1. A nurse is providing teaching to the parents of a school aged child who has ADHD. Which
of the following instructions should the nurse include?
a. Place the childs daily activities on an organizational chart
2. A n
...
1. A nurse is providing teaching to the parents of a school aged child who has ADHD. Which
of the following instructions should the nurse include?
a. Place the childs daily activities on an organizational chart
2. A nurse is caring for a child who has sickle cell anemia. Which of the following findings is
a priority for the nurse to report to the provider?
a. Facial twitching
3. A nurse in the PACU is caring for a school aged child immediately after a tonsillectomy.
Which of the following actions should the nurse take?
a. Place the child in a side lying position
4. A nurse in the ER is caring for an adolescent who was requesting testing for STIs. Which
of the following actions is appropriate for the nurse to take?
a. Obtain the written consent from the client
5. A nurse is providing teaching about medication administration to the parents of the
toddler who has a new prescription for liquid ferrous sulfate. Which of the following
instructions should the nurse include?
a. Dilute the drops of water prior to administration
6. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an
understanding of the teaching?
a. I will steam carrots and will cut them into small pieces for her
7. a nurse is caring for a child who s 2 days post-op following an appendectomy due to the
rupture of the appendix the childs NG tube is set to low intermittent suction. Which of
the following indicates that the childs GI function has returned?
a. The nurse auscultates bowel sounds
8. A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of
the following statements by the parents indicate an understanding of the teaching?
a. I will use superabsorbent disposable diapers
9. a nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which
statement is true regarding opioid pain management?
a. Oral opioid does should be larger than parenteral doses
10. A nurse is providing discharge to the parents of a school aged child following placement
of a ventriculoperitoneal shunt. The nurse should determine the teaching was effective
when the parents identify which of the following as an indicator that the shunt has been
displaced?
a. Elevated temperature
11. A nurse is reviewing laboratory results of a school aged child. Which of the following
findings to the nurse reports the provider?
a. Platelets 110,000
12. A nurse is planning care for a child immediately following the insertion of a chest tube
for continuous suction with a closed drainage system. Which of the following
interventions should the nurse include in the plan of care?
Ensure continuous bubbling is present in the suction control chamber
A nurses caring for an infant who has heart failure and is receiving digoxin. Which of the
following findings indicates a positive response to the medication?
a. Urine output 2 mL/kg/hr
13. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse
should immediately report which of the following findings to the provider?
a. Tachypnea
14. A nurse is reviewing the results of the newborn screening of a newborn who is one week
old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia.
Which of the following nursing include in the plan of care?
a. Instruct the newborns parent about how to administer levothyroxine
15. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the
following actions should the nurse take first.
a. Initiate contact precautions
16. A nurse is caring for toddler who post operative following cleft palate repair. Which of
the following actions should the nurse take?
a. Administer opioids for mouth pain
17. A nurse is assessing a child who has measles. Which of the following areas should the
nurse inspect for koplik spots?
a. Inside the mouth
18. A nurse is assessing an infant who has acute otitis media which of the following findings
should the nurse expect? Select all that apply.
a. Crying
b. Fever
c. Restlessness
19. A nurse is assessing a child who has measles which of the fallowing areas should the
nurse expect for kolpik spots?
A. The picture that shows inside of the mouth
20. A nurse in the emergency department is assessing an adolescent who reports inhalation
of gasoline. Which of the fallowing should the nurse expect?
a. Ataxia
21. A nurse caring for a 4 year old child who has moderate dehydration. Which of the
fallowing should the nurse expect?
a. Orthostatic hypertension
22. A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the fallowing instructions should the nurse include in the teaching?
a. You can replace milk with non dairy source of calcium
23. A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the
fallowing actions should the nurse take?
a. Place the child on an alternating pressure mattress
24. A nurse is providing teaching to the parents of the child who is receiving radiation
therapy. Which of the fallowing instructions should the nurse include in the teaching?
