practice questions1
Positive parental influences
-good mental health -maintain structure and routine in the household -engage in activities with the child -validate the child's feelings when communicating -monitor for safety concerns with special consideration for the childs developmental needs
promoting acceptable behaviors
-validate the childs feelings, and offer sympathetic explanations -provide role modeling and reinforcement for acceptable behaviors -set clear and realistic limits and expectation based on the childs developmental level -focus on the behavior when implementing discipline
A nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. Which of the following statements by one of the parents indicates an understanding of the teaching? A. "Girls usually stop growing about 2 years after menarche." B. "Girls are expected to gain about 65 pounds during puberty." C. "Girls experience menstruation prior to breast development." D. "Girls typically grow more than 10 inches during puberty."
A. "Girls usually stop growing about 2 years after menarche."
A nurse is teaching the parent of a child who has a neuroblastoma. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A. "Half of the children who have neuroblastoma have metastatic disease." B. "Your child will need a bone marrow biopsy." C. "Your child will be paralyzed because of this tumor." D. "Most children are diagnosed around age 12." E. "Your child will need surgery for resection of the tumor."
A. "Half of the children who have neuroblastoma have metastatic disease." B. "Your child will need a bone marrow biopsy." E. "Your child will need surgery for resection of the tumor."
A nurse is caring for a child. Which of the following are clinical manifestations of Meckel's diverticulum? (Select all that apply.) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing
A. Abdominal pain C. Mucus, bloody stools
A nurse is providing anticipatory guidance to the parent of a 13-year-old. The nurse should recommend which of the following screenings for the adolescent? (Select all that apply.) A. Body mass index B. Blood lead level C. Height D. Weight E. Scoliosis
A. Body mass index C. Height D. Weight E. Scoliosis
A nurse is caring for a child who is receiving chemotherapy. Which of the following are clinical manifestations of neuropathy? (Select all that apply.) A. Constipation B. Skin breakdown C. Foot drop D. Jaw pain E. Hemorrhage cystitis
A. Constipation C. Foot drop D. Jaw pain
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include? (Select all that apply.) A. Develop food habits that will prevent dental caries. B. Meeting caloric needs results in an increased appetite. C. Expression of bedtime fears is common. D. Behaviors associated with negativism and ritualism. E. Importance of annual screenings for phenylketonuria
A. Develop food habits that will prevent dental caries. C. Expression of bedtime fears is common. D. Behaviors associated with negativism and ritualism.
A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 4- to 6-year-olds. Which of the following immunizations should the nurse administer? (Select all that apply.) A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR) D. Pneumococcal (PCV) E. Haemophilus influenzae type b (Hib)
A. Diphtheria, tetanus, pertussis (DTaP) B. Inactivated poliovirus (IPV) C. Measles, mumps, rubella (MMR)
A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following manifestations support this diagnosis? (Select all that apply.) A. Erythema marginatum (rash) B. Continuous joint pain of the digits C. Tender, subcutaneous nodules D. Decreased erythrocyte sedimentation rate E. Elevated C-reactive protein
A. Erythema marginatum (rash) E. Elevated C-reactive protein
A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply.) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion
A. Fever B. Vomiting C. Watery stools
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the infant be able to perform? (Select all that apply.) A. Grasp a rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Move objects from hand to hand
A. Grasp a rattle by the handle C. Use a crude pincer grasp E. Move objects from hand to hand
A nurse is assessing a child. Which of the following are clinical manifestations of epiglottitis? (Select all that apply.) A. Hoarseness and difficulty speaking B. Difficulty swallowing C. Low-grade fever D. Drooling E. Dry, barking cough F. Stridor
A. Hoarseness and difficulty speaking B. Difficulty swallowing D. Drooling F. Stridor
A nurse is caring for a child who has thrombocytopenia. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Monitor for signs of bleeding. B. Administer routine immunizations. C. Obtain rectal temperatures. D. Avoid peripheral venipunctures. E. Limit visitors.
