NURS 307 PEDS PROCTOR EXAM PEDS PROCTOR EXAM

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NURS 307 PEDS PROCTOR EXAM PEDS PROCTOR EXAM PEDS PROCTOR EXAM 1. A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following actons should the nurse plan frst? ... A. Use a tumbling E chart for the assessment B. Positon the child 4.6 meters (15 feet) from the chart C. Asses both eyes together frst, then each eye separately D. Test the child without glasses before testng with glasses 2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthrits and a new prescripton of prednisone/etanercept. Which of the following statements should the nurse include in the teaching? A. Monitor your child for indicatons of infecton B. Discontnue this medicaton if gastrointestnal upset occurs C. Expect that this medicaton will stmulate growth spurt D. Limit your child’s intake of potassium-rich foods 3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautons for which of the following children? A. An adolescent who has hepatts A B. A toddler who has seasonal influenza C. A preschool-age child who has pediculosis capits D. A school-age child who has viral conjunctvits 4. A nurse is providing teaching to an adolescent who has vulvovaginits. Which of the following statements should the nurse include in the teaching? A. Apply a warm, moist compress three tmes a day B. Apply a scent baby powder to absorb residual moisture C. Wear a feminine deodorant pad for vaginal drainage D. Wear a nylon underwear at night 5. A nurse is creatng a plan of care for a school-age child who has nephrotc syndrome. Which of the following interventons should the nurse include? (SATA) A. Provide a low sodium diet B. Encourage increased fluid intake C. Assess for protein in the urine D. Initate contact precautons E. Obtain a daily weight6. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterizaton. Which of the following interventons would the nurse take? A. Maintain NPO status for 24 hours following the procedure B. Administer meperidine for pain every 4 hours C. Perform a sterile dressing change 8 hours afer the procedure D. Keep the affected extremity straight for 6 hours. 7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching? A. I should mix the medicaton with 4 ounces of child’s favorite juice B. I should give me child water afer giving the medicaton C. I should give my child another dose if he vomits right afer taking the medicaton D. I should give the medicaton with foods that are high in fber 8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actons should the nurse take frst? A. Administer a tetanus vaccine B. Give pain medicaton C. Begin enteral feedings D. Initate a crystalloid IV bolus 9. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care? A. Schedule routne oral care every 8 hours B. Administer oral viscous lidocaine C. Moisten the mucous with lemon glycerin swabs D. Cleanse the gums with saline soaked gauze 10. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full tme. Which of the following resources should the nurse recommend? A. 12-step support group B. Respite child-care C. Child home health care D. Counseling for depression 11. A nurse is caring for a child who has prescripton for flutcasone and has developed white patches and sores in his mouth. Which of the following is an appropriate acton for the nurse to take? 2A. Encourage the use of a spacer B. Withhold the medicaton untl the lesions heal C. Obtain a prescripton for oral prednisone D. Collect a culture from the lesions 12. A nurse is providing teaching to the parents of a child who has impetgo. Which of the following instructons should the nurse include in the teaching? A. Seal sof toys in a plastc bag for 14 days B. Apply bacterial ointment for lesions C. Administer acyclovir PO two tmes per day D. Soak hairbrushes in boiling water for 10 minutes 13. A nurse in an emergency department is caring for a child who is epiglots. Which of the following actons should the nurse take? A. Provide nebulizer aerosol therapy B. Administer IV antbiotcs C. Inspect the tonsils using a tongue depressor D. Collect a throat culture 14. A nurse is planning care for a child who is placed in skin tracton. Which of the following is the priority acton for the nurse to take? A. Increase fluid intake B. Maintain a proper body alignment C. Use an alternate pressure matress D. Monitor pedal pulses 15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4 kg. available is ondansetron 4mg/2mL soluton. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). Answer: 2.2 mL 16. A nurse is performing a physical assessment of a school-age child who has acute glomerulonephrits. Which of the following fndings should the nurse expect? A. Hypotension B. Increased urinary output C. Flushed skin D. Facial edema 317. A nurse in an emergency department is assessing an adolescent who reports inhalaton of gasoline. Which of the following fndings should the nurse expect? A. Hypothermia B. Pinpoint pupils C. Hyperactve reflexes D. Ataxia 18. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actons should the nurse take frst? A. Prepare the toddle for nasotracheal intubaton B. Insert an IV catheter for the toddler C. Obtain a blood culture from the toddler D. Administer an antbiotc to the toddler 19. