NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A 3-year-old presents to the emergency room with signs of respiratory distress. The child has epiglottitis associated with a high fever, is apprehensive, and is drooling. Which intervention should be avoided?
      A)
      Weighing the child.
      B)
      Assessing the child's vital signs.
      C)
      Inspecting he child's mouth and throat with a tongue blade.
      D)
      Listening to the child's lungs.
    2. A nurse is collecting data from an infant who has a large patent ductus arteriosus. Which of the following is clinical manifestations should the nurse expect?
      A)
      Cyanosis with crying
      B)
      Machine-like murmur
      C)
      Chronic hypoxemia
      D)
      Weak pulses
    3. A nurse is planning care for a child who has epiglottitis. Which of the following actions should the nurse plan to take?
      A)
      Provide humidified oxygen
      B)
      Allow the child to have a popsicle
      C)
      Obtain a throat culture.
      D)
      Visualize the epiglottis using a tongue depressor.
    4. The nurse is caring for a child with cystic fibrosis. When assisting the child to the toilet, the nurse should not be surprised to find what type of bowel movement?
      A)
      Medium formed stool with an orange tint
      B)
      Liquid stool
      C)
      Small, round pellet shaped stool
      D)
      Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea)
    Page 1 of 11

    Exam Review

    1. A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kilograms and the prescribed dosage is 0.2 milligrams per kilogram. How many milligrams of medication should the nurse administer to the child?
      A)
      12 milligrams
      B)
      6 milligrams
      C)
      18 milligrams
      D)
      3 milligrams
    2. A 9-year-old with sickle cell anemia wants to participate in school activities but their parent is afraid. What school activity could the nurse suggest for the child with sickle cell anemia?
      A)
      Ice Hockey
      B)
      Tackle American Football
      C)
      Art Club
      D)
      Basketball
    3. A nurse is caring for an infant who has Tetralogy of Fallot and notes that the infant is easily fatigued when eating. The nurse should recognize that the infant's fatigue is caused by which of the following?
      A)
      Lack of adequate ventricle strength to pump blood to the body
      B)
      Restricted blood flow leaving the heart
      C)
      Inadequate oxygenation for supporting energy metabolism
      D)
      Increased circulation pressure to the lungs
    4. A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care?
      (SATA)
      A)
      Provide oxygen at 6 L/min via nasal cannula.
      B)
      Perform passive ROM exercises.
      C)
      Administer IV fluids.
      D)
      Obtain consent for a blood transfusion.
      E)
      Restrict fluid intake to 1,400 mL/day.
      F)
      Administer meperidine IV.
      G)
      Encourage bedrest.
    Page 2 of 11

    Exam Review

    1. A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication?
      A)
      Reports of pain
      B)
      Mouth breathing
      C)
      Frequent swallowing
      D)
      Reports of thirst
    2. A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?
      A)
      Severe cyanosis
      B)
      Machine-like murmur
      C)
      Decreased blood pressure in the legs
      D)
      Pulmonary edema
    3. A child is in the acute phase of a disease with findings of a strawberry tongue, irritability, and a non-blistering rash. What disease could the child be experiencing?
      A)
      Measles
      B)
      Cardiomyopathy
      C)
      Tetralogy of Fallot
      D)
      Kawasaki Disease
    4. A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take?
      A)
      Place the child in a sitting position and tilt her head back.
      B)
      Apply ice at the opening of the nares for 5 min and then re-check for bleeding.
      C)
      Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.
      D)
      Place the child in a supine position with a pillow under her head.
    Page 3 of 11

    Exam Review

    1. Match the drug Digoxin to the correct classification?
      A)
      Inhaled Glucocorticoid
      B)
      Beta Adrenergic Blocker
      C)
      Cardiac Glycoside
      D)
      Angiotensin Enzyme Inhibitor
    2. A nurse is preparing to apply a pulse oximeter to a child who is having an acute asthma attack. Select the areas the nurse can correctly place the pulse oximeter. (Select All that Apply.)
      A)
      Foot
      B)
      Forearm
      C)
      Earlobe
      D)
      Fingertip
      E)
      Toe
      F)
      Cheek
      G)
      Cheek
    3. A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?
      A)
      Tetralogy of Fallot
      B)
      Coarctation of the aorta
      C)
      Patent ductus arteriosus
      D)
      Tricuspid atresia
    4. A nurse is caring for a child that is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?
      A)
      Encourage the child to take deep breaths.
      B)
      Ensure proper placement of the sensor probe.
      C)
      Place the child in the Fowler's position.
      D)
      Increase the oxygen flow rate.
    Page 4 of 11

    Exam Review

    1. A nurse is reinforcing teaching with the caregivers of an infant who has a prescription for digoxin. Which of the following statements should the nurse make?
      A)
      "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received."
      B)
      "Do not offer your baby fluids after giving the medication."
      C)
      "Digoxin increases your baby's heart rate."
      D)
      "Give the correct dose of medication at regularly scheduled times."
    2. A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take?
      A)
      Initiate a 2 L/day fluid restriction.
      B)
      Encourage exercise.
      C)
      Assist with administering a blood transfusion.
      D)
      Withhold opioids to avoid dependence.
    3. . A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?
      A)
      "Are you aware that your son will have to be in isolation?"
      B)
      "Has your child had any injuries recently?"
      C)
      "Has your son had a sore throat recently?"
      D)
      "Was your son born with this cardiac defect?"
    4. A nurse is reinforcing teaching about diagnostic tests with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse include as the most definitive when diagnosing cystic fibrosis?
      A)
      Pulmonary function test
      B)
      Sputum culture
      C)
      Sweat chloride test
      D)
      Stool fat content analysis
    Page 5 of 11

    Exam Review

    1. Tyleemah the nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
      A)
      Methylprednisolone
      B)
      Albuterol
      C)
      Montelukast
      D)
      Fluticasone
    2. A nurse is reinforcing discharge teaching with the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse include?
      A)
      Implement a fluid restriction during times of infection
      B)
      Provide a low calorie, low protein diet
      C)
      Restrict physical activities
      D)
      Administer pancreatic enzymes with meals and snacks
    3. A nurse is reinforcing teaching with a parent of a child who has acute group A ẞ-hemolytic streptococci. Which of the following instructions should the nurse include in the teaching?
      A)
      Keep the child home from school for at least 1 week.
      B)
      Intramuscular injections will be required monthly.
      C)
      Avoid the use of warm compresses around the head or neck.
      D)
      Replace the child's toothbrush after 24 hr of taking antibiotics.
    4. A father asks why his child with Tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response?
      A)
      Squatting increases the return of venous blood flow to the heart.
      B)
      Squatting in common resting position when a child is tachycardic
      C)
      Squatting decreases arterial blood flow away from the heart.
      D)
      Squatting increase the workload of the heart.
    Page 6 of 11