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    Exam Review

    1. A child with a brain tumor has a decreased respiratory hate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour. What should the nurse do next?
      A)
      Raise the head of the bed
      B)
      Notify the health care provider (HCP)
      C)
      Obtain an oximeter reading
      D)
      Implement seizure precautions
    2. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
      A)
      Back pain
      B)
      Frequent nosebleeds
      C)
      Itching of skin
      D)
      Feelings of isolation and depression
    3. A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments sacation.co continue NPO status?
      A)
      Passing of flatus every 30 min
      B)
      Absent bowel sounds
      C)
      Abdominal girth 1 cm larger than yesterday
      D)
      Report of pain at the operative site
    4. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
      A)
      Constipation
      B)
      High fever
      C)
      Bradycardia
      D)
      Pain
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply
      (SATA)
      A)
      Avoid bubble baths
      B)
      Wipe perineal area front to back
      C)
      Complete the course of prescribed antibiotics
      D)
      Encourage frequent voiding
      E)
      Wear cotton underwear
      F)
      Encourage frequent fluids by mouth
    2. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating Which of the following responses should the nurse make?
      A)
      "Try switching to a different formula.”
      B)
      "Bring your baby in to the clinic today.”
      C)
      "Give your infant an oral rehydration solution.”
      D)
      "Burp your baby more frequently during feedings.”
    3. A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply
      (SATA)
      A)
      Encourage frequent fluids by mouth
      B)
      Encourage frequent voiding
      C)
      Wipe perineal area front to back
      D)
      Wear nylon underwear
      E)
      Complete the course of prescribed antibiotics
    4. A nurse is providing care to a 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs. How many milligrams should the nurse administer? Round your answer to the nearest tenth if needed
      Correct Answer:10 mg
    Page 2 of 13

    Exam Review

    1. In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?
      A)
      Weighing on the same scale each day
      B)
      Testing the urine for glucose levels regularly
      C)
      Increasing fluid intake by 50 ml per hour
      D)
      Ambulating 3 to 4 times a day
    2. A nurse in an emergency department is caring for an Infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
      A)
      Blood pressure
      B)
      Respiratory rate
      C)
      Skin integrity
      D)
      Body weight
    3. A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?
      A)
      Administer antibiotics.
      B)
      Obtain weight weekly
      C)
      Encourage increased fluid intake
      D)
      Encourage frequent ambulation
    4. A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?
      A)
      Administering an intermittent IV bolus medication
      B)
      Talking to the client at the bedside
      C)
      Administering an IM injection
      D)
      Completing a dressing change
    Page 3 of 13

    Exam Review

    1. The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options
      A)
      Bagel with cream cheese and lox
      B)
      Vanilla milkshake made with pasteurized milk
      C)
      Ham and cheese sandwich
      D)
      Sushi
    2. A nurse is caring for a 4-month-old infant who is one day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Select all that apply
      A)
      Position the infant on their back and upright in Semi-Fowler's
      B)
      Encourage the parents told the baby
      C)
      Administer aspirin for pain
      D)
      Apply elbow restraints as ordered
      E)
      Maintain IV therapy for nutrition
    3. A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
      A)
      Oral rehydration solution
      B)
      Water
      C)
      Broth
      D)
      Diluted apple juice
    4. An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22. HR-105, BP= 130/89 Which condition should the nurse suspect?
      A)
      Acute glomerulonephritis
      B)
      Renal agenesis
      C)
      Nephrotic syndrome
      D)
      Polycystic kidney disease
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a school-age child who has leukemia. Exhibits Which of the following assessment findings should the nurse report to the provider? Select the 6 findings that should be reported to the provider.
      A)
      WBC count
      B)
      Hemoglobin
      C)
      Upper respiratory infection
      D)
      Breath sounds
      E)
      Oxygen saturation
      F)
      Retractions
      G)
      Respiratory rate
      H)
      Skin assessment
    2. The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
      A)
      I can give Children's Tylenol if my child is s
      B)
      I can give Children's Ibuprofen if my child is in pain
      C)
      My child should complete the entire course of antibiotics even if they seem better after a few days
      D)
      I should give my toddler one baby aspirin for pain
    3. A nurse is planning care for an adolescent client. Exhibits Which of the following actions should the nurse plan to take? (Select all that apply.)
      A)
      Apply cold compresses to the joints
      B)
      Encourage bedrest
      C)
      Provide oxygen at 6 min via nasal cannula
      D)
      Restrict fluid intake to 1,400 mL/day.
      E)
      Obtain consent for a blood transfusion.
      F)
      Administer IV fluids.
      G)
      Perform passive range-of-motion exercises.
    4. A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number
    Page 5 of 13

    Exam Review

    1. A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?
      A)
      Administer benadryl.
      B)
      Apply ice to the site.
      C)
      Give epinephrine.
      D)
      Determine if the sting is in situ
    2. A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
      A)
      "You'll have to ask your doctor."
      B)
      "This test will tell if you have severe renal impairment or a disease."
      C)
      "We'll find out if any medications, such as steroids, are interfering with your kidney function
      D)
      "This test will tell your doctor how your kidneys are functioning."
    3. The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure
      A)
      Abdominal surgery
      B)
      Enema with air infusion
      C)
      Ano-rectal pull-through procedure
      D)
      Colostomy
    4. A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
      A)
      Educate the family about antibiotic administration
      B)
      Administer analgesic medication
      C)
      Apply an ice pack to the affected ear
      D)
      Provide diversional activity for the child
    Page 6 of 13