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A nurse is teaching a group of parents about infectious mononucleosis. which of the following statements by a parent should the nurse identify as understanding the teaching? a. "Mononucleosis is caused by an infection with the Epstein-Barr virus." b. "Mononucleosis is a bacterial infection requiring 14 days of antibiotics." c. "A Monospot is a throat culture used to diagnosis mononucleosis." d. "Children who get mononucleosis will need to refrain from sports for 6 months."

a. "Mononucleosis is caused by an infection with the Epstein-Barr virus."

A nurse is teaching the mother of a 6-month-old infant about teething. Which of the following statements should the nurse make? a. "Your baby may pull at her ears when she is teething." b. "Rub your baby's gums with an aspirin to decrease her discomfort." c. "Place a beaded teething necklace around your baby's neck." d. "Your baby's upper middle teeth will erupt first."

a. "Your baby may pull at her ears when she is teething."

A nurse is providing anticipatory guidance to the parents of a 2-week-old infant about risk factors for sudden infant death syndrome (SIDS). Which of the following risk factors should the nurse include in the teaching? a. Covering the sleeping infant with a blanket b. Supine sleeping c. Maternal history of milk allergy d. Pacifier use during sleep

a. Covering the sleeping infant with a blanket

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? a. Deep respirations of 32/min b. Shallow respirations of 10/min c. Paradoxic respirations of 26/min d. Periods of apnea lasting for 20 seconds

a. Deep respirations of 32/min

A nurse is admitting a 4-month-old infant who has heart failure. Which fo the following findings is the nurse's priority? (look at exhibit) a. Episodes of vomiting b. Formula consumption c. Weight d. Temperature

a. Episodes of vomiting

A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following values should the nurse identify as an indication of a potential complication? a. Erythrocyte sedimentation rate 18 mm/hr b. WBC 6,200/mm3 c. C-reactive protein 1.4 mg/L d. RBC 4.7 106/µL

a. Erythrocyte sedimentation rate 18 mm/hr

A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy. Which of the following laboratory values should the nurse report to the provider? a. Hgb 8.5 g/dL b. WBC 9,500/mm3 c. Prealbumin18 mg/dL d. Platelets 300,000/mm3

a. Hgb 8.5 g/dL

A nurse in the emergency department is assessing a toddler who has Kawasaki disease. Which of the following findings should the nurse expect? (select all that apply.) a. Increased temperature b. Gingival hyperplasia c. Xerophthalmia d. Bradycardia e. Cervical lymphadenopathy

a. Increased temperature c. Xerophthalmia e. Cervical lymphadenopathy

A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? a. Loud, harsh murmur b. Dysrhythmias c. Weak femoral pulses d. High blood pressure

a. Loud, harsh murmur

A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? a. Place the child in a lateral position. b. Delay documentation until the child is fully alert. c. Give the child a high-carbohydrate snack. d. Administer an oral sedative to the child.

a. Place the child in a lateral position.

A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have a hyper cyanotic spell. Which of the following actions should the nurse take? a. Place the infant in a knee-chest position. b. Administer a dose of meperidine IV. c. Discontinue administration of IV fluids. d. Apply oxygen at 2 L/min via nasal cannula.

a. Place the infant in a knee-chest position.

A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? a. Provide small, frequent meals to the child. b. Schedule time in the play room for the child. c. Weigh the child weekly. d. Maintain the child in a supine position.

a. Provide small, frequent meals to the child.

A school nurse is assessing an adolescent who has scoliosis. Which of the following findings should the nurse expect? a. Increase in anterior convexity of the lumbar spine b. Increased curvature of the thoracic spine c. Lateral flexion of the neck d. A unilateral rib hump

d. A unilateral rib hump

A nurse is planning care for a school-age-child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? a. Administer ibuprofen to the child for a temperature greater than 38º C (101º F). b. Assess the child's blood pressure every 8 hr. c. Weigh the child weekly at various times of the day. d. Initiate seizure precautions for the child.

d. Initiate seizure precautions for the child.

