NUR 2633 NUR2633 Pediatrics CMS Review Questions completed 100% Correctly.

Document Content and Description Below

NUR 2633 NUR2633 Pediatrics CMS Review Questions completed 100% Correctly. Pediatrics CMS - Review Questons 1. A nurse is assessing a school-age child who has heart failure and is taking furosemid ... e. Which of the following fndings should the nurse identfy as an indicaton that the medicaton is effectve? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels 2. A nurse is assessing an infant who has acute otts media. Which of the following fndings should the nurse expect (select all that apply). a. Increased appette b. enlarged subclavian lymph node c. Crying d. Restlessness e. Fever 3. a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testng for Cystc Fibrosis. Which of the following statements should the nurse include in the teaching? a. We will measure the amount of protein in your baby's urine over 24 hour period b. The test will measure the amount of water in your baby’s sweat c. a nurse will insert an IV prior to the test d. your baby will need to fast for 8 hours prior to the test 4. A nurse in an urgent care clinic is prioritzing care for children. Which of the following children should the nurse assess frst? a. A toddler who has nephrotc syndrome and facial edema b. a preschool-age child who has a mufed voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb) 5. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include? a. The purpose of the test is to determine if your child has Crohn's disease b. the technician will use a device to produce an electrical current during the test c. during the test, your child will be in a room that is cold d. your child sweat will be collected over 24 hours 6. A nurse in the emergency department is caring for an adolescent who is requestng testng for STI. Which of the following acton is appropriate for the nurse to take? a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testng untl the client's parents are present d. obtain writen consent from the client 7. A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actons should the nurse take frst?a. obtain a blood culture from the toddler b. administering antbiotc to the toddler c. insert an IV catheter for the toddler d. prepare the toddler for nasotracheal intubaton 8. A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterizaton. Which of the following informaton should the nurse include in the teaching? a. You will have your dressing removed 12 hours afer the procedure b. you will need to keep your legs straight for 8 hours following the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days afer the procedure 9. A nurse is caring for a preschooler who is post-operatve following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free Cherry gelatn b. vanilla ice cream c. chocolate milk d. lime flavored ice pop 10. A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identfy that the defect is a switch of the following locatons of the heart. ( you will fnd hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer) Answer: B 11. A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actons should the nurse take frst? a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma = urgent, afer respiratory status is confrmed) b. assess respiratory status c. check pupil reactons d. examine the scalp for laceratons 12. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actons should the nurse include in the plan of care? a. Assign consistent nursing Staff Care for the infant b. Keep infant in a visually stmulatng environmentc. use half-strength formula when feeding the infant d. give the infant fruit juice between feedings 13. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructon should the nurse include in the teaching? a. Wash your clients hair with shampoo containing Ketoconazole b. soak Combs and brushes in boiling water for 10 minutes c. apply petroleum jelly to the affected areas d. treat everyone who came into close contact with a child 14. A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. The medicaton isn't bad it taste like candy b. let me know when you want to take the medicaton c. the medicaton will treat your hypersensitvity reacton ( too much “Adult” terminology/jargon for preschooler to understand) d. sometmes, when a child has to take medicaton, they feel sad. 15. