Practice Exam A
A nurse is assessing a 4 year old at a well child visit. Which of the following developmental milestones should the nurse expect to observe?
Cuts an outlined chape with scissors
A charge nurse is preparing to make a room assignment for a new admitted child who id school age. Which of the following considerations is the nurses priority?
Disease Process
A nurse in an urgent care clinic is assessing an adolescent who has an upper respiratory infection. Which of the following findings should the nurse identify as a manifestation of pertussis?
Dry, Hacking Cough
The nurse should first address the child's __________ followed by the child's __________?
Elevated BLL Hemoglobin
A nurse is admitting a 4 month old who has heart failure. Which of the following findings is the nurses priority?
Episodes of Vomiting
A nurse is discussing organ donation with the parents of a school aged child who sustained brain death due to a bicycle accident. Which of the following actions should the nurse take first?
Explore the parents feelings and wishes regarding organ donation
A nurse is providing anticipatory guidance to the guardian of a toddler. Which of the following expected behavior characteristics should the nurse include?
Expresses likes and dislikes
A nurse in a health clinic is caring for an emancipated adolescent who has an STI. Which of the following actions should the nurse take?
Have the adolescent sign consent for treatment
A nurse is assessing a 6 year old following surgery for a perforated appendix. Which of the following findings should the nurse expect?
Hypoactive Bowel Sounds
A nurse is creating a plan of care for an infant with an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?
Implement seizure precautions
A nurse is caring for a 10 year old following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?
Increased Sodium Level
A nurse is caring for an adolescent who had a kidney transplant. Which of the following findings should the nurse identify as an indication of the kidney being rejected?
Increased creatinine level
A nurse is reviewing the medical record of a school aged child that is 2 days post op from an open repair of casting a fracture of the right arm. Which of the following findings should the nurse identify as an indication of a potential post op complication?
Increased erythrocyte sedimentation rate
A nurse is planning educational programs for school aged children and their parents about bicycling and safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike
After reviewing the information in the child's EMR, which of the following findings should the nurse identify as a potential complication?
WBC Count Abdomen Assessment Temperature
A nurse is caring for a child with neutropenia. Which of the following statements should the nurse make to the child's parents?
"Avoid using your child's daycare center."
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching?
"Brush the child's teeth after giving the medication."
A nurse is providing teaching to the family of a school aged child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching?
"Encourage the child to perform independent self care."
A nurse is teaching the parents of preschooler about how to prevent acute asthma attacks. Which of the following statements by a parent indicates an understanding?
"I should keep my child indoors when I mow the lawn"
A nurse is providing discharge teaching to the parent of an 18 month old who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?
"I will monitor my child's number of wet diapers."
A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding of the teaching?
"Mononucleosis is caused by an infection with the Epstein-Barr virus."
A nurse is providing teaching to the parent of a school aged child who has a new prescription for oral nystatin to treat oral candidiasis. Which of the following instructions should the nurse include?
"Shake the medication prior to administration."
A nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain when their guardian is coming back?
"Your guardian will be back after you eat."
The nurse is providing discharge teaching to the parent. Which of the following information should the nurse include?
- Open succimer capsule and sprinkle on 1 tsp applesauce - Use a wet cloth to dust - Use a straw to administer ferrous sulfate - Monitor number of wet diapers - Prevent play in soil near the house
A nurse is caring for a client who has been receiving IV fluids via peripheral IV catheter. When preparing to discontinue IV fluids and catheter, which of the following actions should the nurse plan to take?
- Turn off IV pump - Occlude IV tubing - Remove tape securing the catheter - Apply pressure over the catheter insertions site
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron?
1/2 Cup Raisins
A nurse is receiving change of shift report for four children. Which of the following children should the nurse see first?
A school aged child who has sickle cell anemia and reports decreased vision in the left eye
A nurse in an emergency department is caring for a school aged child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
Administer Epinephrine IM to the child
A nurse is caring for a preschooler who is scheduled for hydrotherapy for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?
Administer an analgesic to the child
A nurse is caring for a 1 month old who is breastfeeding but requires a heal stick. Which of the following actions should the nurse take to minimize the infants pain?
Allow the mother to breastfeed while the sample is being taken
A nurse is providing discharge teaching to the parents of a 3 month old following a cheiloplasty. Which of the following instructions should the nurse provide?
Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days
A nurse is preparing for a lumbar puncture on an adolescent. Which of the following actions should the nurse take?
Apply topical analgesic cream to the site 1 hour before the procedure
A nurse is caring for a school aged child in Buck's traction following a leg fracture 24 hours ago. Which of the following actions should the nurse take?
Assess peripheral pulses every 4 hours
A nurse is creating a plan of care for a preschooler who has Wilms tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery
A nurse is assessing an adolescent who had a sodium polystyrene sulfonate enema. Which of the following findings indicates the effectiveness of the medication?
Blood Potassium level 4.1 (3.4 - 4.7)
A nurse is assessing an 8 year old showing early signs of shock. After establishing an airway and stabilizing respirations, which of the following actions should the nurse take next?
Initiate IV access
A nurse is admitting a school aged child with pertussis. Which of the following actions should the nurse take?
Initiate droplet precautions
Which of the following conditions are improving since the child's 1 month visit?
Kidney Function Blood Lead Level Exposure to Lead Nutritional Status
A nurse is reviewing the lab results of a child experiencing fatigue. Which of the following findings should the nurse identify as an indication of anemia?
Low Hematocrit Level
A nurse is caring for a 15 year old following a head injury. Which of the following findings should the nurse identify as an indication the client is developing syndrome of inappropriate antidiuretic hormone secretion?
Mental Confusion
A nurse in and ED is caring for a school aged child with epiglottitis. Which of the following actions should the nurse take?
Monitor the child's oxygen saturation
The nurse should first address the child's __________ followed by ___________?
Oxygen Saturation Pain Level
A nurse is providing teaching about play activities for social development to the guardian of the preschooler. Which of the following play activities should the nurse recommend for the child?
Playing Dress Up
A community health nurse is assessing an 18 month old in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
Poor Personal Hygiene
A nurse is assessing a 6 month old during a well child visit. Which of the following findings should the nurse report to the provider?
Presence of Strabismus
A nurse is creating a care plan for a school aged child with heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan?
Provide small, frequent meals
A nurse is caring for a school aged child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take?
Screen the child's visitors for indications of infection
A nurse is planning care for a 12 month old who is being admitted. Which of the following actions should the nurse plan to take?
Secure the safety harness when the toddler is sitting in a high chair
A charge nurse in the ED is preparing an in service for a group of newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?
Symmetric burn of the lower extremities
A nurse in a providers office is preparing to administer immunizations to a toddler during a well child visit. Which of the following actions should the nurse plan to take?
Withhold the measles, mumps, and rubella vaccine (MMR)
A nurse is providing teaching to an infants parents about diaper dermatitis. The nurse should instruct the parents to apply which of the following to the affected area?
Zinc Oxide
A nurse is caring for a 2 year old in the outpatient clinic. The child is at risk for developing ____________ and ___________?
intellectual deficits decreased kidney function
