand
sanitizer when exiting the room.

27.A nurse is assisting in the care of an infant
who is immediately postoperative. Which of the
following behaviors should the nurse recognize
as an indication the infant should receive pain
medication?
A)Mouth closed and downturned
B)Eyes tightly closed
C)Arms flaccid
D)Brows elevated arid widened

28.A nurse assisting with the plan of care for an
infant who has heart failure. Which of the
following actions should the nurse recommend to
include in the plan of care?
A)Ensure the infant bottle feeds for 45 min
B)Allows for frequent rest periods
C)Administer digoxin for a pulse of 70min
D)Maintain the infant in a supine position.

29.A nurse is preparing to obtain the length and
weight of a 6-month-old infant during a well-child
visit. Which of the following actions should the
nurse plan to take? (Select all that apply.)
A)Cover the scale with a clean sheet of paper.
B)Ensure the scale is balanced to “O” before
weighing the infant
C)Obtain the infant’s weight with their diaper on.
D)Place a stadiometer on the top of the infant’s head to measure their length
E)Measure the infant’s length from the crown
of the head to the heels of the feet.

30.A nurse in an urgent care clinic is collecting
data from a preschooler who reports painful
urination. Which of the following findings should
the nurse identify as a possible manifestation of
a urinary tract infection?
A)Moist mucus membranes
B)Muscle twitching
C)Facial edema
D)Increased temperature

31.A nurse is reinforcing teaching with the
guardians of a toddler who has cystic fibrosis.
Which of the following diets should the nurse
recommend for the toddler?
A)High protein, high calorie
B)Moderate protein, low calorie
C)High fat low protein
D)Low carbohydrate, high fat

32.A nurse is reinforcing teaching with the
guardian of a school-age child who has asthma.
Which of the following instructions should the
nurse include the teaching?
A)Use salmeterol to manage your child’s acute exacerbations
B)Have your child inhale deeply and quickly when using the peak flow meter.
C)Obtain a pneumococcal immunization for your child.
D)Avoid allowing your child to participate in
school sports

33.A nurse is collecting data from a 3-year-old
child. Which of the following developmental
milestones should the nurse expect the child to
demonstrate?
A)Uses four words in a sentence
B)Names the days of the week
C)Skips on alternate feet
D)Ties shoelaces

34.A nurse is caring for a school-age child who
had a tonic-clonic seizure 1 min ago. Which of the
following actions should the nurse take?
A)Administer naloxone intramuscularly.
B)Place the child’s head in a hyperextended
position.
C)Check inside the child’s mouth for bleeding.
D)Give the child a drink of water.

35.A nurse is assisting with the care of a 1-
month-old infant who has neonatal abstinence
syndrome and is receiving Phenobarbital. Which
of the following findings indicates to the nurse
that the medication has had a therapeutic effect?
A)Restored surfactant
B)Improved feedings
C)Decreased excoriation
D)Decreased CNS Irritability

36.A nurse is preparing to administer the
measles, mumps, and rubella (MMR) vaccine to
an adolescent. Which of the following should the
nurse identify as a contraindication to
administering this vaccine?
A)Family history of seizures
B)Severe peanut allergy
C)Mild ear infection
D)Current pregnancy

37.A nurse is reinforcing teaching with a parent
of an infant who has a new diagnosis of heart
failure. Which of the following findings should the
nurse include as an expected manifestation of
this disease?
A)Bounding peripheral pulses
B)Increased urinary output
C)increased blood pressure
D)Tachycardia

38.A nurse is assisting with the care of an
adolescent client who is in skeletal traction for
the treatment of a fractured femur. Which of the
following actions should the nurse take?
A)Gently lift the traction weights off the floor
when repositioning the client
B)Apply protective padding to the end of the pin sites.
C)Perform passive range of motion exercises
to the affected extremity every 2 hr.
D)Reduce intake of foods containing fiber
while nonambulatory.

39.A nurse is caring for a child and suspects the
child has experienced physical maltreatment.
Which of the following statements should the
nurse make?
A)This should not have happened to you
B)I promise I won’t tell anyone about this
C)You should have told someone about this
sooner
D)It is not your fault that this happened.

40.A nurse is preparing to collect a blood
specimen from a preschooler. Which of the
following actions should the nurse take?
A)Administer aspirin to the child 1 hr before the procedure.
B)Apply a eutectic mixture of local anesthetics
cream to the intended puncture site 1hr before
the procedure.
C)Instruct the parent how to perform kangaroo care during the procedure.
D)Give the child a pacifier that has been
dipped in an oral sucrose solution during the
procedure.

41.A nurse is reinforcing teaching with an
adolescent female client who has recurrent
urinary tract infections. Which of the following
statements by the adolescent indicates an
understanding of the teaching?
A)”I will test my urine for ketones daily.
B)”I should wipe myself from back to front.
the day.
C)”I will need to urinate frequently throughout the day.
D)”I should wear nylon underwear.

42.A nurse is planning to collect a stool
specimen from an infant to check for the
presence of ova and parasites. Which of the
following actions should the nurse plan to take?
A)Obtain the specimen by swabbing the
infants rectum using a sterile culture swab.
B)Maintain the specimen at room temperature
after collection until it is transferred to the lab
C)Place a urine collection device on the infant
until the specimen is obtained.
D)Transfer the specimen to the collection
container using povidone-iodine-soaked gauze

43.A nurse is reviewing the medical records of a
group of toddlers. The nurse should identify that
which of the following conditions is a notifiable
infectious disease?
A)Roseola infantum
B)Measles
C)Fifth disease
D)Stables

44.A nurse is caring for a school-age child who
has a new prescription for continuous pulse
oximetry monitoring. Which of the following
actions should the nurse take?
A)Warm the skin prior to probe placement
B)Tape the wire to the palm of the hand,
C)Apply the sensor to the index fingernail
D)Reposition the probe every 2 hr.

45.A nurse is reinforcing teaching with the
parents of a child who has infective endocarditis.
Which of the following instructions should the nu
include in the teaching?
A)Discontinue antibiotics when the fever has resolved.
B)Obtain prophylactic antibiotics for family members.
C)Antibiotics might cause splinter hemorrhages under the child’s nails.
D)Antibiotics will be needed prior to dental
work

Health Science Science Nursing NURSING PEDIATRIC
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