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    Exam Review

    1. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
      A)High fever
      B)Bradycardia
      C)Constipation
      D)Pain
    2. A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
      A)Measure head circumference every shift
      B)Admit the client to a private room
      C)Place the client in a semi-Fowler's position.
      D)Implement seizure precautions
    3. A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?
      A)"We will need to go by the weight and height of the child when deciding to change to a booster seat."
      B)"I will dress my baby in a one piece outfit so I can use the harness to secure her in the car seat."
      C)"My baby will be able to watch me drive while sitting in the back seat."
      D)"I will place the infant safety seat in the middle of the back seat, away from the airbags
    4. A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)(SATA)
      A)Varicella (VAR)
      B)Measles, mumps rubella (MMR)
      C)Human papillomavirus (HPV4)
      D)Diphtheria, tetanus and acellular pertussis (DTP)
      E)Rotavirus (RV)
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    Exam Review

    1. A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. Exhibits The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply)(SATA)
      A)Administer acetaminophen 800 mg
      B)Administer enemas until clear
      C)Obtain abdominal ultrasound
      D)Give promethazine 50 mg intermittent IV bolus
      E)Maintain NPO status
      F)Initiate IV antibiotics
      G)Obtain informed consent for surgery
    2. A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
      A)Attempt to stop the seizure.
      B)Use a padded tongue blade.
      C)Position the child laterally.
      D)Restrain the child's arms.
    3. A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
      A)"Has your child had any injuries recently?"
      B)"Have you given your child aspirin in the past 2 weeks?"
      C)"Has your son had a sore throat recently?"
      D)"Was your son born with this cardiac defect?"
    4. A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?
      A)Bulging fontanel
      B)Jaundice
      C)Negative Brudzinski sign
      D)Oliguria
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    Exam Review

    1. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
      A)"I will apply heat."
      B)"I will compress the site."
      C)"I will elevate the affected part."
      D)"I will have my child rest.
    2. A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an antistreptolysin O (ASO) titer. The child’s parent asks the nurse about the purpose of this test. Which of the following responses should the nurse make?
      A)"This test will indicate if your child has rheumatic fever."
      B)"This test will indicate if your child has a therapeutic blood level of an aminoglycoside."
      C)"This test will confirm if your child has immunity to streptococcal bacteria."
      D)"This test will confirm if your child had a recent streptococcal infection."
    3. A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
      A)"My child must be free from nits before returning to school."
      B)"I will treat all the family members to be on the safe side."
      C)"All recently used clothing, bedding, and towels must be washed in hot water."
      D)"Toys that can't be dry cleaned or washed must be thrown out."
    4. A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
      A)"I will be sure my child rotates sites after 5 injections in one area."
      B)"The insulin can be injected anywhere there is adipose tissue."
      C)"I will be sure my child aspirates before injecting the insulin."
      D)"The insulin should be injected at a 90-degree angle."
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    Exam Review

    1. A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Exhibits Which of the following actions should the nurse take? (Select all that apply)(SATA)
      A)Weigh the infant
      B)Measure the infant's head circumference.
      C)Offer the infant small frequent feedings of thickened liquids.
      D)Plan to administer a plain water enema to the infant
      E)Monitor the infant's intake and output
      F)Evaluate the infant's pain level using the FACES scale.
      G)Implement contact precautions.
    2. A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?(SATA)
      A)Clear drainage from the affected ear
      B)Erythema and edema of the affected ear
      C)Tugging on the affected ear lobe
      D)Pain when manipulating the affected ear lobe
    3. A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?
      A)Controls impulsive feelings
      B)Builds a collection of cards
      C)Expresses need for privacy
      D)Participates in imaginary play
    4. A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?
      A)Prone
      B)On the unoperated side
      C)Semi-Fowler's
      D)Trendelenburg
    Page 4 of 9

    Exam Review

    1. A nurse is caring for an infant in the emergency department. Exhibits Which of the following actions should the nurse take?(Select all that apply)(SATA)
      A)Assess pupillary reaction to light.
      B)Palpate fontanel level
      C)Encourage the guardian to feed the infant
      D)Evaluate for the presence of a Babinski reflex
      E)Measure the infant's head circumference.
      F)Stabilize the infant's spine.
    2. A nurse is caring for an adolescent in an emergency department. Exhibits The nurse reports the 2400 assessment findings to the provider. Which of the following should the nurse anticipate the provider will prescribe? For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
      AnticipatedContraindicated
      Restrict dental hygiene.✓
      Obtain blood cultures x 3.✓
      Obtain an echocardiogram.✓
      Perform strenuous exercise regimen twice daily.✓
      Administer antibiotic therapy.✓
    3. A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
      A)Trust vs. mistrust1
      B)Autonomy vs. shame and doubt2
      C)Initiative vs. guilt3
      D)Identity vs. role confusion5
      E)Industry vs. inferiority4
    4. A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize that which of the following findings are associated with this condition? (Select all that apply.)(SATA)
      A)Rigid abdomen
      B)Wheezing
      C)Fever
      D)Vomiting
      E)Weight loss
    Page 5 of 9

    Exam Review

    1. A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
      A)The infant cannot build a tower of three or four cubes.
      B)The infant cannot turn pages in a book
      C)The infant is unable to imitate animal sounds.
      D)The infant does not sit steadily without support.
    2. A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?(SATA)
      A)"Offer fluids to your child multiple times every day."
      B)"Restrict outdoor play activity to 1 hour per day."
      C)"Apply cold compresses when your child expresses pain."
      D)"Monitor your child's temperature daily."
    3. A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?
      A)Place the infant on his left side.
      B)Place the infant on his right side.
      C)Place the infant in an infant seat
      D)Place the infant in a prone position.
    4. A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
      A)Coarctation of the aorta
      B)Tetralogy of Fallot
      C)Patent ductus arteriosus
      D)Tricuspid atresia
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