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1. A nurse is assessing a school-age child who has heart b. a decrease in
failure and is taking furosemide.Which of the follow- peripheral edema
ing findings should the nurse identify as an indication
that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
2. A nurse is assessing an infant who has acute otic. Crying
tis media. Which of the following findingsshould the d. Restlessness
nurse expect (select all that apply)
e. fever
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
3. a nurse is providing teaching to the parents of an
infant who is to undergo pilocarpine lontophoresis
Testing for Cystic Fibrosis. Which of the following
statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your
baby's urine over 24 hour period
b. The test will measure the amount of water in your
baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the
test
b. The test
will measure the
amount of water in
your baby's sweat
4. A nurse in an urgent care clinic is prioritizing care for
children. Which of the following children should the
nurse assess first?
a. A toddler who has nephrotic syndrome and facial
edema
b. a preschool-age child who has a muffled voice and
no spontaneous cough
c. a preschool-age child who has diabetes mellitus
b. a preschool-age
child who has a
muffled voice and
no spontaneous
cough
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and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent
weight loss of 5kg mg (11 lb)
5. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of
the following statements should the nurse include?
a. The purpose of the test is to determine if your child
has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is
cold
d. your child's sweat will be collected over 24 hours
b. the technician
will use a device to
produce an electrical current during
the test
6. A nurse in the emergency department is caring for an d. obtain written
adolescent who is requesting testing for STI. Which consent from the
of the following action is appropriate for the nurse to client
take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are
present
d. obtain written consent from the client
7. A nurse in the emergency department is assessing d. prepare the todthe toddler who has hyperpyrexia severe dyspnea and dler for nasotradrooling which of the following actions should the
cheal intubation
nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
8. A nurse is providing teaching to a 10 year old child b. you will need
with scheduled for an arterial cardiac catheterization. to keep your legs
Which of the following information should the nurse straight for 8 hours
include in the teaching?
following the
a. You will have your dressing removed 12 hours after procedure
the procedure
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b. you will need to keep your legs straight for 8 hours
following the
procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
9. A nurse is caring for a preschooler who is post-oper- d. lime flavored ice
ative following a tonsillectomy. The child is now ready pop
to resume oral intake which of the following dietary
choices should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
10. A nurse is caring for an infant who has Patent ductus Answer: B
arteriosus. The nurse should identify that the defect is
a switch of the following locations of the heart. ( you
will find hot spots to select
in the artwork below) Select only the hot spot that
corresponds to your answer)
11. A nurse is caring for a 10 month old child was brought b. assess respirato the emergency department by his parents following tory status
a head injury. Which of the following actions should
the nurse take first?
a. Inspect for fluid leaking from the ears
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
12. A charge nurse is planning care for an infant who has
failure to thrive. Which of the following actions should
the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
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c. use
half-strength formula when feeding
the infant
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13. A nurse is providing teaching about home care to
the parent of a child who has scabies. Which of the
following instruction should the nurse include in the
teaching?
a. Wash your client's hair with shampoo containing
Ketoconazole
b. soak Combs and brushes in boiling water for 10
minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a
child
d. treat everyone
who came into
close contact with
a child
14. A nurse is caring for a preschooler who refuses to
take a start dose of oral diphenhydramine. Which of
the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction
d. sometimes, when a child has to take medication,
they feel sad.
a. The medication
isn't bad it taste
like candy
OR
D. Sometimes
when a child has
to take medication
they feel sad
15. A nurse is teaching the parent of a school-age child
about bicycle safety. Which of the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off
the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet
from the curb while riding in thestreet
d. your child should ride the bicycle against the flow
of traffic
a. Your child
should walk the bicycle through intersections
16. A nurse is caring for a school-age child following the d. Elevate the
application of a cast to a Fractured right tibia. Which child's leg
of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
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c. administer pain medication
d. Elevate the child's leg
17. A nurse is preparing a school-age child for an invasive
procedure. Which of the following actions should the
nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in
the playroom
d. demonstrate deep breathing and Counting exercises
a. plan for 30
minute teaching
session about the
procedure
18. A nurse is preparing to collect a urine specimen from
a female infant using a urine collection bag. Which of
the following actions should the nurse take?
