Exam Review
- A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well-child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)(SATA)A)Cover the scale with a clean sheet of paper.B)Measure the infant's length from the crown of the head to the heels of the feet.C)Place a stadiometer on the top of the infant's head to measure their length.D)Ensure the scale is balanced to "0" before weighing the infant.E)Obtain the infant's weight with their diaper on.
- A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?A)Give the infant a bottle immediately before the infant's bedtime.B)Keep the infant at a 30° angle for 1 hr following each feeding.C)Change the infant's formula to a soy-based formula.D)Limit the infant's formula feedings to every 6 hr.
- A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. Exhibits The nurse is collecting data on the adolescent 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the admitting diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
Unrelated to Diagnosis Indication of Potential Improvement Indication of Potential Worsening condition WBC count 17,000/mm3 ✓ Steatorrhea ✓ Oxygen saturation 95% on 1 L oxygen via nasal cannula ✓ Barrel chest ✓ Hemoptysis 300 ML ✓ Respiratory rate 32/min ✓
Exam Review
- A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?A)TinnitusB)Elevated blood pressureC)ConstipationD)Muscle tremors
- A nurse in an emergency department is assisting in the care of a 13-year-old adolescent. Exhibits Complete the following sentence by using the lists of options. The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should ▾ consult the child life specialist for guidance and ▾ reinforce teaching to the parent regarding the adolescent's potential emotional responses.Dropdown 1:Option 1: instruct the parent to withhold the test results from their adolescentOption 2: encourage the parent to hide their emotions from their adolescentOption 3: consult the child life specialist for guidanceDropdown 2:Option 1: discourage the parent from discussing the possibility of death with their adolescentOption 2: reinforce teaching to the parent regarding the adolescent's potential emotional responsesOption 3: collaborate with the RN to initiate a referral for admission to hospice care
- A nurse in a clinic is assisting with the care of a 3-year-old toddler. Exhibits The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.
Acute Laryngotracheobronchitis Pneumonia Type of cough ✓ Irritability ✓ ✓ Fever ✓ ✓ Stridor ✓ - A nurse is preparing to assist with the administration of scheduled medications for a school-age child. Exhibits Drag 1 medication and 1 child finding to fill in each blank in the following sentence. The nurse should clarify the child's prescription of ▾ dextrose 5% in 0.45% sodium chloride with 20 Eq potassium chloride/L at 75 because of the child's ▾ laboratory values.Dropdown 1:Option 1: Albuterol nebulizer 2.5 mg inhalation every 4hrOption 2: dextrose 5% in 0.45% sodium chloride with 20 Eq potassium chloride/L at 75Option 3: dornase alfa 2.5 mg inhalation every dayOption 4: piperacilin and tazobactam 4gV every 8 hrOption 5: pancrepase 8,000 units with mealsDropdown 2:Option 1: scheduled therapyOption 2: Vital signsOption 3: laboratory valuesOption 4: pre-existing conditionsOption 5: diet
Exam Review
- A nurse is assisting in the care of an 8-month-old infant. Exhibits Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters where the nurse should collect data to monitor the infant's progress.✓Measure head circumference✓Plan to assist with administration of antibiotics✓Increased intracranial pressure✓Behavioral changes✓Pupillary responseActions to Take✓Measure head circumference✕Insert nasogastric tube✕Place the child in an infant seat✕Prepare the child for myringotomy✓Plan to assist with administration of antibioticsPotential Condition✓Increased intracranial pressure✕Paralytic ileus✕Otitis media✕PeritonitisParameters to Monitor✓Behavioral changes✓Pupillary response✕Abdominal distension✕Tympanic perforation✕Bowel sounds
- A nurse is assisting with the care of a 5-month-old infant who was just admitted to the pediatric unit. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the infant.
