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    Exam Review

    1. A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
      A)Assessing the client's erythematous rash
      B)Auscultating the rate and characteristics of the child's heart sounds
      C)Using a pain-rating tool to determine the severity of the joint pain
      D)Identifying the degree of parental anxiety related to the diagnosis
    2. A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
      A)Shake the inhaler for 3 to 5 seconds.
      B)Wait 2 min between inhalations.
      C)Press down twice on the MDI canister.
      D)Rinse the mouth with mouthwash after inhaling the medication.
    3. A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
      A)The father who had gastritis 2 weeks ago
      B)A neighbor's child who has chickenpox
      C)A sibling who had a sore throat 3 weeks ago
      D)A classmate who has fifth disease
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    Exam Review

    1. A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?
      A)"We will sit the child upright and forward and apply pressure to the sides of the nose."
      B)"We should turn the child's head to the side and press on the nasal ridge."
      C)"We should put the child in bed, elevate the head slightly and press on the forehead,"
      D)"We should have the child lie flat and apply pressure to the cheeks."
    2. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
      A)Position the infant on her abdomen.
      B)Offer the infant a pacifier.
      C)Administer ibuprofen as needed for pain.
      D)Encourage the parents to rock the infant.
    3. A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
      A)Loosen restrictive clothing.
      B)Place a pillow under the child's head.
      C)Position the child side-lying.
      D)Clear the area of hazards.
    4. A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
      A)"Test the urine for ketones."
      B)"Withhold insulin dose if feeling nauseous."
      C)"Notify the provider if blood glucose levels are over 350 milligrams/deciliter."
      D)"Limit fluid intake during meal time."
    Page 2 of 5

    Exam Review

    1. A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?
      A)Deep, rapid respirations
      B)Tachycardia
      C)Polyuria
      D)Dry, flushed skin
    2. A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?
      A)"Diets can play a part in behavioral concerns. What does your child typically eat during the day?"
      B)"Discipline is an important aspect of parenting. How do you discipline the child when they act out?"
      C)"Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage."
      D)"Some children have more difficult personalities. There are great parenting books that can help you."
    3. A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
      A)"Test the urine for ketones."
      B)"Withhold insulin dose if feeling nauseous."
      C)"Notify the provider if blood glucose levels are over 350 milligrams/deciliter."
      D)"Limit fluid intake during meal time."
    4. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
      A)Constipation
      B)High fever
      C)Bradycardia
      D)Pain
    Page 3 of 5

    Exam Review

    1. The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
      A)Isosorbide dinitrate
      B)Carvedilol
      C)Fluticasone
      D)Captopril
    2. The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?
      A)Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body.
      B)Suggest the child participate in sports activities without restriction.
      C)Treat upper respiratory infections with over-the-counter medication.
      D)Ensure a consistent and daily intake of adequate fluids to prevent dehydration.
    3. A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)(SATA)
      A)Remove objects from the client's bed.
      B)Place the client in a side-lying position.
      C)Assess the client's airway patency.
      D)Place a tongue depressor in the client's mouth.
    4. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?
      A)Tell the child that temper tantrums are not acceptable.
      B)Ignore the temper tantrums.
      C)Distract the child by offering to play a game.
      D)Restrain the child physically.
    Page 4 of 5

    Exam Review

    1. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?
      A)"Try switching to a different formula."
      B)"Give your infant an oral rehydration solution."
      C)"Burp your baby more frequently during feedings."
      D)"Bring your baby in to the clinic today."
    2. A nurse on a cardiac care unit is caring for a preschooler. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ▾ Digitalis toxicityand  ▾ dependent rubor
      Dropdown 1:
      Option 1: fever
      Option 2: carditis
      Option 3: hypertension
      Option 4: murmur
      Option 5: dependent rubor
      Option 6: Digitalis toxicity
      Option 7: Hуреrсуаnotic spells
      Option 8: Hypokalemia
      Dropdown 2:
      Option 1: fever
      Option 2: carditis
      Option 3: hypertension
      Option 4: murmur
      Option 5: dependent rubor
      Option 6: Digitalis toxicity
      Option 7: Hуреrсуаnotic spells
      Option 8: Hypokalemia
    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 prone, being sure he can breathe easily
      C)Have him lie supine with the head turned to one side
      D)Place him in semi-fowler's position in an infant seat
    4. 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)Genetics
      B)Socialization
      C)Environment
      D)Family
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