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    Exam Review

    1. A nurse is caring for a toddler in the pediatrician's office. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a toddler in the pediatrician's office.

      Exhibits
      Click to highlight the findings that indicate this client may be experiencing a developmental delay. To deselect a finding, click on the finding again.

      Nurses Notes

      Today

      The toddler returns to the office for a routine 2-year-old check-up. The parents report no issues at home, but state that the teachers at the child's daycare center are concerned that the child is behind.

      Fine motor: rotates utensils to bring them to their mouth

      Gross motor: walks independently, scoots on bottom up and down stairs

      Language: uses one-word sentences, can say 5 words

      Play: participates in parallel play with their siblings, does not notice when others are upset

      Height 86.4 cm (34)

      Weight 11.3 kg (24.9 lb)

    2. A nurse is caring for a 7-year-old in the emergency department (ED). Exhibits Which of the following findings should the nurse include in today's teaching? Select All That Apply.
      (SATA)
      A)
      Fruity breath odor
      B)
      Excessive thirst
      C)
      Negative ketones
      D)
      Abdominal pain
      E)
      Sweating
      F)
      Nightmares
      G)
      Double vision
      H)
      Headache
    3. A nurse is caring for a child in the post-anesthesia care unit (PACU) Exhibits The nurse should first ▾ Notify the surgeon due to the child's ▾ Throat clearing
      Dropdown 1:
      Option 1: Provide a diversional activity
      Option 2: Administer PRN pain medication
      Option 3: Offer the child a popsicle
      Option 4: Notify the surgeon
      Option 5: Provide discharge education
      Dropdown 2:
      Option 1: Child’s activity level
      Option 2: Difficulty swallowing secretions
      Option 3: Emesis characteristics
      Option 4: Throat clearing
      Option 5: Pain score
    4. The nurse is caring for a child in the emergency department (ED). Exhibits For each potential provider's order, click to specify if the potential order is expected or unexpected for the client.
      ExpectedUnexpected
      Cold compresses to painful areas✓
      Bed rest✓
      Blood type and cross match✓
      NPO status✓
      Morphine IV✓
    Page 1 of 13

    Exam Review

    1. A nurse is caring for an infant on an inpatient pediatric unit. Select words from the choices below to fill in each blank in the following sentence. Exhibits When planning care for the infant, the nurse should ▾ Prepare the infant for a rectal biopsy and ▾ Frequently measure abdominal circumference.
      Dropdown 1:
      Option 1: Explain the purpose of the pyloromyotomy
      Option 2: Transport the client for a radiologist guided gas enema
      Option 3: Administer oral laxatives
      Option 4: Frequently measure abdominal circumference
      Option 5: Prepare the infant for a rectal biopsy
      Dropdown 2:
      Option 1: Explain the purpose of the pyloromyotomy
      Option 2: Transport the client for a radiologist guided gas enema
      Option 3: Administer oral laxatives
      Option 4: Frequently measure abdominal circumference
      Option 5: Prepare the infant for a rectal biopsy
    2. A nurse is caring for a child in a pediatrician's office. Exhibits Complete the following sentence by using the lists of options. The nurse should recognize that the findings in the EMR are consistent with  ▾ Acute glomerulonephritis as evidenced by ▾ Urinalysis
      Dropdown 1:
      Option 1: Urinary tract infection
      Option 2: Mononucleosis
      Option 3: A delayed allergic reaction
      Option 4: Acute glomerulonephritis
      Option 5: Congestive heart failure
      Dropdown 2:
      Option 1: Cervical lymph nodes
      Option 2: Skin findings
      Option 3: Urinalysis
      Option 4: Temperature
      Option 5: Heart sounds
    3. A nurse is caring for a child in the emergency department (ED). Exhibits For each potential intervention, click to specify if the potential intervention is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.
      ExpectedUnexpected
      Have child tilt head back✓
      Insert cotton into nostril✓
      Apply ice to bridge of nose✓
      Apply pressure to tip of nose for at least 10 min✓
      Prepare to administer factor VIII✓
      Prepare to administer topical antifibrinolytic agent✓
      Prepare to administer packed red blood cells✓
    4. A nurse is caring for a client in an outpatient orthopedist's office. Exhibits Complete the following sentence by using the lists of options. The toddler is at risk for developing ▾ hearing loss as evidenced by the toddler's ▾ Bone biopsy results.
      Dropdown 1:
      Option 1: hyperkalemia and hypercalcemia
      Option 2: compartment syndrome
      Option 3: hearing loss
      Dropdown 2:
      Option 1: Bone biopsy results
      Option 2: provider prescription
      Option 3: capillary refill
    Page 2 of 13

