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    Exam Review

    1. A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "I can keep the current vial of insulin in use stored at room temperature."
      B)
      "I will store unopened vials of insulin in the freezer."
      C)
      "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month."
      D)
      "I will discard the current vial of insulin after six doses have been withdrawn."
    2. The nurse is caring for a client with type 1 diabetes mellitus. The nurse notes that which of the following are signs of hyperglycemia?
      A)
      Polyuria
      B)
      Shakiness
      C)
      Pallor
      D)
      Anxiety
    3. A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?
      A)
      Request a social services referral.
      B)
      Report the suspected abuse to the authorities.
      C)
      Tell the child what will happen to her when the abuse is reported.
      D)
      Assess and obtain a detailed history.
    4. A nurse is reinforcing teaching with a parent of a child who has pediculosis capitis. Which of the following instructions should the nurse include?
      A)
      Discard child's stuffed animals.
      B)
      Use over the counter (OTC) medication containing 1% Permethrin.
      C)
      Apply mayonnaise to the affected area at night.
      D)
      Treat all pets.
    Page 1 of 11

    Exam Review

    1. A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:0.6 mL
    2. A nurse is reinforcing teaching with a child and her parents who has a growth hormone deficiency. Which of the following complications of untreated growth hormone deficiency should the nurse include? (Select all that apply.)
      (SATA)
      A)
      Increased epiphyseal closure.
      B)
      Premature aging.
      C)
      Delayed sexual development.
      D)
      Short stature.
      E)
      Advanced bone age.
    3. A nurse is checking a school-age child for pediculosis capitis. Which of the following findings is a definitive indication of this condition?
      A)
      Patchy areas of hair loss
      B)
      Itching and scratching of the head
      C)
      Thick, yellow-crusted lesions on a red base
      D)
      Firmly attached white particles on the hair
    4. A nurse is reinforcing teaching with a parent of a child who has eczema. Which of the following instructions should the nurse include in the teaching?
      A)
      Give bubble baths every day.
      B)
      Apply a cool, wet compress to the affected area.
      C)
      Use a wool glove in the wintertime.
      D)
      Launder clothing with fabric softener.
    Page 2 of 11

    Exam Review

    1. A nurse is reinforcing teaching with the parents of a preschooler who has atopic dermatitis. Which of the following information should the nurse include?
      A)
      "You will need to take the entire prescription of antibiotics even if your symptoms improve."
      B)
      "The doctor might recommend an antihistamine to help control your symptoms."
      C)
      "The doctor will remove the lesions with liquid nitrogen."
      D)
      "You can relieve your child's discomfort by applying warm compresses to the lesions."
    2. A nurse is providing teaching to a school-age child who has a new diagnosed of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
      A)
      "I should eat a snack before I play soccer."
      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 not take my regular insulin when I am sick."
    3. A nurse is preparing to administer cefixime 200 mg PO. Available is cefixime oral suspension 100 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse in a pediatric clinic is collecting data from a preschool-age child who has suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?
      A)
      Scaly patches that have clear centers
      B)
      Red macule with honey-colored crusts
      C)
      Firm brown papules with a roughened, finely papillomatous texture
      D)
      Reddened areas with white exudate
    Page 3 of 11

    Exam Review

    1. A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following should the nurse recommend to the client as an appropriate sweetener?
      A)
      Sugar-free sweetener
      B)
      Corn syrup
      C)
      Natural honey
      D)
      Agave nectar
    2. An adolescent client with Type 1 diabetes mellitus is admitted to the emergency room for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?
      A)
      No appetite and hypertension
      B)
      Cold, clammy skin and irritability
      C)
      Sweating and tremors.
      D)
      Fruity breath odor and confusion
    3. A nurse in a provider's office is collecting data from a client who reports pruritus and reddened, fluid-filled vesicles on her lower leg. The nurse should suspect which of the following disorders?
      A)
      Seborrheic dermatitis
      B)
      Folliculitis
      C)
      Contact dermatitis
      D)
      Cellulitis
    4. The endocrine system is responsible for: (Select all that apply)
      A)
      Regulating fluid and electrolyte
      B)
      Regulating the child's metabolism
      C)
      Growth
      D)
      Sexual production
      E)
      Digestive processes
      F)
      Stress response
    Page 4 of 11

    Exam Review

    1. A nurse is reinforcing teaching about self-administration of insulin with a parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
      A)
      "The insulin should be injected at a 90-degree angle."
      B)
      "I will be sure my child aspirates before injecting the insulin."
      C)
      "I will be sure my child rotates sites after five injections in one area."
      D)
      "The insulin can be injected anywhere there is adipose tissue."
    2. A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 1.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. An adolescent is being prescribed Isotretinoin. Which of the following statements should the nurse understand that the client needs further education about taking Isotretinoin?
      A)
      It is safe to take Isotretinoin while pregnant.
      B)
      I need to use two forms of contraceptives for one month before, during, and one month after taking Isotretinoin.
      C)
      I need to monitor my cholesterol and triglycerides while taking Isotretinoin.
      D)
      I should avoid pregnancy while taking Isotretinoin.
    4. The mother of a toddler is upset because the child experiences rashes in the winter. What should the nurse suggest to help with this skin condition?
      A)
      Use a poly vinyl snowsuit when out of doors.
      B)
      Wash with hot water and antimicrobial soap.
      C)
      Ensure clothing fits loosely and is made of cotton.
      D)
      Apply rubbing alcohol over the rash.
    Page 5 of 11

    Exam Review

    1. A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zéro.)
    2. A nurse is caring an adolescent who has acne and a prescription for isotretinoin from the dermatologist. Which of the following laboratory findings should the nurse plan to monitor?
      A)
      Serum Potassium
      B)
      Cholesterol and triglycerides
      C)
      BUN and Creatitine
      D)
      Serum Sodium
    3. A nurse is caring for an adolescent client who comes to the provider's office for treatment of acne vulgaris on her cheeks. Which of the following instructions should the nurse reinforce with this client and her parents?
      A)
      Adhere to strict dietary reduction of oily foods.
      B)
      Use friction when washing the face.
      C)
      Minimize sun exposure.
      D)
      Express the larger comedones periodically.
    4. Which of the following is a common cause of folliculitis in children?
      A)
      Allergic reaction
      B)
      Fungal infection
      C)
      Bacterial infection
      D)
      Viral infection
    Page 6 of 11