Exam Review
- A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?A)Speak to the healthcare provider about instituting physical therapy.B)Offer a pacifier for non-nutritive sucking.C)Ensure placement of the enteral tube with an abdominal x-ray.D)Use sterile technique during feedings.
- A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?A)Apply lotion to hands and feet.B)Encourage the parents to rest when possible.C)Make a list of foods that the child likes.D)Place the child in a quiet environment.
- A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?A)Compare the child’s vital signs over the past three weeks.B)Counsel the parents to pay more attention to the child.C)Ask the boy to describe a typical day at school.D)Conduct a complete neurological assessment.
- A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).Correct Answer:1.8 mL
Exam Review
- The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?A)Exercise in a swimming pool.B)Begin a training program lifting weights and running.C)Perform passive range of motion exercises twice daily.D)Splint affected joints during activity.
- The nurse is getting ready to give medications to an eight-month-old infant diagnosed with heart failure. The infant’s vital signs are as follows: blood pressure 114/66 mm Hg, apical pulse 88 beats/minute, and respirations 30 breaths/minute. Which medication should the nurse hold and inform the health care provider?A)EnalaprilB)DigoxinC)FurosemideD)Hydralazine
- A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?A)Provide the adolescent with a urinal for urinary hesitancyB)Immediately report the findings to the healthcare providerC)Collect a sterile urine sample for culture and sensitivityD)Obtain a swab of secretions from the penis and urethra
- A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit. The infant is on parenteral nutrition and continuous enteral feedings. What action should the nurse include in the plan of care to promote the infant’s normal growth and development?A)Discuss with the healthcare provider about starting physical therapyB)Offer a pacifier for non-nutritive suckingC)Confirm placement of the enteral tube with an abdominal x-rayD)Use sterile technique during feedings .
Exam Review
- The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?A)Ensure no weight bearing on the affected extremityB)Administer topical antibiotic therapy dailyC)Schedule ice pack applications to the infected areaD)Provide passive range of motion exercises
- The nurse is assessing an infant with aortic stenosis and identifies bilateral fine crackles in both lung fields. What additional finding should the nurse expect to observe?A)Hypotension and tachycardiaB)Vigorous feeding and satiationC)FeverD)Hemiplegia
- A child weighing 18 pounds has been prescribed amoxicillin at a dosage of 25 mg/kg/day. The medication is to be administered orally in two divided doses every 12 hours. The label on the bottle reads, “Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.”. How many mL should the nurse administer for each dose? (Provide a numerical value only. If rounding is required, round to the nearest tenth.)
- The nurse is evaluating a preschool-aged child who is presenting with symptoms of flank pain, dysuria, and a low-grade fever. What additional information should the nurse obtain from the parent to determine if the child might have a urinary tract infection?A)Frequency of urinationB)Any recent changes in dietC)Presence of any unusual odors in the urineD)Any changes in the color of the urine
Exam Review
- While checking the vital signs of a 10-year-old child who underwent a tonsillectomy earlier in the day, the nurse notices the child swallowing every 2 to 3 minutes. What action should the nurse take next?A)Check for signs of teeth clenching or grindingB)Inspect the back of the throatC)Stimulate the gag reflex by touching the tonsillar pillarsD)Ask the child to speak to assess for any changes in voice tone .
- When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?A)Monitor peripheral pulses and sensation in the right legB)Cleanse pin sites as prescribedC)Check skin for redness and signs of tissue breakdownD)Reposition the child every 2 hours
- The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?A)JaundiceB)Swelling in the hands or feetC)Ulcers on the legsD)Chest pain
- The nurse is monitoring a child with hydrocephalus who received a ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?A)The child has grown in height since the previous shunt placementB)The child reports no evidence of continuous headachesC)An intracranial pressure (ICP) monitoring probe is in placeD)The child is afebrile with normal vital signs postoperatively.
Exam Review
- The nurse is educating the caregiver of a school-age child who has recently been diagnosed with attention-deficit hyperactivity disorder (ADHD). Which of the caregiver’s statements indicate that they have understood the education? (Select all that apply.)A)Create an organization chart for tasks.B)Understand that nonstimulant medications show little benefit in treatment.C)Know that medication is the best approach to treatment.D)Designate an established area for study.E)Maintain a consistent home schedule.F)Anticipate being automatically entered into a specialized education plan.
- When initiating a peripheral intravenous (IV) infusion on an infant, what action should the nurse take?A)Apply soft restraints to all four extremities.B)Assess the dorsal surface of the feet for an IV site.C)Instruct parents to sing or croon to the infant.D)Select a site that is least restrictive to the infant.
- The nurse is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. What action should the nurse take first?A)Obtain point-of-care glucose.B)Assess urine for ketones.C)Check blood pressure.D)Review prior insulin prescriptions.
- A 1-year-old child with respiratory syncytial virus (RSV) is admitted to the pediatric unit. The child presents with a fever, rhinorrhea, frequent coughing, and sneezing. What additional finding should alert the nurse that the child is in acute respiratory distress?A)Diaphragmatic respirations.B)A resting respiratory rate of 35 breaths/min.C)Bilateral bronchial breath sounds.D)Flaring of the nares.
Exam Review
- A mother brings her 2-month-old to the well-baby clinic. She mentions that when she kisses her baby, the infant’s skin tastes salty. What standard diagnostic test should the nurse prepare the mother for to screen for cystic fibrosis (CF)?A)Fecal-fat test.B)Sweat-chloride test.C)Pulmonary-function test.D)Potassium chloride test.
- The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?A)Recognizes most letters and numbers.B)Uses 1-word sentences.C)Speaks in simple sentences with four or more words.D)Uses gestures with 1 to 2-word sentences.E)Uses gestures with 1 to 2-word sentences.
- The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving the client?A)Flex the knees.B)Raise the hips.C)Cross the arms and legs.D)Perform a log roll.
- The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child’s cooperation?A)Place a toy in the child’s hands while listening to the breath sounds.B)Allow the child to use a stethoscope on a stuffed animal.C)Offer the child bubbles before the stethoscope is placed.D)Have the child blow a cotton ball and have the parent catch it.