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following instructons should the nurse include in the teaching? a. Your child should walk the bicycle through intersectons b. your child's feet should be three to six inches off the ground when Seated on the bicycle c. you should try to keep the bicycle at least three feet from the curb while riding in the street d. your child should ride the bicycle against the flow of trafc 16. A nurse is caring for a school-age child following the applicaton of a cast to a Fractured right tbia. Which of the following actons should the nurse take frst? a. Teach the child about cast care b. Pad the edges of the cast c. administer pain medicaton d. Elevate the child's leg 17. A nurse is preparing a school-age child for an invasive procedure. Which of the following actons should the nurse plan to take? a. plan for 30 minute teaching session about the procedure b. use vague language to describe the procedure c. explain the procedure to the child when they are in the playroom d. demonstrate deep breathing and Countng exercises 18. A nurse is preparing to collect a urine specimen from a female infant using a urine collecton bag. Which of the following actons should the nurse take? a. -Apply lidocaine gel to the perineum before ataching the bag b. -Positon the opening of the bag over the urethra and the anus c. -Stretch the perineum taught when applying the bag d. -Place a snuff ftng diaper over the drainage bag 19. A nurse is planning care for a toddler who has developed oral ulcers in response tochemotherapy. Which of the following actons should the nurse include in the plan of care? a. Schedule routne Oral Care every 8 hours b. Cleanse the gums with saline soaked gauze c. more sending me closer with lemon glycerin swabs d. administer oral viscous lidocaine 20. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching? a. I will have my baby sleep next to me in the bed during the night b. Elmo my baby stuffed animal to the corner of her crib while she sleeps c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps 21. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following fndings should indicate to the nurse that the medicaton is having a therapeutc effect? a. Increased blood pressure b. Limb withdrawal c. relaxed facial expression d. Bradycardia 22. A nurse is caring for a three-month-old infant who has clef of the sof palate. Which of the following actons should the nurse take? a. discontnue feeding if the client's eyes become watery b. postpone burping the infant untl afer completng each feeding c. Elevate the infant’s head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 tmes a day 23. A nurse is caring for a child who has hyponatremia. Which of the following fndings should the nurse expect? a. a. Tetany b. b. weight gain c. c. Elevated heart rate d. d. excessive diaphoresis 24. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actons should the nurse take frst? a. a. Set the administraton rate on the feeding pump b. b. flush the tube with water c. c. check the pH of the gastric secreton d. d. atach the feeding bag tubing to the end of the NG Tube 25. A nurse is caring for an adolescent who is 1 hour post-operatve following an appendectomy. Which of the following fndings should the nurse report to the provider? a. a. Heart rate 63 / minute b. b. muscle rigidity c. c. temperature 36.4 Celsius (97.5 Fahrenheit) d. d. abdominal pain26. A nurse in a provider's ofce is preparing to administer immunizaton to a 12 year old client during a well-child visit. Which of the following immunizaton should the nurse plan to administer? a. a. Diptheria, tetanus and pertussis (D-Tap) b. b. human papillomavirus (HPV) c. c. Varicella d. d. hepatts A 27. Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actons should the nurse include in the plan of care? a. Repeat digoxin dosage is the infant vomit within 1 hour of administraton b. Place infant in a prone positon c. administer cool, humidifed oxygen via nasal cannula d. provide less frequent, higher volume feeding 28. A nurse is planning care for a school-age child who is admited from the emergency department 12 hours ago. Which of the following interventons should the nurse include to promote adequate sleep for the child? a. Provide the child with video games prior to bedtme to reduce stress b. allow the child to adjust their bedtme to promote autonomy c. leave the lights on in the child's room to promote safety d. follow the child home sleep routne to reduce anxiety 29. A nurse is preparing to initate IV antbiotc therapy for a newly admited 12 month old infant. Which of the following actons should the nurse plan to take? a. cover the inserton site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infant’s foot d. change the IV site every 3 days 30. