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    Exam Review

    1. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent?
      A)
      Place your child in a supine position with a pillow under her back.
      B)
      Apply ice at the base of the nose for 5 minutes and then check for bleeding.
      C)
      Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.
      D)
      Place your child in a sitting position with her head tilted back.
    2. A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
      A)
      Use a 20-gauge needle.
      B)
      Insert the needle at a 15-degree angle.
      C)
      Use a 1.8 mm (0.5 inch) needle.
      D)
      Insert the needle just below the acromion process.
    3. A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
      A)
      Tracks an object with eyes.
      B)
      Smiles when a parent appears.
      C)
      Slight pillow props.
      D)
      Uses a pincer grasp to pick up a toy.
    4. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      I’m glad that my child’s ostomy is only temporary.
      B)
      I want to learn how to empty my child’s urinary catheter bag.
      C)
      I’m glad my child will have normal bowel movements now.
      D)
      I want to learn how to use my child’s feeding tube as soon as possible.
    Page 1 of 11

    Exam Review

    1. A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:5.3 mL
    2. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor for complications in response to this diagnosis?
      A)
      Respiratory
      B)
      Cardiovascular
      C)
      Integumentary
      D)
      Gastrointestinal
    3. A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
      A)
      Decreased stridor
      B)
      Improved hydration
      C)
      Decreased temperature
      D)
      Barking cough
    4. A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?
      A)
      I will report a change in her breathing.
      B)
      I will notify the doctor if her temperature is not controlled with acetaminophen.
      C)
      I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes.
      D)
      I will continue to check her blood sugar two times per day when she is sick.
    Page 2 of 11

    Exam Review

    1. A nurse is assessing a 1-year-old child. Which of the following disorders should the nurse suspect?
      A)
      Nephrotic syndrome
      B)
      Pyloric stenosis
      C)
      Intussusception
    2. A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following findings should the nurse expect? (Select all that apply)
      A)
      Anoxia
      B)
      Frothy saliva
      C)
      Apnea
      D)
      Sunken abdomen
    3. A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?
      A)
      Trendelenburg
      B)
      Semi-Fowler’s
      C)
      Prone
      D)
      On the unoperated side
    4. A nurse is caring for a child who has influenza. The nurse should identify which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?
      A)
      I give my child aspirin to reduce his fever.
      B)
      I give my child ibuprofen when his muscles are aching.
      C)
      I am leaving a humidifier on in my child’s room when he naps.
      D)
      I am encouraging my child to drink grapefruit juice.
    Page 3 of 11

    Exam Review

    1. A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?
      A)
      A sputum culture
      B)
      Pulmonary function tests
      C)
      Sweat chloride test
      D)
      A stool fat content analysis
    2. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
      A)
      Give your infant an oral rehydration solution.
      B)
      Bring your baby in to the clinic today.
      C)
      Burp your baby more frequently during feedings.
      D)
      Try switching to a different formula.
    3. A school nurse is assessing a school-age child and notices silver specks that resemble dandruff but don’t brush off the hair. The child continuously scratches at the nape of their neck. The nurse should suspect which of the following disorders?
      A)
      Impetigo contagiosa
      B)
      Folliculitis
      C)
      Tinea capitis
      D)
      Pediculosis capitis
    4. A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant’s growth and development?
      A)
      Provide a small electronic toy.
      B)
      Allow the infant to stand in the crib.
      C)
      Change the infant’s diaper as soon as soiling occurs.
      D)
      Tie colorful latex balloons to the side of the crib.
    Page 4 of 11

    Exam Review

    1. A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
      A)
      A 10-year-old child who has asthma and a PCO₂ of 37 mm Hg
      B)
      A 10-year-old child who has sickle cell anemia who reports severe chest pain
      C)
      A 1-year-old toddler who has roseola and a temperature of 39°C (102.2°F)
      D)
      A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016
    2. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
      A)
      Poor appetite
      B)
      Yellow nasal discharge
      C)
      Irritability
      D)
      Facial edema
    3. A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care?
      A)
      Suction the mouth with an oral suction tube.
      B)
      Feed the infant with a spoon for 48 hours.
      C)
      Apply and release elbow restraints every hour.
      D)
      Keep the infant supine.
    4. A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize as a clinical manifestation of coarctation of the aorta?
      A)
      Increased blood pressure in the arms with decreased blood pressure in the legs
      B)
      Increased blood pressure in both the arms and the legs
      C)
      Decreased blood pressure in both the arms and the legs
      D)
      Decreased blood pressure in the arms with increased blood pressure in the legs
    Page 5 of 11

    Exam Review

    1. A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
      A)
      A backward sloping appearance of the forehead
      B)
      Dilated scalp veins
      C)
      Hypertension
      D)
      Sunken fontanelles
    2. A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hours for 5 days. The client weighs 18 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
      A)
      “SIDS rates have been rising over the last 10 years.”
      B)
      “SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.”
      C)
      “Sleep apnea is the main cause of SIDS.”
      D)
      “Placing your child on her back when sleeping will decrease the risk of SIDS.”
    4. A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children’s parents?
      A)
      “Spray countertops and sinks with insecticide.”
      B)
      “Seal nonwashable items in airtight plastic bags.”
      C)
      “Inspect any dogs or cats at home for lice.”
      D)
      “Soak all combs and hairbrushes in alcohol.”
    Page 6 of 11