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A nurse is providing education about dietary modifications to the parent of a school age child whohas glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake - correct answers B. Decrease the Child's sodium intake A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizuredisorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position - correct answers C. Clear the area of hard object Anurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the follawing findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL D. Glycosuria - correct answers A. HbA1C 11.5% A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first?A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra - correct answers C. Inactivated poliovirus Anurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? A. Creatinine 0.3 mg/dL B. Hbg 18 g/dL C. Urine casts absent D. BUN 28 mg/dl - correct answers D. BUN 28 mg/dL A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? (ATI pg. 126) A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. - correct answers B. Apply warm compresses to the affected areas A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Pharyngitis D. Coughing (and sneezing) - correct answers B. Tachypnea A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk better than chocolate milk. C. Intercoastal retractions D. Elevated heart rate - correct answers C. Intercoastal retractions A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing C. Provide cranberry juice to the child. D. Maintained a child in supine position. E. Discourage the child from coughing - correct answers A. Administer an analgesic to the child ona scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.) A. Tachycardia B. Weight loss C. Cyanosis D. Dyspnea E. Bounding peripheral pulses - correct answers A. Tachycardia D. Dyspnea E. Bounding peripheral pulses A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min C. Vomiting- D. Negative Babinski reflex - correct answers C. Vomiting A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." - correct answers C. "Stay close to your child." A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should thenurse administer? (Round to the nearest whole number. Using a leading Zero if applies. Do not use a trailing zero.) - correct answers 11 mL During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle B. Posterior fontanel C. Trapezius muscle D. Cervical vertebrae - correct answers A.Sternocleidomastoid muscle Anurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources? A. Respite childcare B. Parent management training C. Support group for postpartum depression D. Parent enhancement center - correct answers D. Parent enhancement center Anurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? A. Regurgitation B. Wheezing D. Applying lidocaine ointment topically. - correct answers C. Initiate contact isolation precautions. Anurse is providing discharge teaching to the parents of a school-age child who has cystic fibrosis. Which of the following responses by the parents indicate an understanding of the teaching? A. | will limit my child's daily fluid intake." B. | will restrict the amount of sodium in my child's diet." C. | will give my child pancreatic enzymes with snacks and meals." D..1 will prepare low-fat meals with limited protein for my child." - correct answers C. "I will give my child pancreatic enzymes with snacks and meals." A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4 mg/dL B. Creatinine 0.3 mg/dL C. BUN 6 mg/dL D. BUN 12 mg/dL - correct answers A. Creatinine 1.4 mg/dL A nurse is providing teaching to the parent of a school-age child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? A. Promoting rest B. Improving appetite C. Reducing anxiety D. Increasing focus - correct answers D. Increasing focus Anurse is teaching an adolescent how to manage his cystic fibrosis. which of the following statements by the adolescent indicates an understanding of the teaching? A. | will take fewer enzymes when | eat high-fiber foods." B. | will be excused from physical education classes." C. | will limit my calcium intake to prevent kidney stones." D. | willincrease my intake of vitamin D - correct answers D. | will increase my intake of vitamin D A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? A. Examine the oral mucosa using a tongue depressor. B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. - correct answers C. Provide humidified oxygen via nasal cannula. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?A. Administer as acyclovir PO two times per day. B. Soak hairbrushes in boiling water for 10 minutes C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. - correct answers C. Apply bactericidal ointment to lesions. Anurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Mummy B. Mitten C. Jacket D. Elbow - correct answers A. Mummy A nurse is reviewing the laboratory report of a school age child who has rheumatic fever. Which of the following laboratory findings should the nurse expect? A. Decreased BUN B. Increased antistreptolysin O titer (ASO) C. Increased immunoglobulin G (IgG) D. Decreased erythrocyte sedimentation rate (ESR) - correct answers B. Increased antistreptolysin O titer (ASO) A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? A. Give the child small sips of water. B. Observe the child's throat with a flashlight. C. Administer an Analgesic. D. Offer the child an ice collar - correct answers B. Observe the child's throat with a flashlight. Anurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze. B. Administer oral viscous lidocaine. C. Schedule routine oral care every 8 hr. D. Moisten the mucosa