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescripton for digoxin. Which of the following manifestatons should the nurse include as an indicaton of digoxin toxicity? a. Diaphoresis b. Polyuria c. Bradycardia d. Jaundice 31. A nurse is reviewing the laboratory results of a child who was recently admited or suspected rheumatc fever. The nurse should identfy which of the following laboratory tests can contribute to confrm this diagnosis and select all that apply. a. partal thromboplastn tme (PTT) b. erythrocyte sedimentaton rate (ESR) c. blood urea nitrogen (BUN) d. C-reactve protein (CRP) e. ant streptolysin O (ASO) tter32. A nurse is teaching a group of female adolescents about healthy eatng. Which of the following instructons should the nurse include in the teaching? a. Increase the amount of your dietary iron intake b. limit your sodium intake to 3000 mg per day c. consumer 1,500 to 1700 calories per day d. decrease your vitamin D intake once you start to menstruate 33. A nurse is caring for an infant who receives intermitent enteral feeding through a gastrostomy tube. Which of the following actons should the nurse take when administering a feeding? Select all that apply a. offer the infant a pacifer during readings b. formula to 39° C (102 degrees Fahrenheit ) prior to Administraton c. check the for residual volume by aspiratng stomach contents d. instll the formula over a period Of 30 and 45 minutes 34. A nurse is planning care for a child who has osteomyelits. Which of the following interventons should the nurse include in the plan of care? a. Encourage frequent physical actvity to increase bone mass b. maintain patent intravenous catheter c. initate contact precauton for the child d. provide a high calorie low protein diet 35. A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructons should the nurse include? a. Apply cold compress to painful areas b. but I shall wear a surgical mask to school c. encourage physical actvity as tolerated d. offer fluids of bedtme 36. A nurse is assessing a 5 month old infant. Which of the following fndings should the nurse report to the provider? a. Unable to hold a botle (6 months) b. exhibits head lag when pulled a sitng positon c. absent grasp reflex (3 months) d. unable to roll from back to abdomen (6 months) 37. A nurse is caring for a fve-year-old child following a tonsillectomy and adenoidectomy. Which of the following fndings should the nurse identfy as an indicaton of hemorrhage? a. Flushing of the face b. contnuous swallowing c. blood pressure 99/ 56 mmhg d. heart rate 54/ minutes 38. A nurse is discussing coping mechanisms with a parent of a three-month-old infant which of the following therapeutc questons should the nurse ask the parent? a. What do you do when your infant is fussy? b. Are you willing to take new parentng classes?c. Does parentng cause you stress? d. Is it overwhelming when your infant is having a bad day? 39. 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? a. my child should wear a wide-brimmed hat b. my child should remain under a beach umbrella umbrella during morning hours c. I should apply 10 SPF sunscreen to my child's entre body d. I should dress my child in loose actve clothing 40. A nurse is evaluatng a 6 year old child who has cystc fbrosis and has been receiving chest physiotherapy treatment. The nurse should identfy which of the following fndings as an indicaton of the therapy has been effectve? a. Increased urine output b. increase expectoraton c. reduced pain d. increased heart rate 41. A nurse is planning care for a six-month-old infant who has bacterial meningits. Which of the following interventons should the nurse include in the plan of care? a. Place the infant in a semi-private room b. keep the television on in the room to provide background noise c. Pad the side rails of the crib d. provide for you can range of moton to the neck and shoulders 42. A nurse is reviewing the medical record of a child with cystc fbrosis which of the following should the nurse report to the provider? Click on the exhibit buton for additonal informaton about the client. a. heart rate b. HbA1c (13.45%) c. oxygen saturaton d. WBC 43. A nurse is assessing an infant who has severe dehydraton due to gastroenterits which of the following fndings should the nurse expect? a. Increased respiratory rate b. capillary refll of 2 seconds c. Hypertension d. increased urine output 44. A nurse is assessing an infant who has intussuscepton. Which of the following fndings should the nurse expect? a. sausage-shaped abdominal Mass b. board like abdomen c. Constpaton d. increased urinary output 45. A nurse is caring for a 14 year old adolescent who has a cast on the right arm and swelling oftheir right hand. The nurse elevates The Adolescents affected extremity. The nurse should identfy that which of the following fndings is an indicaton that the interventon has been effectve? a. The Adolescent reports of the cast feels tght b. The