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    Exam Review

    1. A nurse is caring for a 4-year-old child who was diagnosed with Prader-Willi syndrome (PWS). Which of the following findings should the nurse recognize as being consistent with this condition?
      A)The child has an excessive appetite and is at risk for obesity.
      B)The child exhibits advanced motor and language skills for their age.
      C)The child demonstrates a high level of energy and requires minimal sleep.
      D)The child has a markedly increased muscle tone and strength.
    2. A nurse is teaching the parents of a child who has a terminal illness about advanced care planning (ACP). Which of the following statements should the nurse include?
      A)"ACP helps clients decide the preferred location of death and advance directives."
      B)"ACP is invalid if the client chooses curative treatment."
      C)"ACP are legal documents that go into effect if clients are unable to make decisions."
      D)"ACP does not take into account the individual's cultural influences."
    3. Which of the following statements about organ donation is true?
      A)Organ donation can be considered before the client has died.
      B)Organ donation is not regulated by any laws.
      C)Organ donor status influences the course of a child's treatment.
      D)Starting the discussion on organ donation early gives families time to make informed decisions.
    4. A nurse working in a pediatric inpatient unit is teaching the parents of a 10-year-old child who has suspected appendicitis about non-pharmacological pain control measures. Which statement by the parents indicates an understanding of the teaching?
      A)"Having our child pull their legs closer to their chest might provide relief."
      B)"Applying a warm compress to our child's abdomen can help ease the pain."
      C)"Gently massaging our child's abdomen in a circular motion can help."
      D)"We should encourage our child to lie flat on their back to rest."
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    Exam Review

    1. A nurse is screening an infant who is at risk for botulism infection. Which of the following cues should the nurse identify as a possible indication of botulism?
      A)Loose stool
      B)Difficulty breastfeeding
      C)Crying for long periods of time
      D)Spasms involving the whole body
    2. The nurse caring for a toddler is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?
      A)Delayed motor skills
      B)Delayed social interactions
      C)Delayed language development
      D)Delayed cognitive abilities
    3. Which of the following findings may lead a nurse to suspect spina bifida?
      A)High levels of cerebrospinal fluid (CSF)
      B)Increased intracranial pressure (ICP)
      C)Indications of infection
      D)Presence of a small dimple and a tuft of hair over the lower lumbar region.
    4. A nurse is discussing the dying process to prepare a family for when their terminally ill child dies. Which of the following statements should the nurse include?
      A)"A provider will explain the changes you may see in your child's body after they have died."
      B)"Several members of the team will assist you after you child dies."
      C)"A nurse must obtain locks of hair from the deceased child."
      D)"Warming blankets can minimize the body changes in deceased children."
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    Exam Review

    1. A nurse is providing care to a 5-year-old child who has been diagnosed with autism spectrum disorder. The child's parents state they're feeling overwhelmed, stressed, and burnt out." Which of the following interventions should the nurse recommend for the parents to help them cope?
      A)Eye Movement Desensitization and Reprocessing (EMDR)
      B)Acceptance and Commitment Therapy (ACT)
      C)Cognitive-Behavioral Therapy (CBT)
      D)Play Therapy and Art Therapy
    2. A 3-month-old infant who has been exclusively breastfed is now transitioning to formula feeding due to maternal choice. The infant's growth parameters remain within normal limits, and the mother is unfamiliar with formula preparation. Which nursing statement best supports safe and effective formula feeding while respecting the mother's decision?
      A)"Formula feeding is easier and will let you get more rest, so it's definitely the better option now."
      B)"I can help you learn how to properly prepare and safely store formula to ensure your infant receives safe nutrition."
      C)"Since formula feeding is not as beneficial as breastfeeding, you should only use it as a last resort."
      D)"Breastfeeding provides better immunity, so I strongly recommend you reconsider and continue breastfeeding."
    3. A nurse is teaching a newly licensed nurse about routes of medication administration for preschoolers. Which of the following nursing interventions should the nurse include in the teaching? (Select All that Apply.)(SATA)
      A)Using a medicine cup for oral medication administration
      B)Instructing the child to swallow sublingual medication
      C)Administering rectal medication into the client's anus
      D)Selecting a suitable vein for intravenous medication administration
      E)Educating the client on proper inhalation technique for inhaled medication
      F)Applying topical or transdermal medication directly to the client's open wound
    4. A nurse is providing teaching to the parent of a 3-year-old who has not yet been to a dentist. Which of the following information should the nurse include in the teaching? (Select all that apply.)(SATA)
      A)Regular appointments with a dentist provide preventative education and oral care.
      B)Dentist visits should not be regular until all teeth are present.
      C)Dental visits should occur every 6 months.
      D)Regular, routine dental visits are effective and more cost-efficient than emergency dental treatment.
      E)Teeth brushing should be supervised.
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    Exam Review

