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    Exam Review

    1. Which cue in the clinic visit note does the pediatric nurse identify as the greatest concern?
      A)The parent states Millie is very active, runs, dances, and mimics her parents.
      B)Millie eats table foods but is a picky eater.
      C)Millie sleeps in a toddler bed and shares the bedroom with her 4-year-old sister.
      D)The parent describes their house as older and currently having some renovations done.
      E)They keep medications and cleaning products in a high, locked cabinet in the bathroom.
    2. The nurse interviews Millie's parent. Indicate if the parent's statements demonstrate actions that are helpful or not helpful in promoting Millie's growth and development.
      HelpfulNot Helpful
      "Millie is a picky eater so I hold her spoon and force her to try a bit of each food we are eating"✓
      "We play music often since Millie loves to dance"✓
      "I bought Millie some child-sized garden gloves and plastic tools so she can garden with me"✓
      "I put an empty medicine bottle in Millie's toybox so she won't try to get into the real medicine"✓
    3. Complete the following sentence by using the options in the drop downs The nurse takes Millie's height, weight, vital signs, and reviews the developmental assessment the parent completed The nurse determines the priority teaching need for this family is ▾ Nutrition  based on  ▾ excessive milk intake.
      Dropdown 1:
      Option 1: Language
      Option 2: Nutrition
      Option 3: Motor skills
      Option 4: Behavior
      Dropdown 2:
      Option 1: holding pencil in fist and needing help to walk up stairs
      Option 2: having a tantrum 2 to 3 times per week
      Option 3: excessive milk intake
      Option 4: not using complete sentences
    4. The pediatric nurse assessing Millie develops a teaching plan for Millie's parent. What does the nurse identify as the priority dietary teaching for Millie's parent?
      A)Administer a daily multivitamin to Millie until her food intake increases
      B)Don't worry about food intake as long as Millie is taking an adequate amount of milk
      C)Buy child-sized utensils and teach Millie how to use them
      D)Offer Millie multiple nutritious finger foods at each meal
    Page 1 of 8

    Exam Review

    1. The nurse provides health promotion teaching for toddlers to Millie's parent. The nurse includes all of the following in the teaching EXCEPT which one?
      A)Keep Millie's car seat rear-facing as long as possible
      B)Ensure old paint is well sealed by new paint without lead
      C)Include both active and quiet play into their daily schedule
      D)Transfer strong chemicals and cleaning products to plain, uninteresting containers
    2. The nurse determines Millie's parent understood the 2-year-old well child visit teaching when the parent states which of the following?
      A)"I will only garden when Millie is napping"
      B)"I will buy a toy slide since Millie should already know how to climb steps without help"
      C)"I will limit Millie's milk to 2 cups per day"
      D)"I will give Millie a 5-minute timeout when she is being negative and saying no to everything"
    3. The nurse provides discharge teaching on mononucleosis. Which statement does the nurse include in the discharge teaching?
      A)"Ensure you get adequate rest and stay hydrated until you feel better."
      B)"Avoid active or contact sports for 1 week."
      C)"Avoid taking any over-the-counter medications like ibuprofen."
      D)"Be sure to complete the entire course of antibiotics."
    4. A nurse is reviewing transmission-based precautions (isolation) with a group of student nurses. Which of the following statements by the student nurses indicate understanding droplet precautions?
      A)"Droplet precautions are used for micro-organisms that remain suspended in the air for a long time and long distances."
      B)"I should put on a gown before entering the room of a patient on droplet precautions."
      C)"Droplet precautions are used for micro-organisms that are transmitted less than 3 feet from the infected patient."
      D)"I should wear an N95 respirator before entering the room of a patient on droplet precautions."
      E)None
      F)None
    Page 2 of 8

    Exam Review

    1. The nurse reviews the orders and identifies this infant most likely has which of the following?
      A)A heart defect with increased pulmonary blood flow
      B)A heart defect with a left to right shunt
      C)A heart defect with a right to left shunt
      D)An obstructive heart defect
      E)None
      F)None
    2. A nurse is caring for the following 4 children. Which child is at highest risk for developing lead poisoning?
      A)A 3-year-old child who was diagnosed with autism spectrum disorder last month.
      B)A 4-year-old child whose parents work in the textile industry making yarn and cloth.
      C)A 2-year-old child who has a history of eating dirt.
      D)A 6-year-old child in the 25th percentile for height and weight.
    3. A nurse is providing education to a family of a child who has Kawasaki disease. The caregiver expresses concern about giving the child aspirin. Which of the following statements is the best response by the nurse?
      A)"The benefits outweigh the risks. Aspirin prevents the complication of coronary artery damage from Kawasaki disease."
      B)"Reye syndrome may develop due to administering aspirin, but Reye Syndrome is more easily treated than the complication from Kawasaki disease."
      C)"The medication is similar to aspirin, but slightly different, so there is no risk of Reye Syndrome."
      D)"The dose of aspirin given for Kawasaki Disease is so low the risk of Reye Syndrome is insignificant."
    4. A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?
      A)"Some children have more difficult personalities. There are great parenting books that can help you."
      B)"Discipline is an important aspect of parenting. How do you discipline your child when they act out?"
      C)"Toddlers are beginning to develop a desire for autonomy. Temper tantrums are common during this stage."
      D)"Diets can play a part in behavioral concerns. What does your child typically eat during the day?"
    Page 3 of 8