Adolescents hands feel cool to touch c. the Adolescent is able to move their fngers freely d. the Adolescent reports feeling tngling in their arms 46. A nurse in a provider's ofce is assessing the vital signs of a two-year-old child at a well-child visit. Which of the following fndings should the nurse report to the provider? a. Respiratory rate 26 / min b. pulse rate 98 / minutes c. temperature 37.2 Celsius (99 Fahrenheit) d. blood pressure 118 / 74 mmhg 47. A nurse is preparing to administer a prescribed medicaton to a toddler whose parent is nearby. Which of the following actons should the nurse take to identfy the toddler? a. check the toddler's room number against their ID band b. check the toddler's ID band against the medical record c. ask the parent to confrm the toddler's identty d. ask another nurse to confrm to toddlers identty 48. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following informaton should the nurse include in the teaching? a. Weight the child once each month month b. withhold digoxin of the child's pulse is greater than 100 / minutes c. provide for periods of rest d. increase the child's oxygen flow rate untl the child no longer has cyanosis 49. A nurse in the PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actons should the nurse take? a. Place the child in a side-lying positon b. offer the child ice cream when alert c. instruct a child to drink fluids through a straw d. encourage the child to deep breathe and cough 50. A nurse is reviewing the medical record of a 15 month old child who is scheduled to receive measles, mumps, rubella1. Which of the following fndings Should the nurse identfy as a contradicton for receiving the vaccine? a. Allergy to neomycin b. upper respiratory infecton 2 days ago c. temperature of 37.2 (99 Fahrenheit) d. family history of seizures 51. A nurse is assessing a school-age child's cranial nerve functon. Which of the following actons should the nurse ask the child to take when assessing the accessory nerve? a. show their teeth while smiling - VII the cranial nerve (Facial Nerve) assessment. b. Follow a light in the six cardinal positons - VI th cranial nerve( Abducens).c. Move their tongue in all directons- XII th cranial nerve (Hypoglossal) Assessment. d. shrug their shoulders against mild pressure 52. A nurse is performing a cranial nerve assessment on a school-age child. Which of the following fndings indicate proper functon of the child trigeminal nerve? a. The child montanes balance when standing with eyes closed b. the child correctly identfy specifc scent c. the child has asymmetrical jaw strength when Bitng Down d. the child exhibits a gag reflex when stmulated with a tongue blade 53. A nurse is providing support to a family whose infant died from sudden infant death syndrome (Sid's) which of the following actons should the nurse take? a. Discourage the parents from allowing siblings to view the body b. avoid discussing details of the atempt to revive the infant c. provide a follow-up phone call one week following the infant's death d. acknowledge the family members feelings of guilt 54. A nurse in the emergency department is caring for a child who has a temperature of 39.1 degrees C is (102.4 Fahrenheit) and suspect the diagnosis of bacterial meningits. Which of the following actons should the nurse take frst? Tell me more a. prepare the child for a lumbar puncture b. dim the lights in the child's room (SEIZURE PRECAUTION) c. administering an antpyretc to the child d. Implement droplet precautons for the child 55. A nurse is caring for an infant who has rotavirus. Which of the following fndings indicates that the infant is moderately dehydrated? a. capillary refll 1 seconds b. weight loss 7% lower c. Respiratory rate 28/ minute d. Bradycardia 56. A nurse is providing teaching to the guardian of a school-age child who has seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizure? a. Prolonged headache b. decrease temperature c. lack of sleep d. exposure to second-hand smoke 57. A nurse is reviewing the laboratory results of a preschooler who has gastroenterits and notes the clients potassium level is 3.2 meq L which of the following assessment fndings should the nurse expect? a. Hypertension b. Hyporeflexia c. hyperactve bowel sounds d. Oliguria58. