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    Exam Review

    1. A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?
      A)
      Administer an oral corticosteroid.
      B)
      Apply calamine lotion to the affected area.
      C)
      Instruct the parent to give the child an oatmeal bath twice daily.
      D)
      Flush the area with cold, running water.
    2. A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?
      A)
      Instill 2 mL of 0.9% sodium chloride prior to suctioning.
      B)
      Select a catheter that fits snugly into the tracheostomy tube.
      C)
      Use a clean technique when performing suctioning.
      D)
      Apply suction in 3 to 4-second increments.
    3. A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?
      A)
      Warm the skin prior to probe placement.
      B)
      Reposition the probe every 2 hr.
      C)
      Tape the wire to the palm of the hand.
      D)
      Apply the sensor to the index fingernail.
    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 1 of 17

    Exam Review

    1. A nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. The nurse should identify which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately.
      A)
      Urine osmolality 500 mOsm/kg.
      B)
      WBC 17,500/mm3.
      C)
      BUN 12 mg/dL.
      D)
      Urine specific gravity 1.014.
    2. A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?
      A)
      Obtain the specimen by swabbing the infant's rectum using a sterile culture swab.
      B)
      Place a urine collection device on the infant until the specimen is obtained.
      C)
      Transfer the specimen to the collection container using povidone-iodine-soaked gauze.
      D)
      Maintain the specimen at room temperature after collection until it is transferred to the lab.
    3. A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
      A)
      Decrease daily oral fluid intake.
      B)
      Maintain bed rest to prevent hypoxemia.
      C)
      Apply cold compresses to painful joints.
      D)
      Administer meperidine to eliminate a fever.
    4. 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)
      Gently lift the traction weights off the floor when repositioning the client.
      B)
      Reduce intake of foods containing fiber while nonambulatory.
      C)
      Perform passive range-of-motion exercises to the affected extremity every 2 hours.
      D)
      Apply protective padding to the end of the pin sites.
    Page 2 of 17

    Exam Review

    1. A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?
      A)
      A 34-month-old child who has several small bruises on the shins.
      B)
      A 6-year-old child who has a fracture of the arm from a bicycle injury.
      C)
      A 15-month-old child who bites other children while at daycare.
      D)
      A 4-year-old child who has a history of frequent urinary tract infections.
    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 hours to minimize swelling?
      A)
      Encourage active range of motion of the extremity.
      B)
      Apply warm compresses to the extremity.
      C)
      Elevate the extremity above the level of the heart.
      D)
      Wrap the extremity loosely with an elastic bandage.
    3. A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?
      A)
      I should provide my child with rice pudding for dessert.
      B)
      I will give my child a chocolate malt for a snack.
      C)
      I should make my child's sandwiches using rye bread.
      D)
      I will feed my child a barley-based breakfast cereal.
    4. A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
      A)
      Decreased WBCs.
      B)
      Elevated glucose.
      C)
      Elevated total protein.
      D)
      Decreased pressure.
    Page 3 of 17

    Exam Review

    1. A nurse is assisting with the plan of care for an infant who has heart failure. Which of the following actions should the nurse recommend to include in the plan of care?
      A)
      Ensure the infant bottle feeds for 45 min.
      B)
      Administer digoxin for a pulse of 70/min.
      C)
      Allow for frequent rest periods.
      D)
      Maintain the infant in a supine position.
    2. A nurse is reinforcing teaching with a group of adolescents about safety. Which of the following information should the nurse include in the teaching?
      A)
      Driving skills can be impaired when friends are present.
      B)
      Sun protection is not necessary when using self-tanning creams.
      C)
      Medroxyprogesterone provides protection against gonorrhea.
      D)
      The risk of injury from firearms decreases as children enter adolescence.
    3. A nurse is contributing to the plan of care for a school-age child who is being admitted for diabetic ketoacidosis. Which of the following interventions should the nurse recommend?
      A)
      Monitor vital signs every 8 hr.
      B)
      Initiate continuous cardiac monitoring
      C)
      Administer subcutaneous insulin 30 min before meals.
      D)
      Implement fluid restrictions.
    4. A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?
      A)
      Stabilize the tube by taping it to the infant's cheek.
      B)
      Position the infant in a supine position during feedings.
      C)
      Aspirate residual fluid from the infant's stomach and discard.
      D)
      Microwave the infant's formula to a temperature of 41° C (105.8° F).
    Page 4 of 17

    Exam Review

    1. A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?
      A)
      "My child has a temperature of 100.7 degrees Fahrenheit.”.
      B)
      "My child only ate 2 ounces during her last feeding.”.
      C)
      "My child cries when I touch the area where she received the shot.”.
      D)
      "My child has some swelling around her eyelids and mouth.”.
    2. A nurse is collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?
      A)
      Lethargy
      B)
      Hirsutism
      C)
      Tachycardia
      D)
      Diarrhea
    3. A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?
      A)
      A 6-month-old infant who has a spiral fracture to a lower extremity.
      B)
      A 9-month-old infant who has been exposed to bedbugs and has cellulitis.
      C)
      A 4-year-old preschooler who has a rivalry with their siblings.
      D)
      A 24-month-old toddler who experiences occasional incontinence.
    4. A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
      A)
      Understands that death is permanent
      B)
      Perceives death as a punishment
      C)
      Has feelings of isolation
      D)
      Worries about physical body changes.
    Page 5 of 17

    Exam Review

    1. 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
    2. A nurse is collecting data from a 6-month-old infant during a well-child visit. The infant weighed 3.26 kg (7 lb 2 oz) at birth. Which of the following is the anticipated weight at 6 months of age?
      A)
      8.6 to 9.5 kg (19 to 21 lb).
      B)
      4.1 to 5 kg (9 to 11 lb).
      C)
      6.8 to 7.7 kg (15 to 17 lb).
      D)
      10.4 to 11.3 kg (23 to 25 lb).
    3. A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
      A)
      Position the child side-lying to expose the vertebrae.
      B)
      Place the child in a prone position to expose the posterior iliac crest.
      C)
      Place the child supine with legs flexed outward into a frog-like position.
      D)
      Position the child sitting with their buttocks at the edge of the table.
    4. 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.
    Page 6 of 17