1. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Apply bactericidal ointment to lesions
Administer acyclovir PO two times per day
Soak hairbrushes in boiling water for 10min
Seal soft toys in a plastic bag for 14 days
2. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Hypothermia
Ataxia
Hyperactive reflexes
Pinpoint pupils
3. A nurse is planning care for a school age child who was admitted from the emergency department 2hr ago. Which of the following interventions should the nurse include to promote adequate sleep for the child?
Follow the child's home sleep routine to reduce anxiety
Allow the child to adjust their bedtime to promote autonomy
Leave the child to adjust their bedtime to promote autonomy
Leave the lights on in the child's room to promote safety
Provide the child with video games prior to bedtime to reduce stress
4. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?
Capillary refill of 2 seconds
Increased urine output
Increased respiratory rate
Hypertension
5. 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?
Check the toddlers ID band against the medical record
Check the toddlers room number against their ID band
Ask the parent to confirm the toddler's identity
Ask another nurse to confirm the toddlers identify
6. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
Administer oral viscous lidocaine
Schedule routine oral care every 8hr
Moisten the mucosa with lemon glycerin swabs
Cleanse the gums with saline soaked gauze?
7. 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?
Place a snug fitting diaper over the drainage bag
Stretch perineum tant when applying the bag
Apply lidocaine gel to the perineum before attaching the bag
Position the opening of the bag over the urethra and the anus
8. A nurse in a pediatric clinic is providing teaching to 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?
Polyuria
Bradycardia
Jaundice
Diaphoresis
9. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling, which of the following actions should the nurse take first?
Administer an antibiotic to the toddler
Prepare the toddler for nasotracheal intubation
Obtain a blood culture from the toddler
Insert an IV catheter for the toddler
10. A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Administer aspirin for fever
Assess the oral cavity for kolpik spots
Provide the child with a warm blanket
Initiate airborne precautions
11. A nurse is teaching home care to the parents of a preschool age child who has heart failure. Which of the following information should the nurse include in the teaching?
Provide for periods of rest
Weigh the child once each month
Withhold digoxin if the child's is greater than 100/min
Increase the child's oxygen flow rate until the child no longer has cyanosis
12. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Set the administration race on the feeding pump
Attach the feeding bag tubing to the end of the NG tube
Check the pH of the gastric secretions
Flush the tube with water
13. A nurse is providing teaching to the parents of a school age newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Minimize movement of the limbs
Place the child in a prone position
Insert a tongue blade between the teeth
Clear the area of hard objects
14. A nurse in a provider's office is preparing to administer immunizations to a 12-year-old client during a well child visit. Which of the following immunizations should the nurse plan to administer?
Varicella
Human papillomavirus (HPV)
Hepatitis A
Diphtheria tetanus and pertussis (DTaP)
15. A nurse is assessing a school age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
An increase in potassium levels
A decrease in cardiac output
An increase in venous pressure
A decrease in peripheral edema
16. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?
Consume 1.500 to 1,700 calories per day
Limit your sodium intake to 3000 milligrams per day
Decrease your vitamin D intake once you start to menstruate
Increase the amount of your dietary iron intake
17. A nurse in the emergency department is caring for a child who has a temperature of 39.1C(102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?
Prepare the child for a lumbar puncture
Administer an antipyretic to the child
Implement droplet precautions for the child
Dim the lights in the child's room
18. A nurse is providing teaching to the guardians of a school age who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?
Apply cold compresses to painful areas
Have the child wear a surgical mask to school
Limit fluids at bedtime
Encourage physical activity as tolerated
19. A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Blood pressure 95/56 mm Hg
Heart rate 54/min
Continuous swallowing
Flushing of the face
20. A nurse is assessing a school age child's cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?
Show their teeth while smiling
Shrug their shoulders against mild pressure
Follow a light in the six cardinal positions
Move their tongue in all directions
21. A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
A preschool age child who has a muffled voice and no spontaneous cough
A toddler who has nephrotic syndrome and facial edema
A school age child who has diabetes mellitus and a blood glucose of 200mg/dl
An adolescent who has Crohn's disease and a recent weighs loss of 5kg (11Ib)
22. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Bruising around the wrists
Front deciduous teeth missing
Weight in 45th percentile
Abrasions on the knees
23. A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? (select all that apply)?
Place the infant in supine position
Check for residual volumes by aspirating stomach contents
Heat the formula to 39C (102 F) prior to administration
Instill the formula over a period of 30 to 45 min
Offer the infant a pacifier during feedings
24. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Creatinine 1.4 mg /dl
Creatinine 0.3 mg/dl
BUN 12 mg/dl
BUN 6 mg/dl
25. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect?
Weight gain
Visible peristalsis
Rhinorrhea
Steatorrhea
26. A nurse is preparing to initiate IV antibiotic therapy for a newly 12-month-old infant. Which of the following actions should the nurse plan to take?
Start the IV in the infant's foot
Cover the insertion site with an opaque dressing
Use a 24-gauge catheter to start the IV
Change the IV site every 3 days
27. 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?
I should dress my child in loose weave clothing
My child should remain under a beach umbrella during morning hours
I should apply a 10 SPF sunscreen to my child's entire body
My child should wear a wide - brimmed hat
28. A nurse is reviewing the laboratory result of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. which of the following assessment findings should the nurse expect?
Hyporeflexia
Oliguria
Hypertension
Hyperactive bowel sounds
29. 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?
Avoid discussing details of the attempt to revive the infant
Provide a follow up phone call 1 week following the infant's death
Discourage the parents from allowing siblings to view the body
Acknowledge the family members feelings of guilt
30. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Limb withdrawal
Increased blood pressure
Bradycardia
Relaxed facial expression
31. A nurse is preparing to administer amoxicillin 80mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10kg (22 Ib). Available is amoxicillin suspension 400mg/5ml. 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 caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make?
The medication is not bad. It tastes like candy
The medication will treat you want to take the medication
Sometimes, when a child has to take medication, they feel sad
33. A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings as an indication that the therapy has been effective?
Increased expectoration
Increased urine output
Increased heart rate
Reduce pain
34. A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?
Board like abdomen
Sausage shaped abdominal mass
Increased urinary output
Constipation
35. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Tachypnea
Rhinorrhea
Coughing
pharyngitis