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    Exam Review

    1. A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
      A)
      The infant does not sit steadily without support.
      B)
      The infant cannot build a tower of three or four cubes.
      C)
      The infant cannot turn pages in a book.
      D)
      The infant is unable to imitate animal sounds.
    2. A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
      A)
      Place the child in an upright position.
      B)
      Transport the child to radiology for a throat x-ray.
      C)
      Visualize the epiglottis with a tongue depressor.
      D)
      Obtain a throat culture.
    3. An 8-year-old child on the pediatric unit recovering from severe persistent asthma is on the cardiac monitor. The nurse hears an alarm, and noted the leads on the child are on. The nurse checked for responsiveness, and the child is not responding to tactile response. What are the nurse's next actions?
      A)
      Maintain the child's airway
      B)
      Call for help, then check for a pulse
      C)
      Start chest compression
      D)
      Inform the physician that the child has no pulse
    4. A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
      A)
      The toddler cannot jump with both feet.
      B)
      The toddler cannot stand upright without support.
      C)
      The toddler cannot turn a doorknob.
      D)
      The toddler cannot build a tower of six to seven cubes.
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)
      (SATA)
      A)
      Symptoms are continuous throughout the day.
      B)
      Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
      C)
      Nighttime symptoms occur approximately twice a month.
      D)
      Daytime symptoms occur more than twice a week.
      E)
      Minor limitations with normal activity.
    2. A nurse is assessing the psychosocial development of a toddler following a tonsillectomy. Which of the following findings is a manifestation of this following?
      A)
      Imaginary playmates
      B)
      Negative behaviors characterized by the need for autonomy
      C)
      Demonstrations of sexual curiosity
      D)
      Erikson's stage of initiative versus guilt
    3. A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?
      A)
      Homosexuality
      B)
      Family conflict
      C)
      Active psychiatric disorder
      D)
      Availability of firearms
    4. A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
      A)
      Mouth breathing
      B)
      Reports of thirst
      C)
      Frequent swallowing
      D)
      Reports of pain
    Page 2 of 13

    Exam Review

    1. A parent tells a nurse that her toddler drinks a quart of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddler is at risk for which of the following disorders?
      A)
      Diabetes mellitus
      B)
      Obesity
      C)
      Iron deficiency anemia
      D)
      Rickets
    2. A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?
      A)
      Babbles one-syllable sounds
      B)
      Uses a unidextrous grasp
      C)
      Has a fear of strangers
      D)
      Shows preferences towards foods
    3. A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
      A)
      Hanging crib toys
      B)
      Large building blocks
      C)
      Modeling day
      D)
      Crayons and a coloring book
    4. A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
      A)
      Developing autonomy
      B)
      An anxiety reaction
      C)
      Regression
      D)
      Resentment toward the mother
    Page 3 of 13

    Exam Review

    1. A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
      A)
      Obtain a detailed history.
      B)
      Ask a psychiatrist to talk with the parents.
      C)
      Report the suspected abuse to the authorities.
      D)
      Separate the child from the parents.
    2. A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?
      A)
      "Temper tantrums are a type of learning disability."
      B)
      "You should get a psychological consult for the temper tantrums."
      C)
      "Temper tantrums are the toddler's attempt to gain control of a situation."
      D)
      "You should leave the room while the tantrum is happening."
    3. A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?
      A)
      A client who has a burn injury to an estimated 5% his leg and is crying
      B)
      A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing
      C)
      A client who has an ankle fracture reports a pain level increase from 3 to 5 after initial ambulation
      D)
      A who is client 1 day postoperative and has a temperature of 37.5° C (99.5° F)
    4. A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
      A)
      Shake the inhaler for 3 to 5 seconds.
      B)
      Wait 2 min between inhalations.
      C)
      Press down twice on the MDI canister.
      D)
      Rinse the mouth with mouthwash after inhaling the medication.
    Page 4 of 13

    Exam Review

    1. A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?
      A)
      Obtain blood culture specimens.
      B)
      Insert an IV catheter.
      C)
      Administer an antipyretic.
      D)
      Prepare for nasotracheal intubation
    2. A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
      A)
      Install accordion style gates.
      B)
      Fit the mattress so that it is snug against the sides of the crib.
      C)
      Set the water heater at 65.6° C (150°F).
      D)
      Tie plastic bags in knots before discarding them.
      E)
      Serving food in small, non-circular pieces.
    3. A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?
      A)
      "As a nurse, I am required by law to report suspected child abuse."
      B)
      "The provider will be coming to explain the situation."
      C)
      "I reported the incident to my supervisor who decided to contact the authorities."
      D)
      "I am unable to discuss this, but I can contact my supervisor to speak with you."
    4. A nurse is providing teaching to the parents of a 1 week old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
      A)
      "We will notify the doctor if the pulse oximeter consistently reads 100%"
      B)
      "The probe of the pulse oximeter can be applied to a finger or a toe."
      C)
      "The pulse oximeter might not be accurate during times of excessive movement.
      D)
      "We will rotate the probe of the pulse oximeter every 24 hours."
    Page 5 of 13

    Exam Review

    1. A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?
      A)
      Initiate airborne precautions.
      B)
      Keep thermometer in the toddler's room.
      C)
      Place the toddler in a room that has negative air pressure.
      D)
      Allow the toddler to play in the common room.
    2. A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "The car seat is rear-facing in the front passenger seat."
      B)
      "Our car seat is front-facing in the back seat."
      C)
      "I can fit my hand between the baby and the car seat harness."
      D)
      "Our car seat is an infant model and is anchored in the car."
    3. A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
      A)
      A child who uses the call light frequently
      B)
      A child whose parents answer questions for the child
      C)
      A child who has a BMI indicating obesity
      D)
      A child who has frequent visitors
    4. A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?
      A)
      Brisk capillary refill
      B)
      Clear breath sounds
      C)
      Increased respiratory rate
      D)
      Stable oxygen saturation
    Page 6 of 13