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    Exam Review

    1. A 20-month-old is in what stage according to Erikson's stages of psychosocial development?
      A)
      Industry vs. Inferiority.
      B)
      Trust vs. Mistrust.
      C)
      Autonomy vs. Shame and Doubt.
      D)
      Initiative vs. Guilt.
    2. A nurse is caring for a newborn who was born to a mother with gestational diabetes.The newborn is large for gestational age.The nurse should recognize which of the following newborn complications as the priority focus of care?
      A)
      Monitoring for hypoglycemia.
      B)
      Monitoring for physiological jaundice.
      C)
      Monitoring for hyperthermia.
      D)
      Monitoring for development of rash.
    3. A nurse is teaching about crib safety with the parent of a newborn.Which of the following statements by the client indicates understanding of the teaching?
      A)
      I should place my baby’s crib next to the heater to keep him warm during the winter.
      B)
      I should remove extra blankets from my baby’s crib.
      C)
      I should pad the mattress in my baby’s crib so that he will be more comfortable when he sleeps.
      D)
      I will place my baby on his stomach when he is sleeping.
    4. A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic.Which of the following information should the nurse include in the discharge instructions?
      A)
      The adverse effects of the medication.
      B)
      Stopping the medication when the child feels better.
      C)
      The reason why the child is taking the medication.
      D)
      Using a kitchen spoon to administer the medication.
    Page 1 of 9

    Exam Review

    1. An infant grabbing things with their entire hand before developing a pincer grasp is an example of what direction of growth?
      A)
      Proximodistal.
      B)
      Cephalocaudal.
      C)
      Distoproximal.
      D)
      Top-to-bottom.
    2. A nurse is providing health promotion teaching to the parents of a toddler.Which of the following information should the nurse include in the teaching?
      A)
      Need for increased supervision and management of tantrums.
      B)
      Encourage solitary play and develop identity.
      C)
      How to establish trust and initiate dental care.
      D)
      How to establish relationships and develop self-confidence.
    3. A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery.He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.The nurse should document what APGAR Score for this infant?
      A)
      5.
      B)
      6.
      C)
      7.
      D)
      8.
    4. A nurse is assessing a 4-month-old infant on a pediatric unit.Which of the following findings should the nurse expect?
      A)
      Uses thumb and index fingers in a pincer grasp.
      B)
      Closed posterior fontanel.
      C)
      Lateral incisors.
      D)
      Sitting steadily without support.
    Page 2 of 9

    Exam Review

    1. A nurse on a postpartum unit is giving discharge instructions for a client whose newborn had a circumcision with the Gomco clamp.Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)
      (SATA)
      A)
      I’ll make sure his diaper is loose in the front.
      B)
      If a yellow crust forms on the circumcision site, I will call the doctor immediately.
      C)
      I’ll call the office if I see a lot of bleeding.
      D)
      I will apply petroleum jelly to his penis with each diaper change.
    2. A nurse is teaching a parent of a 6-month-old infant about car seat safety.Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      Our car seat is front-facing in the back seat.
      B)
      Our car seat is an infant model designed for the car.
      C)
      I can fit my hand between the baby and the car seat harness.
      D)
      The car seat is rear-facing in the front passenger seat.
    3. A 22 lb child is prescribed ibuprofen 10 mg/kg every 6 hours. The medication is available as 100 mg/5 mL. How many mL will you give per dose? (Round the answer to the whole number.)
    4. A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment.The father of the newborn asks the nurse why this is necessary.Which of the following responses should the nurse make?
      A)
      Preterm newborns lack the ability to regulate their own temperatures.
      B)
      The heat in the incubator rapidly dries the sweat of preterm newborns.
      C)
      Preterm newborns have a smaller body surface area than normal newborns.
      D)
      The added brown fat layer in a preterm newborn reduces his ability to generate heat.
    Page 3 of 9

    Exam Review

    1. The nurse is providing car seat safety education to the parent of an 18-month-old.Which statement by the parent requires the nurse to re-educate them about this topic?
      A)
      A child less than 24 months of age should be in a rear-facing car seat.
      B)
      The chest buckle should be at the level of the child's nipple line.
      C)
      A child is switched to a forward-facing car seat at 12 months.
      D)
      The car seat should be placed in the back seat.
    2. In which of the following areas should a nurse administer an injection for a newborn infant?
      A)
      A. Deltoid muscle.
      B)
      Vastus lateralis.
      C)
      Gluteus maximus.
      D)
      Rectus femoris.
    3. A parent asks the nurse why the newborn is getting a vitamin K injection in the birth room.The nurse explains that the injection is necessary because:
      A)
      Newborns are prone to hypoglycemia, and vitamin K helps maintain a steady blood glucose level.
      B)
      Vitamin K is needed for coagulation, and the newborn does not produce enough vitamin K.
      C)
      The birthing parent was febrile at the time of birth and prophylactic vitamin K is necessary.
      D)
      Newborns have deficient levels of prothrombin.
    4. A nurse is assessing a toddler at a well-child visit.At what point in the physical examination should the nurse examine the child's tympanic membrane?
      A)
      At the beginning.
      B)
      Before auscultating the chest and abdomen.
      C)
      Before examining the head and neck.
      D)
      At the end.
    Page 4 of 9

    Exam Review

    1. A nurse is planning care for a 4-year-old child who requires isolation and airborne precautions.Which of the following activities should the nurse plan for this child?
      A)
      Constructing a model airplane.
      B)
      Putting together a large-piece puzzle.
      C)
      Playing in the hallway.
      D)
      Watching a video game in the playroom.
    2. A nurse is caring for a newborn immediately following birth.After assuring a patent airway, what is the priority nursing action?
      A)
      Administer vitamin K.
      B)
      Administer eye prophylaxis.
      C)
      Place an identification bracelet.
      D)
      Dry the skin.
    3. A nurse on the labor and delivery unit is caring for a newborn immediately following birth.Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
      A)
      Maintaining ambient room temperature at 24° C (75° F).
      B)
      Placing the newborn on a warm surface.
      C)
      Preventing air drafts.
      D)
      Drying the newborn's skin thoroughly.
    4. A nurse is preparing to administer a vaccine to a 4-year-old child.Which of the following vaccines should the nurse administer?
      A)
      Hepatitis B (HepB).
      B)
      Meningococcal (MenACWY).
      C)
      Varicella (VAR).
      D)
      Human papillomavirus (HPV).
    Page 5 of 9

    Exam Review

    1. According to Piaget's Theory of Development, what stage would an 11-month-old be in?
      A)
      Preoperational.
      B)
      Concrete operational.
      C)
      Sensorimotor.
      D)
      Formal operational.
    2. A nurse is providing care to a 1-year-old and has noted negativism.Which statement by the nurse to the toddler will help decrease negativism when administering medications to the toddler?
      A)
      You can take your medicine in the blue cup or the green cup.
      B)
      Would you like to take your medicine now or later?
      C)
      Can you take your medicine for me?
      D)
      Will you be a good child and take your medicine? .
    3. A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is providing care to a 2-year-old and has noted negativism.Which statement by the nurse to the toddler will help decrease negativism when administering medications to the toddler?
      A)
      You can take your medicine in the blue or green cup.
      B)
      Can you take your medicine now?
      C)
      Do you want to take your medicine?
      D)
      You need to take your medicine.
    Page 6 of 9