NursGuru

    Exam Review

    1. A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia. Which of the following sports should the nurse recommend?
      A)
      Basketball.
      B)
      Soccer.
      C)
      Bowling.
      D)
      Gymnastics.
    2. A nurse is performing a home health visit for a pediatric client who has had a recent onset of headaches.The nurse notices the home is poorly ventilated, and there is no placement of carbon monoxide detectors. Which of the following appliances should the nurse identify as a potential source of carbon monoxide?
      A)
      Electric stove.
      B)
      Refrigerator.
      C)
      Kerosene heater.
      D)
      Washing machine.
    3. A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take?
      A)
      Monitor output using an indwelling urinary catheter for the first 24 hr.
      B)
      Remove the child's pressure dressing after the first 4 hr.
      C)
      Keep the affected extremity straight for at least 6 hr.
      D)
      Maintain the child's NPO status for 4 to 6 hr.
    4. A nurse is caring for a 3-year-old toddler who has heart failure. Which of the following actions should the nurse take to promote rest for the toddler?
      A)
      Allow the toddler to visit the playroom 30 min prior to bedtime.
      B)
      Administer diuretics with the toddler's lunch.
      C)
      Establish a daily schedule with the toddler and their family.
      D)
      Keep the television on in the toddler's room.

    Exam Review

    1. A nurse is assessing a toddler during a well-child visit. Which of the following findings should the nurse identify as an indication of nephrotic syndrome?
      A)
      Irritability.
      B)
      Increased abdominal girth.
      C)
      Constipation.
      D)
      Increased urinary output.
    2. A nurse is caring for an infant who has hydrocephalus and ventriculoperitoneal shunt malfunction. Which of the following assessment findings indicates that the infant is experiencing increased intracranial pressure?
      A)
      Irritability.
      B)
      Increased appetite.
      C)
      Flat fontanel.
      D)
      Tachycardia.
    3. A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
      A)
      Decreased intraocular pressure.
      B)
      Hypoglycemia.
      C)
      Weight loss.
      D)
      Decreased bone density.
    4. A nurse is assessing an infant who has patent ductus arteriosus. Which of the following findings should the nurse expect?
      A)
      Decreased heart rate.
      B)
      Increased respiratory rate.
      C)
      Increased temperature.
      D)
      Decreased systolic blood pressure.

    Exam Review

    1. A nurse is planning to complete dressing changes for an adolescent who has multiple burn injuries. Which of the following interventions addresses the greatest risk to the client?
      A)
      Perform passive range-of-motion exercises during the dressing change.
      B)
      Adjust the room temperature to 33° C (91.4° F).
      C)
      Check the wound sites for manifestations of infection.
      D)
      Apply tepid water to the old dressings before removal.
    2. A nurse is caring for a preschooler who has a terminal illness. Which of the following findings should the nurse expect?
      A)
      Expresses anxiety about physical changes.
      B)
      Feels alienated from their friends.
      C)
      Understands that death is inevitable.
      D)
      Believes that death is temporary.
    3. A nurse is caring for a school-age child who underwent a tuberculin skin test 3 days ago and has a 3-mm induration at the test site. The nurse should identify this finding as which of the following?
      A)
      An allergic reaction.
      B)
      A negative result.
      C)
      Active tuberculosis.
      D)
      Disseminated disease.
    4. A nurse is caring for an infant who has heart failure and is receiving digoxin. Which of the following findings indicates a positive response to the medication?
      A)
      Heart rate 187/min.
      B)
      Respiratory rate 32/min.
      C)
      Urine output 2 mL/kg/hr.
      D)
      Capillary refill 4 seconds.

    Exam Review

    1. A nurse is assessing a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
      A)
      Compartment syndrome
      B)
      Osteomyelitis
      C)
      Renal calculi
      D)
      Volkmann ischemic contracture
    2. A nurse is assessing a toddler during a well-child visit. Which of the following parent statements indicates the correct use of time-out as a method of discipline?
      A)
      I typically leave my child in time-out for 10 minutes.
      B)
      I give my child one warning before she has to go in time-out.
      C)
      I send my child to her room and shut the door during time-out.
      D)
      I explain to my child why her actions are wrong after I put her in time-out.
    3. A nurse is educating the parent of a toddler who has sickle cell anemia. Which of the following statements by the parent indicates that the teaching was effective?
      A)
      My child will need to take daily medicine to prevent viral infections.
      B)
      My child should not receive immunizations.
      C)
      My child will need monthly blood transfusions.
      D)
      My child should not participate in contact sports.
    4. A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin. Which of the following findings indicates moderate dehydration?
      A)
      Decreased respiratory rate.
      B)
      Bulging anterior fontanel.
      C)
      Capillary refill 3 seconds.
      D)
      Mottled skin.

    Exam Review

    1. A nurse is caring for a school-age child who has acute renal failure. Which of the following findings should the nurse expect?
      A)
      Hypercalcemia.
      B)
      Oliguria.
      C)
      Hypokalemia.
      D)
      Metabolic alkalosis.
    2. A nurse is providing care for a toddler who is scheduled for cardiac surgery. The parent states, I am not sure I want my child to have this operation. Which of the following statements should the nurse make?
      A)
      You have already signed the consent form for surgery.
      B)
      Let me explain the consequences of not having this surgery.
      C)
      I will notify the provider of your concerns about this surgery.
      D)
      You have the best cardiovascular surgical team.
    3. 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
    4. A nurse is teaching a group of parents about body image during adolescence. Which of the following information should the nurse include?
      A)
      Adolescents typically begin to identify differences in skin color.
      B)
      Adolescents frequently express concerns about body image to their family.
      C)
      Adolescents tend to compare their sexual development to their peers.
      D)
      Adolescents view their extremities as the most important part of their body.

    Exam Review

    1. A nurse is conducting a health history of an adolescent who is accompanied by a parent. Which of the following interviewing techniques should the nurse use?
      A)
      Use open-ended questions when asking the adolescent about their health history.
      B)
      Communicate sympathy when asking the adolescent about their chief complaint.
      C)
      Provide an opinion when discussing the adolescent's sexual history.
      D)
      Interview the parent first when collecting the adolescent's health history.
    2. A nurse is caring for an 8-year-old child who has a new onset of generalized seizures. Which of the following interventions should the nurse include in the plan of care?
      A)
      Loosen restrictive clothing during a seizure.
      B)
      Restrain the child's arms during a seizure.
      C)
      Administer oral valproic acid during a seizure.
      D)
      Elevate the head of the bed to 30° during a seizure.
    3. A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
      A)
      Store opened vials of insulin for up to 60 days.
      B)
      Monitor capillary blood glucose daily.
      C)
      Follow up with physical therapy.
      D)
      Consult with a nutritionist.
    4. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child?
      A)
      Ice pop
      B)
      Sugar-free cherry gelatin
      C)
      Chocolate milk
      D)
      Vanilla ice cream