1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
• Position the child 4.6 meters (15 feet) fr
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1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
• Position the child 4.6 meters (15 feet) from the chart
• Assess both eyes together first, then each eye separately
• Test the child without glasses before testing with glasses
2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching?
• “Discontinue this medication if gastrointestinal upset occurs.”
• “Expect that this medication will stimulate a growth spurt.”
• “Limit your child’s intake of potassium-rich foods.”
• “Monitor your child for indications of infection.”
3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
• An adolescent who has hepatitis A
• A toddler who has seasonal influenza
• A preschool-age child who has pediculosis capitis
• A school-age child who has viral conjunctivitis
4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?
• “Apply a warm, moist compress three times per day.”
• “Apply scented baby powder to absorb residual moisture.”
• “Wear a feminine deodorant pad for vaginal drainage.”
• “Wear nylon underwear at night.”
5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply)
• Provide a low-sodium diet
• Encourage increased fluid intake
• Assess for protein in the urine
• Initiate contact precautions
• Obtain a daily weight
6. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take?
• Maintain NPO status for 24 hrs. following the procedure
• Administer meperidine for pain every 4 hrs.
• Perform a sterile dressing change 8 hrs. after the procedure
• Keep the affected extremity straight for 6 hrs.
7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching?
• “I should mix the medication with 4 ounces of my child’s favorite juice.”
• “I should give my child water after giving the medication.”
• “I should give my child another dose if he vomits right after taking the medication.”
• “I should give the medication with foods that are high in fiber.”
8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first?
• Administer a tetanus vaccine
• Give pain medication
• Begin enteral feedings
• Initiate a crystalloid IV bolus
9. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care?
• Schedule routine oral care every 8 hrs.
• Administer oral viscous lidocaine
• Moisten the mucous with lemon glycerin swabs
• Cleanse the gums with saline soaked gauze
10. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend?
• 12-step support group
• Respite child care
• Child home health care
• Counseling for depression
11. A nurse is caring for a child who has a prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take?
• Encourage the use of a spacer
• Withhold the medication until the lesions heal
• Obtain a prescription for oral prednisone
• Collect a culture from the lesions
12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
• Seal soft toys in a plastic bag for 14 days
• Apply bactericidal ointment to lesions
• Administer acyclovir PO two times per day
• Soak hairbrushes in boiling water for 10 min.
13. A nurse in an emergency department is caring for a child who has epiglottis. Which of the following actions should the nurse take?
• Provide nebulizer aerosol therapy
• Administer IV antibiotics
• Inspect the tonsils using a tongue depressor
• Collect a throat culture
14. A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take?
• Increase fluid intake
• Maintain proper body alignment
• Use an alternate pressure mattress
• Monitor pedal pulses
15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
• Answer: 2.2 mL
16. A nurse is performing a physical assessment of a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
• Hypotension
• Increased urinary output
• Flushed skin
• Facial edema
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