    Exam Review

    1. A nurse is providing anticipatory guidance to parents who are introducing their child to more solid foods. Which of the following foods should the nurse educate the parents about that increases the risk of foreign body aspiration? (Select All that Apply.)(SATA)
      A)Popcorn
      B)Bread
      C)Grapes
      D)Hot dogs
      E)Cheese
    2. A nurse in a provider's office is teaching instructions to parents after reviewing medical records and completing an assessment of their toddler. Which two of the following statements by a parent indicates understanding of the instructions? Select the two statements by a parent that indicate understanding of the instructions.(SATA)
      A)"I should stop breastfeeding now that my child is 1 year of age."
      B)"I can give my child 10 ounces of juice per day."
      C)"I will get my child into swim lessons so we don't have to be so careful about keeping the pool gate closed."
      D)"My child needs about 11 to 14 hours of sleep each day."
      E)"I will schedule my child's first visit to the dentist very soon."
    3. 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 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."
      B)"Tetralogy of Fallot is a heart defect that alters the circulation of blood within your child's heart due to the lack of a functional tricuspid valve."
      C)"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."
      D)"Tetralogy of Fallot is a heart defect that impacts the circulation in your child's body due to a single artery leaving the ventricles, causing mixing of oxygenated and deoxygenated blood."
    4. A nurse finds a 3-year-old child unresponsive and not breathing. The nurse begins CPR while a bystander calls EMS (emergency medical services). Another person trained in CPR arrives. What is the next appropriate action?
      A)Change to 15 compressions and 2 ventilations when the second rescuer arrives.
      B)Send the second rescuer to get an AED.
      C)Continue 30 compressions and 2 ventilations. Trade between the two rescuers when one gets tired.
      D)Have the second rescuer observe the quality of CPR and offer corrections as needed.
    Page 4 of 8

    Exam Review

    1. A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?
      A)BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, and axillary temperature of 37.3° C (99.1° F)
      B)BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, and oral temperature of 38° C (100.4° F)
      C)BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, and oral temperature 37.6° C (99.7° F)
      D)BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, and axillary temperature of 36.7° C (98.1° F)
    2. A nurse is providing safety-related anticipatory guidance to parents of a toddler. Which of the following statements should the nurse use to educate the parents on safety during this stage?
      A)"Sunburn is painful and increases risk of skin cancer in the future. Keep toddlers out of the sun since sunscreen cannot be applied until after 3 years of age."
      B)"Toddlers fall frequently and therefore should wear a helmet to protect their head in case of a fall."
      C)"Stairs are a leading cause of injury for toddlers. Children should not be permitted on stairs until they are 4 years old."
      D)"A leading cause of death during toddlerhood is drowning. Children can drown in small amounts of water such as bathtubs, toilets, and buckets."
    3. A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair done at 2 years of age. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?
      A)"Your child can participate in activities like riding a bike, but should not participate in competitive sports."
      B)"Your child can participate in team sports as tolerated."
      C)"Your child needs to limit their activity and cannot participate in any sports."
      D)"Your child can participate only in non-contact sports such as joining a swim team."
    4. Complete the bowtie diagram by identifying the most likely condition, selecting two expected assessment findings, and choosing two priority nursing interventions The nurse reviews the infant's chart to plan care. Complete the diagram by dragging and dropping the choices below each heading.
    Page 5 of 8

    Exam Review

    1. A nurse is caring for an adolescent in the emergency department (ED). For each assessment finding, click to specify if the finding is consistent with viral meningitis or bacterial meningitis. Each finding may support more than 1 disease process.
      Viral MeningitisBacterial Meningitis
      Rapid deterioration today✓
      Photophobia✓✓
      Nuchal rigidity✓✓
      Petechiae rash✓
    2. Exhibits The nurse obtains the bottle of acetaminophen pictured below. How many mL of acetaminophen does the nurse administer? (Round to the 10ths if needed)
    3. 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 low systolic blood pressure in the lower extremities
      D)Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
    4. Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. Select all that apply. Heart rate 75/min Pulse oximetry 98% on room air Blood Pressure 148/88 mm Hg Height 154.9 cm (61 inches) Weight 44.5 kg (98 lb)
      A)Heart rate 75/min
      B)Pulse oximetry 98% on room air
      C)Blood Pressure 148/88 mm Hg
      D)Height 154.9 cm (61 inches)
      E)Weight 44.5 kg (98 lb)
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