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    Exam Review

    1. 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 cut and file your child's fingernails frequently."
      B)
      "You should use a mild detergent for your child's laundry."
      C)
      "You should apply a thick layer of pimecrolimus cream to your child's lesions."
      D)
      "Your child will experience occasional flare-ups of this condition."
      E)
      "Your child's condition is contagious when lesions are present."
      F)
      "You can apply gloves to your child's hands."
      G)
      "You should apply emollients to your child's skin after bathing.
    2. A nurse in the emergency department is caring for a toddler. Exhibits Complete the following sentence by using the list of options. The nurse should first ▾ keep the child NPO followed by ▾ prepare the child for flexible endoscopy.
      Dropdown 1:
      Option 1: keep the child NPO
      Option 2: teach the child’s parents the importance of inspecting the child’s toys
      Option 3: obtain informed consent
      Dropdown 2:
      Option 1: prepare the child for flexible endoscopy
      Option 2: monitor the child closely for return of gag reflex
      Option 3: encourage the parents to inspect toys for easily removable parts
    3. 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)
      Monitor oxygen saturation continuously.
      B)
      Restrict oral intake.
      C)
      Give oral hydroxyurea.
      D)
      Administer meperidine IV for pain.
      E)
      Instruct the parent to ensure the pneumococcal vaccine is current.
      F)
      Place the client on strict bed rest.
      G)
      Administer folic acid as prescribed.
      H)
      Apply cold compresses to the affected joints.
    4. 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)
      Meperidine
      B)
      Dornase alfa
      C)
      Acetaminophen
      D)
      Water-soluble vitamins
      E)
      Pancreatic lipase
    Page 1 of 18

    Exam Review

    1. A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
      A)
      "Tell your 3-year-old child that they will now have a new playmate."
      B)
      "Prepare your 3-year-old child for a change in all of their routines."
      C)
      "Provide a doll for your 3-year-old child to imitate parental behaviors."
      D)
      "Wait for the newborn to come home before moving your 3-year-old child from the crib to a bed."
    2. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
      A)
      Initiate contact isolation precautions.
      B)
      Report the disease to the state health department.
      C)
      Administer amphotericin B IV.
      D)
      Apply lidocaine ointment topically.
    3. A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
      A)
      Clear urine
      B)
      No report of pain with voiding
      C)
      Odorless urine
      D)
      Temperature 37.2° C (99° F)
    4. A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
      A)
      CRIES
      B)
      FACES
      C)
      Visual analog
      D)
      FLACC
    Page 2 of 18

    Exam Review

    1. A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
      A)
      Prolonged wound healing
      B)
      Hypotension
      C)
      Stevens-Johnson syndrome
      D)
      Renal failure
    2. A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
      A)
      Prone
      B)
      Lateral
      C)
      Supine
      D)
      Semi-Fowler's
    3. A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
      A)
      Set the water heater to 60° C (140° F).
      B)
      Keep electrical wires hidden from view.
      C)
      Turn pot handles toward the front of the stove.
      D)
      Encourage outdoor activities between the hours of 1100 and 1300.
    4. A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
      A)
      A toddler who has an apical pulse of 100/min
      B)
      A toddler who has a potassium level of 4.0 mEq/L (3.4 to 4.7 mEq/L)
      C)
      A toddler who has a digoxin level of 1.2 ng/mL (0.8 to 2 ng/mL)
      D)
      A toddler who has vomited 2 times in the last hour
    Page 3 of 18

    Exam Review

    1. A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
      A)
      Offer commercially prepared formula.
      B)
      Switch to soy milk.
      C)
      Reinitiate breastfeeding.
      D)
      Warm the goat’s milk before feeding.
    2. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
      A)
      Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle.
      B)
      Your child should ride the bicycle against the flow of traffic.
      C)
      Your child should walk the bicycle through intersections.
      D)
      Your child should keep the bicycle at least 3 feet from the curb while riding in the street.
    3. A nurse in a provider's office is caring for a 1-year-old toddler. Exhibits select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing dropdown and dropdown
    4. A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
      A)
      Restrict the child’s strenuous activities for 3 days.
      B)
      Use a hair dryer on a cool setting to relieve itching.
      C)
      Monitor for pallor or swelling in the child’s affected hand.
      D)
      Examine the child for skin irritation at the cast edges.
    Page 4 of 18

    Exam Review

    1. A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
      A)
      Administer vaccines prior to discharge.
      B)
      Avoid raw fruits and vegetables in the child's diet.
      C)
      Bathe the child every other day.
      D)
      Obtain the child's rectal temperature once daily.
    2. A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
      A)
      Occupational therapist
      B)
      Speech-language pathologist
      C)
      Dietitian
      D)
      Physical therapist
    3. A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
      A)
      Administer RBCs using non-filtered IV tubing.
      B)
      Infuse each unit of blood within 4 hr.
      C)
      Infuse dextrose 5% in water during the infusion of packed RBCs.
      D)
      Store the second unit of blood at room temperature for up to 2 hr.
    4. A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
      A)
      “My child held their urine for about 15 minutes before going to the bathroom.”.
      B)
      “My child has been doing Kegel exercises to strengthen their pelvic muscles.”.
      C)
      “My child went to the bathroom two times when the alarm went off last night.”.
      D)
      “My child has been drinking a lot less since they started treatment.”.
    Page 5 of 18

    Exam Review

    1. A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
      A)
      Positive Babinski reflex
      B)
      Presence of tears when crying
      C)
      Doll's eye reflex intact
      D)
      No head lag when pulled to a sitting position
    2. A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
      A)
      The child cries often.
      B)
      The child refuses clear liquids.
      C)
      The child's throat pain increases.
      D)
      The child swallows frequently.
    3. A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
      A)
      Increased capillary refill.
      B)
      Decreased appetite.
      C)
      Thirst.
      D)
      Shakiness.
    4. A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
      A)
      Monitor the newborn's temperature every 2 hr.
      B)
      Place mittens on the newborn's hands.
      C)
      Apply lotion to the newborn's skin.
      D)
      Check the newborn's eyes every 8 hr.
    Page 6 of 18