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    Exam Review

    1. A nurse is monitoring a 6-month-old infant 20 minutes after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?
      A)Redness at the injection site.
      B)Temperature 37.7°C (99.9°F).
      C)Hives on the child's neck.
      D)Prolonged crying.
    2. A nurse is preparing to administer medications to a 5-month-old infant.Tympanic temperature 39.2°C (102.6°F). Heart rate 84/min.Respiratory rate 30/min.Blood pressure 80/30 mmHg.Oxygen saturation 96% on 0.5 L oxygen via nasal cannula.Weight 7.2 kg (15.9 lb). The nurse should clarify the prescription for which medication?
      A)Ibuprofen.
      B)Acetaminophen.
      C)Heart rate.
      D)Temperature.
    3. A nurse is assisting with the care of a school-age child who is terminally ill.Which of the following interventions should the nurse perform?
      A)Collect vital signs every 2 hours as the child's condition deteriorates.
      B)Reinforce with the family that they should avoid discussing death with the child.
      C)Encourage the family to involve siblings when caring for the child.
      D)Perform passive range of motion to the child's extremities every 4 hours.
    4. A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?
      A)"This should not have happened to you.”.
      B)"I promise I won't tell anyone about this.”.
      C)"It is not your fault that this happened.”.
      D)"You should have told someone about this sooner.”.
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    Exam Review

    1. A nurse is collecting data from an infant.Which of the following areas should the nurse palpate to check for an inguinal hernia?
      A)Groin area.
      B)Abdomen.
      C)Lower back.
      D)Upper thigh.
    2. A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) .
    3. A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy.Which of the following actions should the nurse take?
      A)Provide cherry fruit juice.
      B)Remind the child to cough and deep breathe.
      C)Encourage the child to use a straw.
      D)Apply an ice collar.
    4. A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?
      A)Ensure the balls of your feet touch the ground when you are seated on the bicycle.
      B)Choose a helmet that is light in color and covers your ears.
      C)Ride instead of walk your bicycle through crosswalks and intersections.
      D)Ride against traffic to allow visibility to oncoming vehicles.
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    Exam Review

    1. A nurse is reinforcing dietary teaching with the guardians of a toddler.Which of the following snack foods should the nurse recommend?
      A)Grapes.
      B)Hard-boiled egg.
      C)Raw carrots.
      D)Popcorn.
    2. A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules.Which of the following statements by the parent indicates an understanding of the teaching?
      A)I will have my child chew the capsule completely.
      B)I should place the capsule under my child's tongue.
      C)I will administer this medication four times per day.
      D)I should administer this medication 30 minutes before breakfast.
    3. A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination.Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?
      A)Facial edema.
      B)Increased temperature.
      C)Muscle twitching.
      D)Moist mucus membranes.
    4. A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture.Which of the following cerebrospinal fluid findings supports the diagnosis?
      A)Decreased pressure.
      B)Decreased WBCs.
      C)Elevated glucose.
      D)Elevated total protein.
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    Exam Review

    1. A nurse is assisting with the care of several clients.The nurse should identify that which of the following client conditions requires contact precautions?
      A)Clostridium difficile.
      B)Streptococcal pharyngitis.
      C)Haemophilus influenzae.
      D)Mycoplasma pneumoniae.
    2. A nurse is assisting with the care of a school-age child who has shigella.Which of the following actions should the nurse take?
      A)Administer antiviral medication.
      B)Give antidiarrheal agents every 4 hours.
      C)Provide a diet high in sodium.
      D)Maintain oral rehydration therapy.
    3. A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?
      A)Lower the temperature of the room.
      B)Place the child in an ice bath.
      C)Give 500 mg acetaminophen every 2 hours.
      D)Administer a 100 mg aspirin suppository.
    4. A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication.Which of the following statements should the nurse make?
      A)You should add the medication to your child's formula prior to feeding.
      B)You should put small bits of ice on your child's tongue before administering the medication.
      C)You should position your child on their back during the administration of the medication.
      D)You should place the medication along the inside of your child's cheek during administration.
    Page 4 of 5

    Exam Review

    1. A nurse is contributing to the plan of care for an infant who has heart failure.Which of the following interventions should the nurse recommend?
      A)Implement bolus gavage feedings.
      B)Provide feedings every 3 hours.
      C)Place the infant in a lateral position during feeding.
      D)Dilute formula to half strength.
    2. For each finding, click to specify if the finding is consistent with Acute laryngotracheobronchitis or pertussis. Each finding may support more than one disease process or none at all. There must be at least one selection in every column. There does not need to be a selection in every row.
      Acute laryngotracheobronchitisPertussis
      Characteristics of cough✓✓
      Age✓
      Temperature✓
    3. A nurse is preparing to administer immunizations to a 4-year-old child who is currently up to date with the recommended immunization schedule.Which of the following immunizations should the nurse plan to administer? (Select all that apply)(SATA)
      A)Diphtheria, tetanus, acellular pertussis (DTaP)
      B)Measles, mumps, rubella (MMR)
      C)Varicella (VAR)
      D)Rotavirus (RV)
    4. A nurse is preparing to administer a vaccine to a toddler.Which of the following actions should the nurse plan to take?
      A)Massage the injection site for 15 seconds after administration.
      B)Aspirate for the presence of blood return prior to administering the vaccine.
      C)Ensure the guardian signed a consent form for the immunization.
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