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    Exam Review

    1. A nurse is reinforcing teaching about accidental drowning with the parents of a toddler. Which of the following information should the nurse include in the teaching?
      A)
      Teaching the child to swim eliminates the risk of accidental drowning.
      B)
      An adult should remain within arm's reach of the child when near water.
      C)
      Most incidents of accidental drowning occur in ponds or lakes.
      D)
      Placing a fence around a pool ensures the safety of the child.
    2. A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?
      A)
      Adopted
      B)
      Prematurity
      C)
      Myopia
      D)
      Acute otitis media
      E)
      None
      F)
      None
    3. A nurse is reviewing the medical records of a group of toddlers. The nurse should identify that which of the following conditions is a notifiable infectious disease?
      A)
      Roseola infantum
      B)
      Measles
      C)
      Fifth disease
      D)
      Scabies
    4. A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?
      A)
      Depressed fontanels
      B)
      Decreased temperature
      C)
      Difficult to arouse
      D)
      Weak cry
    Page 1 of 16

    Exam Review

    1. A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
      A)
      Hypersomnia
      B)
      Hypotension
      C)
      Rapid weight loss
      D)
      Rounded facial features
    2. A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?
      A)
      Uses four words in a sentence
      B)
      Ties shoelaces
      C)
      Skips on alternate feet
      D)
      Names the days of the week
    3. A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?
      A)
      Give the infant a bottle immediately before the infant's bedtime.
      B)
      Change the infant's formula to a soy-based formula.
      C)
      Keep the infant at a 30° angle for 1 hr following each feeding.
      D)
      Limit the infant's formula feedings to every 6 hr.
    4. A nurse is caring for an 18-month-old toddler who has acute diarrhea caused by Clostridium difficile bacteria. Which of the following actions should the nurse take?
      A)
      Use a bleach-based solution to clean the bedside table.
      B)
      Encourage family members to use hand sanitizer when exiting the room.
      C)
      Place the toddler in a negative-airflow room.
      D)
      Administer loperamide 1 mg PO.
    Page 2 of 16

    Exam Review

    1. A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?
      A)
      Provide detailed information about the procedure to the parent.
      B)
      Discuss the benefits of the procedure.
      C)
      Explain the risks associated with the procedure.
      D)
      Determine the parent's understanding of the procedure.
    2. A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?
      A)
      Wrap the extremity loosely with an elastic bandage.
      B)
      Apply warm compresses to the extremity.
      C)
      Elevate the extremity above the level of the heart.
      D)
      Encourage active range of motion of the extremity.
    3. A nurse is reinforcing teaching with the parents of a child who has infective endocarditis. Which of the following instructions should the nurse include in the teaching?
      A)
      Discontinue antibiotics when the fever has resolved.
      B)
      Antibiotics might cause splinter hemorrhages under the child's nails.
      C)
      Obtain prophylactic antibiotics for family members.
      D)
      Antibiotics will be needed prior to dental work.
    4. A nurse is reinforcing teaching about infant car seat use with a group of new parents. Which of the following instructions should the nurse include in the teaching?
      A)
      "You should place a folded blanket to pad the back of the infant's head."
      B)
      "You should position the car seat at a 30-degree angle."
      C)
      "You should use a car seat with a four-point harness."
      D)
      "You should place the retainer clip at the level of the infant's armpits."
    Page 3 of 16

    Exam Review

    1. A nurse is reinforcing teaching about sibling adaptation with a parent of a child who has cystic fibrosis. Which of the following instructions should the nurse include in the teaching?
      A)
      Avoid discussing the child's diagnosis with the sibling.
      B)
      Designate one parent to stay at home with the sibling.
      C)
      Avoid having the sibling visit the child in the facility.
      D)
      Encourage phone calls between the siblings.
    2. A nurse is caring for a toddler whose guardian reports multiple episodes of diarrhea. The provider suspects Clostridium difficile. Which of the following actions should the nurse take?
      A)
      Collect a stool specimen for occult blood.
      B)
      Draw a blood culture.
      C)
      Conduct a tape test.
      D)
      Obtain a stool specimen for culture.
    3. A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?
      A)
      6 oz diet soft drink
      B)
      Metformin
      C)
      Insulin
      D)
      6 oz regular soft drink
    4. A nurse is reinforcing teaching with the parents of a 2-year-old toddler about age-appropriate play activities. Which of the following activities should the nurse recommend?
      A)
      Hopscotch
      B)
      Beginner sports
      C)
      Finger paints
      D)
      30-piece puzzle
    Page 4 of 16

    Exam Review

    1. A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?
      A)
      Perform passive range-of-motion exercises to the affected extremity every 2 hr.
      B)
      Apply protective padding to the end of the pin sites.
      C)
      Reduce intake of foods containing fiber while nonambulatory.
      D)
      Gently lift the traction weights off the floor when repositioning the client.
    2. A nurse is caring for a child who has mild dehydration due to an Escherichia coli infection. Which of the following actions should the nurse take?
      A)
      Encourage intake of fruit juices.
      B)
      Give 2 tsp of oral rehydration solution every 5 to 10 min.
      C)
      Administer promethazine as needed.
      D)
      Offer one banana and 1/2 cup of rice with each meal.
    3. A nurse is collecting data from an 18-month-old toddler who is postoperative. Which of the following rating scales should the nurse use to identify the toddler's pain level?
      A)
      Color tool
      B)
      FACES
      C)
      Visual analog
      D)
      FLACC
    4. A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe?
      A)
      Buck extension
      B)
      Cervical skin
      C)
      Dunlop
      D)
      Bryant
    Page 5 of 16

    Exam Review

    1. A nurse is reinforcing teaching about death and dying with the guardians of a preschooler who has a terminal illness. Which of the following statements should the nurse include?
      A)
      "Preschoolers think of death as a monster."
      B)
      "Preschoolers view death as a temporary type of sleep."
      C)
      "Preschoolers are curious about what happens to the body after death."
      D)
      "Preschoolers fear physical changes that occur during the process of dying."
    2. A nurse is preparing to administer azithromycin oral suspension 10 mg/kg/day to a 15-month- old infant who has otitis media. The infant weighs 22 Ib. The amount available is azithromycin oral suspension 200 mg/5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?
      A)
      Give the child a pacifier that has been dipped in an oral sucrose solution during the procedure.
      B)
      Apply a eutectic mixture of local anesthetics cream to the intended puncture site 1 hr before the procedure.
      C)
      Instruct the parent how to perform kangaroo care during the procedure.
      D)
      Administer aspirin to the child 1 hr before the procedure.
    4. A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?
      A)
      Extremities warm to touch.
      B)
      Capillary refill 2 seconds.
      C)
      Blood pressure 112/66 mm Hg.
      D)
      Diminished pulses.
    Page 6 of 16