Exam Review

A nurse is caring for an 8-month-old child who starts to cry when his parents leave.Which of the following statements should the nurse make to the parents?
A)
“Your child needs to rest.”.
B)
“You should expect your child to be upset when you leave.”.
C)
“I will notify the provider of his behavior.”.
D)
“Your child is responding to an overstimulating environment.”.
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia.Which of the following statements by the mother indicates an understanding of the teaching?
A)
“I will adjust the harness straps every day.”.
B)
“I will check my baby’s skin three times each day.”.
C)
“I will gently massage lotion on his skin around the harness clasps.”.
D)
“I will place the diaper over the harness.”.
What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.
(SATA)
A)
Observe for skin irritation.
B)
Keep cast uncovered to allow drying.
C)
Assess color of toes.
D)
Check toes for capillary refill.
E)
Keep casted leg lowered.
A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
A)
Asymmetric thigh folds.
B)
Inwardly turned foot on the affected side.
C)
Absent plantar reflexes.
D)
Lengthened thigh on the affected side.

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Exam Review

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse take?
A)
Mix the medication with 10 mL of formula.
B)
Measure the elixir in a medicine cup before transferring to a syringe.
C)
Position the syringe to the side of the infant’s tongue.
D)
Place the infant supine in a crib prior to administration.
A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.The nurse should recommend that which of the following foods be introduced first?
A)
Iron-fortified cereal.
B)
Strained fruits.
C)
Pureed meats.
D)
Cooked egg whites.
A nurse is collecting data from a 10-month-old infant.Which of the following findings should the nurse report to the provider?
A)
The infant is unable to recognize objects by name.
B)
The infant cannot turn the pages in a book.
C)
The infant will not play peek-a-boo.
D)
The infant does not sit steadily without support.
A nurse is preparing to administer medication to a toddler.Which of the following actions should the nurse take? Select all that apply.
(SATA)
A)
Calculate the safe dosage.
B)
Identify the toddler by asking the caregiver.
C)
Tell the caregiver to administer the medication.
D)
Offer juice after the medication.
E)
Ask the toddler to pick a toy to hold during administration.

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Exam Review

The nurse is educating parents of a child with a cleft palate.What should the nurse instruct the parents to report immediately?
A)
Facial paralysis.
B)
Ear infections.
C)
Increased intracranial pressure.
D)
Drooling.
A nurse is collecting data from an infant who has otitis media.Which of the following findings should the nurse identify as manifestations of pain in an infant? (Select all that apply)
(SATA)
A)
Pursed lips.
B)
Pushes away stimuli.
C)
Loud cry.
D)
Rigid body.
E)
Furrowed eyebrows.
A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt.Which of the following findings should the nurse identify as the priority?
A)
Lethargy.
B)
Respiratory rate 20/min.
C)
Lying flat on the unaffected side.
D)
Urine output 50 mL in 2 hr. .
A child with spina bifida is at risk for developing which of the following complications?
A)
Hypertension.
B)
Urinary tract infections.
C)
Hearing loss.
D)
Type 1 diabetes.

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Exam Review

A nurse is caring for a toddler who is scheduled to have a lumbar puncture.Which of the following actions should the nurse take?
A)
Ask another nurse to assist with holding the toddler in a prone position.
B)
Place the toddler in a side-lying, knee-chest position.
C)
Restrain the toddler for 1 hr after the procedure.
D)
Swaddle the toddler in a warm blanket.
A nurse observes a parent of an infant administer a prescribed oral medication.Which of the following actions by the parent indicates a need for further instruction?
A)
Inserts medication in the buccal cavity.
B)
Wraps infant in a blanket.
C)
Positions infant in a supine position.
D)
Administers medication with an oral syringe.
A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson’s stages of growth. (Move the steps placing them in the selected order)
A)
Industry vs. inferiority.
B)
Trust vs. mistrust.
C)
Identity vs. role confusion.
D)
Autonomy vs. shame and doubt.
A nurse is reinforcing teaching about car seat safety with the parents of a 6-month-old infant.Which of the following statements by the parents indicates a need for further teaching?
A)
“Our car seat is rear-facing in the back passenger seat.”.
B)
“The car seat is front-facing in the back passenger seat.”.
C)
“Our car seat harness fastens snugly, and the seat is securely anchored.”.
D)
“Our car seat is an infant model and is securely anchored.”.

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Exam Review

Gentamicin ear drops are prescribed.How should they be administered?
A)
Up and back.
B)
Down and out.
C)
Down and back.
D)
Up and out.
The nurse is providing care to a child with Down syndrome. Which body system has the highest risk of congenital anomaly in a child with Down syndrome?
A)
Genitourinary system.
B)
Reproductive system.
C)
Gastrointestinal system.
D)
Cardiovascular system.
A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child’s parents express concern about the incident. Which of the following responses should the nurse make?
A)
“Why is she wetting the bed in the hospital? She must wet the bed at home.”.
B)
“I will discuss your child’s loss of bladder control with the provider.”.
C)
“Children who are hospitalized often regress.
D)
“I know this can be embarrassing, I have kids myself so I understand, and it doesn’t bother me.”.
When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?
A)
Apply suction continuously while inserting the suction catheter.
B)
Use a large diameter suction catheter for better suctioning.
C)
Suction for no more than 10 seconds at a time.
D)
Apply suction while the child is exhaling.

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Exam Review

A nurse is caring for a newborn who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) to await surgery.Which of the following nursing goals is the priority in the care of this infant?
A)
Provide age-appropriate stimulation.
B)
Promote maternal-infant bonding.
C)
Maintain integrity of the sac.
D)
Educate the parents about the defect.
A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.Which site should the nurse administer the immunization?
A)
Ventrogluteal.
B)
Deltoid.
C)
Vastus lateralis.
D)
Dorsogluteal.
A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn.Which of the following statements by the parent indicates a need for further teaching?
A)
“My baby will be placed under special lights if the test is elevated.”.
B)
“Sometimes the test is repeated in the doctor’s office at the 2-week check-up.”.
C)
“My baby must take formula or breast milk before the test is done.”.
D)
“This test checks for a genetic disorder that can be corrected by diet.”.
A nurse is collecting data about an IV infusion site on an infant’s left hand.Which of the following findings should the nurse identify as an indication of an infiltration?
A)
Edema in the palm of the hand.
B)
Absence of blanching at the insertion site.
C)
Warmth around the insertion site.
D)
Blood in the IV tubing.

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