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    Exam Review

    1. A school nurse is completing routine health evaluations for school-age children. Which of the following manifestations should alert the nurse to the possibility of pediculosis capitis?
      A)
      Reports of scalp itchiness
      B)
      Patches of baldness
      C)
      Dry patches on the scalp
      D)
      Blisters on the scalp
    2. A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
      A)
      "Give your infant an oral rehydration solution."
      B)
      "You might want to try switching to a different formula."
      C)
      "Bring your infant into the clinic today to be seen."
      D)
      "Burp your child more frequently during feedings."
    3. A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?
      A)
      Apply cold compresses to the affected areas.
      B)
      Implement pain management on a PRN basis.
      C)
      Active range-of-motion (ROM) exercises daily.
      D)
      Promote hydration with IV and oral fluids.
    4. A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "I will keep my baby in an upright position after feeding."
      B)
      "I will have to feed my baby formula, rather than breast milk."
      C)
      "My baby's formula can be thickened with oatmeal."
      D)
      "I should move my baby into a side-lying position during sleep."
    Page 1 of 13

    Exam Review

    1. A nurse is reinforcing teaching with a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
      A)
      Test the urine for ketones.
      B)
      Withhold insulin dose if feeling nauseous.
      C)
      Notify the provider if blood glucose levels are over 350 mg/dL.
      D)
      Limit fluid intake during meal time.
    2. What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?
      A)
      Wash bed linens in cold water.
      B)
      Clean the bathroom with bleach solution.
      C)
      Keep children's nails short.
      D)
      Dress child in loose-fitting underwear.
    3. A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I expect the color of my urine to be amber."
      B)
      "I will expect dark, tarry stools."
      C)
      "I will not get as many infections."
      D)
      "I will take extra care to protect against increased bruising."
    4. A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
      A)
      "I should not take my regular insulin when I am sick."
      B)
      "I will rotate injections sites within my abdominal area."
      C)
      "I will test my blood sugar before meals and at bedtime."
      D)
      "I should eat a snack before I play soccer."
    Page 2 of 13

    Exam Review

    1. A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY (Select All that Apply.)
      (SATA)
      A)
      Empty bladder completely with each void
      B)
      Avoid bubble baths
      C)
      Increase fiber intake
      D)
      Wear nylon underpants
      E)
      Watch for manifestations of infection
    2. A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?
      A)
      Remove clothing.
      B)
      Administer pain medication.
      C)
      Assess respiratory status.
      D)
      Insert a Foley catheter.
    3. What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
      A)
      Keep edematous areas moist and covered.
      B)
      Reach the child to minimize body movement
      C)
      Change the child's position frequently.
      D)
      Keep the head of the child's bed flat.
    4. A nurse is contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include?
      A)
      evaluate the child's self-esteem
      B)
      encourage frequent voiding
      C)
      administer an antidiuretic
      D)
      restrict fluids
    Page 3 of 13

    Exam Review

    1. An adolescent with type 1 diabetes mellitus will become a member of the school's football cheerleader team. The adolescent excitedly reports to the school nurse to obtain information regarding adjustments needed in the treatment plan for the diabetes. The school nurse would explain to the adolescent to take which action?
      A)
      Take the prescribed insulin 30 minutes before practice or game time rather than in the morning.
      B)
      Eat half the amount of food normally eaten at lunchtime.
      C)
      Eat six graham crackers or drink a cup of orange juice before practice or game time.
      D)
      Take two times the amount of prescribed insulin on practice and game days.
    2. A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?
      A)
      Diarrhea
      B)
      Swollen joints
      C)
      Abdominal mass
      D)
      Jaundice
    3. A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?
      A)
      Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.
      B)
      Place the child in a sitting position and tilt her head back.
      C)
      Apply ice at the opening of the nares for 5 min and then re-check for bleeding.
      D)
      Place the child in a supine position with a pillow under her head.
    4. A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
      A)
      Offer chicken broth
      B)
      Keep NPO until the diarrhea subsides
      C)
      Start hypertonic IV solution
      D)
      Assist with initiating oral rehydration therapy
    Page 4 of 13

    Exam Review

    1. A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?
      A)
      Hypertension
      B)
      Polyuria
      C)
      Orange-tinged urine
      D)
      Periorbital edema
    2. A nurse is assisting in the care of an infant whose guardian reports intermittent vomiting for several days. Findings upon admission: Exhibits Which of the following actions should the nurse take? Select all that apply.
      A)
      Measure the infant's head circumference.
      B)
      Weigh the infant.
      C)
      Monitor intake and output.
      D)
      Offer small frequent feedings of thickened liquids.
      E)
      Evaluate serum electrolyte levels.
      F)
      Plan to administer a plain water enema.
      G)
      Implement contact precautions.
    3. What is the treatment of choice for a child with intussusception?
      A)
      A barium enema
      B)
      IV fluids until the spasms subside
      C)
      Immediate surgery
      D)
      Gastric lavage
    4. The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?
      A)
      Increased appetite
      B)
      Proteinuria
      C)
      Weight loss
      D)
      Hyperalbuminemia
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe?
      A)
      Regular diet, no added salt
      B)
      Low-carbohydrate, low-protein diet
      C)
      Low-protein, low-potassium diet
      D)
      Low-sodium, fluid-restricted
    2. A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include?
      A)
      "When patches are present, it indicates that your infant has a systemic infection."
      B)
      "you can use petroleum to help soften and remove patches from your infant's scalp."
      C)
      "You should avoid washing your infant's hair while patches are present on the scalp."
      D)
      When patches are present, you should keep your infant away from others."
    3. A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
      A)
      Projectile vomiting after feedings
      B)
      Absent bowel sounds
      C)
      Increased sodium level
      D)
      Golf ball-size mass over the left quadrant
    4. A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
      A)
      Urinary tract infection
      B)
      Nephrotic syndrome
      C)
      Acute glomerulonephritis
      D)
      Vesicoureteral reflux
    Page 6 of 13