A. Monitor for signs of bleeding. D. Avoid peripheral venipunctures.
A nurse is teaching a parent of an infant about gastrointestinal reflux disease (GERD). Which of the following should be included in the teaching? (Select all that apply.) A. Offer frequent feedings. B. Thicken formula with rice cereal. C. Use a bottle with a one-way valve. D. Position baby upright for 1 hr after feedings. E. Use a wide based nipple for feedings
A. Offer frequent feedings. B. Thicken formula with rice cereal. D. Position baby upright for 1 hr after feedings.
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following is an appropriate action for the nurse to take? A. Perform a tape test. B. Collect stool specimen for culture. C. Test the stool for occult blood. D. Initiate IV fluids
A. Perform a tape test.
A nurse is providing teaching about epistaxis to the parent of a school-age child. Which of the following should the nurse include as an appropriate action to take when managing an episode of epistaxis? (Select all that apply.) A. Press the nares together at least 10 min. B. Breathe through the nose until bleeding stops. C. Pack cotton or tissue into the naris that is bleeding. D. Apply a warm cloth across the bridge of the nose. E. Insert petroleum into the naris after the bleeding stops.
A. Press the nares together at least 10 min. C. Pack cotton or tissue into the naris that is bleeding. E. Insert petroleum into the naris after the bleeding stops.
A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the child be able to perform? A. Ride a tricycle B. Hop on one foot C. Jump rope D. Throw a ball overhead
A. Ride a tricycle
A nurse is teaching a group of parents about E. coli. Which of the following should be included in the teaching? (Select all that apply.) A. Severe abdominal cramping occurs. B. Watery diarrhea is present for more than 5 days. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen. E. Antibiotics are given for treatment.
A. Severe abdominal cramping occurs. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen.
A nurse is providing teaching about the management of epistaxis to a child and his family. Which of the following positions should the nurse instruct the child to take when experiencing a nosebleed? A. Sit up and lean forward. B. Sit up and tilt the head up. C. Lie in a supine position. D. Lie in a prone position
A. Sit up and lean forward.
A nurse is caring for a child who is suspected of having cystic fibrosis. Which of the following tests should the nurse prepare to administer to confirm this diagnosis? A. Sweat chloride B. Pulmonary function test C. Arterial blood gases D. Chest percussion
A. Sweat chloride
A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse anticipate including in the plan of care? (Select all that apply.) A. Tobramycin B. Solu-medrol C. Fat-soluble vitamins D. Albuterol E. Dornase alfa
A. Tobramycin C. Fat-soluble vitamins D. Albuterol E. Dornase alfa
A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11- to 12-year-olds. Which of the following immunizations should the nurse administer? (Select all that apply.) A. Trivalent inactivated influenza (TIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap) E. Rotavirus (RV)
A. Trivalent inactivated influenza (TIV) C. Meningococcal (MCV4) D. Tetanus and diphtheria toxoids and pertussis (Tdap)
A nurse is caring for an infant. Which of the following are clinical manifestations of coarctation of the aorta? (Select all that apply.) A. Weak femoral pulses B. Cool skin of lower extremities C. Severe cyanosis D. Clubbing of the fingers E. Heart failure
A. Weak femoral pulses B. Cool skin of lower extremities E. Heart failure
A nurse is caring for a child who has cystic fibrosis. Which of the following are expected findings? (Select all that apply.) A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped chest D. Thin, watery mucus E. Rapid growth spurts
A. Wheezing B. Clubbing of fingers and toes C. Barrel-shaped ches
A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following should be included in the teaching? (Select all that apply.) A. Zero the meter before each use. B. Record the average of the attempts. C. Perform three attempts. D. Deliver a long, slow breath into the meter. E. Sit in a chair with feet on the floor.
A. Zero the meter before each use. C. Perform three attempts.
A nurse is assessing an infant. Which of the following are clinical manifestations of hypertrophic pyloric stenosis? (Select all that apply.) A.`Projectile vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger
A.`Projectile vomiting B. Dry mucus membranes E. Constant hunger
A nurse is providing teaching about dental care and teething to the parent of a 9-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. "I can give my baby a frozen, fluid-filled teething ring to relieve discomfort." B. "I should clean my baby's teeth with a cool, wet wash cloth." C. "I can give Advil for up to 5 days while my baby is teething." D. "I should dilute juice with water in the bottle my baby drinks while falling asleep."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following is an appropriate action for the nurse to take? A. Encourage the child to blow her nose gently. B. Administer analgesics on a schedule. C. Offer orange juice. D. Position the child supine.