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizatons should the nurse include in the plan? a. Respiratory sync functonal virus (RSV to call) b. Rotavirus c. measles, mumps, and rubella (MMR) d. pneumococcal conjugate (pcv13) 59. A nurse is planning care for a child who has varicella. Which of the following interventons should the nurse plan to include? a. Initate Airborne precauton b. assess the oral cavity for koplik spots c. administer aspirin for fever d. provide the child with a warm blanket 60. A nurse is planning care for a school-age child who has a new diagnosis of Legg calve perthes disease. Which of the following interventons should the nurse include in the plan of care? a. instruct a child to perform weight bearing exercises b. explain to the child that the disease will last 3 to 6 months c. encourage the guardian to keep their child home from school for one month d. administer ibuprofen to the child for discomfort 61. A nurse is caring for a two-year-old child who has cystc fbrosis and is being discharged from the hospital. The nurse should ensure that which of the following pieces of equipment is available for the child's home? a. steam vaporizer b. sucton machine c. contnuous positve airway pressure machine d. high frequency chest compression vest 62. A nurse is providing teaching for the parent of a child who has measles. Which of the following informaton should the nurse include? a. Bathe the child using tepid water b. remove loose crust from the lesions c. give the child aspirin for a fever d. withhold live vaccines for 3 months 63. A nurse is assessing a toddler who has cystc fbrosis. Which of the following fndings should the nurse expect? a. Steatorrhea b. Rhinorrhea c. weight gain d. visible peristalsis 64. A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg / ml. How many ml should the nurse administer. Round the answer to the nearest tenth. Use leading zero that applies. Do not use atrailing zero. a. 0.6 mL EXTRA’s 1. A nurse is caring for an adolescent who has major depressive disorder. Which of the following actons should the nurse take frst? a. Administer an antdepressant to the client b. Encourage the client to atend a group therapy session c. Assist the client in completng his ADLs d. Ask the client if he is considering harming himself 2. A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urtcaria afer receiving an IV medicaton. Which of the following actons should the nurse take frst? a. Administer methylprednisolone b. Administer oxygen c. Administer a nebulized bronchodilator d. Administer epinephrine 3. A school nurse is assessing a 7-year-old student. The nurse should identfy which of the following fndings as a potental indicator of physical abuse? a. Weight in 45th percentle b. Bruising around the wrists c. Abrasions on the knees d. Front deciduous teeth missing 4. A nurse is providing teaching to the parent of a child who has impetgo. Which of the following instructons should the nurse include in the teaching? a. Seal sof toys in a plastc bag for 14 days b. Soak hairbrushes in boiling water for 10 min c. Administer acyclovir PO two tmes per day d. Apply bactericidal ointment to lesions (Honey colored crustng) 5. A nurse in a family practce clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactons is an age-appropriate response to death? a. The child is curious about what happened to the sibling’s body ? b. The child feels responsible for the sibling’s death c. The child can give a logical explanaton for the sibling’s death d. The child views the sibling’s death as permanent 6. A nurse is teaching the guardian of a 5-year-old child who has encopresis (bowel mishaps) about management of the conditon. Which of the following statements by the guardian indicates an understanding of the teaching? a. I will have my child try to defecate 15 minutes afer each meal (bowel retraining) b. I will increase my child’s fluid intake c. I will have my child sit on the toilet for 30 minutes at a tme d. I will increase my child dairy intake7. A nurse is planning to admit a preschooler from the PACU following removal of a Wilms’ tumor (adrenal gland tumor cancer) (never palpate). Which of the following children should the nurse Identfy as an appropriate roommate for the preschooler? a. A child who has cellulits of the right radius b. A child who has a fractured lef femur c. A child who has viral pneumonia d. A child who has impetgo 8. A charge nurse is teaching a group of nurses about identfying child abuse. Which of the following fndings should the nurse identfy as a potental indicator of child abuse? a. A toddler repeatedly refuses to lie a nurse auscultate his lungs b. An 8-month-old infant cries when his parents leave the room c. A mother is hesitatng to comfort her 6-month-old infant d. A toddler has bruises on his knees 9. A nurse is planning to administer immunizaton to a 2-month-old infant. Which of the following actons should the nurse take to decease the infant’s pain? a. Apply a warm pack to the injecton site prior to administraton b. Ask the parent to leave the room during the injectons c. Administer the injectons in the