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    Exam Review

    1. A nurse is caring for a school-age child who has heart failure. Which of the following interventions should the nurse implement?
      A)Ensure that the child sleeps in an air-conditioned room.
      B)Avoid giving the child live virus vaccines.
      C)Weigh the child every other day.
      D)Consolidate activities to promote the child's rest.
    2. A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure. Which of the following actions should the nurse take?
      A)Apply soft restraints to the child's wrists.
      B)Insert an oral airway for the child.
      C)Move the child to the floor.
      D)Place a pillow under the child's knees.
    3. A nurse is caring for an adolescent Exhibits 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.
      ✓Instruct the adolescent about the use of sitz baths.
      ✓Administer acetaminophen 650 mg PO every 6 hr PRN pain.
      ✓Pelvic inflammatory disease
      ✓Vaginal bleeding
      ✓Temperature greater than 38.3° C(100.9° F)
      Action to Take Choices
      ✕Maintain an NPO status.
      ✓Instruct the adolescent about the use of sitz baths.
      ✕Administer an enema.
      ✕Place the adolescent on bedrest in semi- Fowler's position.
      ✓Administer acetaminophen 650 mg PO every 6 hr PRN pain.
      Condition Most Likely Experiencing Choices
      ✕Acute appendicitis
      ✓Pelvic inflammatory disease
      ✕Urinary tract infection
      ✕Ectopic pregnancy
      Parameter to Monitor Choices
      ✓Vaginal bleeding
      ✓Temperature greater than 38.3° C(100.9° F)
      ✕Rebound tenderness
      ✕Presence of a Cullen sign
      ✕Irritation of the phrenic nerve
    4. A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta. Which of the following statements should the nurse include?
      A)"The obstruction will be treated with a medication called indomethacin."
      B)"The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant."
      C)"Most cases resolve spontaneously without treatment by 12 months of age."
      D)"Surgical repair is the recommended treatment for infants younger than 6 months old."
    Page 1 of 17

    Exam Review

    1. A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 lb) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take?
      A)Prepare to give oral N-acetylcysteine.
      B)Send the child home on increased fluid intake.
      C)Perform gastric lavage with activated charcoal
      D)Begin hemodialysis within the next 24 hr.
    2. A nurse is caring for an adolescent in the emergency department (ED). Exhibits Complete the diagram by dragging from the choices below to specity 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.
      ✓Encourage a high- protein diet.
      ✓Record dietary Intake.
      ✓Crohn's disease
      ✓Hemoglobin level
      ✓Albumin level
      Action to Take Choices
      ✕Administer an enema.
      ✕Provide a gluten- free diet.
      ✓Encourage a high- protein diet.
      ✕Prepare for surgery.
      ✓Record dietary Intake.
      Condition Most Likely Experiencing Choices
      ✓Crohn's disease
      ✕Appendicitis
      ✕Peptic ulcer disease
      ✕Celiac disease
      Parameter to Monitor Choices
      ✓Hemoglobin level
      ✕Abrupt decrease in pain level
      ✓Albumin level
      ✕Abdominal rigidity
      ✕Presence of steatorrhea
    3. A nurse is caring for a 12-year-old client who has sickle cell disease. Exhibits Complete the following sentence by using the lists of options. The nurse should anticipate a provider prescription for ▾ IV hydromorphonedue to the child's▾ Pain.
      Dropdown 1:
      Option 1: IV hydromorphone
      Option 2: fresh frozen plasma transfusion
      Option 3: factor VIII
      Dropdown 2:
      Option 1: Platelets
      Option 2: Pain
      Option 3: Haemoglobin
    4. A nurse is caring for a toddler admitted to the hospital. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a toddler admitted to the hospital.

      Exhibits

      Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

      Body system

      Findings

      Respiratory

      Respiratory rate 26/min

      Cardiovascular

      Heart rate 112/min

      Capillary refill 4 seconds

      Gastrointestinal

      Hyperactive bowel sounds

      Integumentary

      Diaper area reddened

      Extremities cool

      Reports no tears

      Neurologic

      Lethargic
    Page 2 of 17

    Exam Review

    1. A nurse is caring for a school-age child. Exhibits For each body system below, click to specify the statement the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options. Body system Potential Teachings Gastrointestinal ▾ Give iron with vitamin C to increase absorption. Dental ▾ Give iron through a straw to prevent staining of teeth. Hematological ▾ Increase intake of iron-rich foods such as beans, leafy greens, and fortified cereals.
      Dropdown 1:
      Option 1: Give iron with milk to reduce stomach upset.
      Option 2: Give iron with vitamin C to increase absorption.
      Option 3: Administer iron on an empty stomach with no fluids.
      Dropdown 2:
      Option 1: Give iron through a straw to prevent staining of teeth.
      Option 2: Encourage brushing with baking soda after iron administration.
      Option 3: Mix iron with milk to reduce metallic taste.
      Dropdown 3:
      Option 1: Restrict protein sources to avoid overworking bone marrow.
      Option 2: Increase intake of iron-rich foods such as beans, leafy greens, and fortified cereals.
      Option 3: Reduce iron-containing foods until medication is completed.
    2. A nurse is caring for a 15-year-old adolescent who has cellulitis of the left lower calf. Exhibits The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition. There must be at least 1 selection in every row. There does not need to be a selection in every column.
      Indication of potential improvementIndication of potential worsening condition
      Weight-bearing ability on the affected leg✓
      Temperature✓
      WBC count✓
      Wound assessment✓
    3. A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)"I will be excused from physical education class."
      B)"I will limit my calcium intake to prevent kidney stones."
      C)"I will take fewer enzymes when I eat high-fat foods."
      D)"I will increase my intake of vitamin D."
    4. A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
      A)Increased appetite
      B)Nausea
      C)Hypertension
      D)Constipation
    Page 3 of 17

