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    Exam Review

    1. A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?
      A)
      Administer saline drops
      B)
      Obtain visual acuity
      C)
      Cleanse the eyes
      D)
      Obtain a history
    2. A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
      A)
      Distended neck veins
      B)
      Red currant jelly stools
      C)
      Weight loss
      D)
      Occasional vomiting
    3. A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?
      A)
      Soft non tender abdomen.
      B)
      Normal appearing perineum.
      C)
      Meconium leakage via the vagina or urethra.
      D)
      Poor sucking reflex.
    4. A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?
      A)
      Otitis Externa
      B)
      Otitis Media
      C)
      A viral sore throat
      D)
      Sinus infection
    Page 1 of 13

    Exam Review

    1. A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. The nurse should recognize that which statement made by the parent indicates correct information about nutrition?
      A)
      "I always give my toddler fruit juice instead of water to keep them hydrated throughout the day."
      B)
      "I let my toddler eat as many sweets and snacks as they want because they are a picky eater."
      C)
      "I make sure to offer a variety of foods from different food groups to my toddler each day."
      D)
      "I avoid giving my toddler any dairy products as they are not necessary for their diet."
    2. A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?
      A)
      Assessing the child's pain level
      B)
      Assessing the child's vision
      C)
      Assessing the child's lung sounds
      D)
      Assessing the child's blood pressure
    3. A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)
      (SATA)
      A)
      Encouraging the infant to engage in vigorous physical activity
      B)
      Administering antibiotics to treat the viral infection
      C)
      Isolating the infant to prevent the spread of infection to other infants
      D)
      Administering bronchodilators to improve respiratory function
      E)
      Providing frequent small, age-appropriate feedings to prevent dehydration
      F)
      Administering oxygen to maintain adequate oxygen saturation levels
    4. A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?
      A)
      My child may experience a lower temperature than normal.
      B)
      My child may be placed on Ceftriaxone
      C)
      My child may have difficulty swallowing.
      D)
      My child may need to be placed on oxygen.
    Page 2 of 13

    Exam Review

    1. The nurse is teaching a group of parents about the benefits of immunizations. The nurse explains that which of the following immunizations are utilized in preventing the life-threatening disease epiglottis?
      A)
      Hepatitis B (HepB)
      B)
      Polio
      C)
      Haemophilus influenzae b (Hib)
      D)
      Measles, Mumps, and Rubella (MMR)
    2. A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?
      A)
      Trisomy 21
      B)
      Fragile X
      C)
      Turners Syndrome
      D)
      Williams Syndrome
    3. A nurse is caring for a 2-year-old with acute laryngotracheobronchitis using a cool mist humidifier. Which of the following findings indicates that the treatment has been effective?
      A)
      Improved hydration
      B)
      Decreased stridor
      C)
      Barking cough
      D)
      Decreased temperature
    4. A nurse is educating new parents about choking hazards in the home. Which food item should the parents understand is the highest risk in younger children?
      A)
      Small pieces of banana
      B)
      Cut-up grapes
      C)
      Baked potato
      D)
      Cut-up pieces of steak
    Page 3 of 13

    Exam Review

    1. A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.
      A)
      Need for complete care
      B)
      Perform self-care activities with supervision
      C)
      Function independently at all times
      D)
      Able to perform complex task independently
    2. A nurse is caring for an 11-year-old client who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
      A)
      Budesonide
      B)
      Albuterol
      C)
      Fluticasone
      D)
      Montelukast
    3. A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?
      A)
      Thickened the formula with cereal.
      B)
      Infant should be laying back
      C)
      Position the infant in an upright position during feedings
      D)
      Nasogastric tube may be needed.
    4. A nurse is providing education to an adolescent client about healthy eating habits. Which statement by the nurse demonstrates an appropriate approach to the teaching plan for the adolescent?
      A)
      "Including a variety of fruits, vegetables, whole grains, and lean proteins in your diet is important for your overall health."
      B)
      "Fad diets that drastically restrict food groups are effective for long-term weight management."
      C)
      "Eating fast food every day is a convenient and nutritious option for busy adolescents."
      D)
      "Skipping meals is a good way to lose weight quickly and stay in shape."
    Page 4 of 13

    Exam Review

    1. A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
      A)
      Pyloric stenosis
      B)
      Hirschsprung's disease
      C)
      Enterocolitis
      D)
      Intussusception
    2. A nurse is planning care for a 4-year-old child who requires airborne precautions. Which of the following activities should the nurse plan for the child?
      A)
      Educating the child's parents on the importance of hand hygiene.
      B)
      Ensuring that the child wears a surgical mask at all times.
      C)
      Restricting visitors and staff in contact with the child to those who are immune to the infectious agent.
      D)
      Administering antibiotics to the child as a preventive measure.
    3. A nurse is caring for a 3-year-old child with Down Syndrome. Which clinical manifestations should the nurse recognize as associated with Down Syndrome? (SELECT ALL THAT APPLY)
      A)
      Atlantoaxial Instability
      B)
      Normal developmental milestones
      C)
      Congenital hypothyroidism
      D)
      Frequent respiratory infections
      E)
      Congenital heart defects
    4. A nurse in the emergency department is caring for a 2-year-old. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?
      A)
      Perform vibration during the client's inspirations.
      B)
      Percuss each lung segment for 15 min.
      C)
      Administer albuterol prior to CPT.
      D)
      Perform CPT immediately after the child eats.
    2. A nurse is speaking to the parent of a 22-month-old child who states the child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly, then later wants to be held. How should the nurse best interpret this toddler's behavior?
      A)
      This is normal behavior for a two-year-old child.
      B)
      The toddler isn't effectively coping with the stress.
      C)
      This behavior suggests the need for further assessment.
      D)
      The toddler's need for affection isn't being met.
    3. A nurse is caring for a 4-year-old client diagnosed with Fragile X Syndrome. Which information should be included in the teaching plan for the parents?
      A)
      Genetic testing must be done for all siblings
      B)
      The child should be enrolled in early intervention programs
      C)
      Keep the child amongst family members only
      D)
      The child will have a short life expectancy
    4. A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?
      A)
      Speech and communication abilities
      B)
      Physical mobility and safety measures
      C)
      Cognitive development and educational needs
      D)
      Social and emotional well-being
    Page 6 of 13