A nurse is caring for a toddler who is experiencing acute diarrhea and has moderate dehydration. Which of the following nutritional items should the nurse offer to the toddler? a. Apple juice b. Peanut butter c. Chicken broth d. Oral rehydration solution

d. Oral rehydration solution

A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect? a. Resists having an axillary temperature taken b. Exhibits withdrawal behaviors when her parent leaves c. Has multiple bruises on her knees d. Poor personal hygiene

d. Poor personal hygiene

A nurse is preparing to suction an infant who has a tracheostomy. Which of the following actions should the nurse take? a. Routinely suction every 30 min. b. Instill 0.9% sodium chloride prior to suctioning. c. Limit suctioning pressure to 40 mm Hg. d. Suction for 5 seconds or less.

d. Suction for 5 seconds of less

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first? a. Skin breakdown b. Hypotension c. Hyperpyrexia d. Tachypnea

d. Tachypnea

A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who weighs 75lb. Available is atomexetine 40 mg/capsule. How many capsules should the nurse administer per day?

1

A nurse is assessing a 6-month-old infant as a well-infant visit. Which of the following should the nurse report to the provider? a. Presence of strabismus b. Presence of corneal light reflex c. Presence of open anterior fontanel d. Presence of cerumen

a. Presence of strabismus

A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should teach the parent to apply which of the following to the affected area? a. Zinc oxide b. Antibiotic ointment c. Talcum powder d. Antiseptic solution

a. Zinc oxide

A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a. Wrist b. Great toe c. Index finger d. Heel

b. Great toe

A nurse is preparing to administer a hepatitis B vaccine to a 1-month-old infant. The nurse should plan to inject the medication at which of the following locations?

Vastus lateralis

A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? a. The child should be able to stand on the balls of her feet when sitting on the bike. b. The child should ride her bike 2 feet to the side of other bike riders. c. The child should wear dark-colored clothing with a fluorescent stripe when riding at night. d. The child should ride the bike facing traffic when it is necessary to ride in the street.

a. The child should be able to stand on the balls of her feet when sitting on the bike.

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following findings is the priority for the nurse to report to the provider? a. Urticaria b. Fatigue c. Vomiting d. Anorexia

a. Urticaria

A nurse is teaching a school-age child who has a severe allergy to bee venom and his parent about epinephrine. Which of the following instructions should the nurse include in the teaching? a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms. b. Store unused epinephrine syringes in the refrigerator. c. Shake the epinephrine syringe prior to use to dissolve the precipitate. d. Administer the medication subcutaneously in the back of the arm.

a. Use a second dose if the first dose of epinephrine does not completely reverse the symptoms.

A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following (audio clip)? a. Wheezes b. Crackles c. Pleural friction rub d. Rhonchi

a. Wheezes

A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes millets. The nurse should identify which of the following statements by the child as understanding the teaching? a. I will puncture the pad of my finger when I am testing my blood glucose." b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast." c. "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low." d. "I will decrease the amount of fluids I drink when I am sick."

b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

A nurse is assessing a school-age child who has appendicitis with possible perforation. The nurse should identify which of the following as a manifestation of peritonitis? a. Hyperactive bowel sounds b. Abdominal distention c. Bradycardia d. Polyuria

b. Abdominal distention

A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After administering acetaminophen, which of the following actions should the nurse plan to take to reduce the toddler's temperature? a. Apply a cooling blanket to the toddler. b. Dress the toddler in minimal clothing. c. Give the toddler a tepid bath. d. Administer diphenhydramine to the toddler.

b. Dress the toddler in minimal clothing.

A nurse is caring for a school-age child who is receiving a cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? a. Prednisone b. Epinephrine c. Diphenhydramine d. Albuterol

b. Epinephrine

A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? a. Laryngeal edema b. Flank pain c. Distended neck veins d. Muscular weakness

b. Flank pain

A nurse in an emergency department is caring for a school-age child who has appendicitis and rates his abdominal pain t 7 on a 0 to 10 scale. Which of the following actions should the nurse take? a. Instill a 500 mL tap water enema. b. Give morphine 0.05mg/kg IV. c. Administer polyethylene glycol 1g/kg PO. d. Apply a heating pad to the child's abdomen.

b. Give morphine 0.05mg/kg IV.

