NursGuru

    Exam Review

    1. In a child with metabolic alkalosis, what compensation mechanism would the nurse assess for?
      A)
      Muscle weakness.
      B)
      Decreased respirations.
      C)
      Frequent crying.
      D)
      Crackles.
    2. A client diagnosed with varicella two days ago has open vesicles. What precaution sign will the nurse place on the door?
      (SATA)
      A)
      Contact.
      B)
      Airborne.
      C)
      Droplet.
      D)
      Standard.
    3. Which priority intervention would the nurse take when admitting a client experiencing status asthmaticus?
      A)
      Administer a short-acting B_2 agonist.
      B)
      Administer oxygen via nasal cannula.
      C)
      Administer a long-acting B_2 agonist.
      D)
      Administer intravenous corticosteroids.
    4. Which technique by the nurse would be most effective in encouraging a preschooler to take fluids by mouth?
      A)
      Developing a chart for her to check off after she has taken five glasses of fluid.
      B)
      Leaving their favorite drink at the bedside to drink when thirsty.
      C)
      Promising a reward for complying with requests.
      D)
      Playing "tea party" and drinking "tea" with imaginary friends.

    Exam Review

    1. Which finding in a client with asthma exacerbation requires the most rapid action by the nurse?
      A)
      Report of chest tightness.
      B)
      Expiratory wheeze right lung base.
      C)
      Heart rate of 112 beats per minute.
      D)
      Markedly decreased breath sounds.
    2. A preschool aged girl visits the school nurse and reports that she no longer wants to visit her grandfather in his home because he "hugs me too tight and touches me down there.”. She has told her parents that she does not want to spend the weekend with her grandparents, but her parents say that she has no choice. What is the most appropriate action by the nurse?
      A)
      Planning a home visit to discuss with the parents what the child has shared with the nurse.
      B)
      Arranging a meeting with the principal and the parent to discuss the possibility of child molestation.
      C)
      Advising the child to again tell her parent why she does not want to go to her grandfather's house.
      D)
      Reporting the alleged abuse to the local child protective agency and encouraging an investigation before the weekend visit.
    3. Which nursing intervention would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis?
      A)
      Intravenous antibiotics and hydration.
      B)
      Administering corticosteroids and racemic epinephrine.
      C)
      Administering an oral analgesic.
      D)
      Nasopharyngeal suctioning and antipyretics.
    4. A nurse is reviewing the chart of a 15-month-old client in the clinic for a well-child visit. The nurse notes the following findings in the history and physical, laboratory data, and nurses' notes: 0900: 15-Month well child visit: Client appears overweight but is active in exam room. Parent concerned about picky eating, though client does consume four or five 8-oz cups of whole milk per day. Firm stools every 1-2 days, typically hard pellets with some discomfort. Urinates in diaper several times per day, and no interest in toilet training. Client sleeps well overnight with one daytime nap. No daycare attendance. 0915: 15-Month well child visit: Obtained capillary hemoglobin for point of care testing. Patient tolerated well. Which goal should be the nurse's priority for this client's care?
      A)
      Reduce tissue oxygen demands.
      B)
      Develop a safety plan.
      C)
      Dietary modification education.
      D)
      Promote increased physical activity.
      E)
      Discuss toilet training methods.

    Exam Review

    1. The nurse is caring for a 3-year-old with persistent diarrhea, subject to significant fluid and electrolyte alterations.
      A)
      Which physiological imbalance would the nurse encounter in the patient?
      B)
      Metabolic acidosis.
      C)
      Respiratory acidosis.
      D)
      Metabolic alkalosis.
    2. Which parent education would the nurse provide when caring for their child with cerebral palsy?
      A)
      Focus on cognitive rather than motor skills.
      B)
      Preserve muscle tone to prevent joint contractures.
      C)
      Maintain immobility of the limbs with splints.
      D)
      Continue to offer a special formula to limit gagging.
    3. The nurse is preparing diphenhydramine for nausea in a pediatric patient. The physician ordered 6.25 mg/kg intravenous push every six hours. The patient weighs 38 pounds, and the concentration of the medication is 50 mg/mL. How many mL will the nurse administer to the patient? Round to the nearest tenths place.
    4. A client is admitted because of sickle cell crisis. The client is prescribed fluids at maintenance and the client weighs 85.8 lb. Using the 4-2-1 formula, calculate the client's intravenous flow rate per hour. Round to the nearest whole number.

