Question 1

A nurse is teaching the parent of a preschool-age child about the treatment for pinworms. Which of the following statements by the parent indicates an understanding of the teaching?

Accepted Answer

I will give my child a dose of albendazole today and again in 2 weeks

Question 2

A nurse is assessing a child who has a ventricular septal defect. Which of the following finding should the nurse expect?

Accepted Answer

Murmur at the left sternal border

Question 3

A nurse is teaching an adolescent who has asthma about how to use a peak expiratory flow meter (PEFM). Which of the following responses by the adolescent indicates an understanding of the teaching?

Accepted Answer

I will record the highest reading of three attempts

Question 4

A nurse is providing teaching to the parents of an infant who has acute otitis media about how to administer antibiotic eardrops. Which of the following instructions should the nurse include?

Accepted Answer

Massage the anterior area of the infant\'s ear following administration

Question 5

A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an understanding of the teaching?

Accepted Answer

My child should consume 1,000 calories per day

Question 6

A nurse is providing teaching about immunizations to the parents of a severely immunocompromised child who has HIV. Which of the following statements should the nurse include in the teaching?

Accepted Answer

The pneumococcal and influenza vaccines are recommended for your child

Question 7

A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?

Accepted Answer

Determine the child\'s breathing pattern

Question 8

A nurse is providing discharge teaching to the parents of a child who has nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?

Accepted Answer

Keep the child away from people who have an infection

Question 9

A nurse is providing nutritional teaching to an adolescent client who has celiac disease. Which of the following breakfast foods should the nurse recommend?

Accepted Answer

Scrambled eggs

Question 10

A clinic nurse is providing teaching to the parent of a 1-month-old infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Accepted Answer

I will add rice cereal to my baby\'s feedings

Question 11

A nurse is assessing a 2-month-old infant who has a ventricular septal defect. Which of the following findings should the nurse report to the provider?

Accepted Answer

Weight gain of 1.8 kg (4lb)

Question 12

A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following interventions should the nurse include in the plan?

Accepted Answer

Monitor the child for increased temperature

Question 13

A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make?

Accepted Answer

Increase the child\'s protein intake

Question 14

A nurse is assessing a 6-month-old infant following a cardiac catheterization. Which of the following findings should the nurse report to the provider?

Accepted Answer

BP 86/40 mm Hg

Question 15

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings is the nurse\'s priority?

Accepted Answer

Frequent swallowing

Question 16

A nurse is teaching about clinical manifestations of tracheomalacia to a parent of an infant who had tracheoesphageal fistula repair as a newborn. Which of the following findings should the nurse include in the teaching?

Accepted Answer

Barking cough

Question 17

A nurse is reviewing the laboratory results of a child who has experienced diarrhea for the past 24 hr. Which of the following values for urine specific gravity should the nurse expect?

Accepted Answer

1.035

Question 18

A nurse is providing teaching to an adolescent who has a fiberglass are cast. Which of the following instructions should the nurse include in the teaching?

Accepted Answer

Place a plastic bag over the cast when showering

Question 19

A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia. Which of the following instructions should the nurse include in the plan?

Accepted Answer

Inspect the toddler\'s toys for sharp edges

Question 20

A nurse is providing teaching to the parents of a school-age child how has type 1 diabetes mellitus about management of hypoglycemia. Which of the following responses by the parents indicates an understanding of the teaching?

Accepted Answer

I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible

Question 21

A nurse is teaching a newly hited nurse about the care of an infant who is postoperative following myelomeningocele repair. The nurse should teach the newly hired nurse to monitor the infant for which of the following complications?

Accepted Answer

Hydrocephalus

Question 22

A nurse is preparing to abotain an antistreptolysin O (ASO) titer from a child who has acute glomerulonephritis. The child\'s parent asks the nurse to explain the purpose of the test. Which of the following responses should the nurse make?

Accepted Answer

The test shows us if your child had a recent strep infection

Question 23

A nurse is caring for an infant following surgical repair of a cleft lip and palate. Which of the following actions should the nurse take?

Accepted Answer

Suction the infant gently with a bulb syringe PRN

Question 24

A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching?

Accepted Answer

I can take my brace off for about an hour daily to shower

Question 25

A nurse is caring for a child who is in skeletal traction. Which of the following actions is the nurse\'s priority?

Accepted Answer

Encourage the child to use an incentive spirometer

Question 26

A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis?

Accepted Answer

Drooling

Question 27

A nurse is teaching a school-age child and his parents how to self-administer insulin. Which of the following actions should the nurse take first?

Accepted Answer

Demonstrate the injection technique on an orange

Question 28

A nurse is caring for an 8-year-old child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Accepted Answer

Periorbital edema

Question 29

A nurse in an emergency department is assessing a school-age child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider?

Accepted Answer

Sudden decrease in wheezing

Question 30

A nurse is admitting a child who has Wilms\' tumor. Which of the following actions should the nurse take?

Accepted Answer

Put a \"no abdominal palpation\" sign over the child\'s bed

Question 31

A nurse is caring for a child who has a possible intussusception. The parents of the child ask the nurse how the diagnosis is made. Which of the following responses should the nurse make?

Accepted Answer

An abdominal ultrasound will confirm the pocket in the intestine

Question 32

A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following interventions should the nurse include in the plan?

Accepted Answer

Maintain the child on bed rest

Question 33

A nurse is assessing pain in a 2-year-old child following a tonsillectomy. Which of the following rating scales should the nurse use to determine the child\'s pain level?

Accepted Answer

FACES Rating Scale

Question 34

A nurse is reviewing the laboratory report of a 2-year-old child who has diarrhea and has been vomiting for 24 hr. Which of the following findings should the nurse report to the provider?

Accepted Answer

Potassium 2.5 mEq/L

Question 35

A nurse is caring for a 6-week-old infant following a pyloromyotomy. Which of the following forms of feeding should the the nurse anticipate for the infant 6 hr after the procedure?

Accepted Answer

Small, frequent bottle feedings of electrolyte solution

Question 36

A nurse is assessing a 6-month-old infant who was recently admitted with acute vomiting and diarrhea. Which of the following findings indicates the infant has moderate dehydration?

Accepted Answer

Tachypnea

Question 37

A nurse is providing discharge teaching to the parent of a school-age child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?

Accepted Answer

I will inspect my child\'s mouth every day for sores

Question 38

A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should the nurse expect?

Accepted Answer

Koplik spots

Question 39

A nurse is reviewing the laboratory report of a toddler who is receiving chemotherapy for leukemia. Which of the following laboratory values should the nurse report to the provider?

Accepted Answer

Hgb 6 g/dL

Question 40

A nurse is caring for a 12-month-old infant following surgical repair of a cleft palate. The nurse should plan to feed the infant using which of the following instruments?

Accepted Answer

Cup

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