a. Apply lidocaine gel to the perineum before attaching the bag
b. Position the opening of the bag over the urethra and
the anus
c. Stretch the perineum taught when applying the bag
d. Place a snuff fitting diaper over the drainage bag
c. Stretch the
perineum taught
when applying the
bag
19. A nurse is planning care for a toddler who has devel- b. Cleanse the
oped oral ulcers in response tochemotherapy. Which gums with saline
of the following actions should the nurse include in soaked gauze
the plan of care?
a. Schedule routine Oral Care every 8 hours
b. Cleanse the gums with saline soaked gauze
c. more sending me closer with lemon glycerin swabs
d. administer oral viscous lidocaine
20. A nurse is providing discharge teaching to the parents c. I will dress my
of an infant who is at risk for sudden infant death
baby in lightweight
syndrome (SIDS). Which of the following statements clothing to sleep
by the parent indicates an understanding of the teaching?
a. I will have my baby sleep next to me in the bed
during the night
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b. Elmo my baby stuffed animal to the corner of her
crib while she sleeps
c. I will dress my baby in lightweight clothing to sleep
d. I will lay my baby on her side to sleep for her naps
21. A nurse is monitoring an infant who is receiving opi- c. relaxed facial exoids for pain. Which of the following findings should pression
indicate to the nurse that the medication is having a
therapeutic effect?
a. Increased blood pressure
b. Limb withdrawal
c. relaxed facial expression
d. bradycardia
22. A nurse is caring for a three-month-old infant who has
cleft of the soft palate. Which of the following actions
should the nurse take?
a. discontinue feeding if the client's eyes become watery
b. postpone burping the infant until after completing
each feeding
c. Elevate the infant's head to a 10 degree angle during
feedings
d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a
day
a. discontinue
feeding if the
client's eyes become watery
23. A nurse is caring for a child who has hyponatremia. a. Tetany
Which of the following findings should the nurse expect?
a. Tetany
b. weight gain
c. Elevated heart rate
d. excessive diaphoresis
24. A nurse is preparing to administer an enteral feeding c. check the pH of
to an adolescent who has an NG tube. Which of the the gastric secrefollowing actions should the nurse take first?
tion
a. Set the administration rate on the feeding pump
b. flush the tube with water
c. check the pH of the gastric secretion
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d. attach the feeding bag tubing to the end of the NG
Tube
25. A nurse is caring for an adolescent who is 1 hour
b. muscle rigidity
post-operative following an appendectomy. Which of
the following findings should the nurse report to the
provider?
a. Heart rate 63 / minute
b. muscle rigidity
c. temperature 36.4 Celsius (97.5 Fahrenheit)
d. abdominal pain
26. A nurse in a provider's office is preparing to admin- b. human papilloister immunization to a 12 year old client during a
mavirus (HPV)
well-child visit. Which of the following immunization
should the nurse plan to administer?
a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV)
c. Varicella
d. hepatitis A
27. Nurse is planning care for an 8 month old infant
c. administer cool,
who has heart failure. Which of the following actions humidified oxygen
should the nurse include in the plan of care?
via nasal cannula
a. Repeat digoxin dosage is the infant vomit within 1
hour of administration
b. Place infant in a prone position
c. administer cool, humidified oxygen via nasal cannula
d. provide less frequent, higher volume feeding
28. A nurse is planning care for a school-age child who
is admitted from the emergency department 12 hours
ago. Which of the following interventions should the
nurse include to promote adequate sleep for the
child?
