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    Exam Review

    1. A nurse is teaching a newly hired nurse about emotional responses when caring for a terminally ill child and their family. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
      A)"Nurses should participate in grief and death education to resolve grief."
      B)"Nurses should ignore the guilt they feel when a child dies."
      C)"The family members should be made aware that the nurse is experiencing anticipatory grief."
      D)"It is unexpected for you to be personally involved with the client and their family."
    2. A nurse is caring for an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?
      A)"Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta."
      B)"Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta."
      C)"Tetralogy of Fallot is a heart defect that impacts the circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood."
      D)Tetralogy of Fallot is a group of three heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy
    3. A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin oral suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      A)4.2 mL
      B)8.0 mL
      C)2.5 mL
      D)3.1 mL
    4. A 12 kg pediatric patient requires IV fluid therapy. What is the correct daily maintenance fluid requirement?
      A)1500 mL
      B)1100 mL
      C)1300 mL
      D)1000 mL
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    Exam Review

    1. A nurse is assessing an infant in the cardiology clinic. Which of the following sets of clinical manifestations is consistent with a large ventricular septal defect?
      A)Murmur, tachypnea, and fatigue with feeds
      B)Bradypnea, murmur, and fatigue with feeds
      C)Murmur, excessive weight gain, and tachypnea
      D)Bradypnea, excessive weight gain, and fatigue with feeds
    2. A nurse is screening a client at 16 weeks of gestation. Which of the following factors in the client's health history should the nurse identify as raising the risk for a myelomeningocele? (Select All that Apply.)(SATA)
      A)Taking folic acid supplement
      B)Work-related radiation exposure
      C)Past history of genetic neural tube defects
      D)Drinking alcohol while pregnant
      E)Family member with epilepsy
    3. A nurse is planning care for an adolescent who is withdrawn and avoids social group activities. Which of the following interventions should the nurse plan to include?
      A)Advise the adolescent to focus solely on academic achievements to boost self-esteem,
      B)Assign the adolescent as the leader of a group project in a school activity.
      C)Arrange one-on-one counseling sessions to explore the causes of social withdrawal.
      D)Encourage the adolescent to spend more time alone to build self-confidence.
    4. A nurse is caring for a toddler who has von Willebrand disease. The toddler's parents are concerned about the bleeding risk with vaccinations. Which of the following is accurate information the nurse should share with the parents?
      A)Toddlers with bleeding disorders are encouraged to stay up-to-date on vaccinations. The benefit of vaccinations outweighs the risk of bleeding
      B)Toddlers with bleeding disorders should only receive one vaccine at a time due to the risk of bleeding at injection site.
      C)Toddlers with bleeding disorders should not receive any vaccinations, because the risk of bleeding outweighs the benefit of the vaccinations.
      D)Toddlers with von Willebrand disease should only receive vaccines available as nasal sprays to avoid bleeding from intramuscular injections.
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    Exam Review

    1. A child weighs 32 lbs. How many kg does the child weigh? Round to the nearest whole number.
      A)15k
      B)30 kg
      C)20 kg
      D)12kg
    2. The nurse is discussing the importance of play with the caregivers of an infant. Which of the following statements should the nurse make?
      A)"Repetitive games can help with bonding between caregivers and the infant and increase comfort and security."
      B)"Cognitive developmental delays can be difficult to assess in an infant especially in regard to play."
      C)"During the first year of life, the most visual stimulation and interaction is provided through video and music."
      D)"Infants don't begin to engage in play until 3 to 6 months of age.
    3. A nurse is providing education about the pathophysiology of cardiomyopathy to the family of a child who has been recently diagnosed with the condition. Which of the following statements made by a caregiver indicates understanding?
      A)"There is an increased workload on the right side of the heart, making the muscle thinner and harder for the heart to pump blood through the body."
      B)"There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body."
      C)"There is an increased workload in the right and left ventricles, making the muscle thicker and harder for the heart to pump blood through the body."
      D)"There is an increased workload in the right and left atria, making the muscle thinner and harder for the heart to pump blood through the body."
    4. A nurse in a provider's office is assessing an adolescent.. Which of the following findings may indicate an eating disorder?
      A)Expressing a desire to engage in regular physical activity for overall health
      B)Frequently avoiding communal meals and making excuses not to eat
      C)Frequently making positive comments about peers' body sizes
      D)Participating in school-sponsored nutrition and wellness workshops
    Page 3 of 15

