Exam Review
- A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?A)12 monthsB)9 monthsC)3 monthsD)6 months
- A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?A)Distract the child by offering to play a game.B)Ignore the temper tantrums.C)Restrain the child physically.D)Tell the child that temper tantrums are not acceptable.
- A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend?A)Raw carrotsB)BananasC)celeryD)Grapes
- A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?A)EpiglottitisB)CroupC)BronchiolitisD)Influenza
Exam Review
- A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?A)"Placing your child on her back when sleeping will decrease the risk of SIDS."B)"SIDS rates have been rising over the last 10 years."C)"SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines."D)"Sleep apnea is the main cause of SIDS."
- A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?A)"I will allow my baby to take as much time as needed to finish the bottle."B)"I will feed my baby on a schedule every 4 hours."C)"I will add a caloric fortifier to each of my baby's bottles."D)"I will limit my babies crying to 15 minutes prior to each feeding."
- A nurse is preparing to administer digoxin to a 16-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?Correct Answer:90 beats per minute
- A child with which condition will most likely have immunizations delayed following treatment?A)Rheumatic fever.B)Epiglottitis.C)RSV.D)Kawasaki disease.
Exam Review
- A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?A)Prepare for nasotracheal intubation.B)Obtain blood culture specimens.C)Administer an antipyretic.D)Insert an IV catheter.
- An infant with Tetralogy of Fallot (TOF) is having a hypercyanotic episode. Which nursing interventions should the nurse implement? (Select All that Apply.)(SATA)A)Place the child in knee-chest position.B)Administer oxygen.C)Administer albuterol as ordered.D)Administer morphine sulfate intravenously as ordered.E)Draw blood for a serum hemoglobin.
- A nurse is providing anticipatory guidance to parents who are introducing their child to more solid foods. Which of the following foods should the nurse educate the parents about that increases the risk of foreign body aspiration? (Select All that Apply.)A)PopcornB)BreadC)GrapesD)Hot dogsE)Cheese
- A parent asks the nurse which foods to give her infant first. Which is the best order for solid food introduction?A)Vegetables, cereals, meatsB)Fruits, meats, cerealsC)Cereals, fruits, meatsD)Cereals, meats, vegetables
Exam Review
- A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?A)"Temper tantrums are a type of learning disability."B)"You should get a psychological consult for the temper tantrums."C)"Temper tantrums are the toddler's attempt to gain control of a situation."D)"You should leave the room while the tantrum is happening."
- A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?A)Transport the child to radiology for a throat x-ray.B)Place the child in an upright position.C)Visualize the epiglottis with a tongue depressor.D)Obtain a throat culture.
- A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?A)Dilated scalp veinsB)A backward sloping appearance of the forehead.C)HypertensionD)Over-riding suture lines
- A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac? Which of the following interventions should the nurse include in the plan of care?A)Initiate contact precautions.B)Maintain the infant in the supine position.C)Provide a latex-free environment.D)Limit visitors to immediate family members.
Exam Review
- The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child. Where is the best site to administer the injection?A)Anterior outer quadrant of the thighB)Deltoid muscle of the armC)Upper outer quadrant of the buttocksD)Either the thigh or the buttocks
- A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?A)GastrointestinalB)RespiratoryC)CardiovascularD)Integumentary
- A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements should indicate to the nurse the need for additional teaching?A)"Our baby will sleep in our bed because I am breastfeeding."B)"We will remove blankets and toys from the crib."C)"We will place my baby on her back when sleeping."D)"We will give my baby a pacifier during naps and at bedtime."
- A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?A)Erikson's stage of initiative versus guiltB)Demonstrations of sexual curiosityC)Negative behaviors characterized by the need for autonomyD)Imaginary playmates
Exam Review
- A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?A)Lateral incisorsB)Uses thumb and index fingers in a pincer graspC)Sitting steadily without supportD)Closed posterior fontanel
- A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?A)Give with a 240 mL (8 oz) glass of milk.B)Administer at mealtimes.C)Administer at bedtime.D)Give with orange juice.
- Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?A)The neonate has natural immunity to infections.B)No secondary complications are expected.C)It is important to maintain caloric intake.D)There is no need to limit activities.
- A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care?A)Cover the lesion with a dry dressing.B)Obtain rectal temperatures.C)Place the newborn in the prone position.D)Apply snug, clean diapers.