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    Exam Review

    1. A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "My child will be constipated if they drink more than 6 ounces of juice a day."
      B)
      "My child's intake of calcium should average 500 milligrams every day."
      C)
      "My child should consume 1,500 to 1,800 calories each day by the time they turn 2."
      D)
      "My child's appetite will increase suddenly when they turn 18 months old."
    2. A nurse is assisting in the admission of a 9-month-old infant who has gastroenteritis with vomiting and diarrhea. Which of the following findings is the nurse's priority? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)Exhibit 1Exhibit 2Exhibit 3 Graphic RecordBlood pressure 68/46 mm Hg Heart rate 182/min Respiratory rate 32/minTemperature 38.8°C (101.9°F) SaO2 95% on room air
      A)
      Skin turgor
      B)
      Potassium level
      C)
      Capillary refill
      D)
      Heart rate
    3. A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
      A)
      A toddler has a spiral fracture, and the parent reports a fall from a swing.
      B)
      A preschooler has bruises on the shins, and the parent reports a collision with furniture.
      C)
      An adolescent has a head injury, and the parent reports a fall from a bike.
      D)
      A school-age child has a black eye, and the parent reports a fight with a classmate.
    4. A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?
      A)
      Spinal fluid analysis
      B)
      Complete blood count
      C)
      Bone marrow biopsy
      D)
      Bleeding time
    Page 1 of 15

    Exam Review

    1. A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?
      A)
      Monitor capillary refill of the casted extremity.
      B)
      Use the palms of the hands when supporting the cast.
      C)
      Examine the skin at the cast edges.
      D)
      Instruct the child not to put anything inside the cast.
    2. A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "My child and I will watch TV for 30 minutes before we go to bed."
      B)
      "After my child falls asleep in my bed, I will move them to their bed."
      C)
      "I will allow my child to have a drink of water each night prior to bedtime."
      D)
      "I will allow my child to eat dinner 1 hour before bedtime."
    3. A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?
      A)
      Droplet
      B)
      Contact
      C)
      Airborne
      D)
      Protective
    4. A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?
      A)
      Ask the child to cough deeply.
      B)
      Ask the child to clear their throat.
      C)
      Use wall suction to obtain the sample from the child's throat.
      D)
      Use a bulb syringe to obtain sputum from the child's mouth.
    Page 2 of 15

    Exam Review

    1. A nurse is contributing to the plan of care for a preschooler who has moderate partial- thickness burns on both lower extremities. Which of the following interventions should the nurse recommend?
      A)
      Maintain clean technique during the child's dressing changes.
      B)
      Provide low-calorie snacks for the child three to four times each day between meals.
      C)
      Allow the child to set their own daily schedule for wound care.
      D)
      Ensure the child receives pain medication 30 to 45 min prior to therapy.
    2. A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?
      A)
      A grandparent is assisting the child in performing ADLs.
      B)
      The child is playing a game with their siblings.
      C)
      The parent is withdrawn and rarely interacts with the child.
      D)
      The step-parent is helping the child prepare to transition into school.
    3. A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse take?
      A)
      Use an automated lancet device to puncture the heel.
      B)
      Apply limb restraints to the infant.
      C)
      Puncture the heel at the inner aspect of the heel.
      D)
      Cleanse the area with povidone iodine.
    4. A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
      A)
      Allowing the toddler to button up their own shirt
      B)
      Asking the toddler questions that have "yes" or "no" answers
      C)
      Providing the toddler with opportunities to share toys with others
      D)
      Making sure the toddler has at least one nap during the day
    Page 3 of 15

