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    Exam Review

    1. A nurse is planning care for a preschooler who has bronchiolitis Exhibits For each body system below,
      (Highlight — findings requiring follow-up are marked)

      A nurse is planning care for a preschooler who has bronchiolitis

      Exhibits

      For each body system below, click to specify the potential nursing intervention that would be appropriate for the care of the child. Each body system may support more than

      1 potential nursing intervention.

       

      Body System

      Potential Nursing Intervention

      Respiratory

      Administer decongestant

      Administer humidified oxygen

      Perform endotracheal suctioning

      Gastrointestinal

      Administer promethazine

      Use thickened fluid at mealtimes

      Obtain stool specimen

      Cardiovascular

      Initiate IV access to administer IV fluids

      Offer oral rehydration solution 10 ml every 3 min

      Administer aspirin for fever
    2. What is the most important advice a nurse should give to parents to prevent the spread of conjunctivitis in their child?
      A)Allow the child to share towels and washcloths with family members.
      B)Ensure the child washes their hands frequently and avoids touching their eyes.
      C)Keep the child indoors and away from sunlight.
      D)Use antibiotic drops even if not prescribed by a doctor.
    3. A nurse has completed discharge teaching for the caregivers of an infant who has been in the hospital after a near SUID(Sudden Unexplained Infant Death) experience. Which of the following statements by the caregivers indicates an understanding of the teaching?
      A)"Placing the infant in their crib on a firm mattress without loose bedding is the best choice."
      B)"Our infant won't have any more apneic spells now that they have spent some time in the hospital"
      C)"I am so concerned about the baby that I am going to sleep in the bed with them."
      D)"We should let the baby sleep in their swing or car seat to decrease the potential for SUID again."
    4. When interviewing parents or caregivers of a child admitted to the hospital, what is an important step for nurses to take?
      A)Provide parenting advice without assessing the parent-child interaction
      B)Avoid talking to the parents to respect their privacy
      C)Observe and assess their interactions with the child
      D)Ask the parents about their personal medical history
    Page 1 of 11

    Exam Review

    1. A nurse is caring for a 5-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection?
      A)Having a child-life therapist read a story book about a child with diabetes
      B)Watching a video about children with diabetes
      C)Watch a nurse draw up insulin when teaching their parent
      D)Playing with a needle & syringe on a doll
    2. A client is prescribed a heparin infusion to run at 750 units/hr. The heparin is supplied as 25.000 units/250 mL. At what rate should the nurse set the infusion pump? (Do not use a trailing zero. Round to the tenth place. Do not use a trailing zero)
    3. Which of the following is a contraindication for immunizations in children?
      A)Low grade febrile illness
      B)Severe allergic reaction to a vaccine or its components
      C)Mild respiratory illness
      D)Common cold
    4. The pediatric nurse needs to administer Amoxicillin to a 15-month-old. To ensure that medication administration is less traumatic for this young child, the nurse should:
      A)ask the parent to assist by restraining the child.
      B)supervise the parent administering the oral medication
      C)administer the medication quickly while holding the child's nose.
      D)leave the medication with the parent at the bedside.
    Page 2 of 11

    Exam Review

    1. A school-aged child in the hospital may benefit from therapeutic play in which of the following situations? When the child is
      A)about to be discharged from the hospital and no longer needs play therapy
      B)experiencing anxiety and needs a distraction
      C)fully engaged in schoolwork and does not have time for play
      D)physically unable to participate in regular play activities
    2. A nurse understands which of the following statements is correct related to the nutrition of the preschool aged child? The child will:
      A)prefer certain foods over others, known as food jags
      B)eat a variety of foods from all food groups.
      C)have a balanced diet with adequate calorie intake.
      D)consume large quantities of food at each meal.
    3. A 10-month-old diagnosed with croup syndrome is NPO. The nurse explains the rationale for this order is based upon which assessment finding?
      A)Barky non-productive cough
      B)Temperature of 102 F rectally
      C)Respiratory rate of 68
      D)Hoarseness
    4. What would the nurse consider as an appropriate method to use when completing a physical assessment on a toddler?
      A)Perform traumatic procedures last
      B)Proceed in a head-to-toe direction
      C)Use physical contact immediately
      D)Tell the child to undress themselves
    Page 3 of 11

