NursGuru

    Exam Review

    1. The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
      A)
      Surgery should be done by one month to prevent bladder infections.
      B)
      Repair should be done before the child is potty-trained.
      C)
      The urethral repair should be done after sexual maturity.
      D)
      Delaying the repair until school age reduces castration fears.
    2. A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
      A)
      Chickenpox.
      B)
      Mumps.
      C)
      Sore throat.
      D)
      Influenza.
    3. An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
      A)
      "We should be sure to start our daughter on birth control pills."
      B)
      "Sexual maturity differences between my daughter and her peers will disappear within a few years."
      C)
      "Our daughter will be on this hormone treatment the rest of her life."
      D)
      "We should encourage her to dress in clothing that suits her sexual maturity level."
    4. The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrates an understanding of the education? (Select all that apply.)
      (SATA)
      A)
      Maintain a consistent home schedule.
      B)
      Understand that nonstimulant medications show little benefit in treatment.
      C)
      Know that medication is the best approach to treatment.
      D)
      Create an organization chart for tasks.
      E)
      Anticipate being automatically entered into a specialized education plan.
      F)
      Designate an established area for study

    Exam Review

    1. A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
      A)
      Compare the child's vital signs over the past three weeks.
      B)
      Counsel the parents to pay more attention to the child.
      C)
      Conduct a complete neurological assessment.
      D)
      Ask the boy to describe a typical day at school.
    2. The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
      A)
      Plays "peek-a-boo."
      B)
      Has doubled birth weight.
      C)
      Turns head to locate sound.
      D)
      Demonstrates startle reflex.
    3. The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?
      A)
      Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.
      B)
      Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage.
      C)
      Divide the gluteal area into quarters and give IM into the upper outer quadrant
      D)
      Administer the injection into the middle of the lateral aspect of the thigh.
    4. A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
      A)
      Document the client's relief of pain.
      B)
      Inquire about the client's last meal.
      C)
      Give prescribed intravenous antibiotics.
      D)
      Contact the healthcare provider.

    Exam Review

    1. The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
      A)
      Discontinue the ointment once drainage resolves.
      B)
      Remove secretions by wiping toward the opposite eye.
      C)
      Use a disposable moist wipe to remove eye crusts.
      D)
      Prepare child for blurry vision after ointment application.
    2. The nurse is assessing the lung sounds of a preschooler. Which action should the nurse Implement to ensure the child's cooperation?
      A)
      Offer the child bubbles before the stethoscope is placed.
      B)
      Have the child blow a cotton ball and have the parent catch it.
      C)
      Place a toy in the child's hands while listening to the breath sounds.
      D)
      Allow the child to use a stethoscope on a stuffed animal
    3. A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
      A)
      Ensure placement of the enteral tube with an abdominal x-ray.
      B)
      Speak to the healthcare provider about instituting physical therapy.
      C)
      Offer a pacifier for non-nutritive sucking.
      D)
      Use sterile technique during feedings.
    4. During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?
      A)
      Weight gain and type of formula taken daily.
      B)
      The newborn's gestational age assessment.
      C)
      Water source used with supplement feedings.
      D)
      The infant's current hemoglobin and hematocrit.

    Exam Review

    1. While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
      A)
      Assess for teeth clenching or grinding.
      B)
      Inspect the posterior oropharynx.
      C)
      Ask the child to speak to evaluate change in voice tone.
      D)
      Touch the tonsillar pillars to stimulate the gag reflex.
    2. A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
      A)
      Reactions to any previous hospitalizations.
      B)
      A history of rubella, rubeola, or chicken pox.
      C)
      Mother's use of alcohol, drugs, or cigarettes during pregnancy.
      D)
      List of achievement timeline for developmental milestones.
    3. The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?
      A)
      Breastfeed frequently.
      B)
      Position prone after feeding.
      C)
      Avoid smoke exposure.
      D)
      Inspect the infant's ears daily
    4. The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
      A)
      Rice.
      B)
      Oats.
      C)
      Rye.
      D)
      Barley.

    Exam Review

    1. During her sports physical examination, a 15-year-old female requests oral contraceptives. She explains that she is sexually active and does not want her parents to know. Which action should the nurse take?
      A)
      Tell the client how to receive a variety of free oral contraceptives from the clinic.
      B)
      Encourage the client to discuss her need for contraceptives with her parents.
      C)
      Explain that she needs parental approval to receive contraceptives.
      D)
      Counsel the client about the risks and benefits of using oral contraceptives
    2. When advising a new mother in caring for a child with croup, which symptom should be a priority concern to the telephone triage nurse?
      A)
      Fever 101.0° F (38.3° C)
      B)
      Difficulty swallowing secretions.
      C)
      Barking cough, worse at night.
      D)
      Cries often when nursing.
    3. The mother of an 11-year-old boy who has juvenile idiopathic arthritis tells the nurse, "I really don't want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting." Which information is most important for the nurse to provide this mother?
      A)
      Encourage quiet activities such as watching television as a pain distracter.
      B)
      Giving pain medication around the clock helps control the pain.
      C)
      The use of hot baths can be used as an alternative for pain medication.
      D)
      The child should be encouraged to rest when he experiences pain.
    4. The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
      A)
      Ibuprofen should be used prophylactically to prevent febrile seizures.
      B)
      Reassure the parents that febrile seizures decrease as the child grows older.
      C)
      Avoid excessive visual stimuli because it can precipitate seizure activity.
      D)
      Provide the child with a sponge bath for temperatures over 100.6° F (38.1° C)

    Exam Review

    1. A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is imitable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
      A)
      Encourage the parents rest when possible.
      B)
      Apply lotion to hands and feet.
      C)
      Make a list of foods that the child likes.
      D)
      Place the child in a quiet environment.
    2. A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
      A)
      The mother is a single parent and lives with her p parents.
      B)
      The mother states the baby is irritable during feedings.
      C)
      The diaper area shows severe skin breakdown.
      D)
      The Infant's formula has been changed twice.
    3. Exhibits Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized? Select all that apply.
      A)
      Electrocardiogram: Tall T wave and widened QRS complex
      B)
      Blood pressure: 126/76 mm Hg
      C)
      Basilar crackles
      D)
      Urine output: 20 mL in the last hour
      E)
      Respirations: 26 breaths/minute
      F)
      Heart rate: 72 beats/minute
      G)
      Oxygen saturation 98% on room air
      H)
      A normal body temperature (98.9°F or 37.1°C orally).
    4. The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This Injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services. For each nursing action, click to indicate whether the action is indicated or contraindicated for this client's plan of care. Each row must have only one response option selected.
      A)
      Continuous pulse oximetry monitoring
      B)
      Calculation of intake and output
      C)
      Daily weights
      D)
      IV 0.9% normal saline continuous infusion at 100 mL/hr
      E)
      IV potassium sparing diuretic