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    Exam Review

    1. A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?
      A)
      A stool fat content analysis
      B)
      Sweat chloride test
      C)
      Pulmonary function tests
      D)
      A sputum culture
    2. A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
      A)
      "This test will indicate if your child has a therapeutic blood level of an aminoglycoside."
      B)
      "This test will indicate if your child has rheumatic fever."
      C)
      "This test will confirm if your child has immunity to streptococcal bacteria."
      D)
      "This test will confirm if your child had a recent streptococcal infection."
    3. A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?
      A)
      Decreased blood pressure in the arms with increased blood pressure in the legs
      B)
      Increased blood pressure in the arms with decreased blood pressure in the legs
      C)
      Decreased blood pressure in both the arms and the legs
      D)
      Increased blood pressure in both the arms and the legs
    4. A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?
      A)
      "Distributive shock occurs due to systemic vasodilation."
      B)
      "Distributive shock occurs due to increased systemic vascular resistance."
      C)
      "Distributive shock occurs due to loss of blood volume."
      D)
      "Distributive shock occurs due to loss of myocardial contractility."
    Page 1 of 15

    Exam Review

    1. A nurse is caring for a client who just returned from a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)
      (SATA)
      A)
      Have the client remain in bed up to 6 hr.
      B)
      Check peripheral pulses in the affected extremity.
      C)
      Place the client in high-Fowler's position.
      D)
      Keep the client's hip and leg extended.
      E)
      Measure the client's vital signs every 4 hr.
    2. A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)
      (SATA)
      A)
      Provide privacy during personal care and procedures.
      B)
      Avoid discussing the changes related to puberty.
      C)
      Treat the adolescent as if they are not competent to make decisions.
      D)
      Disregard confidentiality to keep the parents informed of all aspects of care.
      E)
      Show respect for the client's feelings and concerns.
      F)
      Listen carefully to the client's thoughts and concerns regarding their hospitalization.
    3. A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
      A)
      "Taking the medication between meals will help you avoid becoming constipated."
      B)
      "Taking the medication with food increases the risk of esophagitis."
      C)
      "Taking the medication between meals will help you absorb the medication more efficiently."
      D)
      "The medication can cause nausea if taken with food."
    4. A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
      (SATA)
      A)
      Assist the child to take a tub bath for the first 3 days.
      B)
      Keep the child home for 1 week.
      C)
      Offer the child clear liquids for the first 24 hr.
      D)
      Give the child acetaminophen for discomfort.
    Page 2 of 15

    Exam Review

    1. Which of the following cognitive abilities are characteristic of a school-aged child in Piaget's concrete operational stage? (select all that apply)
      (SATA)
      A)
      Object permanence
      B)
      Egocentric thinking
      C)
      Ability to perform logical operations on concrete
      D)
      Understanding the concept of conservation
      E)
      Use of symbolic play
    2. A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?
      A)
      Meningococcal (MCV4)
      B)
      Hepatitis B (HepB)
      C)
      Varicella (VAR)
      D)
      Haemophilus influenza type b (Hib)
    3. A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
      A)
      "Taking the medication between meals will help you avoid becoming constipated."
      B)
      "Taking the medication with food increases the risk of esophagitis."
      C)
      “Taking the medication between meals will help you absorb the medication more efficiently."
      D)
      “The medication can cause nausea if taken with food."
    4. A nurse is analyzing a client's electrocardiogram (ECG) strip and identifies the following information: Heart rate: 92/min Rhythm: Irregular P wave: Unable to identify PR interval: Unable to measure QRS duration: 0.10 seconds Based upon this information, the nurse should interpret the client's rhythm as indicating which of the following?
      A)
      Supraventricular tachycardia
      B)
      Atrial fibrillation
      C)
      Sinus bradycardia
      D)
      First-degree heart block
    Page 3 of 15

    Exam Review

    1. A nurse is providing discharge teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching?
      A)
      If a dose of the medication is missed, double the dose at the next scheduled time.
      B)
      Use an electric razor while on this medication.
      C)
      Increase fiber intake to reduce the adverse effect of constipation.
      D)
      Mild nosebleeds are common during initial treatment.
    2. A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?
      A)
      Instructing the client to eat foods that are low in potassium.
      B)
      Repeat the dose if the client spits it out.
      C)
      Measuring apical pulse rate for 30 seconds before administration.
      D)
      Evaluating the client for nausea, vomiting, and anorexia.
    3. A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the nurse prioritize for further assessment and interventions?
      A)
      A child who is visibly anxious and withdrawn while in the hospital
      B)
      A child whose vital signs are stable whose parent expresses concerns about the disruption to the child's routine
      C)
      A child who is experiencing stomach pain without an apparent cause
      D)
      A child who is exhibiting aggressive behavior towards peers and healthcare providers
    4. A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?
      A)
      The infection mainly affects the nostrils.
      B)
      The infection is viral in nature.
      C)
      The toxins released by the bacteria attack epithelial cell cilia.
      D)
      The lungs and airway become inflamed.
    Page 4 of 15

    Exam Review

    1. A nurse is providing care to a school-aged child who has uncontrolled asthma. The child's parent does not seem engaged in the child's treatment during the hospitalization and states that the child manages their care with little assistance from them. Which of the following nursing interventions is most appropriate?
      A)
      Contact child protective services to intervene in the family since the child's parent does not seem adequately prepared to manage the client's illness at home.
      B)
      Write out a detailed schedule of the child's medications and a list of their healthcare providers' addresses and phone numbers in case they should need it.
      C)
      Empower the child's parent to help manage the asthma by offering comprehensive education on the condition, treatment plan, and managing potential complications at home.
      D)
      Print out a copy of the asthma action plan and thoroughly review it with the child and the school nurse prior to discharge.
    2. A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
      A)
      "The spacer increases the amount of medication delivered to the oropharynx."
      B)
      "The spacer increases the amount of medication delivered to the lungs."
      C)
      "Inhale rapidly using the spacer with the MDI."
      D)
      "Cover exhalation slots of the spacer with lips when inhaling."
    3. A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
      A)
      Montelukast
      B)
      Budesonide
      C)
      Albuterol
      D)
      Fluticasone
    4. A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)
      A)
      The infection mainly affects the nostrils.
      B)
      The infection is viral in nature.
      C)
      The toxins released by the bacteria attack epithelial cell cilia.
      D)
      The lungs and airway become inflamed.
      E)
      Secretions are produced and are challenging to expel.
    Page 5 of 15

    Exam Review

    1. A nurse is planning a community health program for school-age children. According to Erikson's theory of psychosocial development, which activity would best support the developmental task of this age group?
      A)
      Providing opportunities for solitary play
      B)
      Focusing just on individual academic achievements
      C)
      Encouraging children to participate in team sports
      D)
      Promoting dependence on parents for decision-making
    2. A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
      A)
      Visualize the epiglottis with a tongue depressor.
      B)
      Transport the child to radiology for a throat x-ray.
      C)
      Obtain a throat culture.
      D)
      Place the child in an upright position.
    3. A nurse is caring for a toddler who is experiencing an acute asthma attack. Which of the following findings indicates improvement?
      A)
      Improved hydration
      B)
      Barking cough
      C)
      Decreased temperature
      D)
      Decreased stridor
    4. Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)
      A)
      Increased risk-taking behaviors
      B)
      Greater incidence of accidental injuries
      C)
      Reduced mental health issues
      D)
      Improved social relationships
      E)
      Higher likelihood of substance abuse
      F)
      Enhanced academic performance
    Page 6 of 15