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    Exam Review

    1. A nurse in the emergency department (ED) is caring for a 2-year-old toddler. Complete the diagram by dragging from the choices below to specify what condition the toddler is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the toddler's progress.
      ✓Maintain NPO status
      ✓Prepare for surgery
      ✓Intussusception
      ✓Abdominal distension
      ✓Signs of dehydration
      Action to Take Choices
      ✕Prepare the toddler for an upper gastrointestinal series.
      ✕Administer oral rehydration solution.
      ✕Educate the guardian about a gas enema
      ✓Maintain NPO status
      ✓Prepare for surgery
      Condition Most Likely Experiencing
      ✕Celiac disease
      ✕Gastroesophageal reflux disease
      ✓Intussusception
      ✕Appendicitis
      Parameter to Monitor Choices
      ✕Urine specific gravity
      ✕Epigastric pain 30 to 60 min after eating
      ✕Soft, brown stool
      ✓Abdominal distension
      ✓Signs of dehydration
    2. A nurse is caring for a school-age child who underwent a tuberculin skin test 3 days ago and has a 3-mm induration at the test site. The nurse should identify this finding as which of the following?
      A)Disseminated disease
      B)A negative result
      C)Active tuberculosis
      D)An allergic reaction
    3. A nurse is performing a physical assessment for a school-age child. Which of the following actions should the nurse take?
      A)Obtain a vertical height measurement.
      B)Remove the child's eyeglasses before performing a visual acuity exam.
      C)Inspect the ear by pulling the pinna down and back.
      D)Observe abdominal movement to determine the respiratory rate.
    4. Complete the following sentence by using the lists of options. The nurse should identify that the adolescent is experiencing ▾ Chron’s exacerbationdue to▾ Inflammation.
      Dropdown 1:
      Option 1: Chron’s exacerbation
      Option 2: Gastroenteritis
      Option 3: Constipation
      Dropdown 2:
      Option 1: Inflammation
      Option 2: Viral infection
      Option 3: Dietary triggers
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    Exam Review

    1. A nurse is caring for a 6-week-old infant. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Anticipate a prescription for digoxin.
      ✓Oxygen supplementation
      ✓Congestive heart failure
      ✓Intake and output
      ✓Respiratory status
      Actions to Take Choices
      ✕Implement contact precautions.
      ✓Anticipate a prescription for digoxin.
      ✕Place nasogastric tube for gastric decompression.
      ✕Provide chest physiotherapy and postural drainage.
      ✓Oxygen supplementation
      Condition Most Likely Experiencing
      ✕Pyloric stenosis
      ✕Respiratory syncytial virus bronchiolitis
      ✓Congestive heart failure
      ✕Cystic fibrosis
      Parameters to Monitor Choices
      ✕Number of steatorrhea stools
      ✓Intake and output
      ✕Blood glucose
      ✓Respiratory status
    2. A nurse is teaching an adolescent about the procedure for completing a 24-hr urine test. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)"I will include toilet paper that falls into the urine as part of the collected sample."
      B)"I will throw out my first urine sample when I start the urine collection."
      C)"I can stop the urine test earlier than 24 hours if I fill up the collection container."
      D)"I can discard urine while I am at school if I keep track of the number of times I void."
    3. A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?
      A)Negative cerebrospinal fluid culture
      B)Absent nuchal rigidity
      C)Antibiotics initiated 24 hr ago
      D)Temperature below 37.4° C (99.3° F)
    4. A nurse is preparing a 4-year-old child for a tonsillectomy. Which of the following statements should the nurse make?
      A)"You will have a special sleep so you won't feel anything."
      B)"Your mom will be there throughout the procedure."
      C)"Your throat will feel better when you wake up."
      D)"You will be put to sleep for your surgery."
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    Exam Review