B. Administer analgesics on a schedule.
A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should she include in the plan of care? A. Provide a low-calorie, low-protein diet. B. Administer pancreatic enzymes with meals and snacks. C. Promote an increase in fluids after 1800. D. Restrict physical activity.
B. Administer pancreatic enzymes with meals and snacks.
A nurse is assessing a child who has leukemia. Which of the following are early clinical manifestations of leukemia? (Select all that apply.) A. Hematuria B. Anorexia C. Petechiae D. Ulcerations in the mouth E. Unsteady gait
B. Anorexia C. Petechiae E. Unsteady gait
A nurse is preparing an education program about nutrition for preschool-age children for a group of parents. Which of the following should the nurse include? A. Saturated fats should equal 20% of total caloric intake. B. Average daily intake should be 1,800 calories. C. Finicky eating habits develop around 5 years of age. D. Healthy diets include 8 g of protein each day.
B. Average daily intake should be 1,800 calories.
A nurse is assessing a child who has neuroblastoma of the adrenal gland. Which of the following are clinical manifestations of metastasis from the primary site? (Select all that apply.) A. Weight gain B. Bone pain C. Periorbital ecchymoses D. Proptosis E. Ill appearance
B. Bone pain C. Periorbital ecchymoses D. Proptosis E. Ill appearance
A nurse is caring for a 2-year-old child who is cyanotic and is in the hospital for a cardiac catheterization to repair cardiac defects. The child will be transferred to the pediatric ICU following the procedure. Which of the following is an appropriate nursing action when providing care to this child? A. Place on NPO status for 12 hr prior to the procedure. B. Check for iodine or shellfish allergies prior to the procedure. C. Elevate the affected extremity following the procedure. D. Limit fluid intake following the procedure
B. Check for iodine or shellfish allergies prior to the procedure.
A nurse is assessing an infant. Which of the following should the nurse recognize as clinical manifestations of heart failure? (Select all that apply.) A. Bradycardia B. Cool extremities C. Peripheral edema D. Increased urinary output E. Nasal flaring
B. Cool extremities C. Peripheral edema E. Nasal flaring
A nurse on a pediatric unit is caring for a toddler. Which of the following toddler behaviors is an effect of hospitalization? (Select all that apply.) A. Believes the experience is a punishment B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors E. Manifests disturbance in body image
B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors
A nurse is assessing a 2½-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm (3 in) in the past year. B. Head circumference exceeds chest circumference. C. Anterior and posterior fontanels closed. D. Current weight equals four times the birth weight
B. Head circumference exceeds chest circumference.
A nurse is caring for an infant whose screening test reveals that he may have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test (Sickledex) B. Hemoglobin electrophoresis C. Complete blood count D. Transcranial Doppler
B. Hemoglobin electrophoresis
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth. B. Initiate oral rehydration therapy. C. Start hypertonic IV solution. D. Keep NPO until the diarrhea subsides
B. Initiate oral rehydration therapy.
A nurse is providing education about introducing new foods to the parents of a 4-month-old. To best supply needed nutrients, the nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk
B. Iron-fortified cereals
A nurse is teaching a group of parents about Salmonella. Which of the following should be included in the teaching? (Select all that apply.) A. Incubation period is nonspecific. B. It is a bacterial infection. C. Bloody diarrhea is common. D. Transmission can be from house pets. E. Antibiotics are used for treatment.
B. It is a bacterial infection. C. Bloody diarrhea is common. E. Antibiotics are used for treatment.
A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Instruct the child that the treatment will last 30 min. B. Obtain vital signs prior to the procedure. C. Tell the child to take slow deep breaths. D. Determine if the child should use a mask. E. Attach the device to an air source.
B. Obtain vital signs prior to the procedure. C. Tell the child to take slow deep breaths. D. Determine if the child should use a mask. E. Attach the device to an air source.
