NursGuru

    Exam Review

    1. Which parent education should the nurse include to reduce the risk of otitis media in a toddler? (Select all that apply.)
      (SATA)
      A)
      Place the child in a supine position immediately after feeding
      B)
      Encourage frequent pacifier use
      C)
      Avoid Q tips in the ear.
      D)
      Eliminate exposure to secondhand smoke.
      E)
      Avoid bottle-feeding while the child is lying flat.
    2. A teen is diagnosed with acne vulgaris. The patient has erythematous pustular lesions. Which nursing teaching is appropriate when teaching about face washing.
      A)
      Educate about gentle cleansing with non-fragrance products
      B)
      Encourage vigorous scrubbing to remove lesions fully.
      C)
      Tell the patient that the only effective treatment is topical antibiotics.
      D)
      Encourage over-the-counter steroid creams for immediate clearing.
    3. During a school screening the nurse notes one scapula/shoulder appears higher than the other on a forward bending test. What is the next best nursing action?
      A)
      Refer to appropriate care for what is most likely scoliosis.
      B)
      Teach child stretching exercises only since this is naturally occurring during a growth spurt.
      C)
      Reassure child that this is normal and no action needed.
      D)
      Place child on bed rest for 48 hours.
    4. A child with spastic cerebral palsy presents with a history of hypertonicty, contractures, poor control of movement and difficulty eating. The nurse knows to direct management towards:
      A)
      Physical therapy only
      B)
      Decreasing strengthening Exercises
      C)
      Medications
      D)
      Multidisciplinary supportive care

    Exam Review

    1. A parent of a 2-week-old newborn reports persistent tearing and yellow crusting in one eye. The sclera is white, and the infant is afebrile. Which instruction should the nurse provide?
      A)
      Apply warm compresses and administer prescribed antibiotic ointment twice daily.
      B)
      Keep the eye covered to prevent further irritation.
      C)
      Gently massage the lacrimal sac several times daily.
      D)
      Irrigate the eye with sterile saline every 2 hours until drainage resolves
    2. The RN is caring for the patient whom weighs 8kg. The order states 7mg/kg/dose. How many mg per dose should this patient receive (please use appropriate unit measurement):
      Correct Answer:56 mg
    3. An infant is noted to have asymmetrical thigh folds and limited abduction of the hip. Further assessment reveals a "clunk" upon manipulation of legs. The nurse recognizes these as most likely signs of:
      A)
      Developmental dysplasia of the hip (DDH).
      B)
      Normal variant that resolves by 1 year without follow-up
      C)
      Transient muscle strain
      D)
      Lower extremity fracture
    4. A nurse is caring for a 12-year-old client who appears physically older due to early puberty. Which approach should the nurse use to promote effective communication?
      A)
      Direct questions primarily to the parent due to the condition.
      B)
      Communicate using terminology appropriate for a late adolescent.
      C)
      Provide detailed medical explanations using adult-level vocabulary.
      D)
      Use developmentally appropriate language based on the client's chronological age.

    Exam Review

    1. A nurse in a pediatric clinic is assessing four children who present with hip or knee pain. Which child requires priority intervention?
      A)
      An 8-year-old with intermittent knee pain after soccer practice
      B)
      A 13-year-old overweight adolescent with sudden hip pain and the affected leg externally rotated
      C)
      A 5-year-old with mild hip pain following a recent upper respiratory infection and a low-grade fever
      D)
      A 6-year-old with a painless limp for 2 months and limited hip abduction
    2. An infant presents to the emergency room with generalized non-pruritic flat erythematous spots, high fever, rhinorrhea, bilateral conjunctivitis, and white spots resembling a grain of sand on buccal mucosa. The nurse knows this client most likely has which viral illness?
      A)
      Fifth Disease
      B)
      Rubeola (measles)
      C)
      Roseola infantum
      D)
      Varicella Zoster (chickenpox)
    3. A school nurse is caring for a teenage athlete with a newly casted fractured ankle. Which interventions should the nurse implement to reduce swelling and pain and promote healing? Select all that apply:
      A)
      Apply a cold pack to the ankle for 20 minutes at a time during the first 24 to 48 hours.
      B)
      Elevate the affected extremity above the level of the heart
      C)
      Assess capillary refill, sensation, and movement of the toes
      D)
      Apply a heating pad over the cast to improve circulation
      E)
      Encourage weight-bearing ambulation as tolerated during the first 24 hours.
    4. The correct dosing for Ancef is 200mg/kg/day every 8 hours. The patient weighs 9kg. What is the correct dose in mg the nurse would administer PER DOSE

