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    Exam Review

    1. A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)
      (SATA)
      A)
      Provide frequent and routine verbal updates with the parents.
      B)
      Encourage the parents to participate in the toddler's plan of care when appropriate.
      C)
      Perform more frequent health care rounds on the toddler.
      D)
      Conduct interprofessional rounds at the child's bedside so the parents can be inside.
      E)
      Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with.
      F)
      Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.
    2. A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?
      A)
      Cerebrospinal fluid (CSF) analysis
      B)
      Glasgow Coma Scale (GCS) assessment
      C)
      RBC count
      D)
      Magnetic resonance imaging (MRI)
    3. A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?
      A)
      "Separation anxiety creates psychological responses without any physical manifestations noted."
      B)
      "Attachment to caregivers is the foundation of security, self-esteem, and self-regulation for the infant
      C)
      "The development of separation anxiety for an infant determines future attachment disorders."
      D)
      "Separation anxiety and attachment are unexpected developmental processes for the infant and should be discussed with the healthcare provider."
    4. A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?
      A)
      “children are expected to count backwards from 20 to 1 by age 7."
      B)
      “By age most children can dress and groom themselves."
      C)
      "By age 6, most children can use tools such as a screwdriver or hammer."
      D)
      "Children engage in motor activities that require balance such as jumping rope by age 6."
    Page 1 of 10

    Exam Review

    1. A nurse is teaching a newly licensed nurse about performing head and neck assessments of children. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?
      A)
      "Infants should be able to hold their head steady without support by 3 months of age."
      B)
      "The posterior fontanelles close by month of age."
      C)
      "An infant's lymph nodes may be large and tender at 2 months of age."
      D)
      The anterior fontanelles close from 12 to 24 months of age."
    2. A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?
      A)
      "Separation anxiety creates psychological responses without any physical manifestations noted."
      B)
      "Attachment to caregivers is the foundation of security, self-esteem, and self-regulation for the infant."
      C)
      "The development of separation anxiety for an infant determines future attachment disorders."
      D)
      "Separation anxiety and attachment are unexpected developmental processes for the infant and should be discussed with the healthcare provider."
    3. A nurse assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?
      A)
      Asks who, what, where, and why questions.
      B)
      Follows one-step directions
      C)
      Recognizes items in a picture book.
      D)
      Puts two words together.
    4. A nurse is caring for an infant diagnosed with meningitis. The parent of the infant asks how they can prevent the infection from being spread to their other children who are 2 and 4-years of age. Which of the following responses should the nurse make?
      A)
      "By washing your children's hands after any contact you can avoid spreading meningitis.
      B)
      "Your 2-year-old child should be kept away from the infant, but your 4-year-old can have contact if necessary."
      C)
      "Avoid close contact between your infant and any other children until the infection is resolved.
      D)
      "Meningitis is not highly transmissible to children if they are not infants.
    Page 2 of 10

    Exam Review

    1. A nurse is assessing the nutritional status of a child using anthropometric evaluations. Which of the following should the nurse include in the assessment? (Select All that Apply.)
      (SATA)
      A)
      Age
      B)
      Body mass index (BMI)
      C)
      Vital signs
      D)
      Height
      E)
      Weight
      F)
      Routine laboratory tests
    2. A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?
      A)
      The child avoids taking turns when playing with other children.
      B)
      The child shares one event that happened during their day with others.
      C)
      The child speaks with 2 words in a sentence.
      D)
      The child engages in imaginative play.
    3. A pediatric nurse is teaching a caregiver about different parenting styles and the effects they could have on children. Which of the following responses by the caregiver indicates an understanding of the teaching?
      A)
      Utilizing a permissive style leads to frequent discipline due to children deciding most of the rules."
      B)
      An authoritative style allows children to have input on rules and disciplinary action."
      C)
      Using an authoritative style means communicating with our child often about our expectations and reasons for disciplinary actions.
      D)
      "Using an uninvolved style ensures the needs of the Child are met and structure is provided for them."
    4. A nurse is creating a plan of care for a toddler who is 12 months of age. Which of the following developmental milestones will help guide the nurse in developing a plan of care?
      A)
      The toddler plays with other children...
      B)
      The toddler looks for their parents when they leave.
      C)
      The toddler notices when others are upset
      D)
      The toddler mimics other children.
    Page 3 of 10

