1. The 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
2. A nurse is planning an educational program to teach parents about prote
...
1. The 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
2. A nurse is planning an educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
a. Choose a waterproof sunscreen with a minimum SPF of 15
3. 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 more extensive hearing evaluation?
a. 8-month-old infant who is not yet making babbling sounds.
4. A nurse in an emergency Department is assessing a 3-month-old infant who has rotavirus and is
experience acute vomiting and diarrhea. Which of the following manifestation should the nurse
identify as an indication that the infant has moderate to severe dehydration?
a. Sunken anterior fontanel
5. A nurse is admitting a 4-month-old infant who has heart failure. Which of the following findings is
the nurse’s priority?
a. Episodes of vomiting
6. A nurse is providing teaching to a family of a school age child who has juvenile idiopathic arthritis.
Which of the following instructions should the nurse include in the teaching?
a. Encourage the child to perform independent self-care
7. A nurse is planning care for a school age child who has a tunneled central venous access device.
Which of the following intervention should the nurse include in the plan?
a. A semi permeable transparent dressing to cover the site.
8. The nurse is providing anticipatory guidance to the parent of a toddler. Which of the following
expected behavior characteristics of toddlers should the nurse include?
a. Expresses likes and dislikes
9. A nurse is providing discharge teaching to the parent of a school age child who has moderate
persistent asthma. Which of the following instruction should the nurse include?
a. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how
your child is responding to therapy."
10. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of
the following findings indicate effectiveness of this medication?
a. Serum potassium level 4.1
11. A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for
the nurse to report to the provider?
a. Nasal flaring
12. 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 that of
the teaching?
a. I will notify the doctor if I notice that my child is swallowing frequently
13. A nurse is discussing 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. Explore the parents’ feelings and wishes regarding organ donation
14. A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the
following medication should the nurse expect a provider to prescribe?
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