    Exam Review

    1. A nurse is performing a well-child assessment of an 11-month-old infant. Which parental statement requires immediate communication to the pediatrician?
      A)
      "My baby does not sit without support."
      B)
      "My baby does not respond to their name."
      C)
      "My baby prefers to play alone."
      D)
      "My baby wakes once at night to feed."
    2. A nurse prepares to administer otic drops to a 2-year-old with otitis media. What action is correct?
      A)
      Pull the pinna down and back before instilling drops
      B)
      Warm the drops by placing the bottle in the freezer for 10 minutes
      C)
      Pull the pinna up and back before instilling drops
      D)
      Position the child prone with head elevated after administration
    3. Child A 10am: 4-year-old presents with honey-colored crusted lesions around the nose and mouth Mild itching Lesions are superficial and moist BP 100/60, HR 107, RR 22, Temp 98.7 (37C), 98% SpO2 Child B 10am: 6-year-old presents with a warm, swollen area on the lower leg Erythema within lines of demarcation Complains of pain BP 96/54, HR 154, RR 28, T101.5F (38.6 C), 98% Sp02 Patient is sleepy but arousable Indicate the illnesses that these pediatric patients are likely experiencing
      A)
      Child A
      B)
      Child B
    4. Child A 10am: 4-year-old presents with honey-colored crusted lesions around the nose and mouth Mild itching Lesions are superficial and moist BP 100/60, HR 107, RR 22, Temp 98.7 (37C), 98% SpO2 Child B 10am: 6-year-old presents with a warm, swollen area on the lower leg Erythema within lines of demarcation Complains of pain BP 96/54, HR 154, RR 28, T101.5F (38.6 C), 98% Sp02 Patient is sleepy but arousable Which is the priority nursing concern?
      A)
      cosmetic skin changes
      B)
      risk for weight loss
      C)
      risk for systemic infection
      D)
      risk for impaired body image

    Exam Review

    1. Child B 10am 6-year-old presents with a warm, swollen area on the lower leg Complains of pain BP 96/54, HR 154, RR 28, T 101.5F (38.6 C), 98% SpO2 Patient is sleepy but arousable Capillary refill 4 seconds Lines of demarcation drawn around erythema 12 pm BP 98/62, HR 123, RR 22. Temp 101F (38.3C), 98% Sp02 Patient is sleepy but arousable Capillary refill 4 seconds Erythema noted past the margins of demarcation Indicate whether the Child B’s condition is improving, worsening or maintaining
      A)
      Mental status
      B)
      Temperature
      C)
      Respiratory rate
      D)
      Heart rate
      E)
      Pulse oximetry
    2. Based on most recent patient findings, select the likely presentation (Cellulitis or Impetigo) for each intervention
      A)
      Administer antipyretic as prescribed.
      B)
      Administer oxygen as prescribed
      C)
      Administer IV normal saline bolus as prescribed
      D)
      Prep the patient for discharge.
      E)
      Offer patient Pedialyte by mouth.
      F)
      Call provider with update on vital signs and patient status.
      G)
      Prepare bread-spectrum IV antibiotics
    3. After 48 hours of IV antibiotics, which findings indicate effective treatment (SELECTT ALL THAT APPLY):
      A)
      Blood pressure consistently around 100/65 mmHg
      B)
      Capillary refill 6 seconds
      C)
      Improving fever curve
      D)
      Patient is alert and active
      E)
      Erythema within lines of demarcation
      F)
      Capillary refill <3 seconds
      G)
      Erythema further passing margins of demarcation
    4. Child A 10am: 4-year-old presents with honey-colored crusted lesions around the nose and mouth Mild itching Lesions are superficial and moist BP 100/60, HR 107, RR 22, Temp 98.6F (37C), 98% Sp02 Capillary refill <2 seconds Patient is alert and active Provider diagnoses patient with impetigo. 11am: Nurse administers Bactroban topically as prescribed 12pm: BP 104/62, HR 104, RR 21, Temp 98.5F (37C), 98% Sp02 Capillary refill < 2 seconds Patient is alert and active 2pm: MD orders regular diet MD orders discharge for patient Which discharge instructions should the nurse include? SELECT ALL THAT APPLY:
      A)
      It is okay to share towels if washed daily.
      B)
      Stop antibiotics once erythema improves
      C)
      Monitor for fever
      D)
      Engage in close contact activities
      E)
      Avoid scratching the affected areas

    Exam Review

    1. A nurse is teaching the parent of a 2-year-old toddler about increased risks of middle ear infection. Which statement by the parent indicates understanding of the teaching?
      A)
      "Toddlers have fully developed immune systems."
      B)
      "My child produces more cerumen than older children."
      C)
      "The tympanic membrane is thicker in toddlers."
      D)
      "My child's Eustachian tubes are shorter and more horizontal than an adult's."
    2. The nurse performs a standardized developmental screening tool which confirms delay in motor skill development Which action is most appropriate?
      A)
      Refer to pediatric neurology and Early Intervention as prescribed.
      B)
      Reassure parent and delay referral
      C)
      Recommend increased screen time for stimulation.
      D)
      Advise waiting until 12 months
    3. The nurse is providing anticipatory guidance to a parent to help promote healthy sleep for the 3-week-old newborn. Which recommended guideline will the nurse include in the teaching plan in order to decrease risk of sudden infant death syndrome (SIDS)?
      A)
      Place the newborn on the back when sleeping during the day or night.
      B)
      Wrap the newborn in a blanket before placing in the crib for the night.
      C)
      Place the newborn on the stomach when sleeping during the day or night.
      D)
      A stuffed animal may be placed in the crib for comfort once the newborn is 1 month old.
    4. The RN is caring for the patient whom weighs 10 kg. The MD orders Acetaminophen 50mg/kg/day divided in 4 doses. How many mg should the nurse administer PER DOSE?