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    Exam Review

    1. A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
      A)Position the child side-lying.
      B)Place a pillow under the child's head.
      C)Clear the area of hazards.
      D)Loosen restrictive clothing.
    2. A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply)(SATA)
      A)Place a tongue depressor in the client's mouth.
      B)Restrain the client.
      C)Assess the client's airway patency.
      D)Remove objects from the client's bed.
      E)Place the client in a side-lying position.
    3. A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?
      A)Pooling of blood in a cerebral space.
      B)Sudden rise in body temperature due to infection.
      C)Trauma to the head or neck area causing a concussion.
      D)Structural brain lobe defect since birth.
    4. A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?
      A)Scoliosis.
      B)Kyphosis.
      C)Lordosis.
      D)Ankylosis.
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    Exam Review

    1. A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
      A)Initiate airborne precautions.
      B)Initiate contact precautions.
      C)Initiate droplet precautions.
      D)Initiate standard precautions.
    2. A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
      A)Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 minutes prior to the procedure.
      B)Keep the infant NPO for 6 hours prior to the procedure.
      C)Hold the infant's chin to his chest and knees to his abdomen during the procedure.
      D)Place the infant in an infant seat for 2 hours following the procedure.
    3. A nurse educates caregivers about dietary management for a child with burn injuries. Which of the following recommendations should the nurse provide?
      A)Decrease fluid intake to avoid volume overload.
      B)Increase carbohydrate intake for energy.
      C)Suggest a lower-calorie diet due to decreased activity.
      D)Encourage a high-protein diet for wound healing.
    4. A child with a ventriculoperitoneal shunt complains of headache and blurry vision and now experiences irritability and sleeping more than usual. The parents ask the nurse what they should do. Select the nurse's best response.
      A)Give her some acetaminophen and see if her symptoms improve. If they do not improve, bring her to the healthcare provider's office.
      B)You should immediately take her to the emergency department because these may be symptoms of a shunt malfunction.
      C)It is common for girls to have these symptoms, especially before beginning their menstrual cycle. Give her a few days and see if she improves.
      D)You are probably worried that she is having a problem with her shunt. This is very unlikely because it has been working well for 9 years.
      E)The correct answer is: b) You should immediately take her to the emergency department because these may be symptoms of a shunt malfunction.
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    Exam Review

    1. A nurse is creating a plan of care for a child who is recovering from an epidural hematoma following a car accident to return to school. Which of the following statements should the nurse make to the school?
      A)The student should gradually resume their previous school activities.
      B)The student may participate in any afterschool sports upon return to school if protective headgear is worn.
      C)The student will not be able to resume gym class or school sports.
      D)The student will require a medical clearance to attend classes.
    2. A nurse is caring for a 4-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 is therapeutic in helping the child deal with the injection?
      A)A story book about a child who has diabetes.
      B)A video game.
      C)A needleless syringe and a doll.
      D)A period of play in the playroom.
    3. A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
      A)Contact.
      B)Droplet.
      C)Protective environment.
      D)Airborne.
    4. A nurse is assessing a child who has a suspected head injury. Which of the following actions should the nurse take to assess the child's cognitive status?
      A)Use the Glasgow Coma Scale.
      B)Recommend a CT scan.
      C)Have blood work done.
      D)Monitor intracranial pressure.
    Page 3 of 14

    Exam Review

    1. The nurse is caring for a 10-year-old child who has an acute head injury, has a pediatric Glasgow Coma Scale score of 9, and is unconscious. What intervention should the nurse include in the child's care plan?
      A)Perform chest percussion and suctioning every 1-2 hours.
      B)Perform active range of motion and non-therapeutic touch every 8 hours.
      C)Elevate the head of the bed 15-30 degrees with the head maintained in the midline.
      D)Maintain an active, stimulating environment.
    2. A nurse is assessing a 6-month-old infant who has viral meningitis. Which of the following findings should the nurse expect? (Select all that apply)(SATA)
      A)Hyperglycemia.
      B)Fever.
      C)Poor feeding.
      D)Difficult to awaken.
      E)Stiff neck.
    3. A nurse is assessing a pediatric client who may have osteogenesis imperfecta. Which of the following manifestations should the nurse expect to find? (Select all that apply)(SATA)
      A)Loss of vision.
      B)Bone tumors.
      C)Limited mobility.
      D)Muscular dystrophy.
      E)Hearing difficulty.
    4. A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?
      A)Keep the child on droplet precautions at home.
      B)Immunize household contacts for the disease.
      C)Give the child a chlorine bath twice daily.
      D)Wash clothing in hot water.
    Page 4 of 14

    Exam Review

    1. A child with a seizure disorder has been having episodes during which she drops her pencil and appears to be daydreaming. This most likely is a:
      A)Simple spasm seizure.
      B)Absence seizure.
      C)Non-epileptic seizure.
      D)Akinetic seizure.
    2. Select the best room assignment for a newly admitted child with bacterial meningitis.
      A)Private room that is bright and colorful and has developmentally appropriate activities available.
      B)Semi-private room with a roommate who has bacterial meningitis but has received IV antibiotics for more than 24 hours.
      C)Semi-private room with a roommate who also has bacterial meningitis.
      D)Private room that is dark and quiet with minimal stimulation.
    3. A nurse is teaching about neural tube defects to a group of pregnant females. Which of the following disease processes should the nurse include as an example of a neural tube defect?
      A)Cerebral palsy.
      B)Muscular dystrophy.
      C)Spina bifida.
      D)Hydrocephalus.
    4. A child is brought to the emergency department with what is presumed to be acute adrenal insufficiency. Which of the following should the nurse do first?
      A)Indicate the likelihood of a slow recovery.
      B)Discuss the likelihood of the child's imminent death.
      C)Insert an IV line to administer fluids and cortisol.
      D)Prepare for admission to the intensive care unit.
    Page 5 of 14

    Exam Review

    1. A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?
      A)Dress the child in woolen clothes during cold months.
      B)Launder the child's clothing with fabric softener.
      C)Apply a topical corticosteroid ointment to the affected area.
      D)Give the child bubble baths every day.
    2. A nurse is creating a plan of care for a pediatric client who has been diagnosed with Duchenne muscular dystrophy. Which of the following factors should the nurse consider when planning care?
      A)Duchenne muscular dystrophy usually improves as the child gets older.
      B)Speech and vision may be impaired and inhibit communication.
      C)Cognitive impairment can improve with intensive therapy.
      D)Mobility concerns usually arise later in adulthood.
    3. A nurse is assessing an adolescent who has an exacerbation of Graves' disease (hyperthyroidism). Which of the following findings should the nurse expect?
      A)Bradycardia.
      B)Weight gain.
      C)Heat intolerance.
      D)Lethargy.
    4. A nurse is assessing a 12-year-old client who presents with a partial thickness burn. Which of the following does the nurse suspect is the cause of the client's condition?
      A)Contact with hot liquid.
      B)An electrical source.
      C)Contact with a flame.
      D)A mild sunburn.
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