A nurse is planning caring for a child who has asthma. Which of the following interventions should be included in the plan of care? (Select all that apply.) A. Perform chest percussion. B. Place the child in an upright position. C. Monitor oxygen saturation. D. Administer bronchodilators. E. Administer dornase alfa (Pulmozyme) daily
B. Place the child in an upright position. C. Monitor oxygen saturation. D. Administer bronchodilators.
A nursing is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following is an appropriate action for the nurse to take? A. Remove the packing in the mouth. B. Place the infant prone. C. Offer a pacifier with sucrose. D. Assess mouth with a tongue blade
B. Place the infant prone.
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse administer to the infant? (Select all that apply.) A. Measles, mumps, rubella (MMR) B. Polio (IPV) C. Pneumococcal vaccine (PCV) D. Varicella E. Rotavirus vaccine (RV)
B. Polio (IPV) C. Pneumococcal vaccine (PCV) E. Rotavirus vaccine (RV)
A nurse is caring for a toddler who has a Wilms' tumor. Which of the following should be included in the plan of care? A. Abdominal palpation to identify the size of the tumor B. Preparation for surgery C. Teaching about dialysis D. Obtaining 24-hr urine specimen
B. Preparation for surgery
A nurse is caring for a child who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take? A. Encourage a high-fiber, low-protein, low-calorie diet. B. Prepare the family for surgery. C. Place an NG for decompression. D. Initiate bedrest.
B. Prepare the family for surgery.
A nurse is caring for an adolescent whose mother expresses concerns about her son sleeping such long hours. The nurse should inform the mother that additional sleep is needed during adolescence due to which of the following? A. Sleep terrors B. Rapid growth C. Elevated zinc levels D. Slowed metabolism
B. Rapid growth
A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding cause of illness D. Awareness of body functioning
B. Relating fears to magical thinking
1. A nurse is teaching an adolescent to self-administer a corticosteroid medication per dry powder inhaler (DPI). Which of the following should be included in the teaching? (Select all that apply.) A. Shake the device prior to use. B. Rinse and expectorate after administration. C. Inhale with medication administration. D. Exhale quickly after medication administered. E. Attach a spacer to the device prior to use.
B. Rinse and expectorate after administration. C. Inhale with medication administration.
A nurse is performing a developmental screening on an 18 month-old. Which of the following skills should the toddler be able to perform? (Select all that apply.) A. Build a tower with six blocks B. Throw a ball overhand C. Walk up and down stairs D. Draw circles E. Use a spoon without rotation
B. Throw a ball overhand E. Use a spoon without rotation
A nurse is preparing to administer iron dextran (Proferdex) IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle. B. Use the Z-track method when administering the dose. C. Avoid injecting more than 2 mL with each dose. D. Massage the injection site for 1 min after administering the dose.
B. Use the Z-track method when administering the dose.
A nurse is teaching a course about safety during the school-age years to a group of parents. Which of the following information should the nurse include in the course? (Select all that apply.) A. Gating stairs at the top and bottom B. Wearing helmets when riding bicycles or skateboarding C. Riding safely in bed of pickup trucks D. Implementing firearm safety E. Wearing seat belts
B. Wearing helmets when riding bicycles or skateboarding D. Implementing firearm safety E. Wearing seat belts
A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply.) A. Oxygen saturation 95% B. Wheezing C. Retraction of sternal muscles D. Warm extremities E. Nasal flaring
B. Wheezing C. Retraction of sternal muscles E. Nasal flaring
A nurse is providing teaching to the mother of an infant who is to start taking digoxin (Lanoxin). Which of the following instructions should the nurse include? A. "Do not offer your baby fluids after giving the medication." B. "Digoxin increases your baby's heart rate." C. "Give the correct dose of medication at regularly scheduled times." D. "If your baby vomits a dose, you should repeat the dose to ensure that he gets the correct amount."
