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    Exam Review

    1. A nurse is caring for a 3-year-old child in the pediatric unit. Exhibits Based on the exhibits provided, which of the following findings are consistent with the child’s condition? Select all that apply.
      (SATA)
      A)
      Hoarse voice
      B)
      Nasal flaring
      C)
      Increased appetite
      D)
      Sitting upright and leaning forward
      E)
      Decreased respiratory rate
    2. A nurse is caring for a school-age child in the pediatric unit. Exhibits A nurse is reviewing the child’s medical record. Based on the exhibits provided, which of the following is the most appropriate initial nursing action?
      A)
      Increase the oxygen flow rate to 4 liters per minute.
      B)
      Administer a bronchodilator as prescribed.
      C)
      Encourage the child to drink more fluids.
      D)
      Notify the provider of the child’s condition.
    3. A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit. Exhibits For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
      AnticipatedContraindicated
      Advise child’s guardian about the use of sunscreen✓
      Educate the child about proper perineal hygiene✓
      Administer salicylic acid for pain and fever✓
      Ensure the child receives a maximum of 1,200 mL/day of fluid✓
      Administer sulfamethoxazole and trimethoprim✓
    4. 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:
      A)
      Prepare the child for flexible endoscopy
      B)
      Encourage the parents to inspect toys for easily removable parts
      C)
      Monitor the child closely for return of gag reflex
      D)
      Obtain informed consent
    Page 1 of 19

    Exam Review

    1. A nurse is caring for a 6-week-old infant in the pediatric unit. Exhibits Complete the diagram by dragging from the choices below to specify: What condition the client is most likely experiencing Two actions the nurse should take to address that condition Two parameters the nurse should monitor to assess the client’s progress
      ✓Congestive heart failure
      ✓Peripheral pulses
      ✓Respiratory status
      Actions to take
      Condition Most Likely Experiencing
      ✓Congestive heart failure
      ✕Respiratory syncytial virus bronchiolitis
      ✕Pyloric stenosis
      ✕Cystic fibrosis
      Parameters to Monitor
      ✓Peripheral pulses
      ✕Number of steatorrhea stools
      ✕Intake and output
      ✕Presence of periorbital edema
      ✓Respiratory status
    2. A nurse in a provider’s office is caring for a 1-year-old toddler. The child is at risk for developing ▾ Pyelonephritis and ▾ Renal scarring. Drag words from the choices below to fill in each blank in the following sentence.
      Dropdown 1:
      Option 1: Pyelonephritis
      Option 2: Polycystic kidney
      Option 3: Renal scarring
      Option 4: Nephrotic syndrome
      Option 5: Acute glomerulonephritis
      Dropdown 2:
      Option 1: Pyelonephritis
      Option 2: Polycystic kidney
      Option 3: Renal scarring
      Option 4: Nephrotic syndrome
      Option 5: Acute glomerulonephritis
    3. 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.
    4. Which of the following best describes the purpose of obtaining consent?
      A)
      To ensure the patient understands the risks.
      B)
      To obtain permission from the patient’s family for treatment.
      C)
      To protect the nurse from legal liability.
      D)
      To allow the healthcare provider to proceed with treatment without patient input.
    Page 2 of 19

    Exam Review

    1. The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students. Which of the following demonstrates the use of therapeutic communication techniques?
      A)
      I understand how you feel; the same thing happened to my friend last year.
      B)
      Please show me how you give yourself insulin.
      C)
      You will be okay.
      D)
      Don’t worry, we will take good care of you.
    2. 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.
    3. A nurse is caring for a client.Which action demonstrates effective collaboration?
      A)
      Performing the dressing change independently.
      B)
      Seeking guidance from the wound care nurse.
      C)
      Asking another nurse to complete the dressing change.
      D)
      Consulting only the client’s family for assistance.
    4. A nurse is caring for a 1-year-old child who has been hospitalized.Which of the following items in the child’s room is a common source of health care-associated infection?
      A)
      Bedside computer keyboard
      B)
      Protective plastic gowns
      C)
      Unopened bottles of formula
      D)
      Disposable diapers
    Page 3 of 19

    Exam Review

    1. A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
      A)
      Hemoglobin 6.8 g/dL (9.5 to 14 g/dL)
      B)
      WBC count 15,000/mm3 (5,000 to 10,000/mm3)
      C)
      RBC count 5/mm3 (4 to 5.5/mm3)
      D)
      Platelet count 98,000/mm3 (150,000 to 400,000/mm3)
    2. 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.
    3. A nurse is providing education to a client.Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
      A)
      Have their cell phone visible and diverting the eyes to check messages.
      B)
      Cross her arms over her chest and avoid eye contact.
      C)
      Smile, nod, touch the client’s hand.
      D)
      Lean gently over the back of a chair with legs crossed.
    4. A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
      A)
      Continuous swallowing.
      B)
      Blood pressure 95/56 mm Hg.
      C)
      Heart rate 54/min.
      D)
      Flushing of the face.
    Page 4 of 19

    Exam Review

    1. A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
      A)
      Weigh the child once per day.
      B)
      Increase fluid intake to 2 L/day.
      C)
      Position the child supine at bedtime.
      D)
      Limit calorie intake to 45 cal/kg/day.
    2. A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
      A)
      Frequent negative responses
      B)
      Resistant to routines
      C)
      Increased dependency
      D)
      Less emotionally labile
    3. What is the primary difference between a Power of Attorney (PO
      A)
      POA can be revoked by a healthcare provider.
      B)
      POA can only be appointed by a court while a Healthcare Proxy grants authority over medical decisions.
      C)
      POA is only applicable to minors, while a Healthcare Proxy is not.
      D)
      POA grants authority over financial matters, while a Healthcare Proxy grants authority over medical decisions.
    4. 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
    Page 5 of 19

    Exam Review

    1. 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
    2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.Which of the following statements should the nurse include in the teaching?
      A)
      "Limit your child's intake of potassium-rich foods."
      B)
      "Monitor your child for indications of infection."
      C)
      "Expect that this medication will stimulate a growth spurt."
      D)
      "Discontinue this medication if gastrointestinal upset occurs."
    3. 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
    4. A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
      A)
      Secure the restraints with a quick-release knot.
      B)
      Assess the child every 4 hr while in restraints.
      C)
      Tie the restraints to the side rails of the child's bed.
      D)
      Request that the provider renew the prescription for restraints every 48 hr.
    Page 6 of 19