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identfy that the defect is at which of the following locatons of the heart? (you will fnd hot spots to select in the artwork below. Select only the hot spot that corresponds to your assessment) Answer: 20. A nurse is caring for an infant who has hydrocephalus and ventriculoperitoneal shunt malfuncton. Which of the following assessment fndings indicates that the infant is experiencing increased intracranial pressure? A. Increased appette B. Irritability C. Flat fontanel D. Tachycardia 21. A nurse is assessing an infant who has iron defciency anemia. Which of the following fndings should the nurse expect? A. Increased hemoglobin level B. Hyperactve muscle tone C. Bradycardia D. Pale conjunctva 22. A nurse is caring for a child who received partal thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractons. Which of the following actons should the nurse take? (SATA) A. Provide a high-calorie diet B. Administer analgesics IM 4C. Remove splints during sleep D. Change dressing using aseptc technique E. Monitor intake and output 23. A school nurse is assessing a 7-year-old student. The nurse should identfy which of the following fndings as a potental indicator of physical abuse? A. Bruising around the wrists B. Abrasions on the knees C. Weight in 45th percentle D. Front deciduous teeth missing 24. A nurse is assessing an 18-month-old child during a well-child visit. Which of the following fndings should the nurse report to the provider? A. The child crawls to navigate the room B. The child has frequent temper tantrums C. The child consistently throws items to the floor D. The child scribbles on the wall with a crayon 25. A nurse is caring for an infant who has rotavirus. Which of the following fndings indicates that the infant is inadequately dehydrated? A. Weight loss 7% B. Capillary refll 1 second C. Bradycardia D. Respiratory rate 26/min 26. A nurse is providing teaching about injury preventon to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching? A. Adjust the water heart temperature to 54 C (129.2 F) B. Check clothing for loose butons C. Provide balloons for play D. Place screens on all windows 27. A nurse is caring for a school-age child who is in 90/90 skeletal tracton. Which of the following actons should the nurse take? A. Release the tracton to allow the child to bathe B. Place the child on an alternatng pressure matress C. Adjust the weights to allow the child to turn D. Ensure that the pulley mechanism is atached to the skin 528. A nurse is caring for a child who has increased intracranial pressure and is unconscious due to a closed head injury. Which of the following actons should the nurse take? A. Maintain the child’s neck in a flexed positon B. Turn the child side to side every 2 hours C. Initate seizure precautons D. Perform chest percussion as needed 29. A nurse is providing teaching to the parents of a school-age child newly diagnosed with seizure disorder. The nurse should teach the parents to take which of the following actons during a seizure? A. Clear the area of hard objects B. Minimize movement of the limbs C. Insert a tongue blade between the teeth D. Place the child in a prone positon 30. A nurse is providing teaching to a parent of an infant who has diaper rash. Which of the following statements by the parent indicates an understanding of the teaching? A. I will use antbacterial soap to wash the rash with each diaper change B. I will keep the area warm and moist C. I will use super-absorbent disposable diapers D. I will sprinkle talcum powder over the affected area twice daily 31. A nurse in a provider’s ofce is assessing the vital signs of a 1-year-old toddler. Which of the following fndings should the nurse report to the provider? A. Blood pressure 88/42 mm Hg B. Heart rate 110/min C. Respiratory rate 54/min D. Temperature 37.7 C (99.9 F) 32. A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect a child to exhibit which of the following characteristcs during early adolescence? A. Emotonal separaton from parents B. Mood swings C. Increased self-esteem D. Deceleratng growth rate 33. A nurse is caring for a child who is 2 hours postoperatve. Which of the following actons should the nurse take frst? (Click the “exhibit” buton for additonal informaton about the client. There are three tabs that contain separate categories of data). A. Recheck the child’s temperature 6B. Determine the child’s sedaton level C. Assess the child’s pain level D. Compare the child’s pedal pulses 34. A nurse is assessing an adolescent who has Cushing’s syndrome. Which of the following fndings should the nurse expect? A. Potassium 4.2 mEq/L B. Blood glucose 320 mg/dL C. Advanced bone age D. Cachectc appearance 35. A nurse is caring for a preschool-age child who is 2 hours postoperatve following a tonsillectomy and adenoidectomy. Which of the following manifestatons should the nurse report to the provider? A. Tachycardia B. Blood-tnged mucus C. Dark brown emesis D. Halitosis 36. A nurse is assessing a 6-month-old infant who has respiratory syncytal virus. The nurse should immediately report which of the fndings to the provider? A. Coughing B. Tachypnea C. Pharyngits D. Rhinorrhea 37. A nurse is admitng an infant who has GERD. Which of the following is the priority assessment fnding? A. Weight loss B. Excessive crying C. Wheezing D. Regurgitaton 38. A nurse is planning care for a child who is experiencing sickle cell crisis. Which of the following interventons should the nurse include in the plan of care? A. Administer meperidine as needed for pain B. Initate bed rest C. Limit fluid intake D. Apply cord compresses to affected joints 739. A nurse is providing teaching to a parent of a child who has cystc fbrosis and a new prescripton for dornase alfa. Which of the following instructons should the nurse include in the teaching? A. Store the medicaton in the refrigerator B. Use a spacer with this medicaton C. Administer every 4 hours as needed for cough D. Mix the medicaton with albuterol soluton prior to administraton 40. A nurse is caring for a preschool-age-child who has a terminal illness. Which of the following fndings should the nurse expect? A. Believes the conditon is a punishment B. Expresses interests in the funeral arrangements C. Accepts death is inevitable D. Feels excessive anxiety about physical changes 41. A nurse is reviewing the laboratory values of a school-age child who has nephrotc syndrome. Which of the following laboratory results should the nurse expect? A. Serum sodium 144 mg/dL B. Serum protein 4.2 g/dL C. Hgb 12 g/dL D. BUN 15 mg/dL 42. A nurse is planning care for a school-age child who has autsm spectrum disorder. Which of the following actons should the nurse include in the plan? A. Give the child three optons when making choices B. Stay with the child for long periods of tme C. Explain procedures in detail to the child D. Introduce the child to new situatons slowly 43. A nurse is preparing to administer morphine 0.2 mg/kg IV to a child who is postoperatve and in pain. The child weighs 34 kg. Available is morphine 1 mg/mL soluton. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero) Answer: 6.8 mL 44. A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydraton. Which of the following fluids should the nurse instruct the parent to provide to the infant? A. Chicken broth B. Oral electrolyte soluton C. Glucose water 8D. Half-strength apple juice 45. A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching? A. The risk of transmission decreases since my child is on zidovudine for 2 weeks B. My child will need to repeat his childhood immunizatons since he is in remission C. My child will need to double his medicatons for the next 6 months D. I will ensure that my child is tested for tuberculosis every year 46. A nurse is caring for a school-age child who has diabetes mellitus. Which of the following fndings should the nurse recognize as being consistent with hyperglycemia? A. Pallor B. Thirst C. Sweatng D. Tremors 47. A nurse in an urgent care clinic is prioritzing care for four children. Which of the following children should the nurse assess frst? A. A preschool-age child who has mufed voice and spontaneous cough B. An adolescent who has Crohn’s disease and a recent weight loss of 5 kg (11 lbs) C. A toddler who has nephrotc syndrome and facial edema D. A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL 48. A nurse is prioritzing care for four clients. Which of the following clients should the nurse assess frst? A. An adolescent who has sickle cell anemia and slurred speech B. A toddler who has a new diagnosis of osteomyelits and is to receive an IV bolus of nafcillin C. An adolescent who is in skin tracton and reports a pain level of 7 on a scale from 0 to 10 D. A toddler who has a partal-thickness burn on his right hand and requires a dressing change 49. A nurse is preparing to administer immunizaton to a 3-month-old infant. Which of the following is an appropriate method to take to deliver atraumatc care? A. Use a 20-gauge needle for the injecton B. Apply eutectc mixture of local anesthetcs (EMLA) cream immediately before the injectons C. Inject the immunizaton into the deltoid muscle D. Provide a pacifer coated with an oral sucrose soluton prior to the injectons 950. A nurse is reviewing the laboratory results of a child who was recently admited for suspected rheumatc fever. The nurse should expect that which of the following laboratory tests can contribute to confrming this diagnosis? (SATA) A. Antstreptolysin O (ASO) tter B. Blood urea nitrogen (BUN) C. Partal thromboplastn (PTT) D. Erythrocyte sedimentaton rates (ESR) E. C-reactve protein (CRP) 51. A nurse is reviewing the laboratory report of a school-age child who has bacterial pneumonia. Which of the following laboratory values should the nurse expect? A. WBC 18,000/mm3 B. Ph 7.40 C. Hgb 14 g/dL D. Creatnine 0.5 mg/dL 52. A nurse is providing teaching about medicaton administraton to the parents of a toddler who has a new prescripton for liquid ferrous sulfate. Which of the following instructons should the nurse include in the teaching? A. Report tarry, green stools to the provider B. Administer the drops with milk C. Dilute the drops with water prior to administraton D. Provide an antacid prior to administraton 53. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medicatons should the nurse plan to administer? A. Flumazenil B. Phytonadione C. Midazolam D. Naloxone 54. A nurse is planning care for a newly admited child who has rotavirus. Which of the following precautons should be implemented? A. Airborne B. Contact C. Protectve D. Droplet 55. A nurse is developing a plan of care for child who is dying. Which of the following measures should the nurse implement to the child and his family? 10A. Maintain consistent nursing staff assignments B. Ask the parents to leave the room for the procedures C. Select one family member to receive informaton D. Limit the number of visitors in the client’s room 56. A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate acton for the nurse to take? A. Have the child flex his head when securing the tes B. Place the child in Trendelenburg positon when performing care C. Clean around the stoma with full-strength hydrogen peroxide D. Use clean technique to change the tracheostomy tube 57. A nurse in the emergency department is caring for a child who has a temperature of 39.1 C (102.4 F) and a suspected diagnosis of bacterial meningits. Which of the following actons should the nurse take frst? A. Prepare the child for a lumbar puncture B. Administer an antpyretc to the child C. Dim the lights in the child’s room D. Implement droplet precautons for the child 58. A nurse is caring for a toddler who has a shirt leg cast. Which of the following fndings should the nurse report to the provider? A. Positve pedal pulse in the distal extremity B. Pallor of the distal extremity C. Mobility of the distal extremity D. Warm temperature of the distal extremity 59. A nurse is caring for a newly admited toddler who has acute diarrhea. Which of the following actons should the nurse take frst? A. Initate contact precautons B. Administer an antbiotc C. Obtain a stool specimen for culture D. Give 0.9% sodium chloride IV bolus 60. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructons should the nurse include in the teaching? A. You may tolerate plain milk beter than chocolate milk B. You can drink milk on an empty stomach C. You can replace milk with nondairy sources of calcium D. You should consume flavored yogurt instead of plain yogurt 1161. A nurse is providing discharge teaching to the parents of a school-age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effectve when the parents identfy which of the following as an indicaton the shunt has been displaced? A. Hyperactve bowel sounds B. Elevated temperature C. Increased sleeping D. Decreased urine output 62. A nurse is providing teaching to a parent of a 2-month-old infant about immunizaton schedules. Which of the following statements by the parent indicates an understanding of the teaching? A. My child needs to get the MMR immunizaton when she’s 12 months old B. My child needs to get the varicella immunizaton when she’s 6 months old C. My child will receive the influenza immunizaton today D. My child will receive the hepatts A immunizaton today 63. A nurse is performing a cranial nerve assessment on a school-age child. Which of the following fndings indicates proper functoning of the child’s trigeminal nerve? A. The child maintains balance when standing with eyes closed B. The child has symmetrical jaw strength when bitng down C. The child exhibits a gag reflex when stmulated with tongue blade D. The child correctly identfes specifc exams 64. A nurse is planning care for a child immediately following the inserton of a chest tube for contnuous sucton with a closed drainage system. Which of the following interventons should the nurse include in the plan of care? A. Ensure contnuous bubbling is present in the sucton control chamber B. Report the presence of tddling of fluid in the water seal chamber C. Change the chest tube inserton site dressing every 12 hrs D. Record the amount of chest tube drainage every 2 hrs 65. A nurse is educatng an adolescent following the applicaton of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? A. I will sprinkle baby powder into the cast if my arm itches B. I should limit the use of the fngers of my broken arm C. I will elevate my forearm on pillows at night D. I should expect my fngers to be swollen for several days 66. A nurse in a community center is providing an in-service for parents about nutritonal guidelines. Which of the following guidelines should the nurse include in the teaching? 12A. Encourage a 15-year-old to increase calcium intake B. Provide 35 oz of milk per day to a toddler C. Offer 8 to 10 oz of juice per day to a preschooler D. Introduce popcorn as a health snack at 12 months of age 67. A nurse is caring for a school-aged child who is experiencing pain. Which of the following assessment teachings would be the most accurate informaton regarding the child’s pain? A. Ask the child to use a FACES ratng scale B. Monitor the child’s involuntary movements C. Observe the child’s facial expressions D. Assess the child’s pulse and respiratons 68. A nurse in an emergency department is assessing a school-age child who has asthma. Which of the following should the nurse identfy as the priority? A. Decreased breath sounds B. Hyperresonance on percussion C. Nonproductve cough D. Pulse rate 118/min 69. A nurse is caring for a child who is postoperatve following surgical correcton of tetralogy of Fallot. Which of the following is a manifestaton of heart failure? A. Exercise intolerance B. Bradycardia C. Weight loss D. Decreased respiratons 70. A nurse is caring for a 4-year-old child who has meningits and is receiving gentamycin. Which of the following laboratory results should the nurse report to the provider? A. Creatnine 1.4 mg/dL B. BUN 12 mg/dL C. BUN 6 mg/dL D. Creatnine 0.2 mg/dL 71. A nurse is providing teaching to guardians off a school-aged child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? A. Prolonged headache B. Lack of sleep C. Decreased temperature D. Exposure to secondhand smoke 1372. A nurse planning care for an 8-month-old infant who has heart failure. Which of the following actons should the nurse include in the plan of care? A. Place the infant in a prone positon B. Repeat a digoxin dosage if the infant vomits within 1 hour administraton C. Provide less frequent, higher volume feedings D. Administer cool, humidifed oxygen via nasal canula 73. A nurse is caring for an adolescent who is 1 hour postoperatve following an appendectomy which of the following fndings should the nurse report to the provider? A. Temperature of 36.4 C (97.5F) B. Muscle rigidity C. Abdominal pain D. Heart rate of 63 min 74. 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 remain under a beach umbrella during morning hours B. My child should wear a wide-brimmed hat C. I should apply a 10 spf sunscreen to my child’s entre body D. I should dress my child in loose-weave clothing 75. A nurse is reviewing the laboratory results of a preschooler who has gastroenterits and notes the child’s potassium level is 3.2 mEq/L. which of the following assessment fndings should the nurse expect? A. Oliguria B. Hyperactve bowel sounds C. Hypertension D. Hyporeflexia 76. A nurse is assessing a school age child’s cranial nerve functon. Which of the following actons should the nurse assess the child to take when assistng the accessory nerve? A. Show their teeth while smiling B. Shrug their shoulders against mild pressure C. Move their tongue in all directons D. Follow a light in the six cranial positons 77. A nurse is teaching a group of female adolescents about health eatng. Which of the following instructons should the nurse include in the teaching? 14A. Consume 1500 to 1700 cal per day B. Limit your sodium intake to 3000 milligrams per day C. Decrease your vitamin D intake once you start to menstruate D. Increase the amount of your dietary iron intake 78. A nurse in a provider’s ofce is preparing to administer immunizatons to a 12-year-old client during a well child visit. Which of the following immunizatons should the nurse plan to administer? A. Human papillomavirus (HPV) B. Hepatts a C. Diphtheria, tetanus, and pertussis (DTaP) D. Varicella 79. A nurse is assessing a school age child who has heart failure and is taking furosemide. Which of the following fndings should the nurse identfy as an indicaton that the medicaton is effectve? A. A decrease in peripheral edema B. An increase in venous pressure C. A decrease in cardiac output D. An increase in potassium levels 80. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following informaton should the nurse include in the teaching? A. Increase the child’s oxygen flow rare untl the child no longer has cyanosis B. Withhold the digoxin if the child’s pulse is greater than 100/min C. Provide periods of rest D. Weight the child once a month 81. A nurse is planning care for a child who has varicella. Which of the following interventons should the nurse plan to include? A. Initate airborne precautons B. Administer aspirin for fever C. Provide the child with a warm blanket D. Assess the oral cavity for kolpik spots 82. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actons should the nurse take frst? A. Prepare the toddler for nasal tracheal intubaton B. Administer an antbiotc to the toddler C. Insert an IV catheter for the toddler 15D. Obtain a blood culture from the toddler 83. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescripton for digoxin. Which of the following manifestaton should the nurse include as an indicaton for digoxin toxicity? A. Polyuria B. Diaphoresis C. Jaundice D. Bradycardia 84. A nurse is preparing to collect a urine specimen from a female infant using a urine collecton bag. Which of the following acton should the nurse take frst? A. Apply lidocaine gel to the perineum before ataching the bag B. Positon the opening of the bag over the urethra and the anus C. Place a snug-ftng diaper over the drainage bag D. Stretch the perineum taut when applying the bag 85. A nurse is caring for a school age child following the applicaton of a cast to a fractured right tbia. Which of the following actons should the nurse take frst? A. Administer pain medicaton B. Elevate the child’s leg C. Pedal the edges of the cast D. Teach the child about cast care 86. A nurse is preparing to administer prescribed medicaton to a toddler whose parent is nearby. Which of the following actons should the nurse take to identfy the toddler? A. Ask another nurse to confrm the toddler’s indent B. Check the toddler’s ID band against medical record C. Ask the parent to confrm the toddler’s identty D. Check the toddler’s room number against their ID bracelet 87. A nurse is assessing an infant who has severe dehydraton due to gastroenterits. Which of the following fndings should the nurse expect? A. Increased urine output B. Increased respiratory rate C. Capillary refll of 2 seconds D. Hypertension 1688. A nurse is caring for a three-month-old infant who has a clef of sof palate. Which of the following actons should the nurse take? A. Postpone burping the infant untl afer completng each feeding B. Feed the infant 177.4 mL (6 oz) of formula three tmes each day C. Discontnue feeding if the client’s eyes become watery D. Elevate the infants head to a 10-degree angle during feedings 89. A nurse is providing teaching about home care to the parents of a child who has scabies. Which of the following instructons should the nurse include in the teaching? A. Apply petroleum jelly to the affected areas B. Soak combs and brushes in boiling water for 10 mins C. Treat everyone who came into close contact with the child D. Wash the child’s hair with shampoo containing ketoconazole 90. A nurse is planning care for a child who has osteomyelits. Which of the following interventons should the nurse include in the plan of care? A. Initate contact precautons for the child B. Maintain a patent intravenous catheter C. Encourage frequent physical actvity to increase bone mass D. Provide a high calorie, low protein diet 91. A nurse is assistng an infant who has acute otts media. Which of the following fndings should the nurse expect? (SATA) A. Fever B. Increased appette C. Crying D. Enlarged sub clavicular lymph node E. Restlessness 92. A nurse is admitng a child who has acute epiglots. Which of the following actons should the nurse take? A. Obtain a throat culture B. Assist the child into supine positon C. Check oxygen saturaton every 4 hours D. Initate droplet isolaton precautons 93. A nurse in a provider’s ofce is assistng the vital signs of a two-year-old child at a well child visit. Which of the following fndings should the nurse report to the provider? A. Blood pressure 118/74 mm Hg 17B. Respiratory rate 26/min C. Temperature 37.2 (99 F) D. Pulse rate 98/min 94. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterizaton. Which of the following informaton should the nurse include in the teaching? A. You will have your dressing removed 12 hours afer the procedure B. You will need to keep your leg straight for 8 hours following the procedure C. You will be on bed rest for 2 days afer the procedure D. You will be on clear liquid diet for 24 hours following the procedure 95. A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? A. Hyperpyrexia B. Polyuria C. Neck vein distenton D. Jaundice 96. A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following fndings should the nurse identfy as a contraindicaton of receiving this vaccine? A. Temperature of 37.2 (99 F) B. Upper respiratory infecton 2 days ago C. Allergy to neomycin D. Family history of seizures 97. A nurse is planning care for a 6-month-old infant who has bacterial meningits. Which of the following interventons should the nurse include in the plan of care? A. Keep the television on in the room to provide background noise B. Provide frequent range of moton to the neck and shoulders C. Pad the side rails of the crib D. Place the infant in a semiprivate room 98. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testng for cystc fbrosis. Which of the following statements should the nurse include in the teaching? A. The test will measure the amount of chloride in your baby’s sweat B. We will measure the amount of protein in your baby’s urine over a 24-hour period. 