    Exam Review

    1. An unimmunized toddler has had a fever, runny nose, cough, and white spots in the mouth for three days. A rash has also started on the face and spread to the whole body. Which communicable disease would the nurse suspect based upon the client's symptoms?
      A)
      Rubella.
      B)
      Mumps.
      C)
      Measles.
      D)
      Varicella.
    2. The nurse is caring for a child admitted with nephrotic syndrome. Which of the following lab findings are characteristic of this syndrome? Select all that apply.
      A)
      Hyperkalemia.
      B)
      Glucosuria.
      C)
      Hypoalbuminemia.
      D)
      Hyperlipidemia.
      E)
      Proteinuria.
      F)
      Hypoleukemia.
    3. The nurse is evaluating a 30-month-old client. Which data would indicate to the nurse that the child is meeting tasks according to Erikson's Stages of Psychosocial Development? Select all that apply.
      A)
      The child stomps their foot and says no frequently.
      B)
      The child does not interact with their siblings.
      C)
      The child is quiet when parents leave the room.
      D)
      The child smiles when successful at toilet training.
      E)
      The child cries when the mother leaves the room.
      F)
      The child responds when called by name.
    4. Which cognitive developmental milestone is characteristic of preschoolers?
      A)
      Preschoolers do not fear bodily harm.
      B)
      Most rapid growth occurs in the temporal lobes of the brain.
      C)
      Preschoolers are aware of cause and effect relationships.
      D)
      Preschoolers are unable to classify objects according to size.

    Exam Review

    1. The nurse teaches the family of a child with celiac disease about proper nutritional choices. The parent demonstrates understanding of the diet when the parent prepares which breakfast foods? Select all that apply.
      A)
      Strawberries.
      B)
      Orange juice.
      C)
      Eggs.
      D)
      Raisin Bran.
      E)
      Wheat toast.
      F)
      Rice puffs.
    2. A child who is allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground.”. What is the priority action by the nurse?
      A)
      Notify the client's caregivers and primary health care provider.
      B)
      Administer epinephrine subcutaneously to the client.
      C)
      Assess the client's airway and respiratory rate.
      D)
      Locate the stinger and assess the site.
    3. The nurse is scheduled to perform a voiding cystourethrogram (VCUG) on a toddler. What education will the nurse provide to the parents prior to the procedure?
      A)
      Have the client urinate prior to the procedure.
      B)
      The client needs to have an active infection.
      C)
      Ensure the client has a full bladder.
      D)
      Analgesia will be provided during the procedure.
    4. Which strategy would the nurse apply when vaccinating a child to decrease pain and anxiety?
      A)
      Administering the most painful vaccination first.
      B)
      Aspirating prior to administration of the vaccine.
      C)
      Administering acetaminophen after vaccination.
      D)
      Holding the child in a comfort position for the vaccination.

    Exam Review

    1. The student nurse is explaining the cellular response that may have occurred with a type I hypersensitivity, IgE reaction to the family. Which response by the student does not require intervention by the clinical faculty?
      A)
      Contact dermatitis.
      B)
      Viral pneumonia.
      C)
      Autoimmune hepatitis.
      D)
      Allergic rhinitis.
    2. When caring for a 3-year-old, the nurse notes the child's oxygen saturation while awake is at 90
      A)
      Immediately obtain an arterial blood gas.
      B)
      Notify the health care provider.
      C)
      Assess the child's respiratory status.
      D)
      Give oxygen via face mask at 2 liters per minute.
    3. A client who weighs 76.5 kg is ordered hydromorphone 0.2 mg/kg/day intravenous push divided as needed every 6 hours. Available supply is 1 mg/mL. How many milliliters would the nurse administer in one dose? Round the answer to the nearest tenths place. Record the numeric answer only.
    4. The nurse is educating parents on the genetic inheritance of hemophilia What response by the parents of the client determines they have understood the education?
      A)
      It is an X-linked recessive trait.
      B)
      It is an X-linked dominant trait.
      C)
      It is a Y-linked recessive trait.
      D)
      It is a Y-linked dominant trait.