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    Exam Review

    1. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?
      A)Distract the child by offering to play a game.
      B)Ignore the temper tantrums.
      C)Restrain the child physically.
      D)Tell the child that temper tantrums are not acceptable.
    2. A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. According to Erikson, which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs?
      A)Vary the child's schedule each day.
      B)Discourage visits from the client's friends.
      C)Encourage the client to complete schoolwork.
      D)Provide a daily session with a play therapist.
    3. A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?
      A)Inability to bring an object to her mouth
      B)Inability to pick up an object with her fingers
      C)Inability to sit without support
      D)Inability to raise head when in prone position
    4. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
      A)"I carry a water bottle with me because I drink a lot of water."
      B)"I use a suppository every night to have a bowel movement."
      C)"I only need to catheterize myself twice every day."
      D)"I do wheelchair exercises while watching TV."
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    Exam Review

    1. A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
      A)Mouth breathing
      B)Reports of thirst
      C)Frequent swallowing
      D)Reports of pain
    2. 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)Patent ductus arteriosus
      C)Tetralogy of Fallot
      D)Tricuspid atresia
    3. 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 droplet precautions.
      C)Initiate standard precautions.
      D)Initiate contact precautions.
    4. A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
      A)Orange juice
      B)Crushed ice
      C)Cranberry juice
      D)Vanilla milkshake
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    Exam Review

    1. A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use?
      A)Non-communicating children's pain checklist
      B)FACES
      C)Oucher
      D)FLACC
    2. An ER nurse has recognized a mother who has frequently brought her 3-year-old in for vague symptoms of an undiagnosed neurological disorder and who has frequently requested specialist consultations. The child is brought in unconscious. A concern that the nurse may have is:
      A)Severe organic failure to thrive
      B)Ingestion of a toxin
      C)Munchausen by proxy
      D)Physical abuse
    3. A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
      A)Fluticasone
      B)Albuterol
      C)Budesonide
      D)Montelukast
    4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
      A)"My child will take the enzymes 2 hours before meals."
      B)"My child will take the enzymes following meals."
      C)"My child will take the enzymes to improve her metabolism."
      D)"My child will take the enzymes to help digest the fat in foods."
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    Exam Review

    1. A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
      A)Developing autonomy
      B)An anxiety reaction
      C)Regression
      D)Resentment toward the mother
    2. A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?
      A)12 months
      B)6 months
      C)3 months
      D)9 months
    3. What fluid would you use for the patient's fluid maintenance?
      A)DSNS W/KCL
      B)Plasmalyte
      C)Lactated Ringer's
      D)Normal Saline
    4. A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
      A)Obtain the child's temperature.
      B)Question the parents about how the marks occurred on the child's cheeks.
      C)Refer the family to child protective services.
      D)Assess the rest of the child's body for a rash.
    Page 4 of 19

    Exam Review

    1. A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
      A)Bradycardia
      B)Shortness of breath
      C)Increased urine output
      D)Weight loss
    2. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
      A)Integumentary
      B)Cardiovascular
      C)Respiratory
      D)Gastrointestinal
    3. The pediatric nurse is caring for a 2-year-old with a respiratory rate of 42 breaths per minute and a FLACC score of 8. Which acid-base imbalance does the pediatric team expect to find with sustained tachypnea?
      A)Metabolic acidosis
      B)Respiratory acidosis
      C)Respiratory alkalosis
      D)Metabolic alkalosis
    4. A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
      A)Clear drainage from the affected ear
      B)Tugging on the affected ear lobe
      C)Erythema and edema of the affected ear
      D)Pain when manipulating the affected ear lobe
    Page 5 of 19

    Exam Review

    1. A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many ml. should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hours. Available is cefuroxime sodium oral solution 125mg/5mL. 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.)
    3. A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?
    4. A nurse is caring for a preschool-age child who has epiglottitis with a barking cough. Which of the following actions should the nurse take?
      A)Use a tongue depressor to observe the epiglottis.
      B)Initiate airborne precautions.
      C)Monitor oxygen saturation.
      D)Obtain a throat culture.
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