C. "Give the correct dose of medication at regularly scheduled times."
A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A. "Your child will need to have chemotherapy for 12 months." B. "Wilms' tumors are typically genetic in nature." C. "Surgery is done usually within 48 hours of diagnosis." D. "Palpating the tumor could cause spread of the cancer." E. "Further treatments will start immediately after surgery
C. "Surgery is done usually within 48 hours of diagnosis." D. "Palpating the tumor could cause spread of the cancer." E. "Further treatments will start immediately after surgery
A nurse is providing teaching about age-appropriate activities to the parent of a 2-year-old. Which of the following statements by the parent indicates a need for further teaching? A. "I send my child's favorite stuffed animal when she will be napping away from home." B. "Putting large-piece puzzles together is one of my child's favorite activities." C. "The soccer team my child will be playing on starts practicing next week." D. "My child likes to ride a straddle truck in the dining room while I am cooking."
C. "The soccer team my child will be playing on starts practicing next week."
A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments is an indication to continue NPO status? A. Abdominal girth 1 cm larger than yesterday B. Report of pain at the operative site C. Absent bowel sounds D. Passing of flatus every 30 min
C. Absent bowel sounds
A nurse is caring for a child who has bronchiolitis. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) A. Administer oral prednisone. B. Initiate chest percussion and postural drainage. C. Administer humidified oxygen. D. Suction the nasopharynx as needed. E. Administer oral penicillin.
C. Administer humidified oxygen. D. Suction the nasopharynx as needed.
A nurse is caring for a preschool-age child who says she needs to leave the hospital because her doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical thinking
C. Animism
A nurse is assessing a 12-month-old infant at a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%
C. Birth weight doubled
A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following is the priority action for the nurse to take? A. Increase the oxygen flow rate. B. Encourage the child to take deep breaths. C. Ensure proper placement of the sensor probe. D. Place the child in the Fowler's position.
C. Ensure proper placement of the sensor probe.
A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? A. Hgb of 11.6 and Hct of 37% B. Inflamed and reddened throat C. Frequent swallowing and clearing of the throat D. Blood-tinged mucu
C. Frequent swallowing and clearing of the throat
A nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood. B. Changes in height and weight occur slowly during this period. C. Growth differences between boys and girls become evident. D. Signs of sexual maturation become highly visible in boys
C. Growth differences between boys and girls become evident.
A nurse is assessing a child. Which of the following is an early indication of hypoxemia? A. Nonproductive cough B. Hypoventilation C. Nasal flaring D. Nasal stuffiness
C. Nasal flaring
A nurse is caring for a child who has oral mucositis. Which of the following is an appropriate action for the nurse to take? (Select all that apply.) A. Swab the mucosa with lemon glycerine swabs. B. Apply viscous lidocaine. C. Offer soft foods. D. Use a soft, disposable toothbrush for oral care. E. Encourage gargling with a warm saline mouthwash.
C. Offer soft foods. D. Use a soft, disposable toothbrush for oral care. E. Encourage gargling with a warm saline mouthwash.
A nurse is caring for a child following an above-the-knee left-leg amputation. Which of the following is an appropriate action for the nurse to take? A. Avoid discussing the amputation. B. Administer aspirin for phantom pain. C. Prepare the child for a prosthesis fitting. D. Maintain the affected limb in the dependent position.
C. Prepare the child for a prosthesis fitting.
A nurse is planning care for an infant who is has been prescribed a lumbar puncture. Which of the following is an appropriate action for the nurse to take? A. Cleanse the thoracic area of the infant's back with an antiseptic solution. B. Apply a eutectic mixture of local anesthetics (EMLA) cream just before the procedure begins. C. Restrain the infant during the procedure to prevent movement. D. Position the infant with his head extended and chin raised
C. Restrain the infant during the procedure to prevent movement.
A nurse is teaching a class about puberty in males. Which of the following should the nurse include as the first manifestation of sexual maturation? A. Pubic hair growth B. Vocal changes C. Testicular enlargement D. Facial hair growth
C. Testicular enlargement
A nurse is providing teaching about methods to promote sleep to the parent of a preschool-age child. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will sleep in the bed with my child if she wakes up during the night." B. "I will let my child stay up an additional two hours on weekend nights." C. "I will let my child watch television for 30 minutes just before bedtime each night." D. "I will keep a dim lamp on in my child's room during the night."