deltoid muscle d. Administer the injecton while the infant is breasteeding 10. A nurse is assessing a 6-month-old infant who has respiratory syncytal virus. The nurse should immediately report which of the following fndings to the provider? a. Tachypnea 11. A nurse in an emergency department is assessing an adolescent who reports inhalaton of gasoline. Which of the following fndings should the nurse expect? a. Pinpoint pupils b. Hypothermia c. Ataxia d. Hyperactve reflexes 12. A nurse is caring for a child who received partal thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following actons should the nurse take? (SATA) a. Provide a high-calorie diet b. Change dressing using aseptc technique c. Administer analgesics IM ? d. Monitor intake and output e. Remove splints during sleep 13. A nurse is reviewing the medical record of a 15-moth-old who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following fndings should the nurse identfy as a contraindicaton for receiving this vaccine? a. Temperature of 37.2 C (99 F) b. Family history of seizuresc. Allergy to neomycin d. Upper respiratory infecton 2 days ago 14. A nurse is admitng a child who has acute epiglotts. Which of the following actons should the nurse take? a. Check oxygen saturaton every 4hr b. Assist the child into supine positon c. Initate droplet isolaton precautons d. Obtain a throat culture 15. A nurse is assessing a 24-month-old toddler, which of the following fndings should the nurse report to provider? a. Sleeps 11 to 12 hr. per day b. Eats large amounts of food one day then very litle the next c. Has a vocabulary of 30 words d. Hold his breath when having a temper tantrum 16. A nurse is caring for a preschooler who has brain tumor (seizure risk) . Which of the following fndings is the priority for the nurse to the provider? a. Hyperactvity b. Pruritus c. Diplopia- (visual disturbances headache, speech disturbances) d. Nightmares 17. A nurse is teaching a group of parents about childhood immunizatons. The nurse should identfy that infant should receive the frst dose of which of the following immunizaton at 12 months of age? a. Inactvated polio virus b. Varicella (live virus) c. Human papillomavirus d. Hepatts B 18. A nurse is assessing an adolescent client who has Hodgkin’s lymphoma. Which of the following fndings should the nurse expect? a. Flushed skin b. Night sweats c. Decreased body temperature d. Unexplained weightz gain 19. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizatons should the nurse include in the plan? a. Pneumococcal conjugate (PCV13) b. Measles, mumps, and rubella (MMR) c. Respiratory syncytal virus (RSV) d. Rotavirus 20. A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness. Which of the following interventons should the nurse include?a. Adjust the harness straps daily b. "message loton into the skin under the harness twice per day c. "apply baby powder under the harness straps daily." d. "place the diaper under the harness straps." 21. A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristcs during early adolescence? a. deceleratng growth rate b. increase self-esteem. c. emotonal separaton from parent. d. mood swing. 22. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizures disorder. The nurse should teach the parent s to take which of the following actons during a seizure? a. Place the child in a prone positon b. Inset a tongue blade between the teeth c. Minimize movement of the limbs d. Clear the area of hard objects. 23. A nurse is caring for a group of clients. Which of the following fndings should the nurse report to the provider? a. A school age child who has a rectal body temperature of 37.3 C (99.1 F) b. An 18-month-old toddler who has a heart rate of 68/min c. An adolescent who has a BP of 132/82 mm hg d. A 3-month-old infant who has a respiratory rate of 36/min 24. A nurse is educatng an adolescent following this applicaton of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? a. I should limit the use of the fngers of my broken arms b. I should expect my fngers to be swollen for several days c. I will elevate my broken arm on pillows a tonight d. I will sprinkle baby powder into the cast if my arm itches 25. A nurse is collectng data from a toddler who weighs 20 kg (44 lb) and has a full thickness burn to 10% of this body. Which of the following fndings should the nurse report to the provider? a. Increased restlessness b. Respiratory rate 25/min c. Bowel sounds 20/min d. Urinary output 35 mL/hr26. A nurse is evaluatng 4-year –old child who has cystc fbrosis and has been receiving chest physiotherapy treatments the nurse should identfy which of the following fnding as an indicaton that the therapy has been effectve? a. increase