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    Exam Review

    1. A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
      A)
      Has feelings of isolation
      B)
      Worries about physical body changes
      C)
      Perceives death as a punishment
      D)
      Understands that death is permanent
    2. A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
      A)
      Place the child in a semiprivate room.
      B)
      Maintain eye contact if the child is agitated.
      C)
      Minimize physical contact with the child.
      D)
      Leave the television on for the child during the night.
    3. A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
      A)
      Barrel chest
      B)
      Clubbing of the fingers
      C)
      Vesicles on the trunk
      D)
      Rhinorrhea
    4. A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
      A)
      Increased blood pressure
      B)
      Distended jugular veins
      C)
      Flat anterior fontanel
      D)
      Increased pulse
    Page 1 of 15

    Exam Review

    1. A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
      A)
      Hot spot on the cast
      B)
      General edema of the toes
      C)
      Pruritus under the cast
      D)
      Pain at the fracture site
    2. A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)
      "This test checks for ketones in my urine."
      B)
      "This test measures the amount of hemoglobin in my blood."
      C)
      "This test tells me how much oxygen my body is carrying."
      D)
      "This test checks my blood sugar over the last few months.”
    3. A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?
      A)
      Neomycin
      B)
      Gluten
      C)
      Eggs
      D)
      Gelatin
    4. . A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
      A)
      Place the child in prone position to expose the posterior iliac crest.
      B)
      Position the child side-lying to expose the vertebrae.
      C)
      Place the child supine with legs flexed outward into a frog-like position.
      D)
      Position the child sitting with their buttocks at the edge of the table.
    Page 2 of 15

    Exam Review

    1. A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?
      A)
      "I will give my child a chocolate malt for a snack."
      B)
      "I should provide my child with rice pudding for dessert."
      C)
      "I should make my child's sandwiches using rye bread."
      D)
      "I will feed my child a barley-based breakfast cereal."
    2. A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?
      A)
      Haemophilus influenzae type b
      B)
      Hepatitis A
      C)
      Rotavirus
      D)
      Human papillomavirus
    3. A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?
      A)
      Avoid allowing your child to participate in school sports.
      B)
      Have your child inhale deeply and quickly when using the peak flow meter.
      C)
      Obtain a pneumococcal immunization for your child.
      D)
      Use salmeterol to manage your child's acute exacerbations.
    4. A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?
      A)
      "My child has some swelling around her eyelids and mouth."
      B)
      "My child cries when I touch the area where she received the shot."
      C)
      "My child only ate 2 ounces during her last feeding."
      D)
      "My child has a temperature of 100.7 degrees Fahrenheit."
    Page 3 of 15

    Exam Review

    1. A nurse is contributing to the care plan of an 18-month-old child who has pneumonia. Which of the following items should the nurse select for the child's play activities?
      A)
      Wooden building blocks
      B)
      Stringing beads
      C)
      Colored paper and safety scissors
      D)
      Alphabet flash cards
    2. A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
      A)
      Hypersomnia
      B)
      Hypotension
      C)
      Rapid weight loss
      D)
      Rounded facial features
    3. A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?
      A)
      Clean the eye with a moist cloth.
      B)
      Remove secretions by wiping from the outer corner of the eye to the inner canthus.
      C)
      Apply eye ointment in the morning.
      D)
      Keep the eye covered with a compress.
    4. A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
      A)
      Poker Chip Tool
      B)
      Color tool
      C)
      Numeric scale
      D)
      FLACC scale
    Page 4 of 15

    Exam Review

    1. A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?
      A)
      Deliver back blows with the infant face down over the rescuer's arm.
      B)
      Move the infant into an upright position and suction the airway with a bulb syringe.
      C)
      Perform a head tilt and a chin lift and then give two rescue breaths.
      D)
      Place the infant in a side-lying position and perform abdominal thrusts.
    2. A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
      A)
      Flush the tube with 2 ml sterile water after all medications are administered.
      B)
      Allow medications to flow into the tube by gravity.
      C)
      Crush sustained-release tablets prior to administration.
      D)
      Mix all the medications together prior to administration.
    3. A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
      A)
      Apply the medication in the morning.
      B)
      Use a dime-sized amount of the medication.
      C)
      Use a sunscreen with an SPF of 15 or higher while using the medication.
      D)
      Apply the medication 5 min after washing the face.
    4. A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?
      A)
      Increased pulse
      B)
      Maculopapular rash
      C)
      Headache
      D)
      Wheezing
    Page 5 of 15

    Exam Review

    1. A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
      A)
      Apply the medication in the morning.
      B)
      Use a dime-sized amount of the medication.
      C)
      Use a sunscreen with an SPF of 15 or higher while using the medication.
      D)
      Apply the medication 5 min after washing the face.
    2. A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
      A)
      Administer the vaccine into the dorsogluteal muscle.
      B)
      Massage the injection site for 15 seconds after administration.
      C)
      Ensure the guardian signed an informed consent form for the immunization.
      D)
      Aspirate for the presence of blood return prior to administering the vaccine.
    3. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
      A)
      A school-age child who has endocarditis and a new onset of lethargy.
      B)
      A toddler who has Kawasaki disease and erythema of the lips.
      C)
      A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate.
      D)
      A toddler who has coarctation of the aorta and weak pedal pulses.
    4. A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
      A)
      "You should limit your intake of calcium-fortified orange juice."
      B)
      "You should drink rice milk instead of cow's milk."
      C)
      "You should gradually increase lactose products in your diet."
      D)
      "You should eat flavored yogurt instead of plain yogurt."
    Page 6 of 15