    Exam Review

    1. A nurse is creating a plan of care for a child who is 3 years of age. Which of the following developmental milestones will help guide the nurse in developing a plan of care?
      A)
      The child knows to stays away from danger
      B)
      The child is able to answer simple questions
      C)
      The child engages in conversation.
      D)
      The child adheres to rules.
    2. A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?
      A)
      "Cuffs are recommended to be 6 to 15 cm or 2 to 6 inches for school-aged children."
      B)
      “The cuff should fit loosely around the child's arm."
      C)
      "Blood pressure measurement is taken over the brachial artery using a manual blood pressure cuff.”
      D)
      "Routine blood pressure measurements should begin around 1 year of age."
    3. A nurse is planning care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply.)
      A)
      Guided imagery
      B)
      Activity
      C)
      Acetaminophen
      D)
      High protein diet
      E)
      Warm compress
      F)
      Opioids
    4. A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the following statements by the student nurse shows that the teaching has been effective?
      A)
      "It provides a positive caregiver-focused environment."
      B)
      "It results in improved quality of care and client safety results.
      C)
      “It decreases collaboration and communication between health care providers.
      D)
      "It results in increased health care costs.
    Page 4 of 10

    Exam Review

    1. A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the following statements by the student nurse shows that the teaching has been effective?
      A)
      It provides a positive caregiver-focused environment."
      B)
      "It results in improved quality of care and client safety results.
      C)
      "It decreases collaboration and communication between health care providers."
      D)
      "It results in increased health care costs."
    2. A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
      A)
      Administer albuterol prior to CPT
      B)
      Perform CPT immediately after the child eats.
      C)
      Perform vibration during the client's inspirations.
      D)
      Percuss each lung segment for 15 min
    3. A nurse is planning care for a child who has been in a car accident and appears to have spinal trauma. Which of the following diagnostic tests should the nurse expect to be ordered to determine the extent of the injury? (Select All that Apply.)
      A)
      X-rays
      B)
      CT scan
      C)
      Lumbar puncture
      D)
      Magnetic stimulation
      E)
      Magnetic resonance imaging (MRI)
    4. A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?
      A)
      "Intussusception results from the twisting of the intestine, causing a blockage in the passage of food."
      B)
      "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge."
      C)
      "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply."
      D)
      "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly."
    Page 5 of 10

    Exam Review

    1. A nurse is completing a health history form with a child who is 10 years of age. Which of the following information should the nurse include in the assessment? (Select All that Apply.)
      A)
      Academic achievements
      B)
      Response to stress
      C)
      Information multiple sources
      D)
      Heart and lung sounds
      E)
      Child's statements with parent input
    2. A nurse in the emergency department is caring for a toddler. Exhibits The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.
      A)
      Heart rate
      B)
      Respiratory rate
      C)
      Urine output
      D)
      Mucous membranes
      E)
      Abdominal examination
      F)
      Vomiting frequency
    3. A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?
      A)
      An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hr and ate 90% of their meals
      B)
      A 15-year-old adolescent who had a laparoscopic appendectomy 30 hr ago, rates their pain a 3 on a scale of 1 to 10, and is preparing for discharge this morning
      C)
      A 3-year-old toddler who aspirated several sunflower seeds and continues to cough with an O. saturation of 91%
      D)
      A 6-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hr ago
      E)
      Child's statements with parent input
    4. A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?
      A)
      Ask the child to find numbers on Ishihara plats
      B)
      Instruct the child to track items in the room.
      C)
      Ask the child to identify items in a book.
      D)
      Instruct the child to identify letters on a Snellen eye chart
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