    1. A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?
      A)"You should allow your child to play any sport they want to play."
      B)"You should allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear."
      C)"You should not allow your child to ride a bike or go skateboarding with their classmates."
      D)"You should not allow your child to play any sport due to the risk of injury."
    2. A nurse is planning an in-service about communicable diseases for staff members. Which of the following diseases should the nurse identify as causing Koplik spots?
      A)Diphtheria
      B)Poliomyelitis
      C)Measles (rubeola)
      D)Fifth disease (erythema infectiosum)
    3. A nurse is caring for a child who has been diagnosed with malignant neuroblastoma. Which of the following findings should the nurse expect?
      A)The tumor originated in the adrenal glands.
      B)The tumor has not spread to other areas of the child's body.
      C)The tumor came from malformation of astrocyte glial brain cells.
      D)The tumor is located in the lower back of the brain in the midline posterior fossa.
    4. A nurse is teaching a parent of a child about the potential risk factors of strabismus. Which of the following statements given by the parent indicates that further teaching is needed?
      A)"Nerve palsies can be a risk factor for strabismus."
      B)"Obesity can be a risk factor for strabismus."
      C)"Eye muscle abnormalities can be a risk factor for strabismus."
      D)"Family history can be a risk factor for strabismus."
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    Exam Review

    1. A nurse is teaching new parents about basic newborn care related to sleep, feeding, and crying. Which parent statement indicates the nurse's teaching was effective?
      A)"I should always place my baby on their belly to sleep to prevent flat spots on the head."
      B)"I will let my baby sleep in an infant swing because it helps soothe them better."
      C)"I will feed my baby whenever I see early hunger cues like rooting or sucking on fingers, rather than waiting for the baby to cry."
      D)"I will wait for my baby to cry before offering a feeding so I can be sure they are hungry."
    2. A nurse is providing care for an 18-month-old toddler in the primary care provider's office. The primary care provider has finished performing the autism screening assessment (M-CHAT-R/F) on the child and noted a negative screening. Which of the following is true regarding this result?
      A)The child has autism spectrum disorder. The child should be referred to an early intervention program.
      B)The child may still have autism spectrum disorder. The child should be screened again at 24 months old.
      C)The child does not have autism spectrum disorder and further assessment is not warranted.
      D)The child may or may not have autism spectrum disorder. The child needs to be rescreened with the correct tool for the age of the child.
    3. A nurse is caring for a preschool-aged child. The parent reports that they speak only in Spanish at home and that the child is having trouble recognizing letters in English at preschool. Which of the following responses should the nurse make?
      A)"Speaking a different language at home shouldn't effect learning how letters sound."
      B)"Children who are learning a new language sometimes have difficulty learning new letters."
      C)"It's great that you're teaching them another language at this age."
      D)"You should have them evaluated by our speech team."
    4. A nurse is teaching the parents of a pediatric client who has been diagnosed with systemic juvenile idiopathic arthritis (JIA) about long-term effects. Which of the following statements should the nurse include in their teaching?
      A)"JIA can cause joint damage leading to permanent deformities and reduced mobility."
      B)"JIA has no long-term developmental effects as long as it is treated with NSAIDS."
      C)The inflammation of the joints experienced with this type of JIA is mild."
      D)"Most children do not need any treatment beyond monitoring, and they will grow out of this type of JIA."
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    Exam Review

    1. A nurse is caring for a child who has retinoblastoma that has potentially metastasized to the brain. Which of the following diagnostic tests should the nurse anticipate for determining if metastasis of the brain has occurred?
      A)Lumbar puncture
      B)Genetic testing
      C)Complete blood cell (CBC) count
      D)Bone biopsy
    2. A nurse is instructing a newly licensed nurse on how to conduct head and neck assessments in pediatric patients. Which statement by the newly licensed nurse indicates a correct understanding of the assessment process?
      A)"An infant's lymph nodes may be large and tender at 2 months of age."
      B)"Infants should be able to hold their head steady without support by 3 months of age."
      C)"Facial drooping during assessment is a normal finding and does not require further action."
      D)"Inspection and palpation should be used to evaluate the skull, eyes, ears, nose, mouth, throat, and neck structures."
    3. A 6-year-old child has a superficial partial-thickness burn on the arm. Which nursing goal is most appropriate when planning treatment for this minor burn?
      A)Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications.
      B)immediately administer IV fluids to prevent hypovolemia and monitor urine output.
      C)Encourage sun exposure to the burn area to promote vitamin D synthesis and healing.
      D)Prevent infection by keeping the burn clean and covered with a dry sterile dressing.
    4. A nurse is providing education to the caregiver of a school-age child regarding immunizations to prevent respiratory infections. Which of the following information should the nurse include in the teaching?
      A)"Most vaccines require only one dose."
      B)"The rhinovirus can be prevented with a vaccine."
      C)"Children who have underlying respiratory diseases should not receive vaccines."
      D)"Early immunization is key to the prevention of illnesses."
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