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 1899. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actons should the nurse take frst? A. Check pupil reactons B. Inspect for fluid leaking from the ears C. Examined scalp for laceratons D. Assess respiratory status 100. A nurse is assessing a 5-month-old infant. Which of the following fndings should the nurse report to the provider? A. Exhibit a head lag when pulling to a sitng positon B. Absent gag reflex C. Unable to roll from back to abdomen D. Unable to hold a botle 101. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actons should the nurse take? A. Offer the child ice cream when alert B. Place the child in a side-lying positon C. Encourage the child to deep breaths and cough D. Instruct the child to drink fluids through a straw 102. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden death syndrome (SIDS). Which of the following statements by the parent indicates and understanding of the teaching? A. I will have my baby sleep next to me in bed during the night B. I will move my babies stuffed animals to the corner of her crib while she sleeps C. I will dress my baby in lightweight clothing to sleep D. I will lay me baby on her side to sleep for naps 103. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actons should the nurse include in the plan of care? A. Use half-strength formula when feeding the infant B. Assign consistent nursing staff to care for the infant C. Keep the infant in a visually stmulatng environment D. Give the infant fruit juice between feedings 104. A nurse is to administer amoxicillin 80 mg/kg/day divided into two doses to a 2- year-old client who weighs 10 kg (22lb). available amoxicillin suspension is 400 mg/5 mL. 19how many mL of amoxicillin should the nurse administer per dose? (Round the answer to the nearest whole number. Using a leading zero if it applies. Do not use a trailing zero) Answer: 10 ML 105. A nurse is doing an evaluaton of a 4-year-old child who has cystc fbrosis and has been receiving chest physiotherapy treatments. The nurse should identfy which of the following fndings as an indicaton that the therapy has been effectve? A. Increased urine output B. Increased expectoraton C. Increased heart rate D. Reduced pain 106. A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make? A. The medicaton will treat your hypersensitvity reacton B. Sometmes when a child has to take medicaton, they feel sad C. Let me know when you want to take the medicaton D. The medicaton isn’t bad it tastes like candy 107. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following fndings should indicate to the nurse that the medicaton is having a therapeutc effect? A. Increased blood pressure B. Bradycardia C. Limb withdrawal D. Relaxed facial expression 108. A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS). Which of the following actons should the nurse take? A. Avoid discussing details of the atempt to revive the infant B. Provide a follow up phone call 1 week following the infant’s death C. Acknowledge the family members feelings of guilt D. Discourage the parents from allowing siblings to view the body 109. A nurse is teaching a group of parents about childhood immunizatons. The nurse should identfy that the infant should receive the frst dose of which of the following immunizatons at 12 months of age? A. Human papillomavirus B. Hepatts B C. Varicella D. Inactvated Polio virus 20110. A nurse is caring for a school-age child who is 1 hour postoperatve following a tonsillectomy. Which of the following actons should the nurse take? (SATA) A. Administered an analgesic to the child on a scheduled basis B. Maintain the child in a supine positon C. Provide cranberry juice to the child D. Observe the child for frequent swallowing E. Discourage the child from coughing 111. A nurse is communicatng with a child who has hearing loss. Which of the following actons should the nurse take? A. Exaggerate the pronunciaton of words B. Use light tough when initatng conversaton C. Maintain a neutral facial expression when speaking to the ch8ild D. Change positons frequently to maintain the child’s atenton 112. A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following informaton should the nurse include in the teaching? A. Increase the toddler’s protein consumpton B. Avoid foods containing milk products C. Limit foods high in iron D. Use aspartame as a sugar substtute 113. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actons should the nurse take? A. Obtain a stool specimen for lead levels B. Inspect the skin for discoloraton C. Perform developmental testng for delays D. Initate a low-iron diet for lead absorpton 114. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actons should the nurse take? A. Decrease the child’s fluid intake B. Administer furosemide IV twice per day C. Apply warm compresses to the affected areas D. Initate contact precautons 115. A nurse is assessing a child who has multple closed fractures of the lower extremites due to a motor-vehicle accident. The nurse should monitor the child for which of the following complicatons during the frst 24 hours afer the injury occurred? 21A. Compartment syndrome B. Renal calculi C. Osteomyelits D. Volkmann ischemic contracture 116. A nurse is teaching the guardian of a 5-year-old child who has encopresis about management of the conditon. Which of the following statements by the guardian indicates an understanding of the teaching? A. I will have my child try to defecate 15 minutes afer each meal B. I will increase my child’s dairy intake C. I will have my child sit on the toilet for 20 minutes at a tme D. I will limit my child’s fluid intake 117. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizatons should the nurse include in the plan? A. Pneumococcal conjugate (PCV13) B. Rotavirus C. Respiratory syncytal virus (RSV) D. Measles, mumps, and rubella (MMR) 118. A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urtcaria afer receiving an IV medicaton. Which of the following actons should the nurse take frst? A. Administer epinephrine B. Administer oxygen C. Administer methylprednisolone D. Administer a nebulized bronchodilator 119. A nurse in an emergency department is caring for a child who has experienced a submersion injury. Which of the following is the priority acton for the nurse to take? A. Obtain an ABG sample B. Administer an IV bolus C. Apply warning blankets D. Assist with intubaton 120. A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following fndings is the nurse’s priority? A. HbA1c 11.5% B. Glycosuria C. Pre-prandial blood glucose 124 mg/dL D. Cholesterol 189 mg/dL 22121. A nurse is planning to administer immunizatons to a 2-month-old infant. Which of the following actons should the burse take to decrease the infant’s pain? A. Administer the injectons while the infant is breasteeding B. Ask the parents to leave the room during the injectons C. Administer the injectons in the deltoid muscle D. Apply a warm pack to the injecton site prior to administraton 122. A nurse is caring for a client who is postoperatve following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actons should the nurse take? A. Asses the pin sites for injecton once every other day B. Encourage flexion and extension of the neck C. Repositon the client using a turning sheet D. Tighten the screws on the halo device one quarter turn every 48 hours 123. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructons should the nurse include in the teaching? A. Your child should keep the bicycle at least 3 feet from the curb while riding in the street B. Your child should walk the bicycle through intersectons C. Your child should ride the bicycle against the flow of trafc D. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle 124. A nurse is assessing an adolescent client who has Hodgkin’s lymphoma. Which of the following fndings should the nurse expect? A. Night sweats B. Unexplained weight gain C. Decreased body temperature D. Flushed skin 125. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Elbow B. Jacket C. Mummy D. Miten 126. A nurse is assessing a child who has heart failure. Which of the following fndings is a clinical manifestaton associated with this diagnosis? 23A. Tachypnea B. Bradycardia C. Increased appette D. Tremors 127. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructons should the nurse include in the teaching? A. Apply calamine loton to vesicles on the child’s skin B. Dress the child in warm clothing to promote healing of vesicles C. Avoid giving the child a bath while vesicles are present D. Keep the child away from others untl the skin is clear of scabs 128. A charge nurse is teaching a group of nurses about identfying child abuse. Which of the following fndings should the nurse identfy as a potental indicator of child abuse? A. A toddler has bruises on his knees B. A mother is hesitant to comfort her 6-month-old infant C. An 8-month-old infant cries when his parents leave the room D. A toddler repeatedly refuses to let a nurse auscultate his lungs 129. A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following fndings requires immediate interventon by the nurse? A. Axillary temperature 38 C (100 F) B. Child reports pain level of 5 on the FACES scale C. Dark brown blood noted in emesis D. Frequent swallowing 130. A nurse is caring for an adolescent who has major depressive disorder. Which of the following actons should the nurse take frst? A. Encourage the client to atend a group therapy session B. Assist the client if he is considering harming himself C. Administer an antdepressant to the client D. Assist the client in completng his ADLs 131. A nurse is teaching a group of male adolescents about testcular selfexaminaton. Which of the following statements should the nurse include in the teaching? A. You should perform the examinaton once every other month B. If you feel a hard lump, wait 1 month and retest yourself C. Perform the examinaton following a warm shower D. You should notfy your provider if your testes are frm, and egg shaped 24132. A nurse at an inpatent facility is planning care for a child who has autsm spectrum disorder. Which of the following interventons should the nurse include in the plan of care? A. Place the child in a semiprivate room B. Keep the staff visits with the child brief C. Keep the television on in the child’s room for background noise D. Vary daily routnes when providing care for the child 133. A nurse is caring for a school-age child who has pertussis. Which of the following actons should the nurse take? A. Place the child in a protected environment for 48 hours B. Restrict oral fluids to 500 ml per day C. Administer the pertussis vaccine D. Report the diagnosis to the public health department 134. A nurse is planning to admit a preschooler from the PACU following removal of a Wilm’s tumor. Which of the following children should the nurse identfy as an appropriate roommate for the preschooler? A. A child who has viral pneumonia B. A child who has impetgo C. A child who has a fractured lef femur D. A child who has cellulits of the right radius 135. A nurse is planning care for an adolescent following repair of Meckel divertculum. Which of the following actons should the nurse include in the plan of care? A. Teach the client about ostomy care B. Administer total parenteral nutriton C. Initate long term antbiotc therapy D. Maintain an NG tube for decompression 136. A nurse is caring for a preschooler who has a brain tumor. Which of the following fndings is the priority for the nurse to report to the provider? A. Puritus B. Nightmares C. Hyperactvity D. Diplopia 25137. A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identfy that which of the following sexually transmited infectons is