a. Provide the child with video games prior to bedtime
to reduce stress
b. allow the child to adjust their bedtime to promote
autonomy
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d. follow the child
home sleep routine to reduce anxiety
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c. leave the lights on in the child's room to promote
safety
d. follow the child home sleep routine to reduce anxiety
29. A nurse is preparing to initiate IV antibiotic therapy b. use a 24 gauge
for a newly admitted 12 month old infant. Which of the catheter to start
following actions should the nurse plan to take?
the IV
a. cover the insertion site with an opaque dressing
b. use a 24 gauge catheter to start the IV
c. start the IV on the infant's foot
d. change the IV site every 3 days
30. A nurse in a pediatric clinic is providing teaching to c. Bradycardia
the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations
should the nurse include as an indication of digoxin
toxicity?
a. Diaphoresis
b. Polyuria
c. Bradycardia
d. jaundice
31. A nurse is preparing to administer amoxicillin 80
10ml
mg/kg/day divided into two doses daily to a 2-year-old
client who weighs 10 kg (22 lb). Available is amoxicillin
suspension 400 mg/5 mL. how many mL of amoxicillin
should the nurse administer per dose? (Round the
answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
32. A nurse is reviewing the laboratory results of a child
was recently admitted or suspected rheumatic fever.
The nurse should identify that which of the following
laboratory tests can contribute to confirm this diagnosis (select all that apply)
a. partial thromboplastin time (PTT)
b. erythrocyte sedimentation rate (ESR)
c. blood urea nitrogen (BUN)
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b. erythrocyte sedimentation rate
(ESR)
d. C-reactive protein (CRP)
e. anti streptolysin
O (ASO) titer
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d. C-reactive protein (CRP)
e. anti streptolysin O (ASO) titer
33. A nurse is teaching a group of female adolescents
a. Increase the
about healthy eating. Which of the following instruc- amount of your ditions should the nurse include in the teaching?
etary iron intake
a. Increase the amount of your dietary iron intake
b. limit your sodium intake to 3000 mg per day
c. consumer 1,500 to 1700 calories per day
d. decrease your vitamin D intake once you start to
menstruate
34. A nurse is caring for an infant who receives intermittent enteral feeding through a gastrostomy tube.
Which of the following actions should the nurse take
when administering a feeding? Select all that apply
a. offer the infant a pacifier during readings
b. formula to 39° C (102 degrees Fahrenheit ) prior to
Administration
c. check the for residual volume by aspirating stomach contents
d. instill the formula over a period Of 30 and 45 minutes
a. offer the infant
a pacifier during
readings
c. check the for
residual volume by
aspirating stomach contents
MAYBE: d. instill
the formula over a
period Of 30 and
45 minutes
35. A nurse is planning care for a child who has
osteomyelitis. Which of the following interventions
should the nurse include in the plan of care?
a. Encourage frequent physical activity to increase
bone mass
b. maintain patent intravenous catheter
c. initiate contact precaution for the child
d. provide a high calorie low protein diet
b. maintain
patent intravenous
catheter
36. A nurse is providing teaching to the guardian of a
school-age child who has sickle cell disease about
management of the illness. Which of the following
instructions should the nurse include?
a. Apply cold compress to painful areas
b. but I shall wear a surgical mask to school
c. encourage
physical activity as
tolerated
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c. encourage physical activity as tolerated
d. offer fluids of bedtime
37. A nurse is assessing a 5-month-old infant. Which of b. exhibits head
the following findings should the nurse report to the lag when pulled a
provider?
sitting position
a. Unable to hold a bottle
b. exhibits head lag when pulled a sitting position
c. absent grasp reflex
d. unable to roll from back to abdomen
38. A nurse is caring for a five-year-old child following
b. continuous
a tonsillectomy and adenoidectomy. Which of the fol- swallowing
lowing findings should the nurse identify as an indication of hemorrhage?
a. Flushing of the face
b. continuous swallowing
c. blood pressure 99/ 56 mmhg
d. heart rate 54/ minutes
39. A nurse is discussing coping mechanisms with a par- a. What do you do
ent of a three-month- old infant which of the following when your infant is
therapeutic questions should the nurse ask the par- fussy?
ent?
a. What do you do when your infant is fussy?
b. Are you willing to take new parenting classes?
c. Does parenting cause you stress?
d. Is it overwhelming when your infant is having a bad
day?
