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    Exam Review

    1. A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?
      A)
      "You should sit your child in an upright position to administer the medication."
      B)
      "You should gently pull your child's ear upward."
      C)
      "You should allow your child's medication to reach room temperature prior to administration."
      D)
      "You should place your child in a side-lying position on the affected side after you administer the medication."
    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)
      Draw blood cultures
      B)
      Obtain a stool specimen for culture
      C)
      Conduct a C. diff test
      D)
      Collect a stool specimen for occult blood
    3. A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?
      A)
      Hard-boiled egg
      B)
      Raw carrots
      C)
      Grapes
      D)
      Popcorn
    4. 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)
      Keep the infant at a 30-degree angle front-facing following each feeding.
      B)
      Give the infant a bottle immediately before the infant's bedtime.
      C)
      Limit the infant's formula feedings to every 6 hours.
      D)
      Change the infant's formula to a soy-based formula.
    Page 1 of 16

    Exam Review

    1. A nurse is reinforcing teaching about the nutritional needs of preschoolers with a group of parents. Which of the following foods should the nurse recommend as a source of complete protein?
      A)
      Pinto beans
      B)
      Eggs
      C)
      Broccoli
      D)
      Peanut butter
    2. A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?
      A)
      Administer the formula immediately after removing it from the refrigerator.
      B)
      Administer the feeding at a rate of 3 mL/min.
      C)
      Elevate the head of the bed to a 45-degree angle.
      D)
      Discard residual fluid aspirated from the stomach prior to the feeding.
    3. A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?
      A)
      Destructive
      B)
      Withdrawn
      C)
      Manipulative
      D)
      Perfectionistic
    4. A nurse is reinforcing teaching with a parent of a toddler about viral conjunctivitis. Which of the following information should the nurse include in the teaching?
      A)
      Maintain continuous cool eye compresses
      B)
      Apply the antibiotic eye ointment in the morning
      C)
      Cleanse the eye by wiping downward outward from the inner canthus
      D)
      Use a corticosteroid ointment until the infection subsides
    Page 2 of 16

    Exam Review

    1. A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?
      A)
      Heart rate 59 bpm
      B)
      Respiratory rate 24/min
      C)
      Axillary temperature 37.3°C (99.1°F)
      D)
      Blood pressure 96/58 mmHg
    2. A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?
      A)
      Flush the gastrostomy tube with 10 mL of formula between each medication.
      B)
      Dilute viscous medications with water.
      C)
      Add the medications to the bag of formula.
      D)
      Combine the medications together in one syringe.
    3. A nurse is reinforcing discharge teaching with the guardian of a preschooler who has a fiberglass arm cast. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "It's okay to use a pencil to scratch inside my child’s cast."
      B)
      "I will make sure my child's arm doesn't hang down for more than 30 minutes."
      C)
      "I will ensure my child avoids moving their fingers while the cast is in place."
      D)
      "It is okay to submerge the cast for 5 minutes during my child's bath time."
    4. A nurse is reinforcing teaching with the guardian of a preschooler who has varicella and is hospitalized. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "I can take my child to the playroom after all the lesions have crusted.".
      B)
      "I will wait to bathe my child once the crusts have fallen off the lesions.".
      C)
      "I should expect my child to remain on bed rest for 3 days.".
      D)
      "I need to wear a mask when visiting my child, even though I have had chicken pox.".
    Page 3 of 16

    Exam Review

    1. A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?
      A)
      "This should not have happened to you.”.
      B)
      "I promise I won't tell anyone about this.”.
      C)
      "It is not your fault that this happened.”.
      D)
      "You should have told someone about this sooner.”.
    2. A nurse is caring for a toddler who had a plaster spica cast applied 6 hr ago. Which of the following actions is the nurse's priority?
      A)
      Check the color and temperature of the toddler's toes.
      B)
      Apply cushioning to the edge of the cast using adhesive tape.
      C)
      Use a fan to circulate air around the cast.
      D)
      Reposition the toddler every 2 hr.
    3. A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?
      A)
      Administering a regular diet
      B)
      Initiating IV fluid therapy
      C)
      Administering IV antibiotics
      D)
      Initiating oral rehydration therapy
    4. 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.
    Page 4 of 16

    Exam Review

    1. A nurse is collecting data from a child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
      A)
      A decrease in the child's edema
      B)
      An increase in the child's respiratory rate
      C)
      A decrease in the child's appetite
      D)
      An increase in the child's potassium level
    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 reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?
      A)
      BUN
      B)
      Potassium
      C)
      Alanine aminotransferase
      D)
      Erythrocyte sedimentation rate
    4. A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
      A)
      Tinnitus
      B)
      Elevated blood pressure
      C)
      Constipation
      D)
      Muscle tremors
    Page 5 of 16

    Exam Review

    1. A nurse is reinforcing teaching with the guardian of a toddler who has conjunctivitis. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "I will apply the antibiotic ointment in the morning and use the drops at bedtime."
      B)
      "I will use a separate washcloth to clean the affected eye."
      C)
      "I will wipe from the outer to inner corners of the eye to remove secretions."
      D)
      "I will leave a warm, moist compress on the affected eye for 10 minutes."
    2. A nurse is collecting data from an adolescent client who is hypoglycemic. Which of the following findings should the nurse expect?
      A)
      Fruity breath odor
      B)
      Flushed skin
      C)
      Thirst
      D)
      Headache
    3. A nurse is reinforcing teaching with a parent of a school-age child who is being discharged following a cardiac catheterization. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "My child will need to stay out of school for 3 to 4 weeks."
      B)
      "I will restrict my child's fluid intake for the next 48 hours."
      C)
      "I will not let my child take a bath for the next 3 days."
      D)
      "My child will have drainage at the catheterization site for 3 to 5 days."
    4. A nurse is reinforcing teaching with the guardian of a child who has head lice. Which of the following statements should the nurse make?
      A)
      "Apply petroleum jelly to your child's scalp at bedtime for 3 days."
      B)
      "Leave your child's nonwashable items in a sealed plastic bag for 2 days."
      C)
      "Submerge your child's combs and hairbrushes in boiling water for 10 minutes."
      D)
      "Spray the carpet in your child's room with insecticide weekly for 1 month."
    Page 6 of 16