urine output b. increase heart rate c. increase expectoraton d. reduce pain. 27. A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identfy that which of the following sexually transmited infectons is natonally notfable? a. Bacterial vaginosis trichomoniasis b. Genital herpes simplex virus c. Human papilloma virus d. Gonorrhea - (Four STDs are natonally notfable, chlamydia, gonorrhea, syphilis, and chancroid, and state and local STD control programs provide CDC with case reports for these conditons) 28. A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the inserton of an IV catheter. Which of the following actons should the nurse plan to take? a. Wash the site with alcohol prior to applying the cream b. Gently rub the cream into the skin (never) c. Apply the cream 1 hr. before the procedure (Leave the cream on for 30–60 minutes) d. Avoid removing the cream prior to the procedure. 29. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates an understanding of the teaching? a. I should give my child water afer giving the medicaton b. I should mix the medicaton with 4 ounces of my child’s favorite juice c. I should give my child another dose if he vomits right afer taking the medicaton d. I should give the medicaton with foods that are high in fber 30. A nurse is preparing to administer immunizatons to a 3-month-old infant. Which of the following is an appropriate acton for the nurse to take to deliver atraumatc care? a. Provide a pacifer coated with an oral sucrose prior to injectons b. Inject the immunizatons into the deltoid muscle c. Use as 20-gauge needle for injectons d. Apply eutectc mixture of local anesthetcs cream immediately before the injectons 31. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to child who is receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL soluton. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading sero if itapplies. Do not use a trailing zero) 32. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actons should the nurse take? a. Obtain a stool specimen for lead levels b. Initate a low-iron diet for lead absorpton c. Perform developmental testng for delays d. Inspect the skin for discoloraton 33. A nurse is assessing a child who has heart failure. Which of the following fndings is a clinical manifestaton associated with this diagnosis? a. Tremors b. Tachypnea c. Increased appette d. Bradycardia 34. A nurse is teaching a parent about home interventons for a preschooler who is experiencing night terrors. Which of the following instructons should the nurse include in the teaching? a. Wait untl your child indicates that he is tred before putng him to bed b. Allow your child to watch an animated movie over night before bedtme c. Wake your child up during the night terror d. Avoid allowing you child to sleep in your bed 35. A nurse is caring for a client who is postoperatve placement of a halo vest to manage a cervical vertebral fracture. Which of the following actons should the nurse take? a. Encourage flexion and extension of the neck b. Assess the pin sites for injecton once every other day c. Repositon the client using a turning sheet d. Tighten the screw on the halo device once-quarter turn every 48 hr. 36. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructons should the nurse include in the teaching? a. Your child should ride the bicycle against the flow of trafc b. Your child should walk the bicycle through intersectons c. Your child should keep the bicycle at least 3 feet from the curb while riding in the street d. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle 37. A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate acton for the nurse to take? a. Clean around the stoma with full strength hydrogen peroxideb. Place the child in Trendelenburg positon when performing care. c. Have the child flex his head when securing the tes. d. Use clean technique to change the tracheostomy tube. 38. A nurse is reviewing the laboratory results of a preschooler who has gastroenterits and notes the client’s potassium level is 3.2 mEq/L. Which of the following assessment fndings should the nurse expect? a. Hyperactve bowel sounds b. Hyporeflexia c. Hypertension d. Oliguria 39. A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastc leukemia. Which of the following fndings should indicate to the nurse that the treatment is having a therapeutc effect? a. RBC Count 5/mm b. Hemoglobin 6.8 g/dl c. WBC count 15,000/mm d. Platelet count 98,000/mm 40. A nurse is caring for a child who has bacterial meningits. Which of the following fndings should indicate to the nurse that the child can be removed from droplet precautons? a. Antbiotcs initated 24 hr ago b. Negatve Cerebrospinal fluid