40. A nurse is providing teaching about the effects of
sun exposure to a parent of a toddler. which of the
following responses by the parent indicates an understanding of the teaching?
a. my child should wear a wide-brimmed hat
b. my child should remain under a beach umbrella
during morning hours
c. I should apply 10 SPF sunscreen to my child's entire
body
d. I should dress my child in loose active clothing
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d. I should dress
my child in loose
weave clothing
or
a. my child
should wear a
wide-brimmed hat
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41. A nurse is evaluating a 6 year old child who has cystic b. increase expecfibrosis and has been receiving chest physiotherapy toration
treatment. The nurse should identify which of the following findings as an indication of the therapy has
been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate
42. A nurse is planning care for a six-month-old infant
c. Pad the side
who has bacterial meningitis. Which of the following rails of the crib
interventions should the nurse include in the plan of
care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and
shoulders
43. A nurse is reviewing the medical record of a child with b. HbA1c
cystic fibrosis which of the following should the nurse
report to the provider? Click on the exhibit button for
additional information about the client.
a. heart rate
b. HbA1c
c. oxygen saturation
d. WBC48.
44. A nurse is assessing an infant who has severe dehy- a. Increased respidration due to gastroenteritis which of the following ratory rate
findings should the nurse expect?
a. Increased respiratory rate
b. capillary refill of 2 seconds
c. Hypertension
d. increased urine output
45.
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A nurse is assessing an infant who has intussuscep- a.
tion. Which of the following findings should the nurse sausage-shaped
expect?
abdominal Mass
a. sausage-shaped abdominal Mass
b. board like abdomen
c. Constipation
d. increased urinary output
46. A nurse is caring for a 14 year old adolescent who
c. the Adolescent
has a cast on the right arm and swelling of their right is able to move
hand. The nurse elevates The Adolescents affected their fingers freely
extremity. The nurse should identify that which of the
following findings is an indication that the intervention has been effective?
a. The Adolescent reports of the cast feels tight
b. The Adolescents hands feel cool to touch
c. the Adolescent is able to move their fingers freely
d. the Adolescent reports feeling tingling in their arms
47. A nurse in a provider's office is assessing the vital
d. blood pressure
signs of a two-year-old child at a well-child visit. Which 118 / 74 mmhg
of the following findings should the nurse report to
the provider?
a. Respiratory rate 26 / min
b. pulse rate 98 / minutes
c. temperature 37.2 Celsius (99 Fahrenheit)
d. blood pressure 118 / 74 mmhg
48. A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of
the following actions should the nurse take to identify
the toddler?
a. check the toddler's room number against their ID
band
b. check the toddler's ID band against the medical
record
c. ask the parent to confirm the toddler's identity d.
ask another nurse to confirm to toddlers identity
49.
12 / 19
b. check the toddler's ID band
against the medical record
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A nurse is teaching home care to the parents of a
c. provide for peripreschool-age child who has heart failure. Which of ods of rest
the following information should the nurse include in
the teaching?
a. Weight the child once each month month
b. withhold digoxin of the child's pulse is greater than
100 / minutes
c. provide for periods of rest
d. increase the child's oxygen flow rate until the child
no longer has cyanosis
50. A nurse in the PACU is caring for a school-age child a. Place the child
immediately following a tonsillectomy. Which of the in a side-lying pofollowing actions should the nurse take?
sition
a. Place the child in a side-lying position
b. offer the child ice cream when alert
c. instruct a child to drink fluids through a straw
d. encourage the child to deep breathe and cough
51. A nurse is reviewing the medical record of a 15
a. Allergy to
month old child who is scheduled to receive measles, neomycin
mumps, rubella1. Which of the following findings
Should the nurse identify as a contradiction for receiving the vaccine?
