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    Exam Review

    1. A nurse in an emergency department is assisting in the care of a 13-year-old adolescent. Exhibits Complete the following sentence by using the lists of options. The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should ▾ consult the child life specialist for guidanceand▾ reinforce teaching to the parent regarding the adolescent's potential emotional responses.
      Dropdown 1:
      Option 1: encourage the parent to hide their emotions from their adolescent
      Option 2: instruct the parent to withhold the test results from their adolescent
      Option 3: consult the child life specialist for guidance
      Dropdown 2:
      Option 1: discourage the parent from discussing the possibility of death with their adolescent
      Option 2: collaborate with the RN to initiate a referral for admission to hospice care
      Option 3: reinforce teaching to the parent regarding the adolescent's potential emotional responses
    2. A nurse is assisting in the care of an 8-month-old infant. Exhibits Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters where the nurse should collect data to monitor the infant's progress.
      ✓Measure head circumference
      ✓Insert nasogastric tube.
      ✓Increased Intracranial pressure
      ✓Behavioural changes
      ✓Pupillary response
      Actions to Take Choices
      ✓Measure head circumference
      ✓Insert nasogastric tube.
      ✕Prepare the infant for myringotomy
      ✕Plan to assist with the administration of intravenous antibiotics
      ✕Place the child in an infant seat.
      Potential Condition Choices
      ✕Paralytic ileus
      ✕Otitis media
      ✓Increased Intracranial pressure
      ✕Peritonitis
      Parameters to Monitor Choices
      ✕Tympanic perforation
      ✓Behavioural changes
      ✓Pupillary response
      ✕Bowel sounds
      ✕Abdominal distension
    3. A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. Exhibits The nurse is collecting data on the adolescent 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the admitting diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
      Unrelated to DiagnosisIndication of Potential ImprovementIndication of Potential Worsening Condition
      Steatorrhea✓
      Barrel chest✓
      Hemoptysis 300 ML✓
      WBC count 17,000/mm3✓
      Oxygen saturation 95% on 1 L oxygen via nasal cannula✓
      Respiratory rate 32/min✓
    4. A nurse is preparing to administer medications to a 4-year-old child who was admitted from the emergency department. Exhibits Drag 1 medication and 1 child finding to fill in each blank in the following sentence. The nurse should plan to clarify the prescription for ▾ ceftriaxonebecause of the child's▾ Medication allergy.
      Dropdown 1:
      Option 1: ondansetron
      Option 2: methylprednisolone
      Option 3: budesonide
      Option 4: ceftriaxone
      Option 5: albuterol nebulizer solution
      Dropdown 2:
      Option 1: Vital signs
      Option 2: WBC count
      Option 3: Medication allergy
      Option 4: scheduled chest x-гay
      Option 5: sodium level
    Page 1 of 18

    Exam Review

    1. A nurse is assisting with the care of a 5-month-old infant who was just admitted to the pediatric unit. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the infant.
      AnticipatedContraindicated
      Maintain infant in supine position.✓
      Prepare the infant for a chest x-ray.✓
      Maintain infant on continuous pulse oximetry.✓
      Monitor intake and output.✓
      Initiate a peripheral IV line.✓
      Offer small, frequent feedings.✓
    2. A nurse is collecting data from an infant who has heart failure and is taking digoxin. The nurse should identify which of the following findings as an indication of digoxin toxicity?
      A)
      Edema
      B)
      Jaundice
      C)
      Purulent sputum
      D)
      Bradycardia
    3. A nurse in a provider's office is collecting data from a 6-week-old infant who developed an uncomplicated cephalohematoma at birth. Which of the following locations should the nurse assess to determine if the infant's lesion has absorbed(You will find hot spots to select in the artwork below in the form of arrows. Select only the hot spot that corresponds to your answer.)
      Correct Answer:"{\"xRanges\":[324.828125,364.828125],\"yRanges\":[66,106]}"
    4. A nurse is caring for a 2-month-old infant. Which of the following findings should the nurse report to the provider?
      A)
      Blood pressure 95/58 mm Hg
      B)
      Respiratory rate 18/min
      C)
      Temperature 37.4° C (99.3°F)
      D)
      Heart rate 160/min
    Page 2 of 18