Anticipated Contraindicated Maintain infant on continuous pulse oximetry. ✓ Prepare the infant for a chest x-ray. ✓ Initiate a peripheral IV line. ✓ Maintain infant in supine position. ✓ Offer small, frequent feedings. ✓ Monitor intake and output. ✓ - A nurse is preparing to administer medications to a 4-year-old child who was admitted from the emergency department. Exhibits Drag 1 medication and 1 child finding to fill in each blank in the following sentence. The nurse should plan to clarify the prescription for ▾ Ceftriaxone because of the child's finding ▾ Medication allergy.Dropdown 1:Option 1: MethylprednisoloneOption 2: BudesonideOption 3: OndansetronOption 4: CeftriaxoneOption 5: Albuterol nebulizer solutionDropdown 2:Option 1: Medication allergyOption 2: Vital signsOption 3: Scheduled chest X-rayOption 4: WBC CountOption 5: Sodium level
- A nurse is preparing to administer medications to a 5-month-old infant. Exhibits Drag 1 medication and 1 infant finding to fill in each blank in the following sentence. The nurse should clarify the prescription for ▾ Ceftriaxone due to the infant's finding ▾ Allergy.Dropdown 1:Option 1: AcetaminophenOption 2: FurosemideOption 3: DigoxinOption 4: CeftriaxoneOption 5: IbuprofenDropdown 2:Option 1: Medication historyOption 2: TemperatureOption 3: DietOption 4: Heart rateOption 5: Allergy
Exam Review
- A nurse in an emergency department (ED) is assisting in the care of a 4- year-old child. Exhibits Complete the diagram by dragging from the choices below to specify what condition the child is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to check the child's progress.✓Request prescription for antibiotics✓Encourage increased fluid intake✓Pyelonephritis✓Child’s report of urgency✓Urine odorActions to take✓Request prescription for antibiotics✓Encourage increased fluid intake✕Obtain antistreptolysin titer✕Administer PO kayexalate✕Assist in preparation for hemodialysisPotential condition✓Pyelonephritis✕Acute glomerulonephritis✕Acute kidney injury✕Lower urinary tract infectionParameters to monitor✓Child’s report of urgency✕Protein in urine✕Daily weight✕Potassium level✓Urine odor
- A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?A)"You should be prepared to answer your child's questions about dying."B)"Your child likely views death as temporary."C)"You should hide your grief as much as possible around your child."D)"You should limit visits between the siblings at this time."
- A nurse is caring for an infant who is postoperative following repair of a cleft palate. Which of the following is an appropriate action by the nurse?A)Gently cleanse the surgical site with sterile gauze.B)Place the infant in a supine position.C)Apply elbow immobilizers to both arms.D)Offer a pacifier with glucose syrup.
- A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 min ago. Which of the following findings is the nurse's priority?A)Nasal discharge negative for glucoseB)Negative Babinski reflexC)Asymmetric pupilsD)2 cm (0.8 in) scalp laceration
Exam Review
- A nurse is reinforcing teaching with a parent of a toddler about viral conjunctivitis. Which of the following information should the nurse include in the teaching?A)Use a corticosteroid ointment until the infection subsides.B)Cleanse the eye by wiping downward and outward from the inner canthus.C)Apply the antibiotic eye ointment in the morning.D)Maintain continuous cool eye compresses.
- A nurse is reinforcing teaching with a parent of a school-age child who is being discharged following a cardiac catheterization. Which of the following statements by the parent indicates an understanding of the teaching?A)"I will restrict my child's fluid intake for the next 48 hours."B)"My child will need to stay out of school for 3 to 4 weeks."C)"My child will have drainage at the catheterization site for 3 to 5 days."D)"I will not let my child take a bath for the next 3 days."
- A nurse is assisting with the care of a preschooler who sustained a major burn injury 5 days ago. Which of the following findings should the nurse identify as a manifestation of sepsis?A)PolyuriaB)DisorientationC)Hyperactive bowel soundsD)Hypoglycemia
- A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?A)Discard residual fluid aspirated from the stomach prior to the feeding.B)Administer the formula immediately after removing it from the refrigerator.C)Elevate the head of the bed to a 45-degree angle.D)Administer the feeding at a rate of 30 mL/min.