    Exam Review

    1. A nurse is assessing a toddler who is toilet-trained and has a temperature of 38.5° C (101.3° F). Which of the following findings should the nurse recognize as an indication of a urinary tract infection (UTI)?
      A)
      Steatorrhea
      B)
      Jaundice
      C)
      Incontinence
      D)
      Rebound tenderness
    2. A nurse is providing teaching to an adolescent who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following Instructions should the nurse include in the teaching?
      A)
      "Expect the medication to cause constipation for the first few days of therapy."
      B)
      "Take the medication at the same time each day."
      C)
      "This medication is used for short-term therapy until your symptoms improve."
      D)
      "Take this medication 1 hour before meals."
    3. A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate?
      A)
      Droplet
      B)
      Contact
      C)
      Airborne
      D)
      Protective environment
    4. A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicate an understanding of the disorder?
      A)
      "Reye syndrome is associated with misuse of acetaminophen."
      B)
      "Reye syndrome leads to venous thrombus formation."
      C)
      "Reye syndrome causes steatotic or fatty changes in the liver."
      D)
      "Reye syndrome is linked to decreased serum ammonia levels."
    Page 3 of 13

    Exam Review

    1. A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect?
      A)
      Depressed scalp veins
      B)
      Sunken anterior fontanels
      C)
      Bulging eyes
      D)
      Separated cranial sutures
    2. A nurse is caring for a toddler who drinks 946 mL (32 oz) of whole milk per day and has a poor appetite. The nurse should identify the toddler as being at risk for which of the following conditions?
      A)
      Iron deficiency anemia
      B)
      Vitamin A toxicity
      C)
      Impaired carbohydrate metabolism
      D)
      Lactose intolerance
    3. A nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. The parent asks the nurse, "What should I do if the tubes fall out?" Which of the following responses should the nurse make?
      A)
      "Gently put the tubes back into the child's ears."
      B)
      "Bring the child to the emergency department immediately."
      C)
      "Notify the provider that the tubes have fallen out."
      D)
      "The tubes are sutured in place and must be surgically removed."
    4. A nurse is providing teaching to an adolescent who has a new prescription for cefazolin. For which of the following adverse effects should the nurse instruct the adolescent to monitor and report to the provider?
      A)
      Dry mouth
      B)
      Constipation
      C)
      Back pain
      D)
      Urticaria
    Page 4 of 13

    Exam Review

    1. A nurse is providing discharge teaching to the parents of a 6-month-old infant following a surgical procedure to repair hypospadias. Which of the following instructions should the nurse include in the teaching?
      A)
      "Apply a dry gauze dressing twice per day."
      B)
      "Perform hourly measurements of the infant's urinary output."
      C)
      "Offer the infant 12 to 16 ounces of fruit juice daily."
      D)
      "Avoid giving the infant a tub bath until the stent is removed. "
    2. A nurse is preparing an educational program about death and dying for the guardians of children who have a terminal illness. Which of the following information should the nurse include?
      A)
      Preschoolers believe their illness is punishment for their misbehavior.
      B)
      Preschoolers are interested in what happens to the body after death.
      C)
      Adolescents worry more about death than the physical changes that can occur as a result of the illness.
      D)
      Toddlers personify death as being a type of monster.
    3. A nurse is preparing a teaching plan for the parent of a school-age child who has asthma. Which of the following manifestations should the nurse include as an indication of an exacerbation of asthma?
      A)
      Green zone reading on peak expiratory flow meter
      B)
      Rhinitis
      C)
      Axillary temperature of 37.2°C (99°F)
      D)
      Hacking nonproductive cough
    4. A nurse is providing discharge teaching to the parent of a school-age child who has pharyngitis caused by group A streptococcus B-hemolytic (GABHS). Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
      A)
      "Schedule a time for your child to receive the pneumococcal vaccine within 2 weeks."
      B)
      "Provide your child with their own towel for drying their face and hands at home."
      C)
      "Replace your child's toothbrush 24 hours after beginning antibiotic therapy."
      D)
      "Your child can return to school 24 hours after their first does of antibiotics."
      E)
      "Replace your child's orthodontic appliances prior to beginning antibiotic therapy."
    Page 5 of 13

    Exam Review

    1. A nurse is caring for an infant who has gastroesophageal reflux (GER). Which of the following actions should the nurse take to prevent regurgitation? (Select all that apply.)
      A)
      Thicken the infant's formula with cereal.
      B)
      Avoid giving the infant citrus juices
      C)
      Position the child with their head elevated after meals.
      D)
      Place the infant's head on a soft pillow while sleeping
      E)
      Administer an antiemetic to the infant
    2. A nurse is educating the parent of an 18-month-old toddler how to administer otic drops. Which of the following parent statements indicates an understanding of the teaching?
      A)
      "I should pull the pinna down and back."
      B)
      "I should insert the dropper into the ear canal."
      C)
      "I should administer the ear drops right out of the refrigerator."
      D)
      "I should massage the area behind the ear."
    3. A nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?
      A)
      "Monitor your child for excessive sleepiness."
      B)
      "Administer the medication with a caffeinated beverage.
      C)
      "Administer the second dose of the medication at lunch time.
      D)
      "Monitor your child for weight gain."
    4. A nurse is providing teaching to the parent of a child about home care following a cardiac catheterization. Which of the following statements should the nurse include?
      A)
      "You should give your child aspirin if they report pain at the site."
      B)
      "You can remove the pressure dressing 8 hours after the procedure."
      C)
      "Your child can soak in the bathtub 24 hours after the procedure."
      D)
      "Your child should avoid strenuous physical activities for several days."
    Page 6 of 13