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    Exam Review

    1. Complete the following sentence by using the lists of options. Exhibits 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: consult the child life specialist for guidance
      Option 2: instruct the parent to withhold the test results from their adolescent
      Option 3: encourage the parent to hide their emotions from their adolescent
      Dropdown 2:
      Option 1: discourage the parent from discussing the possibility of death with their adolescent
      Option 2: reinforce teaching to the parent regarding the adolescent’s potential emotional responses
      Option 3: collaborate with the RN to initiate a referral for admission to hospice care
    2. A nurse is assisting with planning care for a school-age child on the pediatric unit. Exhibits Complete the following sentence by using the lists of options. The nurse should plan to ▾ inspect the child's oropharynxfollowed by▾ obtaining a set of vital signs.
      Dropdown 1:
      Option 1: inspect the child's oropharynx
      Option 2: offer the child a red popsicle
      Option 3: place the child in a supine position
      Dropdown 2:
      Option 1: Requesting a prescription for codeine
      Option 2: Encouraging the child to cough and deep breathe
      Option 3: obtaining a set of vital signs.
    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
      Hemoptysis 300 mL✓
      Barrel chest✓
      WBC count 17,000/mm3✓
      Oxygen saturation 95% on 1 L oxygen via nasal cannula✓
      Steatorrhea✓
      Respiratory rate 32/min✓
    4. A nurse in an emergency department is assisting with the care of a 2-year-old toddler. Exhibits Complete the diagram by dragging from the choices below to specify what condition the toddler is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the toddler's progress.
      ✓Palpate the toddler's abdomen for a mass in the right upper quadrant.
      ✓Reinforce teaching with the guardian about hydrostatic reduction.
      ✓Intussusception
      ✓Stool consistency
      ✓Abdominal pain
      Actions to Take Choices
      ✕Obtain a prescription for blood transglutaminase antibody testing.
      ✓Palpate the toddler's abdomen for a mass in the right upper quadrant.
      ✕Request a prescription for a fat-soluble vitamin supplement.
      ✓Reinforce teaching with the guardian about hydrostatic reduction.
      ✕Prepare the toddler for an upper endoscopy with possible biopsy.
      Potential Condition Choices
      ✕Celiac disease
      ✕Gastroesophageal reflux
      ✓Intussusception
      ✕Gastroenteritis
      Parameters to Monitor Choices
      ✓Stool consistency
      ✕Sleep pattern
      ✕Bone mineral density
      ✓Abdominal pain
      ✕Urine specific gravity
    Page 1 of 16

    Exam Review

    1. A nurse is preparing to administer medications to a 5-month-old infant. Exhibits Drag 1 medication and 1 infant finding to fill in each blank in the following sentence. The nurse should clarify the prescription ▾ Ceftriaxonefor due to the infant's▾ Allergy
      Dropdown 1:
      Option 1: furosemide
      Option 2: Ceftriaxone
      Option 3: digoxin
      Option 4: ibuprofen
      Option 5: acetaminophen
      Dropdown 2:
      Option 1: Allergy
      Option 2: heart rate
      Option 3: medical history
      Option 4: diet
      Option 5: temperature
    2. A nurse is reinforcing teaching about 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)
      Eggs
      B)
      Broccoli
      C)
      Peanut butter
      D)
      Pinto beans
    3. A nurse is contributing to the plan of care for a toddler who is receiving intermittent enteral feedings. Which of the following interventions should the nurse include?
      A)
      Warm the feeding in the microwave oven for 15 seconds.
      B)
      Administer the feeding to the child at 10 mL/min.
      C)
      Discard gastric residuals prior to each feeding.
      D)
      Maintain the child in a supine position.
    4. 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)
      Administer subcutaneous insulin 30 min before meals.
      B)
      Implement fluid restrictions.
      C)
      Monitor vital signs every 8 hr.
      D)
      Initiate continuous cardiac monitoring
    Page 2 of 16

