Exam Review
- A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?A)The child is trying to relieve the itching and open the air passages.B)The child is attempting to draw attention to his/her nose.C)The child has a nasal discharge and is trying to keep his nose from running.D)The child is concerned that he is going to sneeze and is trying to stop the sneeze.
- The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:A)CompleteB)IncompleteC)SpiralD)Greenstick
- The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?A)The child has a fractured bone.B)The child is hyperactive and angry.C)The child has bruises on the knees and elbows.D)The child has a burn that has not been treated.
- The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?A)"Set a good example. Wear your own seat belt every time you drive."B)"Reward the child with candy or some other treat each time the child keeps the seat belt on."C)"Stop the car any time the preschooler unbuckles the restraints."D)"Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled."
Exam Review
- A single woman brings her 10-year-old daughter in for the first well-child visit at the clinic. The nurse discovers they recently relocated to that area due to the mother’s job, the child is now attending a “tough” school and she is home, scared and alone, for several hours after school. Which action should the nurse prioritize to assist this family?A)Discuss concerns about anxiety and depression.B)Provide information for preventing drug and alcohol use among teens.C)Provide a list of emergency contact numbers.D)Provide a list of local after-school programs.
- The nurse is teaching a group of first-time parents who are being discharged with their newborns. One parent asks the nurse what to do if the child has a temperature. After conducting teaching regarding how to care for a child with an elevated temperature, the caregivers make the following statements. Which statement would indicate a need for further teaching?A)“A rectal temperature above 102.5 °F (39.1 °C) should be lowered.”B)“I don’t plan to give my child medications, but the pediatrician might tell us to give our child acetaminophen every 4 to 6 hours if she has a fever.”C)“If my child starts to shiver I will know that what I am doing is working and that her fever will soon come down.”D)“Giving extra fluids is the way I have always heard to lower a temperature.”
- The nurse is reviewing a client’s chart and notes that the child is in droplet precautions for pneumonia. What protection would she need to take in caring for the child?A)Gown, handwashing, and glovesB)Handwashing and glovesC)Mask and handwashingD)Gown, gloves, and mask
- The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?A)The eustachian tube in the infant is straighter and wider than in the adult.B)Most children do not have acutely developed hearing until the age of 5 years.C)The infant usually responds to sounds around the age of 6 months.D)The eardrum is located between the middle and the internal ear.
Exam Review
- A mother brings her 2-year-old child to the pediatrician’s office, voicing concerns about her toddler’s growth over the last year. According to the child’s records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 inches (6.4 cm) since the child’s last visit a year ago. How should the nurse respond to this mother’s concerns?A)Ask the mother if there are other small people in her family.B)Tell her that her child’s growth is less than expected and gather a nutritional history on the child.C)Tell the mother that she needs to return to the pediatrician’s office in 3 months to re-weigh the child and measure his height for any changes.D)Inform the mother that her toddler’s growth is within normal limits and there is nothing to be worried about.
- The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?A)“Are you breastfeeding or bottle feeding your baby?”B)“Did you have a vaginal delivery with this baby?”C)“Has your child been treated for any type of infection recently?”D)“Does everyone in your house wash their hands often?”
- The nurse is observing an infant and notes that the infant is restless, wide-awake but quiet. The mother reports that her baby often is awake for hours at a time and is very fidgety. How would the nurse respond to her observation?A)Since the infant is often awake for long periods, the nurse needs to talk to the doctor about prescribing some medication to calm the child.B)The nurse should report the infant’s behavior to her supervisor for further investigation.C)The nurse should do a more in-depth investigation to determine why the infant is awake so much and is restless.D)Since the mother reports that the infant’s behavior is normal, there is no need for further investigation.
- The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?A)“I always cook foods that are low in fat.”B)“I keep lots of snacks on hand because my child eats all day long.”C)“We eat fast foods only on weekends because we are too busy to cook.”D)“Neither my husband nor I have ever had any concerns with weight.”
Exam Review
- The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?A)A family lives with the parents of the mother who is working two jobs.B)Both parents work during the day and the child comes home after school to an empty house.C)Children attend school while the father works and then sleep in their car at night.D)A divorced mother shares an apartment with her best friend and her children.
- Tess is a 5-year-old client who must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which method to restrain her?A)Allow her caregiver to hold her during the time the IV is in place.B)Restrain her with a mummy restraint and loosen and rewrap it every 3 hours.C)Use a clove-hitch restraint to keep her arm still and loosen it every 2 hours.D)Restrain her on a papoose board and release her as soon as the IV is in place.
