23. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden
infant death syndrome. Which of the following statements by the parents indicates an
understanding of the teaching?
- “
...
23. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden
infant death syndrome. Which of the following statements by the parents indicates an
understanding of the teaching?
- “ I will dress my bay in lightweight clothing to sleep”
30. A nurse is providing teaching to the parents of a 2 month old infant who has developmental
dysplasia of the hip and has a prescription for a pavlik harness. Which of the following
statements by the parents indicates an understanding of the teaching?
- place diapers under the harness straps
31. A nurse is assessing a school aged child who has heart failure and is taking furosemide.
Which of the following findings should the nurse identify as an indication that the medication is
effective?
- a decrease in peripheral edema
32. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines.
Which of the following instructions should the nurse include in the teaching?
“You can replace milk with nondairy sources of calcium.”
34. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include?
“ You will need to keep your leg straight for 8 hrs following the procedure
35. A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
- The medication will treat your hypersensitivity reaction.
36. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates
that the infant is inadequately dehydrated?
· Weight loss 7%
37. A nurse in an urgent care clinic is prioritizing care for four children. Which of the following
children should the nurse assess first?
A preschool-age child who has a muffled voice and no spontaneous cough
39. A nurse in the emergency department is caring for an adolescent who is requesting testing
for STIs. Which of the following is appropriate for the nurse to take?
-Obtain written consent from the client
40. A nurse is caring for a school age child following the application of a cast to a fractured right
tibia. Which of the following actions should the nurse take first?
- administer pain medication
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41. a nurse is evaluating a 4-year old child who has cystic fibrosis and has been receiving chest
physiology treatments. The nurse should clarify which of the following findings as an indication
that the therapy has been effective?
A. Increased expectoration
42. An infant who is receiving opioids for pain. Which of the following findings should indicate to
the nurse that the medications are having therapeutic effect?
- relaxed facial expression
43) A nurse is providing teaching to the parents of a school age child newly diagnosed with a
seizure disorder. The nurse should teach the parents to take which of the following actions
during a seizure?
- Clear the area of hard objects.
44. A nurse is caring for a 3 month old who has a cleft of the soft palate. Which of the following
actions should the nurse take?
B.Discontinue a feeding of the infant eyes become watery
45) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and
notes the client’s potassium level is 3.2 meq/l. Which of the following assessment findings
should the nurse expect?
- Hyporeflexia
46)A nurse is planning care for an adolescent who has sickle cell anemia.Which of the following
immunization should the nurse include in the plan ?-Pneumococcal conjugate (PCV13)
47. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
Which of the following responses by the parent indicates an understanding of the teaching. I
should dress my child in loose-weave clothing"
48) A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe
dyspnea, and is drooling. Which of the following actions should the nurse take first?
- Prepare the toddler for a nasal tracheal intubation
49. A nurse is planning care for a patient who has varicella. Which of the following
interventions should the nurse plan to initiate?
- Initiate airborne precautions
50. A nurse is teaching home care to the parents of a preschool age child who has heart failure.
Which of the following information should the nurse include in the teaching?
- Provide for periods of rest
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51. A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive
the measles, mump, and rubella (MMR) vaccine. Which of the following fingsing should the
nurse identify as a contraindication for receiving this vaccine?
- Allergy to neomycin
52) 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?
- your child should walk the bicycle through intersections
53) A nurse in a provider’s office is assessing the vital signs of a 2 year old child at a well child
visit. Which of the following findings should the nurse report to the provider?
- BP 118/74 mm Hg
54) A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of
the following findings should the nurse expect?
-Increased respiratory rate
56) 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?
- Use half-strength formula when feeding the infant.
-
57)A nurse is assessing an infant who has acute otitis media.Which of the following findings
should the nurse expect?(Select all that apply)
- Crying
- Fever
- Restlessness
59.A nurse is providing teaching about home care to the parent of a child who has
scabies.Which of the following instructions should the nurse include in the teaching?
-Wash the child hair with shampoo containing ketoconazole
60.A nurse in a PACU is caring for a school-age child immediately following a
tonsillectomy.Which of the following action should the nurse take?
-Place the client in a side lying position
61)A nurse is assessing a school-age child’s cranial nerve function.Which of the following
actions should the nurse ask the client to take when assessing the accessory nerve?
-Shrug the shoulders against mild pressure
62)A nurse is preparing to administer immunizations to a 3-month old infant.Which ofthe
following is an appropriate action for the nurse to take to deliver atraumatic care?
-Provide a pacifier coated with oral sucrose solution prior to the injections.
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63.A nurse is caring for a 10-month-old child who was brought to the emergency department by
his parents following a head injury.Which of the following actions should the nurse take first?
-Assess respiratory status
64. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should
the nurse expect.
- Steatorrhea
65. A school nurse is assessing a 7 year old child. The nurse should identify which of the
following findings as a potential indicator of physical abuse?
-Bruising around the wrist
66. A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following actions should the nurse include in the plan of care?
- Cleanse the gums with saline soaked guaze.
67. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify
that the defect is at which of the following locations of the heart?
Letter A
68. A nurse is performing a cranial nerve assessment on a school-age child. Which of the
following indicates proper function of the child’s trigeminal nerve.
-Clenching the teeth together tightly
69. A nurse is providing support to a family whose infant died from sudden infant death
syndrome (SIDS). Which of the following actions should the nurse take?
C. Acknowledge the family members feelings of guilt
70. A nurse in an emergency department is caring for a preschool-age child who has acute
acetylsalicylic acid poisoning. Which of the following should the nurse expect
- Hyperpyrexia
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Which of the following laboratory values should the nurse report to the provider?
Creatinine 1.4 mg/dL
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A nurse in a provider's office is caring for a presc
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