    Exam Review

    1. A nurse is contributing to the plan of care for a group of newly admitted pediatric clients. For which of the following clients should the nurse recommend initiating contact precautions?
      A)
      A school-age child who has Hoemophilus influenzae type b disease
      B)
      An adolescent who has pneumonia
      C)
      An infant who has respiratory syncytial virus
      D)
      A preschooler who has tuberculosis
    2. A nurse is reinforcing teaching with a parent of an infant who has a new prescription for an oral elixir. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      “I will push the medication to the back of my baby's mouth quickly using a syringe”
      B)
      "I will gently squeeze my baby's cheeks when giving the medication."
      C)
      "I will add the medication to 8 ounces of formula”
      D)
      "I will mix the medication in a 4-ounce bowl of rice cereal at breakfast"
    3. A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home hr after their curfew. Which of the following responses should the nurse make?
      A)
      "I'm guessing your other parent did not do anything to stop this from happening"
      B)
      "Your parent was wrong to hit you for coming home late.”
      C)
      “It is not your fault that this happened to you."
      D)
      "I won't tell anyone else about this unless you say it's okay."
    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 3 of 18

    Exam Review

    1. 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
    2. A nurse is reinforcing teaching with the guardians of a preschooler who has leukemia. The nurse should identify that which of the following educational topics is the priority to include?
      A)
      Promoting nutrition
      B)
      Preventing infections
      C)
      Supporting psychological wellness
      D)
      Managing mucosal ulcerations
    3. A nurse is reinforcing teaching with a parent of a 3-month-old infant who is breastfed and has acute diarrhea. Which of the following nutrients should the nurse recommend the parent feed the infant? (Select all that apply.)
      A)
      Oral rehydration solution
      B)
      Breast milk
      C)
      Chicken broth
      D)
      Clear soda
      E)
      Apple juice
    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 4 of 18

    Exam Review

    1. A nurse is reinforcing teaching about disease management with the parent of a school-age child who has ADHD. Which of the following information should the nurse include? (Select all that apply.)
      A)
      Encourage the child to take responsibility for his actions.
      B)
      Maintain a consistent routine at home.
      C)
      Provide frequent breaks during homework
      D)
      Administer stimulant medication in the morning.
      E)
      Limit the child's involvement in physical activities
    2. Exhibits A nurse is collecting data from an adolescent who has a new diagnosis of infectious mononucleosis. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
      A)
      Intake
      B)
      Skin condition
      C)
      Temperature
      D)
      Pain level
    3. A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
      A)
      Poker Chip Tool
      B)
      Color tool
      C)
      Numeric scale
      D)
      FLACC scale
    4. A nurse is administering the Haemophilus influenzae type B vaccine (Hib) to a 6-month-old infant. Which of the following actions should the nurse take?
      A)
      Administer the vaccine in the vastus lateralis muscle using a 25-mm (1-in) needle
      B)
      Administer the vaccine subcutaneously in the abdomen using a 16-mm in needle
      C)
      Administer the vaccine subcutaneously in the upper arm using a 13-mm (-n) needle.
      D)
      Administer the vaccine in the dorsogluteal muscle using a 51 mm (2-in) needle
    Page 5 of 18

    Exam Review

    1. Exhibits A nurse is collecting data from an adolescent who has bacterial pneumonia. Which of the following findings is the priority for the nurse to report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
      A)
      Oxygen saturation
      B)
      Skin condition
      C)
      Lung sounds
      D)
      Temperature
    2. 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."
    3. A nurse is caring for a preschooler who has heart failure and a new prescription for furosemide 4 mg/kg every 8 hr. The child weighs 16 kg (35 lb). Available is furosemide oral solution 40 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. 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.
    Page 6 of 18