    Exam Review

    1. 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 a blood culture.
      B)
      Obtain a stool specimen for culture.
      C)
      Conduct a tape test.
      D)
      Collect a stool specimen for occult blood.
    2. 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)
      30-piece puzzle
      C)
      Beginner sports
      D)
      Finger paints
    3. A nurse is assisting with the care of a toddler who has a septal defect and is scheduled for a cardiac catheterization. Which of the following actions should the nurse take?
      A)
      Determine if the toddler has an allergy to iodine prior to the procedure.
      B)
      Check the toddler's vital signs once each hour following the procedure.
      C)
      Give the toddler clear liquids prior to the procedure.
      D)
      Administer meperidine for pain immediately following the procedure.
    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 3 of 16

    Exam Review

    1. A nurse is reinforcing teaching with the parents of a 1-week-old infant who has Down syndrome. Which of the following statements should the nurse include?
      A)
      "Expect your baby to need factor replacement therapy every month."
      B)
      "Expect your baby to grow in height more rapidly than weight."
      C)
      "Your baby has an increased risk for a heart defect."
      D)
      "Your baby should have no issues with eyesight."
    2. 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
    3. A nurse is assisting with the care of a child who is receiving palliative care. Which of the following actions should the nurse take?
      A)
      Reinforce with the guardians to avoid discussing death with the child's siblings.
      B)
      Guide discussions with the child about death.
      C)
      Use a calm tone of voice when speaking with the child.
      D)
      Encourage the guardians to seek a second opinion about their child's diagnosis.
    4. A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?
      A)
      "Your parent was wrong to hit you for coming home late."
      B)
      "I'm guessing your other parent did not do anything to stop this from happening."
      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."
    Page 4 of 16

    Exam Review

    1. A school nurse is caring for a child who has asthma and begins to have difficulty breathing. Which of the following actions should the nurse take?
      A)
      Encourage the use of a flutter mucus clearance device.
      B)
      Instruct the child to perform controlled breathing exercises.
      C)
      Administer two puffs of albuterol.
      D)
      Place the child in the supine position.
    2. 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)
      An adolescent who has pneumonia
      B)
      A preschooler who has tuberculosis
      C)
      A school-age child who has Haemophilus influenzae type B disease
      D)
      An infant who has respiratory syncytial virus
    3. A nurse is assisting with the development of an education program about child maltreatment. Which of the following findings should the nurse include in the program as a possible indication of sexual abuse?
      A)
      Lack of subcutaneous fat
      B)
      Recurrent urinary tract infections
      C)
      Unexplained illness
      D)
      Poor personal hygiene
    4. A nurse is caring for a 2-month-old infant. Which of the following findings should the nurse report to the provider?
      A)
      Respiratory rate 18/min
      B)
      Temperature 37.4° C (99.3° F)
      C)
      Heart rate 160/min
      D)
      Blood pressure 95/58 mm Hg
    Page 5 of 16

    Exam Review

    1. A nurse is caring for a school-age child who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
      A)
      Administer magnesium sulfate IM to the child.
      B)
      Place a folded blanket under the child's head.
      C)
      Prevent movement of the child's extremities.
      D)
      Put a tongue blade between the child's teeth.
    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 caring for a child who is in a halo vest for cervical traction. Which of the following actions should the nurse take?
      A)
      Show the child's parent how to release tension on the bars.
      B)
      Remove the vest for the child to sleep at night.
      C)
      Check the child's pupillary response.
      D)
      Apply a cervical collar if the child reports neck pain.
    4. A nurse is assisting with planning care for a school-age child who has suspected pertussis. Which of the following interventions is the nurse's priority to include?
      A)
      Implementing droplet precautions
      B)
      obtaining a nasopharyngeal culture
      C)
      Encouraging family members' compliance with antibiotic therapy
      D)
      Offering small amounts of oral fluids frequently
    Page 6 of 16