(select all that apply)
a. Avoid giving your child lengthy baths
b. Encourage mild activity daily
c. Dress your child in loose fitting clothing
25. A nurse is assessing a school age child who has type 1 diabetes mellitus. The nurse notes
that the child is diaphoretic. Which of the following actions should the nurse take?
a. Obtain blood glucose level
26. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new
prescription for dornase alfa. Which of the following instructions should the nurse
include in the teaching?
a. Store the medication in the refrigerator
27. A nurse is caring for a child who is to receive first dose IV gentamycin which of the
following actions should the nurse take?
a. Maintain strict I/O
28. A nurse is preparing to administer immunizations to a 5 year old child who is up to date
with the current immunization schedule. Which of the following immunizations should
the nurse plan to administer?
a. Varicella
29. A nurse is providing teaching to the parents of an infant who is to under go pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the
nurse include in the teaching?
a. Test will measure the amount of chloride in the babys sweat
30. A nurse is caring for a child who is terminally ill. The parents tell the nurse that the child
will be fine because they know another child who survived the same illness. Which of
the following responses should the nurse make?
a. Tell me what you know about your childs illness
31. 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?
a. Apply bacterial ointment to lesions
32. A nurse is caring for a child who has bacterial meningitis, which of the following criteria
should indicates the nurse should remove the child from droplet precautions?
a. Antibiotics initiated 24 hour ago
33. A nurse is prioritizing care for four clients which of the following clients should the nurse
assess first?
a. An adolescent who has sickle cell anemia and slurred speech
34. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings
should the nurse expect?
a. Steatorrhea
35. A nurses in a family practice clinic is assessing a preschool aged child who recently
experienced the death of a sibling. Which of the following reactions is an age
appropriate response to death?
a. The child eels responsible to the childs death
36. A nurse in a providing office is assessing the vital signs of a 1 year old toddler which of
the following findings should the nursed report to the provider?
a. Respiratory rate 54
37. A nurse is preparing to assess a 4 year old child visual acuity. Which of the following
actions should the nurse prepare to take?
a. Test the child without glasses before testing with
38. A nurse is caring for a child who is 2 hours post-op. which of the following actions should
the nurse take first.
WE NEED TO SEE THE EXHIBIT PORTION TO BE ABLE TO GIVE ANSWER
39. A nurse is providing teaching to a parent of a child who has HIV. Which of the following
statement by the parent indicates an understanding of the teaching?
a. My child will need to repeat the childhood immunization once hes in remission
40. A nurse is caring for a preschool-age child who has a terminal illness. Which of the
following should the nurse…
a. Believes the condition is permanent
41. A nurse is planning care for a child who was experiencing sickle cell crisis. Which of the
following interventions should the nurse have in plan of care?
a. Administer meperidine as needed for pain
42. A nurse educating an adolescent following an application 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 my fingers of my broken arm
43. A nurse is providing teaching to a 2 month old infant about immunization schedules
which of the following statements from the parents indicate an understanding of the
teaching?
a. My child needs to get the MMR immunization when she is 12 months old
44. A nurse in providing injury prevention to the parents of the toddler which of the
following safety measures should the nurse incorporate in the teaching.
a. Check clothing for loose buttons
45. Indicates that the infant is experiencing ICP?
a. Irritability
46. A nurse in a urgent care clinic is prioritizing care for 4 children which of the children
should the nurse asses first?
a. A toddler who has nephrotic syndrome and facial edema
47. a nurse in a emergency department is assessing a school age child who has asthma of
the following findings should the nurse prioritize?
a. Decrease breath sounds
48. A nurse is providing to a parent to an 11 month old infant who has acute diarrhea ad
dehydration what should the nurse instruct the parent to provide to the infant
a. Oral electrolyte solution
49. A nurse is preparing to administer an immunization to a 3 month old infant which of the
following is relives atraumatic care?
a. Provide a pacifier coated with oral sucrose solution prior to the injections
50. A nurse is admitting a school age who has osteomyelitis which of the following
actions…..