    Exam Review

    1. A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler. Which of the following actions should the nurse take?
      A)Place the IV catheter on the dominant arm.
      B)Apply vapocoolant spray before the IV insertion.
      C)Ask the child to hold their breath while the IV catheter is placed.
      D)Explain the procedure to the child in detail.
    2. A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse Include?
      A)"Share a bedroom with your infant for the first 6 months."
      B)"Cover your infant with a nonflammable blanket at bedtime."
      C)"Use bumper pads around the interior of your infant's crib."
      D)"Place your infant on a soft crib mattress after they are 4 months old."
    3. A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children. Which of the following instructions should the nurse include?
      A)"Wear a face mask when working within 3 feet of a child who is infected."
      B)"Administer the influenza vaccine every 6 months."
      C)"Children should be considered infectious for 14 days after the onset of symptoms."
      D)"Administer antibacterial medication within 24 hr of the onset of symptoms."
    4. A nurse is assessing a school-age child prior to administering digoxin. For which of the following findings should the nurse withhold the medication?
      A)Oxygen saturation 88%
      B)Heart rate 64/min
      C)Respiratory rate 18/min
      D)Urine output 25 mL/hr
    Page 4 of 17

    Exam Review

    1. A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include?
      A)"Your child will need to receive sedation to minimize pain during the test."
      B)“Two separate samples will be collected to ensure accuracy of the test results."
      C)"Your child should avoid eating and drinking 6 hours prior to the test."
      D)"It will take approximately 3 hours to complete the test."
    2. A nurse is admitting an 8-year-old child to the pediatric unit. Exhibits A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identity as requiring immediate follow-up? Select the 5 findings that require immediate follow-up.(SATA)
      A)Abdominal assessment
      B)Peripheral pulses
      C)Pain assessment
      D)Neurologic assessment
      E)WBC
      F)Hemoglobin
      G)Glucose
      H)Temperature
    3. A nurse is admitting an 8-year-old child to the pediatric unit. Exhibits The nurse suspects the child has bacterial meningitis. Drag words from the choices below to fill in each blank in the following sentence. The child is at greatest risk for developing ▾ increased Intracranial pressureand▾ seizures.
      Dropdown 1:
      Option 1: Disseminated intravascular coagulation
      Option 2: hydrocephalus
      Option 3: hypothermia
      Option 4: increased Intracranial pressure
      Option 5: seizures
      Dropdown 2:
      Option 1: Disseminated intravascular coagulation
      Option 2: hydrocephalus
      Option 3: hypothermia
      Option 4: increased Intracranial pressure
      Option 5: seizures
    4. A pediatrician has evaluated the child and has written new prescriptions. Exhibits The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.(SATA)
      A)Limit the child's fluid intake following the procedure.
      B)Position the child in a prone position during the procedure.
      C)Ensure the guardian has signed the consent form prior to the procedure.
      D)Insert an indwelling urinary catheter during the procedure.
      E)Apply pressure to the puncture site following the procedure.
      F)Ensure the child voids prior to the procedure.
      G)Monitor for paresthesia and tingling in extremities following the procedure.
    Page 5 of 17

    Exam Review

    1. A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)"As I get older, my sugar levels will automatically decrease."
      B)"As long as I take my insulin, I can eat whatever I want."
      C)"I will increase my food intake before I exercise”
      D)"The blood pressure medicine I'm taking will help to keep my insulin level low."
    2. A nurse is teaching the parent of an infant about car seat safety. Which of the following instructions should the nurse include?
      A)"Fasten the harness over your infant's winter coat."
      B)"Pad the backrest of the car seat with a thick blanket before securing your infant."
      C)"Keep the car seat in a rear-facing position until your infant is 2 years old."
      D)"Ensure the airbag is activated if the car seat is in the front passenger seat."
    3. A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device. Which of the following actions should the nurse take?
      A)Reschedule the procedure until the client's guardian provides written consent.
      B)Call the adolescent's guardian to obtain verbal consent prior to the procedure.
      C)Encourage the adolescent to wait to ask questions about the device until after its insertion.
      D)Witness the adolescent's signature on the consent form
    4. A nurse is caring for a 6-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?
      A)Sunken anterior fontanel
      B)Vomiting
      C)Pinpoint pupils
      D)Hypertonia
    Page 6 of 17