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    Exam Review

    1. A nurse is caring for a 2-year-old toddler in the pediatric unit who was admitted from the emergency department due to concerns about the child’s breathing. Exhibits Which of the following findings should the nurse on the pediatric unit identify as an indication that the treatment plan is effective? (Select all that apply)(SATA)
      A)Nasal flaring
      B)Retractions
      C)Oxygen saturation
      D)Respiratory rate
      E)Pulse
      F)Breath sounds in bilateral bases
      G)Heart rate
    2. A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. Exhibits The nurse has notified the provider of the client’s 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?(SATA)
      A)Give promethazine 50 mg intermittent IV bolus
      B)Obtain informed consent for surgery
      C)Administer acetaminophen 800 mg
      D)Initiate IV antibiotics
      E)Maintain NPO status
      F)Obtain abdominal ultrasound
      G)Administer enemas until clear
    3. Based on the information provided, what is the most appropriate initial nursing action?
      A)Increase the oxygen flow rate.
      B)Administer an additional dose of furosemide.
      C)Notify the healthcare provider.
      D)Reposition the client to a high Fowler’s position.
    4. A nurse is caring for a school-age child in the hospital. Exhibits Which of the following assessment findings should the nurse report to the provider? (Select all that apply)(SATA)
      A)Oxygen saturation: 88% on room air
      B)Heart rate: 128/min
      C)Child reports chest discomfort as 4 on a scale of 0 to 10
      D)WBC: 15,000/mm³
      E)Passed three large, frothy, foul-smelling stools
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    Exam Review

    1. A nurse is caring for a 2-year-old male toddler in the emergency department. Exhibits Which of the following findings should the nurse identify as an indication that the treatment plan is effective? (Select all that apply.)(SATA)
      A)Nasal flaring
      B)Retractions
      C)Oxygen saturation
      D)Breath sounds in bilateral bases
      E)Respiratory rate
      F)Heart rate
    2. A child is admitted with a suspected diagnosis of Wilms tumor.The nurse should place a sign with which of the following warnings over the child’s bed?
      A)Do not palpate abdomen.
      B)No venipuncture or blood pressure in left arm.
      C)Collect all urine.
      D)Contact precautions.
    3. The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
      A)Place him in knee-chest position.
      B)Have him lie supine with the head turned to one side.
      C)Have him lie prone, being sure he can breathe easily.
      D)Place him in semi-Fowler’s position in an infant seat.
    4. A 3-month-old is admitted with severe diarrhea.Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information, the nurse documents that the infant has:
      A)Failure to thrive.
      B)Malabsorption syndrome.
      C)Severe dehydration.
      D)Risk for fluid volume deficit.
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    Exam Review

    1. When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?
      A)Environment.
      B)Genetics.
      C)Socialization.
      D)Nutrition.
    2. A nurse is planning care for a 6-year-old child who has bacterial meningitis.Which of the following nursing interventions is unnecessary in the client’s plan of care?
      A)Measure head circumference every shift.
      B)Implement seizure precautions.
      C)Admit the client to a private room.
      D)Place the client in a semi-Fowler’s position.
    3. A nurse in a clinic is assessing a 9-month-old infant.Which of the following findings requires further intervention?
      A)Positive Babinski reflex.
      B)Negative Doll’s eye reflex.
      C)Negative Crawl reflex.
      D)Positive Moro reflex.
    4. A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
      A)Increased crying episodes.
      B)Decreased respiratory rate.
      C)Decreased heart rate.
      D)Increased formula consumption.
    Page 3 of 5

    Exam Review

    1. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
      A)High fever.
      B)Bradycardia.
      C)Constipation.
      D)Decreased respiratory rate.
    2. A nurse is assessing a 15-month-old toddler.Which of the following findings should the nurse report to the provider?
      A)The toddler cannot stand upright without support.
      B)The toddler cannot build a tower of six to seven cubes.
      C)The toddler cannot jump with both feet.
      D)The toddler cannot turn a doorknob.
    3. Which of the following conditions is commonly associated with tetralogy of Fallot?
      A)Asthma.
      B)Polycythemia.
      C)Pulmonary hypertension.
      D)Congenital heart defect.
    4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse’s priority?
      A)Obtain blood cultures.
      B)Administer an intravenous antibiotic.
      C)Prepare the child for a lumbar puncture.
      D)Place the child in isolation.
    Page 4 of 5

    Exam Review

    1. A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)(SATA)
      A)Daytime symptoms occur more than twice a week.
      B)Nighttime symptoms occur approximately twice a month.
      C)Minor limitations occur with normal activity.
      D)Symptoms are continuous throughout the day.
      E)Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.
    2. A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
      A)Restrain the child’s arms.
      B)Position the child laterally.
      C)Attempt to stop the seizure.
      D)Use a padded tongue blade.
    3. A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
      A)Obtain a throat culture.
      B)Place the child in an upright position.
      C)Visualize the epiglottis with a tongue depressor.
      D)Transport the child to radiology for a throat x-ray.
    4. A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.The nurse should place the client on which of the following diets?
      A)Low-carbohydrate, low-protein diet.
      B)Regular diet, no added salt.
      C)Low-protein, low-potassium diet.
      D)Low-sodium, fluid-restricted diet.
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