culture c. Absent nuchal rigidity d. Temperature below 37.4 C (99.4F) 41. A nurse is planning care for an adolescent following repair of Meckel Divertculum. Which of the following actons should the nurse include in the plan of care? a. Administer total parenteral nutriton b. Initate long term antbiotc therapy c. Maintain an Ng tube for decompression d. Teach the client about ostomy care 42. A nurse is caring for a school-age child who has pertussis. Which of the following actons should the nurse take? a. place the child in a protected environment for 48 hr (initate droplet precautons for the child) b. Report the diagnosis to the public health department c. Administer the pertussis vaccine d. Restrict oral fluids to 500 ml per day43. A nurse is providing educaton to a parent of a toddler who is experiencing a sickle cell crisis. Which of the following statements by the parent indicates an understanding of the teaching? a. "Administer furosemide IV twice per day" b. " Apply warm compress to the affected areas"" c. " Initate contact precautons d. Decrease the child’s fluid intake 44. A nurse is preparing to initate IV antbiotc therapy for a newly admited 12-month-old infant. Which of the following actons should the nurse plan to take? a. Change the IV site every 3 days b. Cover the inserton site with an opaque dressing c. Start the IV in the infant’s foot d. Use a 24-gauge catheter to start the IV 45. A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching? a. My child will need to repeat his childhood immunizaton once he is in remission b. My child will need to double his medicaton for the next 6 months c. I will ensure that my child is tested for tuberculosis every year d. The risk of transmission decreases once my child is on zidovudine for 2 weeks 46. A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following fndings is the nurse’s priority? a. Sunken anterior fontanel b. doll's eye reflex (sign that a comatose clients brainstem not intact c. Potassium 5.1 mEq/L d. Heart rate 162/min 47. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructons should the nurse include in the teaching? a. You may tolerate plain milk beter than chocolate milk b. You may replace milk with nondairy sources of calcium c. You should consume flavored yogurt instead of plain yogurt d. You can drink milk on an empty stomach 48. A nurse is communicatng with a child who has hearing loss. Which of the following actons should the nurse take? a. Maintain a neutral facial expression when speaking to the child b. Use light touch when initatng conversaton c. Change positons frequently to maintain the child’s atentond. Exaggerate the pronunciaton of words 49. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority acton for the nurse to take? a. Assist with intubaton b. Obtain an ABG sample c. Administer an IV bolus d. Apply warming blankets 50. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? a. Jacket b. Miten c. Mummy (aka swaddling) d. Elbow 51. A nurse is creatng a plan of care for an adolescent who has muscular dystrophy. Which of the following interventons should the nurse include in the plan? a. Avoid influence and pneumococcal vaccines for 24 month b. Initate a referral for chest physiotherapy every 4 hr. c. Recommend the adolescent use a wheelchair to prevent stress the lower extremites d. Encourage the adolescent to perform incentve spirometry to maintain lung capacity 52. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following fndings is the nurse’s priority? a. Cholesterol 189 mg/dl b. Glycosuria c. Preprandial blood glucose 124 mg/dl d. HbA1c 11.5% 53. A nurse is teaching a group of male adolescents about testcular self-examinaton. Which of the following statements should the nurse include in the teaching? a. You should perform the examinaton once every other month b. You should notfy your provider if your testes are frm, and egg shaped c. If you feel a hard lump, wait 1 month and retest yourself d. Perform the examinaton following a warm shower 54. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructons should the nurse include in the teaching? a. Keep the child away from others untl the skin is clear of scabs b. Dress the child in warm clothing to promote healing of vesicles c. Apply calamine loton to vesicles on the child’s skin d. Avoid giving the child a bath while vesicles are present 55. A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following fnding requires immediate interventon by the nurse should the nurse?a. Dark brown blood noted in emesis b. Frequent swallowing c. Axillary temperature of 38 C (100 f) d. Child reports pain level of 5 on the FACES scale [Show More]

Last updated: 3 years ago

Preview 1 out of 20 pages