- The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?A)Find a Little League team that encourages participation of kids at all disability levels.B)Modify family activities so they are more sedentary for the child.C)Find an art class that will allow the child to participate without physical exertion.D)Teach the child at home so that the child does not feel overly different.
- The school nurse is presenting information to a group of high school students who are asking about vegetarian diets. The nurse determines that the group needs more information when they identify which foods as being included in a vegan diet?A)Red meat, poultry, and fishB)Red meat and possibly poultryC)Dairy products, meat, poultry, fish, and eggsD)Meat, poultry, fish, and eggs
Exam Review
- The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?A)External fixation deviceB)StockinetteC)Internal fixation deviceD)Spica cast
- Using the West nomogram scale, the nurse needs to calculate the safe dosage of a medication for a child. The child is 50 inches tall and weighs 76 lb. The normal dosage of the medication for an adult is 300 mg. Which of the following is the correct way to use the West nomogram scale?A)Use the “shortcut” scale because this child is average. This will show the nurse the percentage of the adult dosage appropriate for this child. Use this percentage to calculate the dosage.B)Locate the child’s height and weight on the nomogram. Use a straight edge to align these numbers with the scale indicating percentage of adult dosage and multiply the adult dosage by this number.C)Locate the child’s height and weight on the scale, multiply those two numbers, and divide the adult dosage by the resulting number.D)Use the scale to locate the child’s height and weight. Use a straight edge to align these numbers with the scale indicating the surface area, divide that by the average adult body surface area, and multiply the resulting number by the adult dose.
- A caregiver who works in the hospital brings his 9-year-old son to the emergency room with a spiral fracture of the tibia. The caregiver reports that the injury occurred when the boy’s 5-year-old sister hit him with a wooden bat. The injury is inconsistent with an impact and with the sister’s strength. Which of the following would be appropriate for the nurse to do in this situation?A)Leave the treatment area and call the police.B)Tell the hospital administrator so that the hospital can take any necessary action.C)Tell the caregiver that the story is not plausible and ask what really happened.D)Leave the treatment area and call the social services department in the hospital.
- The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?A)Leaving even slightly crooked teeth will lead to more cavities later in life.B)Uncorrected malocclusions lead to infection and ultimately tooth loss.C)This could have a lasting effect on his future to include everything from dating to hiring.D)Even slight malocclusions make chewing and jaw function less efficient.
Exam Review
- The parents of a 5-year-old boy are concerned about how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child’s behavior is likely related to which factor?A)The child is imitating the adults’ behavior and just trying to be nice to everyone.B)The child is afraid of losing his father and trying to show how much he loves him.C)The boy is afraid of being hurt himself and thinks being especially good will protect him from accidents.D)The boy believes he caused the accident by telling his father he “hoped he crashed” when the boy couldn’t go along.
- Which of the following is most correct regarding the gastrointestinal system of the child?A)The enzymes secreted by the child’s liver and pancreas are much greater in amount than in the adult.B)The speed with which food passes through the gastrointestinal tract in the child is much slower than in the adult.C)The child’s gastrointestinal system is fully matured when the child is born.D)The child cannot break down and use complex carbohydrates in the same way the adult can.
- The nurse is caring for an infant immediately after pyloromyotomy surgery has been performed to treat pyloric stenosis. The infant’s parents are understandably anxious about their child. Given the situation, what is the most appropriate way for the nurse to position the infant during the anesthesia recovery period?A)Place the infant on the back.B)Support the infant and place them on their side.C)Lay the infant on their stomach.D)Allow the parents to hold their infant.
- A 2-year-old child has had a common cold for 4 days. The caregiver calls the nurse in the emergency department at 2 a.m. on a cold winter night to say that the child has awakened with a barking cough and an elevated temperature; the child seems blue around the mouth. The nurse would appropriately recommend what action to the caregiver?A)“Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there is no relief in an hour.”B)“Bring the child to the emergency room immediately.”C)“Bundle the child up and take the child out into the cold for a few minutes. Call back if the exposure to the cold air does not provide relief.”D)“Turn on all of the hot water taps in the bathroom and close the door. Take the child into the steam-filled room for 15 minutes. If there is no relief, bring the child to the emergency room.”