natonally notfable? A. Genital herpes simplex virus B. Bacterial vaginosis trichomoniasis C. Gonorrhea D. Human papilloma virus 138. A nurse is assessing a toddler who is 8 hours postoperatve following a cardiac catheterizaton procedure. Which of the following fndings should the nurse report to the provider? A. Bilateral cool extremites B. Serum glucose 90 mg/dL C. Blood pressure 102/58 mm Hg D. Weak pedal pulse distal to the site 139. A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the inserton of an IV catheter. Which of the following actons should the nurse plan to take? A. Gently rub the cream into the skin B. Wash the site with alcohol prior to applying the cream C. Apply the cream 1 hour before the procedure D. Avoid removing the cream prior to the procedure 140. A nurse is preparing to initate IV antbiotc therapy for a newly admited 12- month-old infant. Which of the following actons should the nurse plan to take? A. Change the IV site every 3 days B. Start the IV in the infant’s foot C. Use a 24-gauge catheter to start the IV D. Cover the inserton site with an opaque dressing 141. A nurse is teaching a parent about home interventons for a preschooler who is experiencing night terrors. Which of the following instructons should the nurse include in the teaching? A. Allow your child to watch an animated movie right before bedtme B. Wait untl your child indicates that he is tred before putng him to bed C. Avoid allowing your child to sleep in your bed D. Wake your child up during the night terror 26142. A nurse is educatng an adolescent following the applicaton of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? A. I will sprinkle baby powder into the cast if my arm itches B. I should expect my fngers to be swollen for several days C. I will elevate my broken arm on pillows at night D. I should limit the use of the fngers of my broken arm 143. 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 144. A nurse is caring for a preschooler who is post-operatve following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? A. Sugar-free cherry gelatn B. Vanilla ice cream C. Chocolate milk D. Lime flavored ice pop 145. A nurse is preparing a school-age child for an invasive procedure. Which of the following actons 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 countng exercises 146. A nurse is caring for a child who has hyponatremia. Which of the following fndings should the nurse expect? A. Tetany B. Weight gain C. Elevated heart rate D. Excessive diaphoresis 147. A nurse is planning care for a school-age child who is admited from the emergency department 12-hours-ago. Which of the following interventons should the nurse include to promote adequate sleep for the child? A. Provide the child with video games prior to bedtme to reduce stress 27B. Allow the child to adjust their bedtme to promote autonomy C. Leave the lights on in the child’s room to promote safety D. Follow the child’s home sleep routne to reduce anxiety 148. A nurse is caring for an infant who receives intermitent enteral feeding through a gastrostomy tube. Which of the following actons should the nurse take when administering a feeding? (SATA) A. Offer the infant a pacifer during readings B. Formula to 39 C (102 F) prior to administraton C. Check for residual volume by aspiratng stomach contents D. Instll the formula over a period of 30 to 45 minutes 149. 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 instructons should the nurse include? A. Apply cold compress to painful areas B. But I shall wear a surgical mask to school C. Encourage physical actvity as tolerated D. Offer fluids of bedtme 150. A nurse is discussing coping mechanism with a parent of a three-month-old infant which of the following therapeutc questons should the nurse ask the parent? A. What do you do when your infant is fussy? B. Are you willing to take a new parentng classes? C. Does parentng cause you stress? D. Is it overwhelming when your infant is having a bad day? 151. A nurse is reviewing the medical record of a child with cystc fbrosis which of the following should the nurse report to the provider? Click the exhibit buton for additonal informaton about the client. A. Heart rate B. HbA1c C. Oxygen saturaton D. WBC 48 152. A nurse is assessing an infant who has intussuscepton. Which of the following fndings should the nurse expect? A. Sausage-shaped abdominal mass B. Board like abdomen C. Constpaton D. Increased urinary output 28153. A nurse is caring for a 14-year-old adolescent who has a cast on the right arm and swelling of their right hand. The nurse elevates the adolescents affected extremity. The nurse should identfy that which of the following fndings is an indicaton that the interventon has been effectve? A. The adolescent report of the cast feels tght B. The adolescent hands feel cool to touch C. The adolescent is able to move their fngers freely D. The adolescent reports feeling tngling in their arms 154. A nurse is planning care for a school-age child who has a new diagnosis of Legg calve perthes disease. Which of the following interventons should the nurse 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 from school for one month D. Administer ibuprofen to the child for discomfort 155. A nurse is caring for a two-year-old who has cystc fbrosis and is being discharge from the hospital. The nurse should ensure that which of the following pieces of equipment is available for the child’s home? A. Steam vaporizer B. Sucton machine C. Contnuous positve airway pressure machine D. High frequency chest compression vest 156. A nurse is providing teaching for the parent of a child who has measles. Which of the following informaton 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 157. A nurse is assessing a toddler who has cystc fbrosis. Which of the following fndings should the nurse expect? A. Steatorrhea B. Rhinorrhea C. Weight gain D. 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