a. Obtain a blood culture
51. a nurse is assessing a 24 month toddler which of the finding should….?
a. Has a vocabulary of 40 words
52. 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 which of the following actions
during a seizure?
a. Clear the area of hard objects
53. A nurse is providing anticipatory guidance to a parents of a 1 month old infant. The
nurse should include that it is recommended to start the series of which of the following
immunization first?
a. Inactivated poliovirus
54. A nurse is providing education about dietary modifications to the parents of the school
age child who has glomerulonephritis. Which of the following information should the
nurse include in the teaching?
a. Decrease the child sodium intake
55. A nurse is assessing an adolescent who has type 1 diabetes mellitus which of the
fallowing findings is the nurse priority?
a. Glycosuria
56. A nurse is reviewing the laboratory report of a toddler was has hemolytic uremic
syndrome. Which lab values should the nurse expect?
a. BUN of 28
57. A nurse is caring for a school age child who is experiencing a sickle cell crisis. Which of
the following actions should the nurse take?
a. Apply warm compress to the infected joints
58. A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12kg and is
postoperative following an open heart surgery. Which of the following findings should
the nurse report to the provider?
a. Posterior and tibial pulse 2+
59. A nurse is providing teaching to the parents of a preschool age child who has celiac
disease. Which of the following instructions should the nurse include?
a. Your child will be on a gluten free diet for the rest of her life
60. A nurse is caring for a school age child who is 1 hour post op following a tonsillectomy.
Which of the following actions should the nurse take
a. Admin analgesics to the child on a schedule basis
b. Observe the child for frequent swallowing
c. And discourage coughing
61. A nurse admin albuterole by metered dose inhaler for a preschool aged child who is
experiencing an asthma exacerbation. Which of the following should the nurse report to
the provider?
a. Intercostal retractions
62. A nurse is caring for a school age child who has heart failure. Which of the following
finding should the nurse expect?
a. Tachycardia
b. Cyanosis
c. Dyspnea
d. Bounding peripheral pulses
63. A nurse in the emergency department is assessing a toddler who has a head injury.
Which of the following findings should the nurse report to the provider?
a. Vomiting
64. A nurse is caring for a toddler who is terminal stage of neuroblastomas, the parent ask
how can we help our child know which of the following responses by the nurse is
appropriate?
a. Stay close to your child
65. During a well baby visit the parents of a 2 week old new born tells the nurse my baby
always keeps her head tilted to the right side. The nurse should further assess which of
the following areas?
a. Sternocleidomastoid muscle
66. A nurse is caring for a single mother of a 6 month old infant. During a well baby visit the
mother expresses feelings inexperienced in care of the baby. The nurse should
recommend which of the following community resource.
a. Parent enhancement center
67. A nurse is admitting an infant who has GERD which of the following is priority
assessment finding?
a. Excessive crying
68. A nurse is caring for an infant that has severe dehydration. Which clinical finding should
the nurse expect?
a. Rapid respirations
69. A nurse is teaching a group of female adolescent about healthy eating. Which of the
following instructions should the nurse include in the teaching?
a. Consume 1500 to 1700 calories per day
70. a nurse is providing discharge teaching to the parents of a school age child who has
cystic fibrosis which response by the parents indicates an understanding if the teaching?
a. I will give my child pancreatic enzyme with snacks and meals
71. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Which of the following actions should the nurse take?
a. Initiate contact isolation precaution
72. A nurse is caring for a 4 year old child who has meningitis and is receiving gentamacin.
Which of the following labs values should the nurse to the provider
a. Creatinine 1.4mg
73. A nurse is providing teaching to the parents of a school age child who has ADHD and a
new prescription of for methylphenidate. The nurse should explain that this medication
should have which of the following therapeutic effects?
a. Increasing focus
74. A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the
following statements by the adolescent indicates understanding of the teaching?
a. I will increase my intake of vitamin D
75. 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. Mummy
76. A nurse in the providers office is caring for a preschool age child who might have a acute
epiglottitis which of the following actions should the nurse take?