    1. A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed. Which of the following actions should the nurse take?
      A)Apply firm pressure to the wound base while removing the gauze dressing.
      B)Saturate the gauze dressing with sterile saline solution prior to removing it.
      C)Continue to remove the gauze dressing by pulling it parallel to the skin.
      D)Irrigate the wound with half-strength hydrogen peroxide while removing the gauze dressing.
    2. A nurse is caring for a child who is postoperative following surgical correction of tetralogy of Fallot. Which of the following findings should the nurse identify as an indication of heart failure?
      A)Weight loss
      B)Decreased respirations
      C)Exercise intolerance
      D)Bradycardia
    3. A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take?
      A)Monitor output using an indwelling urinary catheter for the first 24 hr.
      B)Remove the child's pressure dressing after the first 4 hr.
      C)Maintain the child's NPO status for 4 to 6 hr.
      D)Keep the affected extremity straight for at least 6 hr.
    4. A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
      A)Hypoglycemia
      B)Weight loss
      C)Decreased bone density
      D)Decreased intraocular pressure
    Page 3 of 18

    Exam Review

    1. A nurse is planning to complete dressing changes for an adolescent who has multiple burn injuries. Which of the following interventions addresses the greatest risk to the client?
      A)Check the wound sites for manifestations of infection.
      B)Perform passive range-of-motion exercises during the dressing change.
      C)Adjust the room temperature to 33° C (91.4° F).
      D)Apply tepid water to the old dressings before removal.
    2. A nurse is caring for an adolescent who was admitted to the emergency department with a minor head injury. Which of the following findings should the nurse expect?
      A)Fixed and dilated pupils
      B)Fever
      C)Retinal hemorrhages
      D)Vomiting
    3. A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
      A)Follow up with physical therapy.
      B)Store opened vials of insulin for up to 60 days.
      C)Consult with a nutritionist.
      D)Monitor capillary blood glucose daily.
    4. A nurse is providing care for a toddler who is scheduled for cardiac surgery. The parent states, "I am not sure I want my child to have this operation." Which of the following statements should the nurse make?
      A)"Let me explain the consequences of not having this surgery."
      B)"You have already signed the consent form for surgery."
      C)"I will notify the provider of your concerns about this surgery."
      D)"You have the best cardiovascular surgical team."
    Page 4 of 18

    Exam Review

    1. A nurse is caring for a 3-year-old toddler who has heart failure. Which of the following actions should the nurse take to promote rest for the toddler?
      A)Administer diuretics with the toddler's lunch.
      B)Establish a daily schedule with the toddler and their family.
      C)Keep the television on in the toddler's room.
      D)Allow the toddler to visit the playroom 30 min prior to bedtime.
    2. A nurse is planning to admit a preschooler from a PACU following removal of a Wilms' tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler?
      A)A child who has cellulitis of the right radius
      B)A child who has viral pneumonia
      C)A child who has impetigo
      D)A child who has a fractured left femur
    3. A nurse is assessing a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
      A)Compartment syndrome
      B)Osteomyelitis
      C)Renal calculi
      D)Volkmann ischemic contracture
    4. A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
      A)Temperature 37.2° C (99° F)
      B)Urine output 256 mL over 8 hr
      C)Odorless urine
      D)No report of pain with voiding
    Page 5 of 18

    Exam Review

    1. A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care?
      A)Use a bulb syringe to suction the nares.
      B)Administer a meningococcal vaccine upon admission.
      C)Place the infant in a room with negative-pressure airflow.
      D)Initiate IV antibiotic therapy.
    2. A nurse is educating the parent of a toddler who has sickle cell anemia. Which of the following statements by the parent indicates that the teaching was effective?
      A)"My child should not participate in contact sports."
      B)"My child will need monthly blood transfusions."
      C)"My child will need to take daily medicine to prevent infections."
      D)"My child should not receive immunizations."
    3. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?
      A)Ice pop
      B)Sugar-free cherry gelatin
      C)Chocolate milk
      D)Vanilla ice cream
    4. A nurse is caring for a preschooler who has a terminal illness. Which of the following findings should the nurse expect?
      A)Feels alienated from their friends
      B)Understands that death is inevitable
      C)Believes that death is temporary
      D)Expresses anxiety about physical changes
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