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    Exam Review

    1. A nurse is assessing a child who has nephrotic syndrome. The nurse should expect which of the following findings?
      A)
      Edema with normal or low BP
      B)
      Edema with hypertension
      C)
      Unexpected weight loss
      D)
      Frequency and urgency
    2. A nurse is caring for an infant post operative closure of a myelomeningocele. Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?
      A)
      Avoiding any oral feedings for the first 24 hours to prevent aspiration
      B)
      Applying direct pressure to the surgical site if bleeding occurs.
      C)
      Frequent diaper changes and keeping the incision site clean and dry
      D)
      Allowing the infant to lie flat on their back to promote spinal alignment
    3. A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.
      (SATA)
      A)
      Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management
      B)
      Restriction of weight-bearing activities to prevent further damage
      C)
      Prescription of crutches for mobility assistance
      D)
      Application of ice packs to reduce inflammation
      E)
      Immediate referral to an orthopedic specialist for evaluation
      F)
      Application of a heat pack to relieve muscle tension
    4. A nurse is assessing an infant following a motor vehicle crash. Which of the following findings indicate increased intracranial pressure in an Infant?
      A)
      Increased somnolence
      B)
      Increased heart rate
      C)
      Depressed fontanels
      D)
      Brisk pupillary reaction to light.
    Page 1 of 12

    Exam Review

    1. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent Indicates a need for further teaching?
      A)
      "I will encourage my child to participate in non-contact sports like swimming."
      B)
      "I will make sure my child wears helmets and protective gear when riding a bike or engaging in physical activities."
      C)
      "I will teach my child to avoid activities that may result in cuts or injuries."
      D)
      "I will give my child a non-steroid anti-inflammatory drug (NSAID) for pain relief if needed."
    2. 7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?
      A)
      Negative Prehn's sign
      B)
      Rebound abdominal tenderness
      C)
      Kernigs sign
      D)
      A round smooth non tender mass in the scrotum.
      E)
      None
      F)
      None
    3. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
      A)
      Integumentary
      B)
      Cardiovascular
      C)
      Gastrointestinal
      D)
      Respiratory
    4. A school nurse is providing teaching to an adolescent client about the management of acne. Which of the following should the nurse include in the Instructions?
      A)
      Clean the face with an antibacterial soap twice each day.
      B)
      Express comedones by gentle squeezing; then cleanse with alcohol.
      C)
      Clean the face gently with a mild soap once or twice each day.
      D)
      Avoid foods with a high-fat content such as French fries and chocolate
    Page 2 of 12

    Exam Review

    1. A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
      A)
      Administer an antiemetic as soon as the child complains of having nausea.
      B)
      Encourage drinking large amounts of favorite fluids.
      C)
      Administer an antiemetic before chemotherapy begins.
      D)
      Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.
    2. The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)
      (SATA)
      A)
      Swelling in all extremities.
      B)
      Frequent lung infections.
      C)
      Standard weight and growth percentile.
      D)
      Dyspnea.
      E)
      Heart murmur.
    3. A nurse is providing care for an infant with new casts for the treatment of club foot. Which intervention is appropriate in promoting the infant's comfort and preventing complications?
      A)
      Elevating the legs on a pillow
      B)
      Applying heat therapy to the casted area
      C)
      Removing the casts periodically for bathing
      D)
      Encouraging the infant to crawl and bear weight on the affected leg
    4. A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?
      A)
      Tachycardia
      B)
      Hyporeflexia
      C)
      Increased appetite
      D)
      Negative Babinski reflex
    Page 3 of 12

    Exam Review

    1. A nurse on a cardiac care unit is caring for a preschooler Exhibits select words from the choices below to fill in each blank in the following The client is at risk for developing dropdown and dropdown
    2. A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)
      A)
      Right Atrial Enlargement
      B)
      Left Atrial Enlargement
      C)
      Shortness of breath.
      D)
      Pulmonary hypertension
      E)
      Pulmonary hypotension
    3. The nurse is taking care of a child with scables. Which primary clinical manifestation should the nurse expect to assess with this disease?
      A)
      Redness
      B)
      Pruritus
      C)
      Edema
      D)
      Maceration
    4. A nurse is caring for a 6-month-old Infant with a diagnosis of Tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell. The Infant is lethargic and has a weak cry. What is the priority nursing action for this Infant?
      A)
      Administer morphine sulfate to help alleviate pain and anxiety.
      B)
      Provide supplemental oxygen via nasal cannula.
      C)
      Offer the infant a pacifier to calm down.
      D)
      Place the infant in a knee to chest position.
    Page 4 of 12

    Exam Review

    1. A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?
      A)
      Assess the client's ability to use crutches
      B)
      Assess the client's body image
      C)
      Assess for worsening pain in the affected limb
      D)
      Assess range of motion of the knee and hip
    2. A nurse is assessing a five-month-old Infant. The nurse should recognize that which of the following manifestations is associated with a central nervous system (CNS) Infection?
      A)
      Oliguria
      B)
      Negative Kernig's sign
      C)
      Bulging fontanel
      D)
      Negative Brudzinski sign
    3. The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to Implement?
      A)
      Administering penicillin
      B)
      Administering corticosteroids if chorea develops
      C)
      Avoiding salicylates (aspirin)
      D)
      Imposing strict bed rest for 4 to 6 weeks
    4. A child with leukemia is receiving intrathecal chemotherapy. The nurse should recognize that intrathecal chemotherapy will prevent which of the following?
      A)
      Infection
      B)
      Drug side effects
      C)
      Brain tumor
      D)
      Central nervous system (CNS) disease
    Page 5 of 12

    Exam Review

    1. A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY
      A)
      Administer bisphosphonate medications to increase bone density.
      B)
      Encourage the use of assistive devices such as crutches or wheelchairs.
      C)
      Apply heat to painful areas to relieve discomfort.
      D)
      Encourage resistance band exercises
      E)
      Provide a safe environment to prevent fractures.
    2. A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?
      A)
      Administering pain medication as needed
      B)
      Providing a low-sodium diet to prevent fluid overload
      C)
      Encouraging the child to ambulate as soon as possible
      D)
      Assessing vital signs every 4 hours
    3. A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?
      A)
      Manages nausea and vomiting
      B)
      Eliminates excess iron
      C)
      Decreases the risk of hypoxia
      D)
      Treats the disease
    4. A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?
      A)
      Complete blood count
      B)
      Urinalysis
      C)
      Abdominal ultrasound
      D)
      Bladder scan
    Page 6 of 12