    Exam Review

    1. A provider prescribes 0.9% NaCl 5mL/kg IV to infuse over 3 hours for a child who weighs 15 kg. How many mL/hr should the nurse set the infusion pump to deliver?
      A)75 mL/hr
      B)25 mL/hr
      C)30 mL/hr
      D)50 mL/hr
    2. A nurse is providing care for an infant who has heart failure and is being discharged from the hospital. When providing discharge education, which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?
      A)Abdominal pain, poor appetite, and cough
      B)Tachypnea and diaphoresis with feeding, poor weight gain, and irritability
      C)Cough, edema, and increased work of breathing
      D)Bradycardia, rapid weight gain, and irritability
    3. A nurse is assessing a child who has streptococcal pharyngitis and has been admitted with suspected rheumatic fever. Which of the following findings should the nurse identify as an indication of rheumatic fever (Select All that Apply.)(SATA)
      A)Atrial fibrillation on the cardiac monitor
      B)Elevated BUN and creatinine on morning laboratory results
      C)Involuntary movements of extremities
      D)Alopecia
      E)Report of chest pain
      F)Oliguria
    4. A nurse is teaching a parent of a school-aged child who has chronic otitis media (COM) about their condition. Which of the following statements made by the parent indicates an understanding of the teaching?
      A)"The doctor will screen my child for COM every 6 months."
      B)"COM causes fluid to drain too rapidly from the ears."
      C)"My child could fall more easily with COM."
      D)"Children experiencing COM rarely have complications."
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    Exam Review

    1. A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
      A)Educate the parents on the developmental delays their child is diagnosed with
      B)Discuss the assessment findings with the primary care provider.
      C)Provide the parents with pamphlets for support groups for children with developmental delays.
      D)Utilize social work for referral to early intervention.
    2. A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?
      A)Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
      B)Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
      C)Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
      D)Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
    3. A nurse is providing teaching to the parents of a 1-year-old child about strategies to alleviate stress and enhance their child's coping mechanisms. Which of the following statements by the parents indicates an understanding of the teaching?
      A)"We'll buy a new stuffed animal so their favorite one will not get dirty at the hospital"
      B)"We will plan to bring educational workbooks to the hospital to stimulate our child's mind."
      C)"We will let our child play in the hallways to keep them entertained while in the hospital"
      D)"We'll sing familiar songs to our child to help reduce distress.
    4. A nurse is planning an educational program for a group of caregivers about bicycle safety for children. Which of the following information should the nurse plan to include? (Select all that apply.)(SATA)
      A)Always wear a helmet when riding a bicycle.
      B)When riding with cars, ride against traffic to see the cars on the road.
      C)Never ride on the handlebars of a bicycle.
      D)It is safe to wear sandals when riding a bicycle.
      E)Use bike lanes when available.
      F)Do not use earbuds or headphones while riding a bicycle.
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    Exam Review

    1. A nurse is providing care to a client in the pediatric intensive care unit (PICU). Which of the following nursing actions ensures optimal support for the client and their family? (Select All that Apply.)(SATA)
      A)Encourage family members to seek support for coping with stress and anxiety.
      B)Recognize that the length of stay in the PICU is uniform for all clients.
      C)Acknowledge the value of support staff, including child life specialists and social work services.
      D)Anticipate that pediatric clients in the PICU may receive care from a single specialized team.
      E)Educate family members about common use of IV lines and monitoring equipment in the PICU.
      F)Informing family members about the potential need for specialized therapies, such as physical therapy and occupational therapy.
    2. A 5-year-old child weighing 22 kg is admitted with dehydration. Calculate the daily maintenance fluid requirement in milliliters for this child.
      A)2000 mL
      B)1540 mL
      C)2200 mL
      D)1700 mL
    3. A nurse is assessing pain in a 6-month-old infant. Which of the following assessment tools should the nurse use?
      A)Pain word scale
      B)Premature infant pain scale (PIPP-R)
      C)FACES Pain Scale
      D)Face, Legs, Activity, Cry Consolability (FLACC)
    4. A nurse is caring for a 16-year-old adolescent who just received rescue medication for an asthma exacerbation. Prior to the medication administration. nursing assessment revealed tearfulness, a respiratory rate of 32/min, wheezing in all lobes, oxygen saturation level of 91% on room air, inability to speak, and nasal flaring. The nurse should recognize that which of the following manifestations would indicate the client's condition is improving?
      A)Downward trend of oxygen saturation level
      B)is sitting calmly and able to answer questions
      C)Upward trend in respiratory rate
      D)Changes positions frequently
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