A nurse is an emergency department suspects that a toddler has epiglottis. Which of the following actions should the nurse take? a. Obtain a culture from the toddler's throat. b. Prepare the toddler for nasotracheal intubation. c. Visually inspect the epiglottis using a tongue depressor. d. Administer the Haemophilus influenzae type B conjugate vaccine.

b. Prepare the toddler for nasotracheal intubation.

A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the following findings to the provider? a. Capillary refill time less than 2 seconds b. Restricted ability to move the toes c. Swelling of the casted foot when the leg is dependent d. Toes that are deep pink in color

b. Restricted ability to move the toes

A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? a. Negative leukocyte esterase b. Serum creatinine 3.0 mg/dl c. Negative urine protein d. Urine output 40 ml/hr

b. Serum creatinine 3.0 mg/dl

A nurse in an emergency department is caring for a school-age child who has sustained a superficial minor burn from fireworks on his forearm. Which or the following actions should the nurse take? a. Administer a tetanus toxoid if more than 1 year since prior dose. b. Use an antimicrobial ointment on the affected area. c. Leave the burn area open to air. d. Place an ice pack on the affected area.

b. Use an antimicrobial ointment on the affected area.

A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? a. Steatorrhea b. Vomiting c. Lethargy d. Constipation e. Weight gain

b. Vomiting c. Lethargy

A nurse is providing teaching to the parent of a preschooler about ways to prevent acute asthma attacks. Which fo the following statements by the parent should the nurse identify as understanding the teaching? a. "I will use a humidifier in my child's room at night." b. "I will give my child a cough suppressant every six hours if he has a cough." c. "I should avoid using a wet mop on my floors when I am cleaning." d. "I should keep my child indoors when I mow the yard."

d. "I should keep my child indoors when I mow the yard."

A nurse is providing discharge teaching to the parent of a school-age child who has undergone a tonsillectomy. Which fo the following statements by the parent should the nurse identify as understanding the teaching? a. "My child may resume usual activities since this was just an outpatient surgery." b. "My child will be able to drink the chocolate milkshake I promised to get for her tonight." c. "I will notify the doctor if I notice that my child is swallowing frequently." d. "I will have my child gargle with warm salt water to relieve her sore throat."

c. "I will notify the doctor if I notice that my child is swallowing frequently."

A nurse is teaching a school-age child and his parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include? a. "Stay home from school for 1 week following the procedure." b. "Follow a diet that is low in fiber for 1 week." c. "Wait 3 days before taking a tub bath." d. "Apply a pressure dressing to the site for 3 days."

c. "Wait 3 days before taking a tub bath."

A nurse is providing anticipatory guidance to the parents of an 8-month-old infant during a well-child visit. Which of the following statements should the nurse make? a. "Your baby should be able to stand while holding on to furniture." b. "Your baby should be able to say one to two words." c. "Your baby should be able to sit unsupported." d. "Your baby should be able roll a ball to you."

c. "Your baby should be able to sit unsupported."

A nurse is caring for a 2-week-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infant's pain? a. Instruct the mother not to breastfeed for 1 hr after the procedure. b. Undress the infant and place him under a radiant warmer prior to the procedure. c. Administer sucrose to the infant prior to the procedure. d. Recommend the mother avoid placing the infant in the kangaroo hold after the procedure.

c. Administer sucrose to the infant prior to the procedure.

A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? a. Identifies right from left hand b. Uses a utensil to spread butter c. Cuts a shape using scissors d. Draws a stick figure with seven body parts

c. Cuts a shape using scissors

A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure? a. Hypotension b. Hyperactivity c. Decreased attention span d. Tachycardia

c. Decreased attention span

A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority when making a room assignment? a. Length of stay b. Treatment schedule c. Disease process d. Self-care ability

c. Disease process

A school nurse is assessing a school-age child who has erythema infectious (fifth disease). Which of the following findings should the nurse expect? a. Koplik spots b. Hoarseness c. Facial rash d. Splenomegaly

c. Facial rash

A nurse is reviewing the lumbar puncture results of a school-age child suspected of having bacterial meningitis. Which of the following results should the nurse identify as a finding associated with bacterial meningitis? a. Decreased cerebrospinal fluid pressure b. Decreased WBC count c. Increased protein concentration d. Increased glucose level

c. Increased protein concentration

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next? a. Insert an indwelling urinary catheter. b. Measure weight and height. c. Initiate IV access. d. Maintain ECG monitoring.

c. Initiate IV access.