D. "I will keep a dim lamp on in my child's room during the night."
A nurse is providing teaching to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should take my child to the emergency department if his stools become dark." B. "My child should avoid eating citrus fruits while taking the supplements." C. "I should give the iron with milk to help prevent an upset stomach." D. "My child should take the supplement through a straw."
D. "My child should take the supplement through a straw."
A nurse is providing education about sleep and rest to a group of parents of school-age children. Which of the following statements by a parent indicates a need for further teaching? A. "My child's age influences the number of hours of sleep he needs." B. "My child's level of activity during the day influences the number of hours of sleep he needs." C. "My child's health status influences the number of hours of sleep he needs." D. "My child's family history of sleep apnea influences the number of hours of sleep he needs."
D. "My child's family history of sleep apnea influences the number of hours of sleep he needs."
A nurse is teaching a group of parents about influenza. Which of the following should be included in the teaching? A. "Amantadine will prevent the illness." B. "Rimantadine is administered intramuscularly." C. "Zanamivir can be given to children 1 year and older." D. "Oseltamivir should be given within 48 hours of onset of symptoms."
D. "Oseltamivir should be given within 48 hours of onset of symptoms."
A nurse is teaching a parent about parallel play in children. Which of the following statements by the nurse should be included in the teaching? A. "Children sit and observe others playing." B. "Children exhibit organized play when in a group." C. "The child plays alone." D. "The child plays independently when in a group."
D. "The child plays independently when in a group."
A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following should the client be instructed to take as needed before exercise? A. Fluticasone/salmeterol (Advair) B. Montelukast (Singulair) C. Prednisone (Deltasone) D. Albuterol (Proventil)
D. Albuterol (Proventil)
A nurse is teaching a group of parents about separation anxiety. Which of the following should be included in the teaching? A. It is often observed in the school-age child. B. Detachment is the stage exhibited in the hospital. C. It results in prolonged issues of adaptability. D. Kicking a stranger is an example
D. Kicking a stranger is an example
A nurse is caring for a child who is receiving oxygen. Which of the following is a clinical manifestations of oxygen toxicity? A. Increased blood pressure B. Hyperventilation C. Decreased PaCO2 D. Unconsciousness
D. Unconsciousness
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? a. allow the child to role-play using miniature equipment b. use medical terminology to describe what will happen c. separate the child from her parent during the examination d. keep medical equipment visible to the child
a. allow the child to role-play using miniature equipment
A nurse is assisting a group of parents of adolescents to develop skills that will improves communication within the family. The nurse hears one parent state, "my son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? a. authoritarian b. permissive c. authoritative d. passive
a. authoritarian
A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) a. clenching teeth together tightly b. recognizing sour tastes on the back of the tongue c. identifying smells through each nostril d. detecting facial touches with eyes closed e. looking down and in with the eyes
a. clenching teeth together tightly d. detecting facial touches with eyes closed
a nurse is prepping a toddler for an intravenous catheter insertion using atraumatic care. Which of the followign are appropriate interventions? (select all that apply) a. explain the procedure using the childs favorite toy b. ask the parents to leave during the procedure c. perform the procedure with the child in his bed d. allow the child to make one choice regarding the procedure e. apply EMLA cream to three potential insertion sites
a. explain the procedure using the childs favorite toy d. allow the child to make one choice regarding the procedure e. apply EMLA cream to three potential insertion sites
a nurse is performing family assessment. Which of the following should the nurse include? (select all that apply) a. medical hx b. parents' education level c. childs physical growth d. support systems e. stressors
a. medical hx b. parents' education level d. support systems e. stressors
a nurse is planning care for an infant who is experiencing pain. Which of the following should be included in the plan of care? (select all that apply) a. offer a pacifier b. use guided imagery c. use swaddling d. initiate a behavioral contract e. encourage kangaroo care
a. offer a pacifier c. use swaddling e. encourage kangaroo care
a nurse is assessing a client who has pertussis. Which of the following are clinical manifestations of pertussis? (select all that apply) a. runny nose b. mild fever c. whooping sound cough d. swollen salivary glands e. red rash
