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    Exam Review

    1. The nurse is preparing diphenhydramine for nausea in a pediatric patient. The physician ordered 6.25 mg/kg intravenous push every six hours. The patient weighs 38 pounds, and the concentration of the medication is 50 mg/mL. How many mL will the nurse administer to the patient? Round to the nearest tenths place. Record numerical answer only.
      Correct Answer:2.2 mL
    2. The risk factors associated with child abuse are? Select all that apply
      (SATA)
      A)
      Parent was abused as a child
      B)
      Young age of parent
      C)
      Living in a single-family home
      D)
      Low income, financial stress
      E)
      Being married
    3. A child weighs 52 lb. The child has a fever and the doctor orders acetaminophen. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe daily dose of the medication the client can receive? Round to the nearest whole number. Record numerical answers only.
      Correct Answer:1418 mg
    4. The nurse is checking a newborn for the presence of Ortolani maneuver and Barlow sign. For which health problem are these assessments used?
      A)
      Cleft palate
      B)
      Tracheoesophageal fistula
      C)
      Hip dysplasia
      D)
      Club foot
    Page 1 of 14

    Exam Review

    1. A child with a bacterial infection is prescribed penicillin. The provider orders 25,000 units/kg/day of penicillin to be given every four hours. The client weighs 56.9 lb. How many units will the nurse administer to the client for one dose? Round to the nearest whole number. Record numerical answer only.
      Correct Answer:107765 units
    2. On the second day after a surgical repair for a cleft lip, which of the following would be most important?
      A)
      Preventing the infant from vomiting
      B)
      Keeping the infant in a prone position
      C)
      Preventing crust formation on the suture line
      D)
      Protecting the infant's tongue from swelling
    3. A client who weighs 76.5 kg is ordered hydromorphone 0.2 mg/kg/day intravenous push divided as needed every 6 hours. Available supply is 1 mg/mL. How many milliliters would the nurse administer in one dose? Round the answer to the nearest tenths place. Record the numeric answers only.
      Correct Answer:3.8 mL
    4. The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. Which of the following is the most appropriate method to assess urine output?
      A)
      Inserting a urinary catheter
      B)
      Measuring the amount of water added to formula
      C)
      Comparing intake and output
      D)
      Weighing diapers
    Page 2 of 14

    Exam Review

    1. A nurse is administering 30 mg/kg/day of amoxicillin every six hours to a 48.6 lb client. The concentration available is 0.2 g/5 mL. How many mL will the nurse administer to the client per dose? Round to the nearest tenths place. Record numerical answer only.
      Correct Answer:4.1 mL
    2. A pregnant client enjoys exercising at a local health spa once a week. Which comment would lead the nurse to believe they need additional teaching?
      A)
      "Nothing feels nicer than a hot sauna after exercise"
      B)
      "The gym gets hot and stuffy by midmorning"
      C)
      "I'm learning to play table tennis"
      D)
      "I limit exercising to low-impact aerobics"
    3. The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is:
      A)
      "Your baby's defect is small and will likely close on its own by 1 year of age"
      B)
      "With a small defect like this, they wait until the child is 10 years old to do the surgery"
      C)
      "It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery"
      D)
      "It is always helpful to get a second opinion about any serious condition like this"
    4. Which assessment findings suggest that an infant with diarrhea is severely dehydrated?
      A)
      Salty saliva and tears with crying
      B)
      Low specific gravity of urine, moist skin
      C)
      Depressed fontanels and poor skin turgor
      D)
      Moist and flushed skin, fontanels (fontanelles) depressed
    Page 3 of 14

    Exam Review

    1. The nurse explains to a client how ultrasound (US) can aid in the assessment of the fetus. Which of the following should the nurse include in the explanation? Drag and drop.
      A)
      Determine fetal blood type
      B)
      Estimate gestational age
      C)
      Diagnose chromosomal abnormalities
      D)
      Assess amniotic fluid volume
      E)
      Estimate fetal growth
      F)
      Determine placental location
    2. A nurse in the prenatal clinic is caring for a client who is at 10 weeks gestation. During the visit the client asks about the cause of their heartburn. The nurse would provide which of the following responses?
      A)
      Pressure from the growing uterus displaces the stomach
      B)
      Increased estrogen production causes increased secretion of hydrochloric acid
      C)
      Increased progesterone production during pregnancy slows gastrointestinal motility
      D)
      Retained bile in the liver results in delayed digestion
    3. The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply
      A)
      Restrict the intake of fruit, vegetables, and fluid
      B)
      Expect to have the shunt replaced as the child grows
      C)
      Examine the site every year for signs of swelling or redness
      D)
      Observe the child for signs of increased intracranial pressure
      E)
      Notify the health provider if the child develops a fever
    4. The nurse is instructing new parents on caring for their infant if gastroenteritis symptoms should occur. Which parental statement indicates understanding of appropriate care?
      A)
      "I could give Kaopectate as long as I follow the directions on the bottle"
      B)
      "I should take the baby's temperature and call my health care provider"
      C)
      "I should offer milk after each episode of diarrhea"
      D)
      "I should offer foods and fluid frequently to prevent dehydration"
    Page 4 of 14

    Exam Review

    1. A nurse is educating a client on their scheduled biophysical profile (BPP). What are the components of the BPP that need to be included in this teaching? Select all that apply
      A)
      Fetal tone
      B)
      Fetal breathing movement
      C)
      Amniotic fluid volume
      D)
      Non-stress test
      E)
      Fetal gender
      F)
      Fetal neck translucency
    2. An 18-year-old pregnant client asks the nurse the purpose of the maternal serum alpha-fetoprotein (MSAFP) test. What is the nurse's response?
      A)
      It tests the ability of her heart to accommodate the pregnancy
      B)
      It measures fetal liver function
      C)
      It is a screening test for neural tube defects
      D)
      It is a screening test for placental function
    3. What education would the nurse provide to a client who is 16 weeks pregnant and owns a cat?
      A)
      Be careful that it doesn't scratch them
      B)
      Refrain from cleaning the cat's food bowl
      C)
      Ask someone else to change the cat litter
      D)
      Give it away until after delivery
    4. A client at 32 weeks gestation is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the exam? Select all that apply
      A)
      Blood pressure
      B)
      Blood glucose
      C)
      Fetal heart rate
      D)
      Pap Smear
      E)
      Pelvic ultrasound
      F)
      Fundal height
    Page 5 of 14

    Exam Review

    1. A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?
      A)
      Vomiting about 2 hours after feeding
      B)
      Vomiting immediately after feeding
      C)
      Chronic diarrhea
      D)
      Refusal to eat
    2. A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use?
      A)
      FLACC
      B)
      Symptom log
      C)
      Oucher
      D)
      FACES
    3. A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse teach the mother to help with the symptoms of this disorder?
      A)
      Place on the back immediately after feeding
      B)
      Administer prescribed medications before each feeding
      C)
      Feed with formula thickened with rice cereal
      D)
      Hold in a horizontal position while feeding
    4. At a prenatal appointment, a 26-year-old client who is 20 weeks pregnant confides to you that they ingest laundry detergent, chalk and soap because of a craving they have had since adolescence. What would be your most appropriate action?
      A)
      Emphasize the protein, vitamin, and iron needs of pregnancy nutrition
      B)
      Kindly but firmly scold the client to discourage the habit
      C)
      Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia
      D)
      Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances
    Page 6 of 14