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    Exam Review

    1. A nurse is caring for a school-age child who has cystic fibrosis. Exhibits A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
      (SATA)
      A)
      Water-soluble vitamins
      B)
      Dornase alfa
      C)
      Acetaminophen
      D)
      Pancreatic Apase
      E)
      Meperidine
    2. A nurse in the emergency department is preparing to discharge a 3-year-old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
      (SATA)
      A)
      "You should use a mild detergent for your child's laundry."
      B)
      "You can apply gloves to your child's hands."
      C)
      "You should cut and file your child's fingernails frequently."
      D)
      "You should apply emollients to your child's skin after bathing."
      E)
      "You should apply a thick layer of pimecrolimus cream to your child's lesions."
      F)
      "Your child's condition is contagious when lesions are present."
      G)
      "Your child will experience occasional flare-ups of this condition."
    3. A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The child is at risk for developing ▾ pyelonephritis and ▾ renal scarring.
      Dropdown 1:
      Option 1: nephrotic syndrome
      Option 2: acute glomerulonephritis
      Option 3: polycystic kidney
      Option 4: pyelonephritis
      Option 5: renal scarring
      Dropdown 2:
      Option 1: nephrotic syndrome
      Option 2: acute glomerulonephritis
      Option 3: polycystic kidney
      Option 4: pyelonephritis
      Option 5: renal scarring
    4. A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. Exhibits The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
      (SATA)
      A)
      Administer folic acid as prescribed.
      B)
      Monitor oxygen saturation continuously.
      C)
      Apply cold compresses to the affected joints.
      D)
      Restrict oral intake.
      E)
      Instruct the parent to ensure the pneumococcal vaccine is current.
      F)
      Place the client on strict bed rest.
      G)
      Administer meperidine IV for pain.
      H)
      Give oral hydroxyurea.
    Page 1 of 17

    Exam Review

    1. A nurse is caring for a 3-year-old child. Exhibits For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
      Acute laryngotracheobronchitisPneumonia
      Temperature✓✓
      Cough findings at 0800✓
      Irritability✓✓
      Stridor✓
    2. A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
      A)
      Mix the medication with the child's favorite food.
      B)
      Dilute the medication with 8 oz of water.
      C)
      Provide an ice pop after administering the medication.
      D)
      Give 4 oz of milk with the medication.
    3. A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
      A)
      "Leads will be placed on your child's back prior to the procedure."
      B)
      "This procedure will take at least 30 minutes to complete."
      C)
      "Your child can rest on your lap during the procedure."
      D)
      "An alarm will sound if your child has an abnormal heart rhythm."
    4. A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
      A)
      Sausage-shaped mass in the upper right abdomen
      B)
      Red-currant, jelly-like stools
      C)
      Hematemesis
      D)
      Steatorrhea
    Page 2 of 17

    Exam Review

    1. A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
      A)
      Double vision
      B)
      Nuchal rigidity when standing
      C)
      Pain in the posterior iliac crest
      D)
      Headache
    2. A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
      A)
      "Hemodialysis uses an electrolyte solution to clean your child's blood."
      B)
      "Hemodialysis uses an artificial membrane outside the body to clean your child's blood."
      C)
      "Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood."
      D)
      "Hemodialysis slowly filtrates your child's blood continuously."
    3. Exhibits A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
      A)
      Administer ceftriaxone.
      B)
      Initiate serum glucose testing every 1 hr.
      C)
      Administer pneumococcal conjugate vaccine.
      D)
      Initiate neutropenic precautions.
    4. A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
      A)
      "Your child might need to have their tonsils and adenoids removed."
      B)
      "Your child will take isoniazid for 9 months."
      C)
      "Your child will have chest x-rays periodically to monitor for disease reactivation."
      D)
      "Your child should take pancreatic enzymes with meals and snacks."
    Page 3 of 17

    Exam Review

    1. A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
      A)
      Give the child small sips of water.
      B)
      Administer an analgesic
      C)
      Observe the child's throat with a flashlight.
      D)
      Offer the child an ice collar.
    2. A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "I should withhold my child's medication before physical activity."
      B)
      "My child might experience mood swings."
      C)
      "I should take my child to the clinic for a weekly blood test."
      D)
      "My child might have a decreased appetite."
    3. A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
      A)
      The child feels responsible for the sibling's death.
      B)
      The child views the sibling's death as permanent.
      C)
      The child is curious about what happened to the sibling's body.
      D)
      The child can give a logical explanation for the sibling's death.
    4. A nurse is providing teaching to the guardian of a school-age child who has juvenile idiopathic arthritis. Which of the following responses by the guardian indicates an understanding of the teaching?
      A)
      "I will encourage my child to participate in physical activities."
      B)
      "I will apply cold packs to my child's swollen, painful joints."
      C)
      "I will administer NSAIDs 1 hour before meals."
      D)
      "I will dress my child and clean their room for them."
    Page 4 of 17

    Exam Review

    1. A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
      A)
      Tremors
      B)
      Pallor
      C)
      Thirst
      D)
      Sweating
    2. A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.
      A)
      Varicella (VAR)
      B)
      Human papillomavirus (HPV4)
      C)
      Measles, mumps, and rubella (MMR)
      D)
      Rotavirus (RV)
      E)
      Herpes zoster
    3. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
      A)
      Soak combs and brushes in boiling water for 10 min.
      B)
      Treat everyone who came into close contact with the child.
      C)
      Apply petroleum jelly to the affected areas.
      D)
      Wash the child's hair with shampoo containing ketoconazole.
    4. A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
      A)
      Administer an antidepressant to the client.
      B)
      Encourage the client to attend a group therapy session.
      C)
      Assist the client in completing his ADLs.
      D)
      Ask the client if he is considering harming himself.
    Page 5 of 17

    Exam Review

    1. A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "I will use reasoning to explain to my child why their behavior was wrong."
      B)
      "I will ignore my child's temper tantrums if we are in a public place."
      C)
      "I will place my child in time-out after giving one warning."
      D)
      "I will remind my child of past misbehavior to reinforce the rules."
    2. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
      A)
      Unable to roll from back to abdomen
      B)
      Absent grasp reflex
      C)
      Unable to hold a bottle
      D)
      Exhibits head lag when pulled to a sitting position
    3. A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
      A)
      Rash with red macular lesions on the scalp.
      B)
      Maculopapular skin burrows on the hand.
      C)
      Scaly lesions on the inner thighs.
      D)
      Bull's eye edematous area on the groin.
    4. A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
      A)
      Hypertension
      B)
      Stevens-Johnson syndrome
      C)
      Prolonged wound healing
      D)
      Bradypnea
    Page 6 of 17