a. runny nose b. mild fever c. whooping sound cough
a nurse is teaching the parent of a child who has hand, foot, and mouth disease. Which of the following should be included in the teaching? a. your child can be contagious when the symptoms are gone b. the incubation perido is 10-21 days c. it is transmitted by droplet d. once infected, your child will be a lifetime carrier
a. your child can be contagious when the symptoms are gone
A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use? a. FACES b. FLACC c. Oucher d. Non-commuicating children's pain checklist
b. FLACC
A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply) a. use a universal dropper for medication administration b. ask pharmacy to add flavoring to the medication c. add the medication to the formula bottle before finishing d. use the nipple of the bottle to administer the medication e. hold the infant in an semireclining position
b. ask pharmacy to add flavoring to the medication d. use the nipple of the bottle to administer the medication e. hold the infant in an semireclining position
a nurse is caring for an adolescent client who has mononucleosis. the nurse assesses fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse discuss with the adolescent and her parents? (select all that apply) a. take antibiotics until symptoms subside b. drink plenty of liquids c. avoid participating in strenusou activities d. allow for periods of rest e. take aspirin as needed for fever and discomfort f. gargle with saltwater every 2-3 hrs
b. drink plenty of liquids c. avoid participating in strenusou activities d. allow for periods of rest f. gargle with saltwater every 2-3 hrs
a nurse is assessing an infant. Which of the following are clinical manifestations of pain in an infant? (select all that apply) a. pursed lips b. loud cry c. lowered eyebrows d. rigid body e. pushes away stimulus
b. loud cry c. lowered eyebrows d. rigid body
A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit? a. moro b. plantar grasp c. stepping d. tonic neck
b. plantar grasp
A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take? a. hold the infant in an upright position b. pull the pinna downward and straight back c. hyperextend the infant's neck d. ensure that the medication is cool
b. pull the pinna downward and straight back
a nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases may lead to pneumonia? (select all that apply) a. rubella (germal measles) b. rubeola (measles) c. pertussis (whooping cough) d. varicella (chicken pox) e. mumps
b. rubeola (measles) c. pertussis (whooping cough) d. varicella (chicken pox)
a nurse is preparing to administer medication to a toddler. Which of the following are appropriate actions for the nurse to take? (Select all that apply) a. identify the toddler by asking the parent b. tell the parent to administer the medication c. calculate the safe dose d. ask the toddler what toy he wants to hold during the administration e. offer juice after the medication
c. calculate the safe dose d. ask the toddler what toy he wants to hold during the administration e. offer juice after the medication
A nurse is checking the vital signs of a 3-year old child during a well-child visit. Which of the following findings should the nurse report to the provider? a. temperature 37.2 C (99 F) b. pulse 114/min c. respiration's 30/min d. blood pressure 88/54 mmHg
c. respiration's 30/min
A nurse is planning care for a child following a surgical procedure. Which of the following interventions should be included in the plan of care? a. administer NSAIDs for pain greater than 7 b. administer intranasal analgesics PRN c. administer IM analgesics for pain d. administer IV analgesics on a schedule
d. administer IV analgesics on a schedule
A nurse is assessing a child's ear. Which of the following is an expected finding? a. light reflex is located at the 2 o'clock position b. tympanic membrane is red in color c. bony landmarks are not visible d. cerumen is present bilaterally
d. cerumen is present bilaterally
A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? a. describes the stress is inevitable b. emphasizes that change with on member affects the entire family c. provides guidance to assist families adapting to stress d. defines consistencies in how families change
d. defines consistencies in how families change
A nurse is preparing to administer an Im injection to a child. Which of the following muscle groups is contraindicated? a. deltoid b. ventrogluteal c. vastus lateralis d. dorsal gluteal
d. dorsal gluteal
a nurse is teaching a group of parents about communicable diseases. Which of the following in the most appropriate method to prevent a communicable disease? a. handwashing b. avoiding persons with active disease c. covering your cough d. obtaining immunizations
d. obtaining immunizations
A nurse is planning to administer the influenza vaccination to a toddler. Which of the following is an appropriate action for the nurse to take? a. administer subcutaneously in the abdomen b.use a 20 gauge needle c. divide the medication into 2 injections d. place child in the supine position
d. place child in the supine position
