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    Exam Review

    1. You have a patient who has a brain tumor and is at risk for seizures. In the patient's plan of care you incorporate seizure precautions. Select the 3 choices below for all the proper steps to take in initiating seizure precautions. (Select All that Apply.)
      (SATA)
      A)
      Bed in highest position
      B)
      Remove restrictive objects or clothing from patients’ body
      C)
      Remove all pillows from the patient's head
      D)
      Oxygen and suction at bedside
      E)
      Padded bed rails
    2. A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?
      A)
      "My belly doesn't hurt anymore."
      B)
      "I am hungry and thirsty."
      C)
      "I'm tired and want to take a nap."
      D)
      "I am scared and I want to go home."
    3. A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?
      A)
      "Lice do not survive away from the host."
      B)
      "Washing your child's hair daily will prevent lice."
      C)
      "Encourage your child to avoid sharing hats with other children."
      D)
      "Lice can jump from one child to another."
    4. A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?
      A)
      Orange-tinged urine
      B)
      Hypertension
      C)
      Periorbital edema
      D)
      Polyuria
    Page 1 of 12

    Exam Review

    1. A 24 month old comes into the clinic to get his first flu vaccination. The nurse notices what food allergy in the patient's chart that would make this vaccine contraindicated?
      A)
      Gelatin
      B)
      Peanuts
      C)
      Eggs
      D)
      Bee Venom
    2. A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
      A)
      Increase in appetite
      B)
      Tugging on the affected ear lobe
      C)
      Erythema and edema of the affected auricle
      D)
      Bluish-green discharge from the ear canal
    3. A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?
      A)
      Change to cloth diapers until the skin is healed.
      B)
      Use a moisturizer to wipe urine from the skin.
      C)
      Apply a light layer of talcum powder with each diaper change.
      D)
      Expose the excoriated area to hot air frequently.
    4. Which of the following activities are appropriate for a child who is recovering from orchiopexy?
      A)
      Baseball games
      B)
      Running around the playground
      C)
      Horseback riding
      D)
      Puzzle games
    Page 2 of 12

    Exam Review

    1. A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?
      A)
      Administer pain medication 30 min before physical therapy.
      B)
      Allow the child to set her own schedule for care.
      C)
      Provide low-calorie snacks.
      D)
      Maintain medical asepsis during dressing changes
    2. The nurse is instructing a mother of a 1-year-old child with strabismus about the treatment options. Which statement by the mother would indicate the need for further teaching?
      A)
      “There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance."
      B)
      "I will have my child wear an eye patch over the good eye to help strengthen the weak eye."
      C)
      "My child will outgrow this by the time he is 2 years old and be able to see just fine."
      D)
      "If this eye patch does not work I know we will have to do surgery to correct my child's crossed eyes."
    3. The nurse is caring for a 7-year-old child who fell off an ATV sustaining a flesh wound. The child is awaiting wound debridement. What nursing action best demonstrates the concept of atraumatic care?
      A)
      Allowing siblings to visit the client in the hospital
      B)
      Using a doll to demonstrate an invasive procedure
      C)
      Encouraging communication between the parents and nurse
      D)
      Arranging the room to accommodate religious practices
    4. A nurse is caring for a 6-week-old infant admitted to the pediatric unit for evaluation of a suspected pyloric stenosis. Which of the following findings should the nurse expect?
      A)
      Projectile vomiting
      B)
      Metabolic acidosis
      C)
      Effortless regurgitation
      D)
      Distended abdomen
    Page 3 of 12

    Exam Review

    1. 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?
      A)
      24 lb 6 oz
      B)
      20 lb 5oz
      C)
      32 lb 8 0z
      D)
      16 lb 4 oz
    2. A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
      A)
      Maintain a saline-lock.
      B)
      Check the child's weight daily.
      C)
      Place the child on a no-salt-added diet.
      D)
      Educate the parents about potential complications.
    3. A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?
      A)
      "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me."
      B)
      "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."
      C)
      "I will discuss your child's loss of bladder control with the provider."
      D)
      "Why is she wetting the bed in the hospital? She must wet the bed at home."
    4. A school nurse is completing routine health evaluations for school-age children. Which of the following manifestation should alert the nurse to the possibility of pediculosis capitis?
      A)
      Patches of baldness
      B)
      Blisters on the scalp
      C)
      Dry patches on the scalp
      D)
      Reports of scalp itchiness
    Page 4 of 12

    Exam Review

    1. A nurse is assisting with the care of a client who has partial-thickness and full-thickness burns to his upper torso and face. Which of the following actions should the nurse take to prevent infection?
      A)
      Place new linen on the client's bed every other day.
      B)
      Change gloves between sites when providing wound care to multiple wounds.
      C)
      Change the dressing on infected wounds first.
      D)
      Monitor vital signs every 4 hr.
    2. A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
      A)
      Place a tongue depressor in the child's mouth.
      B)
      Restrain the child.
      C)
      Clear the area of hard objects.
      D)
      Loosen restrictive clothing.
      E)
      Place the child in a prone position
    3. When assessing a child with Wilm's tumor, the nurse should keep in mind that it is most important to avoid which of the following?
      A)
      Measuring the child's chest circumference
      B)
      Palpating the child's abdomen
      C)
      Measuring the child's occipitofrontal circumference
      D)
      Placing the child in an upright position
    4. An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?
      A)
      No treatment is necessary, the fluid is reabsorbing normally
      B)
      Keeping the infant in a flat, supine position until the fluid is gone
      C)
      Referral to a surgeon for repair
      D)
      Massaging the groin area twice a day until the fluid is gone.
    Page 5 of 12

    Exam Review

    1. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following as an acceptable food choice for this child?
      A)
      Barley
      B)
      Rye
      C)
      Rice
      D)
      Wheat
    2. A nurse is reviewing discharge instructions with a client who has pruritus following treatment for scabies. Which of the following instructions should the nurse include?
      A)
      "Take a hot shower daily to relieve itching."
      B)
      "Wear loose fitting clothing while you are experiencing itching."
      C)
      "Add fabric softener to linens when they are washed."
      D)
      "Use a soft bristle brush to gently rub the affected areas."
    3. 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 will remove the lesions with liquid nitrogen."
      C)
      "The doctor might recommend an antihistamine to help control your symptoms."
      D)
      "You can relieve your child's discomfort by applying warm compresses to the lesions."
    4. A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?
      A)
      Reports of exposure to a skin irritant
      B)
      Elevated temperature
      C)
      Denial of pruritus
      D)
      Reports of joint discomfort
    Page 6 of 12