    Exam Review

    1. A nurse at an emergency department is caring for a child who was admitted with cystic fibrosis. The child's parent is given the following laboratory results: sodium 128 mg/dL (136 to 145 mEq/dL), blood glucose 268 g/dL (70 to 100 g/dL) potassium 4.2 mg/L (3.4 to 4.7 mEq/L), and oxygen saturation 88% on 2 L/min via nasal canula (95% to 100%). The parent ask how the values relate to cystic fibrosis. Which of the following statements by the nurse is accurate?
      A)"The condition affects the movement of sodium and water, lowering sodium levels."
      B)"Oxygen saturation levels elevate due to scaring of lung tissue and impairment of gas exchange."
      C)"The condition impairs the function of the intestines, therefore affecting blood glucose levels.
      D)The condition produces mucus in the lungs, affecting potassium levels."
    2. Which of the following is a correct method for measuring intake and output in young infants in the hospital?
      A)Asking parents to estimate the amount of fluid the infant has consumed
      B)Observing the infant for signs of dehydration
      C)Monitoring the infant's feeding schedule
      D)Weighing diapers to calculate urine output
    3. A mother brings her 3-year-old child to the clinic for a well-child checkup. The child has not been to the clinic since 6 months of age. The nurse determines that which of the following is the priority care for this client?
      A)Complete a hearing screening
      B)Begin dental care
      C)Update vaccinations
      D)Assess growth and development
    4. The nurse identifies the following during the assessment of a 3-month-old with RSV: Heart rate of 140: Respiratory rate of 32: Oxygen saturation is 89% on room air: inspiratory and expiratory wheezing in upper lobes: temperature of 101 F: large amounts of thin secretions. What is the priority nursing action at this time?
      A)Provide a quiet environment for the infant
      B)Place an 02 via nasal cannula for the low saturation
      C)Suction the nares and oropharynx to remove secretions
      D)Administer acetaminophen to reduce fever
    Page 4 of 11

    Exam Review

    1. A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is planning an in-service about communicable diseases for staff members. Which of the following diseases should the nurse identify as causing Koplik spots?
      A)Diphtheria
      B)Poliomyelitis
      C)Fifth disease (erythema infectiosum)
      D)Measles (rubeola)
    3. A nurse recognizes that a child diagnosed with epiglottitis is at risk for which of the following complications?
      A)Skin rash
      B)Airway obstruction
      C)Digestive system dysfunction
      D)Urinary tract infection
    4. A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Do not use a trailing zero.)
    Page 5 of 11

    Exam Review

    1. During an assessment of a newborn, the nurse palpates the fontanels to determine their status. Which finding would be expected when assessing the fontanels?
      A)The fontanels should be sunken and flat
      B)The fontanels should be soft and flat
      C)The fontanels should be tense and bulging
      D)The fontanels should be hard and immobile
    2. What should be the nurse's priority action if child maltreatment is suspected?
      A)Keep the suspicion to oneself and monitor the situation
      B)Wait for further evidence before taking any action
      C)Confront the caregiver about the suspicions
      D)Report the suspicion to the appropriate agency
    3. A high school student returns to school following a three-week absence due to mononucleosis. When meeting with the student the school nurse explains it will be important for the adolescent to:
      A)have a snack twice a day to prevent hypoglycemia,
      B)continue taking antibiotics for one month.
      C)avoid contact sports for 4 to 6 weeks.
      D)report to the nurse's office every four hours for aspirin.
    4. A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?
      A)A3-year-old toddler who aspirated several sunflower seeds and continues to cough with an Oxygen saturation of 91%
      B)A 15-year-old adolescent who had a laparoscopic appendectomy 30 hr ago, rates their pain a 3 on a scale of 1 to 10, and is preparing for discharge this morning
      C)A 6-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hr ago
      D)An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hr and ate 90% of their meals
    Page 6 of 11