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    Exam Review

    1. A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:1.5 ml
    2. A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
      A)
      Use a hair dryer on a hot setting to dry the cast.
      B)
      Discourage the client from ambulating.
      C)
      Keep the client's leg in a dependent position.
      D)
      Perform a neurovascular check of the lower extremities.
    3. The nurse notes documentation that a child with meningitis is exhibiting a positive Kernig's sign. Which observation is a characteristic of this sign?
      A)
      Petechial and purpuric rashes are noted on the child's trunk
      B)
      Neck flexion causes adduction and flexion movements of the lower extremities
      C)
      The child is not able to extend the leg when the thigh is flexed anteriorly at the hip
      D)
      The child complains of muscle and joint pain
    4. A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?
      A)
      Apply oxygen by nasal cannula.
      B)
      Administer an anticonvulsant medication.
      C)
      Turn the client to a lateral position.
      D)
      Check the client's oxygen saturation.
    Page 1 of 13

    Exam Review

    1. The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
      A)
      Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.
      B)
      Use aspirin instead of acetaminophen for children with viral illness.
      C)
      Avoid giving salicylate-containing medications to a child who has viral symptoms.
      D)
      Advise parents to have their children immunized against Reye's syndrome.
    2. The nurse is caring for a child recently diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases the response to the parents on the understanding that cerebral palsy is best described by which statement?
      A)
      Cerebral palsy is an infectious disease of the central nervous system.
      B)
      Cerebral palsy is an inflammation of the brain as a result of a viral illness.
      C)
      Cerebral palsy is a chronic disability characterized by a difficulty in controlling the muscles.
      D)
      Cerebral palsy is a congenital condition that results in moderate to severe intellectual disability.
    3. Which interventions should be implemented for a pediatric client experiencing an asthma exacerbation? (SELECT ALL THAT APPLY)
      (SATA)
      A)
      Administer corticosteroid medications as prescribed
      B)
      Place the client in a supine position
      C)
      Encourage the client to engage in vigorous physical activity
      D)
      Administer bronchodilator medications as prescribed
      E)
      Apply cold compresses to the client's chest
    4. A nurse is collecting data from a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?
      A)
      Constipation
      B)
      Depressed anterior fontanel
      C)
      Presence of the rooting reflex
      D)
      High-pitched cry
    Page 2 of 13

    Exam Review

    1. The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by checking for which?
      A)
      An increase in the blood pressure
      B)
      An elevated temperature
      C)
      A decrease in urine output
      D)
      A lack of appetite
    2. A nurse is caring for a preschool-aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to perform?
      A)
      Insert an intravenous catheter
      B)
      Initiate droplet precautions
      C)
      Provide blow-by humidified oxygen for the child
      D)
      Place resuscitation equipment at child's bedside
    3. A nurse is caring for a child who has Kawasaki disease. Which of the following systems is primarily affected by this disease?
      A)
      Cardiovascular
      B)
      Respiratory
      C)
      Integumentary
      D)
      Gastrointestinal
    4. A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
      A)
      Reassure the mother that the tubes will not fall out.
      B)
      Take the child to an emergency department.
      C)
      Gently reinsert the tubes.
      D)
      Call the health care clinic to report that the tubes have fallen out.
    Page 3 of 13

    Exam Review

    1. The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
      A)
      "If the baby turns blue, I will immediately put the baby upright in an infant seat."
      B)
      "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body."
      C)
      "If the baby turns blue, I will put the baby in supine position with his head elevated."
      D)
      "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest."
    2. A nurse collecting data from a child who has cystic fibrosis. Which of the following findings should the nurse expect? (select all that apply)
      A)
      Wheezing
      B)
      Barrel-shaped chest
      C)
      Thin, watery mucous
      D)
      Clubbing of fingers and toes
      E)
      Rapid growth spurts
    3. The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse expects to note which characteristic of this type of posturing?
      A)
      Adduction of the arms at the shoulders
      B)
      Abnormal flexion of the upper extremities and extension and adduction of lower extremities
      C)
      Flaccid paralysis of all extremities
      D)
      Rigid extension and pronation of the arms and legs
    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)
      Sweat chloride test
      B)
      Stool fat content analysis
      C)
      Sputum culture
      D)
      Pulmonary function test
    Page 4 of 13

    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)
      Frequent swallowing
      B)
      Reports of thirst
      C)
      Reports of pain
      D)
      Mouth breathing
    2. A nurse is caring for a child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant?
      A)
      A sibling had a sore throat 3 weeks ago.
      B)
      A neighbor's child has chickenpox.
      C)
      A classmate has fifth disease.
      D)
      The father had gastritis 2 weeks ago.
    3. The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" On what understanding is the nurse's response based?
      A)
      Altered blood flow increases cardiac workload with resulting heart failure.
      B)
      Inflammation weakens blood vessels, leading to aneurysm.
      C)
      Untreated disease causes mitral valve stenosis.
      D)
      Increased lipid levels lead to the development of atherosclerosis.
    4. A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother makes which of the following statements?
      A)
      "The enzymes probably won't cause many side effects."
      B)
      "The enzymes help him digest fat."
      C)
      "I will give my son the enzymes between meals."
      D)
      "I will put the enzyme crystals in his applesauce."
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?
      A)
      "Does anyone smoke in the same house as your daughter?"
      B)
      "Has your daughter had a lot of earwax in her ears over the last month?"
      C)
      "Has your daughter been king glass of water day?"
      D)
      "Does your daughter get water in her ears when you bath her?
    2. Which of the following are common manifestations of heart failure in infants? (SELECT ALL THAT APPLY)
      A)
      Cool extremities and decreased urine output
      B)
      Bradycardia and hypotension
      C)
      Increased appetite and excessive weight gain
      D)
      Poor feeding and weight gain
      E)
      Tachypnea and respiratory distress
    3. A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination?
      A)
      "Lie prone on the examination table."
      B)
      "Touch your chin to your chest, and then look up at the celling."
      C)
      "Turn to the side, and remain in a relaxed position."
      D)
      "Bend forward from the waist with your head and arms downward."
    4. The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, "Why do my child's fingertips look like that?" On what understanding does the nurse base a response?
      A)
      Clubbing occurs as a result of decreased cardiac output.
      B)
      Clubbing occurs as a result of a left-to-right shunting of blood.
      C)
      Clubbing occurs as a result of chronic hypoxia
      D)
      Clubbing occurs as a result of untreated congestive heart failure.
    Page 6 of 13