    Exam Review

    1. A nurse is reinforcing preoperative teaching with an adolescent client who is scheduled for a surgical repair of scoliosis. Which of the following statements by the client indicates effectiveness of the teaching?
      A)
      "I will not be able to walk before I go home."
      B)
      "I will begin range-of-motion exercises on the first postoperative day."
      C)
      "I will be discharged in 3 days."
      D)
      "I will be fitted for my brace the day of discharge."
    2. A nurse is reinforcing teaching about injury prevention with the parents of a toddler.Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
      A)
      Install window guards on windows.
      B)
      Place scatter rugs over hardwood floors.
      C)
      Keep doors locked.
      D)
      Supervise at playgrounds.
      E)
      Turn pot handles toward the front of the stove.
    3. A nurse is reinforcing car seat safety instructions with the parents of a 15-month-old toddler. Which of the following statements by the parents indicates an understanding of the teaching?
      A)
      "I should place my child in a forward-facing car seat to ensure safety."
      B)
      "I should place my child in the front seat in a rear-facing car seat."
      C)
      "I should continue to use a booster seat until my child is 5 years old."
      D)
      "I should place my child in a rear-facing car seat until age 2."
    4. A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?
      A)
      Provide a low-sodium diet.
      B)
      Encourage increased fluid intake.
      C)
      Obtain urine ketone levels weekly.
      D)
      Administer pancreatic enzymes with each meal.
    Page 4 of 15

    Exam Review

    1. A nurse is assisting with the care of an infant who requires emergency surgery and whose parent is an emancipated adolescent. Which of the following people can sign the informed consent form for the procedure?
      A)
      The parent of the adolescent parent
      B)
      The adolescent parent
      C)
      The infant's provider
      D)
      The adult sibling of the adolescent parent
    2. A nurse is reinforcing teaching with the guardian of a 1-month-old infant who has colic.Which of the following instructions should the nurse include in the teaching?
      A)
      "Offer a pacifier when your baby is fussy."
      B)
      "You should offer water in between feedings."
      C)
      "You should place a warm heating pad on your baby's abdomen."
      D)
      "Allow your baby to cry for 5 minutes before responding."
    3. A nurse is reinforcing teaching with the parents of a preschooler who has recently started to stutter. Which of the following instructions should the nurse include?
      A)
      "Critique your child's speech."
      B)
      "Look away from your child when they start to stutter."
      C)
      "Avoid completing your child's sentences."
      D)
      "Tell your child to take a deep breath when they are stuttering."
    4. A nurse is reinforcing teaching with the parent of a preschooler who has amblyopia. Which of the following instructions should the nurse include in the teaching?
      A)
      Instill two drops of antibiotic eye solution into both eyes for 14 days.
      B)
      Irrigate both eyes with sterile water twice daily.
      C)
      Patch the unaffected eye during the day.
      D)
      Apply a warm pack to the affected eye three to four times per day.
    Page 5 of 15

    Exam Review

    1. A nurse is caring for an adolescent who reports manifestations of an STI. Which of the following actions should the nurse take?
      A)
      Request that the adolescent sign a consent for treatment form prior to performing STI screening.
      B)
      Instruct the adolescent that a guardian must be present to provide consent for STI screening.
      C)
      Plan to notify the adolescent's guardian if the STI screening comes back positive.
      D)
      Obtain phone consent from the guardian of the adolescent prior to performing STI screening.
    2. A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay?
      A)
      Unable to verbalize the date
      B)
      Unable to count backwards from 20 to 1
      C)
      Unable to make change out of a quarter
      D)
      Unable to tell the difference between right and left
    3. A nurse is collecting data from a 1-month-old infant who has just undergone a hernia repair. Which of the following findings should the nurse report to the provider?
      A)
      Axillary temperature 37.4° C (99.3° F)
      B)
      Apical pulse 155/min
      C)
      Respiratory rate 40/min
      D)
      Blood pressure 64/40 mm Hg
    4. A nurse is reinforcing teaching with the parent of a child who has diabetes mellitus. The parent asks the nurse how to minimize the child's pain when monitoring blood glucose levels. Which of the following statements by the parent indicates an understanding of the teaching?
      A)
      "My child should use their index finger to obtain blood samples."
      B)
      "My child should hold their finger under warm water before obtaining a sample."
      C)
      "My child should puncture the center of their finger pad when obtaining a sample."
      D)
      "My child should hold their finger against a table when obtaining a sample."
    Page 6 of 15