a. Allergy to neomycin
b. upper respiratory infection 2 days ago
c. temperature of 37.2 (99 Fahrenheit)
d. family history of seizures
52. A nurse is assessing a school-age child cranial nerve c. shrug their
function. Which of the following actions should the shoulders against
nurse ask the child to take when assessing the acces- mild pressure
sory nerve?
a. Move their tongue in all directions
b. follow a light in the six cardinal position
c. shrug their shoulders against mild pressure
d. show their teeth while smiling
53. A nurse is performing a cranial nerve assessment on c. the child has
a school-age child. Which of the following findings in- asymmetrical jaw
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dicates proper function of the child trigeminal nerve? strength when Bita. The child montanes balance when standing with
ing Down
eyes closed
b. the child correctly identify specific scent
c. the child has asymmetrical jaw strength when Biting
Down
d. the child exhibits a gag reflex when stimulated with
a tongue blade
54. A nurse is providing support to a family whose infant
died from sudden infant death syndrome (SIDS) which
of the following actions should the nurse take?
a. Discourage the parents from allowing siblings to
view the body
b. avoid discussing details of the attempt to revive the
infant
c. provide a follow-up phone call one week following
the infant's death
d. acknowledge
the family members feelings of
guilt
55. A nurse in the emergency department is caring for
d. Implement
a child who has a temperature of 39.1 degrees C is
droplet precau(102.4 Fahrenheit) and suspect the diagnosis of bacte- tions for the child
rial meningitis. Which of the following actions should
the nurse take first? Tell me more
a. prepare the child for a lumbar puncture
b. dim the lights in the child's room (SEIZURE PRECAUTION)
c. administering an antipyretic to the child
d. Implement droplet precautions for the child
56. A nurse is caring for an infant who has rotavirus.
b. weight loss 7%
Which of the following findings indicates that the in- lower
fant is moderately dehydrated?
a. capillary refill 1 seconds
b. weight loss 7% lower
c. Respiratory rate 28/ minute
d. bradycardia
57. A nurse is providing teaching to the guardian of a
c. lack of sleep
school-age child who has seizure disorder. Which of (Avoid triggering
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the following factors should the nurse include as a
common trigger that increases the risk of seizure?
a. Prolonged headache
b. decrease temperature
c. lack of sleep
d. exposure to second-hand smoke
factors: emotional
stress, sleep
deprivation, bright
lights, fatigue,
physical abuse)
58. A nurse is reviewing the laboratory results of a
b. Hyporeflexia
preschooler who has gastroenteritis and notes the
clients potassium level is 3.2 meq L which of the following assessment findings should the nurse expect?
a. Hypertension
b. Hyporeflexia
c. hyperactive bowel sounds
d. Oliguria
59. A nurse is planning care for an adolescent who has d. pneumococcal
sickle cell anemia. Which of the following immuniza- conjugate (pcv13)
tions should the nurse include in the plan?
a. Respiratory sync functional virus (RSV to call) b.
Rotavirus
c. measles, mumps, and rubella (MMR)
d. pneumococcal conjugate (pcv13)
60. A nurse is planning care for a child who has varicella. a. Initiate Airborne
Which of the following interventions should the nurse precaution
plan to include?
a. Initiate Airborne precaution
b. assess the oral cavity for koplik spots
c. administer aspirin for fever
d. provide the child with a warm blanket
61. A nurse is planning care for a school-age child who d. administer
has a new diagnosis of Legg-calve-perthes disease. ibuprofen to the
Which of the following interventions should the nurse child for discomfort
include in the plan of care?
a. instruct a child to perform weight-bearing exercises
b. explain to the child that the disease will last 3 to 6
months
c. encourage the guardian to keep their child home
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from school for one-month
d. administer ibuprofen to the child for discomfort
62. A nurse is caring for a two-year-old child who has cys- d. high frequentic fibrosis and is being discharged from the hospital. cy chest compresThe nurse should ensure that which of the following sion vest
pieces of equipment is available for the child's home?