A nurse is caring for a school-age who has acute rheumatic fever. Which of the following actions should the nurse take? a. Limit the child's sodium intake. b. Place a "no visitors" sign on the child's door. c. Maintain the child on bed rest. d. Avoid administering salicylates to the child.

c. Maintain the child on bed rest.

A nurse is caring for a newly-admitted school-age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to recommend to the parents for treating the child's condition? a. Desmopressin b. Luteinizing hormone-releasing hormone c. Recombinant growth hormone d. Levothyroxine

c. Recombinant growth hormone

A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised. Which of the following actions should the nurse take? a. Use surgical asepsis when providing routine care for the child. b. Administer the measles, mumps, rubella (MMR) vaccine to the child. c. Screen the child's visitors for indications of infection. d. Infuse packed RBCs.

c. Screen the child's visitors for indications of infection.

A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? a. "You may bathe your infant in an infant bathtub when you go home." b. "Apply hydrocortisone cream to your infant's penis daily." c. "You should clamp your infant's stent twice daily." d. "Allow the stent to drain directly into your infant's diaper."

d. "Allow the stent to drain directly into your infant's diaper."

A nurse is teaching the parent of an infant who has a Pack harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understandings of the teaching? a. "I should remove the harness at night to allow my infant to stretch her legs." b. "I will need to adjust the straps on the harness once each week." c. "I should apply baby powder to my infant's skin twice daily." d. "I will place my infant's diapers under the harness straps."

d. "I will place my infant's diapers under the harness straps."

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make? a. "I think it is important that you provide emotional support for your family at this time." b. "I agree that you have to do what you feel is best for yourself during this stressful time." c. "You can't mean that; I'm sure you want to be there for your family." d. "Let's talk about some of the ways you have handled previous stressors in your life."

d. "Let's talk about some of the ways you have handled previous stressors in your life."

A nurse is discussing organ donation with the parents of a school-age child who has sustained brain death due to a bicycling accident. Which of the following actions should the nurse take first? a. Inform the parents that written consent is required prior to organ donation. b. Provide written information to the parents about organ donation. c. Ask the provider to explain misconceptions of organ donation to the parents. d. Explore the parents' feelings and wishes regarding organ donation.

d. Explore the parents' feelings and wishes regarding organ donation.

A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? a. Administer pancreatic enzymes 2 hr after meals. b. Decrease pancreatic enzymes if steatorrhea develops. c. Limit fluid intake to 750 mL per day. d. Increase fat content in the child's diet to 40% of total calories.

d. Increase fat content in the child's diet to 40% of total calories.

A nurse is admitting a school-age child who has pertussis. Which of the following actions should the nurse take? a. Place the child in a room with positive-pressure airflow. b. Place the child in a room with negative-pressure airflow. c. Initiate contact precautions for the child. d. Initiate droplet precautions for the child.

d. Initiate droplet precautions for the child.

A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse should identify that which of the following findings indicates a need to assess the toddler for hearing loss? a. The toddler has a vocabulary of 25 words. b. The toddler developed a mild rash following a recent varicella vaccine. c. The toddler's Moro reflex is absent. d. The toddler received tobramycin during a hospitalization 2 weeks ago.

d. The toddler received tobramycin during a hospitalization 2 weeks ago.

A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the following interventions should the nurse include in the plan? a. Use sterile scissors to remove the dressing from the site. b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use. c. Access the site using a noncoring angled needle. d. Use a semipermeable transparent dressing to cover the site.

d. Use a semipermeable transparent dressing to cover the site.