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A nurse is assessing a school-age child who reports horseback riding 3 times per week and has injuries reportedly related to a fall from a horse. Which of the following findings should the nurse investigate further as an indication of child maltreatment?

Thin Frail Extremities

A nurse is assessing an 18-month-old toddler during a well-child examination. Which of the following findings should the nurse report to the provider?

Unable to remove shoes

A nurse is caring for an infant who has biliary atresia. Which of the following manifestations should the nurse expect? (Select all that apply.)

Yellow Sclerae, ABD distention, Dark Urine

A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?

Attend School

A nurse is preparing to assess a 3-month-old infant during a well-child visit. Which of the following observations should the nurse expect?

Infant looks at his hands

A nurse is providing discharge teaching for the parent of a newborn who is prescribed a Pavlik harness for developmental dysplasia of the hip. Which of the following responses indicates an understanding of the teaching?

Lightly massage baby under straps 1 time a day

A nurse is caring for an infant who has pertussis. Which of the following actions should the nurse take?

Maintain a cardiorespiratory monitor

A nurse is creating a plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to include?

O2 saturation monitoring

A nurse is planning care for a 4-year-old child who has nephrotic syndrome. Which of the following actions should the nurse take?

Provide thorough skin care

A nurse is caring for an adolescent client who has a prescription for opioids. Which of the following findings should the nurse recognize as an adverse effect of opioids?

Pruritis

A nurse is conducting a health assessment for a 24-month-old toddler at the local health department. The nurse should expect which of the following findings? (Select all that apply.) A. 8 deciduous teeth B. Ability to build a tower of 6 blocks C. Vocabulary of 10-20 words D. Slightly bowed or curved leg appearance E. Head circumference greater than chest circumference

6 blocks, bow curved legs

A nurse is preparing to feed an infant who has a cleft lip and palate. Which of the following actions should the nurse plan to take?

Burp 2-3 times

A nurse is providing teaching to the parent of a school-aged child who has pediculosis. Which of the following instructions should the nurse include? A. Machine-wash clothing in cold water ✔ B. Dry clothing in a hot dryer for at least 20 min x C. Soak combs and brushes for 5 min in boiling water D. Seal nonwashable items in a bag for 7 days

Dryer 20 mins

A nurse on a pediatric unit is reviewing the health record of a child who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress-related reaction to hospitalization? A. Age 10 years ✔ B. Frequent hospitalizations x C. Parent bonding with child D. Calm, quiet demeanor

Frequent hospitalizations

A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statements should the nurse make?

Start pneumococcal

A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site.

Stop infusion, elevate site, call doc, remove line

A nurse is creating a plan of care for an 18-month-old toddler who has cerebral palsy. Which of the following interventions should the nurse include? A. Use a mobile walker for the toddler B. Discourage activities involving repetitive joint movement ✔ C. Use manual jaw control when feeding the toddler D. Discourage the use of wrist splints

Use manual jaw control

A nurse is providing education for a group of parents about toddler language development during a well-child visit. Which of the following findings should the parent expect in an 18-month-old toddler?

Vocab 10 words


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