a. Provide humidifier oxygen via nasal cannula
77. A nurse is reviewing the laboratory report of A school age Child who has rheumatic fever
which of the following laboratory findings should the nurse expect?
a. Increased antistreptolysin O titer
78. A nurse is planning care for adolescent follow repair of Meckel diverticulum which of the
following actions should the nurse include in the plan of care?
a. Maintain a NG tube for decompression
79. A nurses preparing to perform peritoneal dialysis for your child was elevated serum
creatinine level after explaining the procedure which of the following action should the
nurse plan to take?
a. Obtain child’s weight
80. A nurses caring for an adolescent who is one hour postoperative following
appendectomy which of the following findings should the nurse report to the provider?
a. Muscle rigidity
81. And nurses caring for preschool age child whose postoperative following a tonsillectomy
and is clearing her throat frequently which of the following action should take first?
a. Give the child small sips of wate
82. And nurses 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?
a. Clense the gums with saline soaked gauze
83. In nurses planning care for the child immediately following her insertion of a chest tube
for continuous suctioned with a close drainage system which of the following
intervention should the nurse include in the plan of care?
a. ensure continuous bubbling his present in the suction control chamber
84. a nurse is assessing an adolescent who has Cushing syndrome which of the following
findings should the nurse expect
a. blood glucose of 320
85. 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?
a. Use half strength formula when feeding the infant
86. Rooting reflex click on the mouth
87. A nurse is providing postoperative care for a child following an arterial cardiac
catheterization which of the following actions should the nurse take?
a. Keep affected extremity straight for about 6 hours
88. A nurses 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 indicate
an understanding of the teaching
a. I will dress my baby in light weight clothing to sleep
89. A nurse in the providers office is providing teaching to the parents of a preschooler who
has down syndrome which of the following statements buy one of the parents indicates
an understanding of instructions?
a. We’ll be sure to demonstrate a new skill before expecting our Son to perform it.
90. A nurse is teaching a parent of a 10 month old about home safety what should be
included in the teaching
a. Place gates on top and bottom of stairs
b. Ensure that the crib mattress is in the lowest position
91. A nurse is assessing a 3 month old infant who has diarrhea which of the following should
the nurse expect?
a. Increased hemocratic
92. A nurse is providing teaching to a parent of an infant who has 1 cm umbilical hernia
which of the following instructions should the nurse include in the teaching
a. The bulge can temporarily enlarge when your baby cries
93. A nurse is admitting for pertussis which transmission based precaution should the nurse
initiate
a. Droplet percussion
94. In Nurse is assessing a toddler who has a history of lead poisoning which of the following
actions should the nurse take?
a. Perform developmental testing for delays
95. A nurse is assessing a seven -year-old student the nurse should identify which of the
following finding as a potential indicator for physical abuse
a. Bruising around the wrist’
96. In nurses reviewing the medical record of a 24 month old child who has acute
lymphocytic leukemia which of the following actions should the nurse take
a. Initiate bleeding precautions
97. A nurses providing discharge teaching to the parents of a father who was iron deficiency
anemia and a new prescription for Ferrous sulfate which of the following instructions for
the nurse include
a. Administer the medication to your child with the dropper
98. Hey nurses providing teaching to the parent of the school’s child was diabetes mellitus
about managing diabetes during illness which of the following statements by the parents
and the kids understanding of teaching?
a. I’ll increase them on the fluids offer to my child
99. A nurse is caring for an infant who has tetralogy of fallot and is having a hypercyanotic
episode after crying which of the following intervention should the nurse implement?
a. Placed infant in knee chest position
100. A nurse is planning an in-service for parents of school age children about the
treatment of pediculosis cpaitis which of the following instructions for the nurse plant
including the teaching?
Remove nits from the child’s hair using a fine tooth comb
101. A nurse in the emergency room is caring for a child who is 18 kg and injustice six
500 mg acetaminophen about four hours ago which of the following actions and there’s
take?
a. Prepare to give oral N-acetylcysteine
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