Exam Review
- A nurse is providing care to a group of children at a pediatric clinic. Which of the following children meets the criteria to receive a varicella vaccine?A)A child who received a blood transfusion 1 month ago.B)A child currently receiving immunoglobulins.C)A child currently receiving chemotherapy.D)A child who has a cold and nasal discharge.
- A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. Which of the following instructions should the nurse give the parent?A)Gently reinsert the tubes.B)Call the health care clinic to report that the tubes have fallen out.C)Reassure the mother that the tubes will not fall out.D)Take the child to an emergency department.
- A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?A)Mucus and blood in stools.B)Increased appetite.C)Jaundice.D)Drooling.
- A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client’s temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?A)Urine specific gravity 1.034.B)Bounding pulse.C)BP 46/94 mm Hg.D)Distended neck veins.
Exam Review
- A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse’s priority?A)Place a pillow under the child’s head.B)Remove the child’s eyeglasses.C)Time the seizure.D)Move the child into a side-lying position.
- A 10-year-old child was admitted with full-thickness burns affecting more than 15% of the child’s body surface. What manifestations of hypovolemic shock would you observe for over the next 48 hrs? Select all choices that apply:(SATA)A)Rapid pulse.B)Decreased B/P.C)Pallor.D)Flushed Face.
- A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?A)“I will test my blood sugar before meals and at bedtime.”.B)“I should not take my regular insulin when I am sick.”.C)“I will rotate injection sites within my abdominal area.”.D)“I should eat a snack before I play soccer.”.
- A nurse is gathering information from a 1-year-old child who has been diagnosed with Wilms’ tumor. Which of the following symptoms should the nurse anticipate?A)JaundiceB)Abdominal massC)Swollen jointsD)Diarrhea
Exam Review
- A nurse is caring for a 2-year-old child who has been diagnosed with nephrotic syndrome. The nurse collects data knowing that a common characteristic associated with nephrotic syndrome is:A)HypotensionB)Generalized edemaC)Increased urinary outputD)Bright red blood in urine
- A nurse is attending a continuing education course about communicable diseases. The nurse should identify that varicella has which of the following incubation periods?A)2 to 5 daysB)3 to 4 weeksC)7 to 10 daysD)2 to 3 weeks
- A nurse at a pediatrician’s office answers a phone call from a parent whose child just ingested 15 vitamin tablets with added ferrous sulfate. Which of the following instructions should the nurse give to the parent?A)Administer syrup of ipecac.B)Give the child 120 mL (8 oz) of orange juice.C)Contact the poison control center.D)Provide the child with a high-carbohydrate snack.
- A nurse is collecting data from a child who has muscular dystrophy. Which of the following findings should the nurse expect? (Select all that Apply)A)Spinal defect and sac-like protrusionB)Muscular weakness in lower extremitiesC)Kyphosis of the lower spineD)Purposeless, involuntary, abnormal movementsE)Unsteady waddling gait
Exam Review
- A nurse is assisting with collecting data from a 10-month-old in the emergency department. Medical History: Guardians brought the infant to the emergency room after witnessing the infant’s arms and legs shaking. The infant did not respond to the guardians’ voices during that time. The episode lasted approximately 5 min and the infant was sleeping soundly afterwards. On the way to the emergency department, the infant had another episode of shaking of the extremities and drooling. The infant was asleep when they arrived for evaluation. The infant has no prior medical or surgical history. Born full-term at 40 weeks to a birth mother who had regular prenatal visits. Actions to Take: 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.A)Potential ConditionB)Parameters to Monitor 1C)Parameters to Monitor 2D)VitaminE)Blood pressure
- What is the mode of transmission for Tinea Capitis (ringworm)?A)Direct contact with infected personal items such as towels, combs, or hats.B)Exposure to worm eggs through bare feet.C)Sitting on worm eggs.D)Airborne droplet transmission.
- Which statement from a parent of a 1-month-old infant undergoing initial surgery for Hirschsprung’s disease indicates understanding of the surgery’s goal?A)“I’m glad that the ostomy is only temporary.”.B)“The operation will straighten out the kink in the intestine.”.C)“I want to learn how to use the feeding tube as soon as possible.”.D)“I’m glad my child will have normal bowel movements now.”.
- Upon finding a school-age child having a seizure, what should be the nurse’s first action after lowering the client to the floor?A)Turn the client to a lateral position.B)Administer an anticonvulsant medication.C)Apply oxygen by nasal cannula.D)Check the client’s oxygen saturation.
Exam Review
- What symptoms should a nurse expect in a 6-week-old infant admitted for evaluation of suspected pyloric stenosis?A)Projectile vomiting.B)Effortless regurgitation.C)Metabolic acidosis.D)Distended abdomen.
- How many mL of fluid intake should the nurse record for a client who consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water during a 4-hour period? (Round the answer to the nearest whole number)
- Which client on an acute care pediatric unit requires the nurse’s immediate attention?A)An 18-month-old client who had a cleft palate repair and is crying in pain.B)A 12-year-old client who had an appendectomy and refuses to ambulate.C)An 8-year-old client who had a tonsillectomy and is swallowing frequently.D)A 15-year-old client who has an IV infusion and reports pain at the insertion site.
- A nurse is providing instructions about methylphenidate (Ritalin) to the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?A)You will need to give your child the medication after meals.B)You will need to have your child’s blood glucose level checked monthly.C)You should not give your child the medication on weekends.D)You should give your child’s last daily dose of the medication before 6 o’clock in the evening.
Exam Review
- A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?A)Initiate isotonic fluids with 20 mEq/L potassium chloride.B)Collect a stool sample from the toddler.C)Determine if the toddler is voiding.D)Request evaluation of the toddler’s serum electrolytes.
- A nurse is caring for a school-age child who has juvenile idiopathic arthritis. Which of the following home care actions should the nurse recommend? (Select all that apply)A)Use cold compresses for joint pain.B)Take ibuprofen on an empty stomach.C)Perform range of motion exercises.D)Consider homeschooling.E)Provide extra time for completion of ADLs.
- A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority?A)Maintain a saline-lock.B)Place the child on a no-salt-added diet.C)Check the child’s weight daily.D)Educate the parents about potential complications.
- A nurse is preparing to administer acetaminophen 10mg/kg PO to a preschool child for fever. The child weighs 22 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? .