a. steam vaporizer
b. suction machine
c. continuous positive airway pressure machine d.
high frequency chest compression vest
63. A nurse is providing teaching for the parent of a child a. Bathe the child
who has measles. Which of the following information using tepid water
should the nurse include?
a. Bathe the child using tepid water
b. remove loose crust from the lesions
c. give the child aspirin for a fever
d. withhold live vaccines for 3 months
64. A nurse is assessing a toddler who has cystic fibro- a. Steatorrhea
sis. Which of the following findings should the nurse
expect?
a. Steatorrhea
b. Rhinorrhea
c. weight gain
d. visible peristalsis
65. A nurse is planning to administer diphenhydramine 0.6 mL
1.25 mg/kg IV to a school-age child who weighs 55 lb.
Available is diphenhydramine 50 mg / ml. How many
ml should the nurse administer. Round the answer to
the nearest tenth. Use leading zero that applies. Do
not use a trailing zero.
66. A nurse is providing teaching about home care to
the parent of a child who has scabies. Which of the
following instructions should the nurse include in the
teaching?
A. Wash your patients hair with shampoo containing
16 / 19
D. Treat everyone
who came into
close contact with
the child
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Ketoconazole
B. Soak combs and brushes in boiling water for 10
minutes
C. Apply petroleum jelly to the affected areas
D. Treat everyone who came into close contact with
the child
67. A nurse is teaching the parent of a school age child
about bicycle safety. Which of the following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. Your child's feet should be 3-6 inches off the ground
when seated on the bicycle
C. You should try to keep the bicycle at least 3 feet
from the curb while riding in the street
D. Your child should ride the bicycle against the flow
of traffic
A. Your child
should walk the bicycle through intersections
68. A 12-year-old pediatric client is in need of surgery.
2. Physician
Which member of the health care team is legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker
69. A nurse is prioritizing four clients. Which of the follow- An adolescent
ing should the nurse assess first?
with sickle cell
anemia and
slurred speech.
70. A nurse is preparing to administer immunizations to a Provide a pacifi3-month-old. Which of the following is an appropriate er coated with an
action for the nurse to take to deliver atraumatic care? oral sucrose solution prior to the injections.
71.
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a nurse is providing teaching to the parents of a 2
We will place the
month old infant who has developmental dysplasia of diaper under the
the hip and has a prescription for a Pavlik harness. straps
Which of the following statements by the parents indicates understanding of the teaching?
72. A nurse in an emergency department is caring for a
school-age child who has acute acetylsalicylic poisoning. Which of the following should the nurse expect?
Polyuria
Jaundice
Hyperpyrexia
Neck vein distension
Hyperpyrexia
73. A nurse is admitting a child who has acute epiglotittis. Initiate droplet isoWhich of the following actions should the nurse take? lation precautions
74. A nurse is providing teaching to the parents of a child Apply bactericidal
who has impetigo. Which of the following instructions ointment to lesions
should the nurse include in the teaching?
75. A nurse in an emergency department is assessing an Ataxia
adolescent who reports inhalation of gasoline. Which
of the following findings should the nurse expect?
76. A nurse is providing teaching to the parents of school Clear the area of
age child newly diagnosed with seizure disorder. The heard objects
nurse should teach the parents to take which of the
following actions during a seizure?
Minimize movement of limps
Place child in prone position
Insert tongue blade between teeth
Clear the area of heard objects
77. A school nurse is assessing a 7-year-old student. The Bruising around
nurse should identify which of the following findings the wrists
as a potential indicator of physical abuse?
78.
Creatinine 1.4
18 / 19
PEDIATRIC CMS :)
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A nurse is caring for a 4 year old child who has
meningitis and is receiving gentamicin. Which lab value should the nurse report to the provider?
79. A nurse is assessing a 6-month-old infant who has
RSV. The nurse should immediately report which of
the following findings to the provider?
19 / 19
Tachypnea