Exam Review

A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the earlobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular swelling. The nurse recognizes that this client most likely has which condition?
A)
Mumps.
B)
Poliomyelitis.
C)
Infectious mononucleosis.
D)
Herpes zoster.
An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following client education about the disease, which statement by the client demonstrates understanding of SLE?
A)
SLE is a rheumatic disease that mostly affects my joints.
B)
If my SLE has been found early enough in the disease process, there is a good chance that medication can cure it.
C)
SLE is an autoimmune disorder that I will always have, with times of flare-ups and times of minimal to no symptoms.
D)
SLE only affects my skin; it seldom causes problems in any other organs.
The nurse is caring for a child who has been hospitalized for maltreatment. When reviewing the child's records, which of the following may place the child at an increased risk of abuse?
A)
The child's mother has a history of depression.
B)
Both parents work outside the home.
C)
The child's father is the primary caretaker.
D)
The family lives in an apartment.
A child has just arrived by ambulance at the emergency room following a motor vehicle accident and a nurse is assessing him. Which three body systems should the nurse evaluate first?
A)
Respiratory, cardiovascular, and skeletal.
B)
Respiratory, cardiovascular, and neurologic.
C)
Cardiovascular, gastrointestinal, and neurologic.
D)
Neurologic, cardiovascular, and endocrine.

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Exam Review

The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:
A)
80 beats per minute.
B)
140 beats per minute.
C)
100 beats per minute.
D)
120 beats per minute.
The nurse notices he has labored breathing, a cough, and an oxygen saturation of 90 Which of the following would be the priority?
A)
Having the child sit up straight in a chair.
B)
Administering 100
C)
Providing sedation as ordered.
D)
Checking his capillary refill time.
The nurse is providing care to a child with a congenital heart defect. Which of the following would lead the nurse to suspect that the child is developing heart failure?
A)
Bradypnea.
B)
Inability to sweat.
C)
Acral edema.
D)
Splenomegaly.
The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best?
A)
"I know this is overwhelming, but I want you to know he will be okay.”.
B)
"How could this accident have happened with you both there?"
C)
"You must be so scared right now, especially since you were the one driving.”.
D)
"I am here to answer your Questions and be with you during this difficult time.”. —

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Exam Review

The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?
A)
"He can go back to school 24 hours after we start the antibiotic.”.
B)
"We need to make sure that he washes his hands frequently.”.
C)
"His sister had the vaccine so she can't catch it.”.
D)
"If he has a fever, we can give him some acetaminophen.”. — . . .
The nurse is assessing a 30-month-old child during a routine well-child visit. Which statement by the parent would alert the nurse to further assess for a developmental delay or disorder?
A)
"My child seems to prefer playing with certain toys and will not play with other toys very much.”.
B)
"My child likes a certain type of food and does not want to try new foods very often.”.
C)
"My child gets restless when we go to a restaurant to eat and we have to wait for our food.”.
D)
"My child does not say more than one or two words and grunts to indicate needs.”.
During a pediatric emergency the patient's mother asks to enter the trauma bay. Which of the following actions provides the most appropriate type of family support.
A)
Do not allow the mother to enter the trauma bay until the social worker completes a full investigation.
B)
Place the mother in a corner of the room to observe the resuscitation privately.
C)
Sit with the mother and provide up-to-date, open and honest communication.
D)
Identify a grief counselor to sit with the family.
A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which of the following would the nurse do first.
A)
Draw blood for type and crossmatch.
B)
Establish a suitable intravenous site.
C)
Begin hyperventilation.
D)
Provide oral analgesics as ordered.

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Exam Review

The parent of a child diagnosed with Juvenile Idiopathic Arthritis asks about exercises that would be good for the child. Which of the following would promote mobility.
A)
Jogging.
B)
Jumping rope.
C)
Tennis.
D)
Swimming.
The mother of a child with mumps tells the nurse that she does not understand how her son could have gotten mumps since he was immunized according to her physician's recommendations. What is the best response by the nurse.
A)
Are you sure your child received an immunization for mumps.
B)
I am wondering if your physician followed the immunization schedule correctly.
C)
I am sure it must be frustrating. Where did you have the immunizations performed.
D)
While immunizations are highly effective they aren't 100
The nurse is reviewing the immunization schedule with the parent of a child who is HIV positive and has a very low CD4 count. Which of the following immunizations should not be given.
A)
Inactivated Polio Vaccine.
B)
Measles, Mumps, and Rubella.
C)
Human Papillomavirus.
D)
Diphtheria, Tetanus, and acellular Pertussis.
A child with attention deficit hyperactivity disorder (ADHD) is prescribed methylphenidate hydrochloride. What should the nurse instruct the parents regarding an adverse effect of this medication?
A)
Rapid increase in height.
B)
Decreased appetite.
C)
Garbled speech.
D)
Sleepiness.

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Exam Review

The nurse is caring for a child and notes periorbital edema and urticaria. Which action by the nurse is priority?
A)
Evaluate fluid volume status.
B)
Assess lung sounds bilaterally.
C)
Administer a corticosteroid.
D)
Administer antibiotics.
The nurse is caring for a 24-month-old child with a fever of 101 degrees F. The child also exhibits a toxic appearance. The nurse could expect all of the following interventions except which one?
A)
Administering acetaminophen as ordered.
B)
Obtaining intravenous (IV) access.
C)
Administering antibiotics as ordered.
D)
Replacing fluid deficits orally.
The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of knowledge deficit?
A)
Everybody in the house will need to be checked.
B)
I can't believe it. We're not unclean, poor people.
C)
That explains his complaints of itching on his neck.
D)
We'll still have to use the nit comb even after the treatment.
A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should the nurse carefully assess for in this client?
A)
Diabetes mellitus.
B)
Severe erosion of teeth.
C)
Hypertension.
D)
Atherosclerosis.

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Exam Review

A young client is admitted to the hospital directly from the clinic. The physician suspects a problem with the child's immune system. What test does the nurse anticipate the physician will order for this client?
A)
X-ray.
B)
Electrocardiogram (EKG).
C)
Urine analysis.
D)
Complete blood count (CBC).
A seven-year-old child is rushed into the emergency room after being stung by a yellow jacket. The child is nauseated and vomiting and is experiencing itching and swelling on the arm where stung. The child is having trouble breathing. Which type of response is the child experiencing?
A)
anaphylaxis.
B)
autoimmune response.
C)
immunodeficiency.
D)
active immunity.
The nurse receives the shift report of multiple pediatric clients. Which pediatric client will the nurse see first?
A)
A child with history of hypertension and a current blood pressure of 130/90 mm Hg.
B)
An infant whose parents report difficulty feeding with a temperature of 100.1 degrees F (38 degrees C).
C)
An adolescent with coarctation of the aorta with reports of coughing and runny nose.
D)
A toddler with tetralogy of Fallot squatting quietly in the corner of the room.
The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following?
A)
"We should put him in a warm bath if he is itchy.”.
B)
"We can use salt solutions to help heal his oral lesions.”.
C)
"We can give him aspirin for fever.”.
D)
"We will make sure to remind him not to scratch the lesions.”. —

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