with lemon glycerin swabs - correct answers A. Clean the gums with Saline soaked gauze. Anurse is planning care for a child immediately following the insertion of a chest tube forcontinuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? A. Change the chest tube insertion site dressing every 12 hr. B. Report the presence of tidaling of fluid in the water seal chamber. C. Ensure continuous bubbling is present in the suction control chamber D. Record the amount of chest tube drainage every 2 hr. - correct answers A. Change the chest tube insertion site dressing every 12 hr. A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change. - correct answers B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Cachectic appearance B. Blood glucose 320 mg/dL C. Potassium 4.2 mEq/L -this is in the normal range (3.5-5.0);Cushing's expect hypokalemia D. Advanced bone age - correct answers B. Blood glucose 320 mg/dL A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? A. Nightmares B. Pruritus C. Diplopia - this is double vision D. hyperactivity - correct answers C. Diplopia A charge nurse is planning care for an infant who has failure to thrive. which of the following actions should the nurse include in the plan of care? A. Give the infant fruit juice between feedings B. Use half-strength formula when feeding the infant. C. Keep the infant in a visually stimulating environment. D. Assign consistent nursing staff to care for the infant. - correct answers D. Assign consistent nursing staff to care for the infant A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. | will move my baby stuffed animal to the corner of her crib while she sleeps." B. | will dress my baby in lightweight clothing to sleep." C. | will have my baby sleep next to me in bed during the night." D. | will lay my baby on her side to sleep for naps." - correct answers B. "I will dress my baby in lightweight clothing to sleep." C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position. - correct answers C, Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which of the following statements by the parents indicates an understanding of the teaching? A. My child will need to take prophylactic antibiotics daily until they shunt is removed." B. | should call my doctor if my child begins vomiting." C. | should pump the shunt at the same time each day." D. 1 should check my child's heart rate before administering medications." - correct answers Anurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min - correct answers C. Blood pressure 118/74 mm Hg A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? A. Bulging fontanel - diarrhea indicated dehydration => sunken fontanel B. Decreased heart rate - diarrhea indicated dehydration => increased HR C. Polyuria - diarrhea indicated dehydration => anuria or oliguria D. Increased hematocrit - diarrhea indicated dehydration => increased hct. - correct answers D. Increased hematocrit - diarrhea indicated dehydration A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weighs 77 Ib. Howmany mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers 875mg A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia. Which of the following instructions should the nurse include in the teaching? A. Place a belly band around you baby's umbilicus during the day." B. You should place your baby on her abdomen to sleep at night." C. Your baby will need surgery if it doesn't close by 2 years of age." D. The bulge can temporarily enlarge when your baby cries." - correct answers D. "The bulge can temporarily enlarge when your baby cries." A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions should the nurse initiate? A. Airborne B. Contact C. Protective D. Droplet - correct answers D. Droplet A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for lead levels. D. Perform development testing for delays. - correct answers D. Perform development testing for delays. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocyticleukemia. Which of the following actions should the nurse take? (Click on the Exhibit button foradditional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa - this can paralyze the gag reflex=> asphyxiation C. Place the child in knee-chest position. D. Initiate bleeding precautions. - correct answers D. Initiate bleeding precautions. A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? This is a trick question. No consensus. A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture." D. Apply a warm, moist compress three times per day." - correct answers D. Apply a warm, moist compress three times per day." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication D. We will repeat the dose if our child vomits shortly after administration." - correct answers A. We will wait to give the medication at the next scheduled time if a dose is missed A nurse is planning on in-service for parents of school- age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? A. Soak the child's hair brushes in vinegar between uses. B. Applied medication to the child's scalp twice daily until the symptoms subside C. Remove nits from the child's hair using a fine-tooth comb D. Discard the child's non washable items. - correct answers C. Remove nits from the child's hair using a fine Anurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy B. Strawberry tongue - Kawasaki disease C. Koplik spots - measles (Rubeola) D. Uncontrolled drooling - correct answers A. Cervical adenopathy A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline.Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes - correct answers A. Ataxia A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take? A. Position the child 4.6 meters (15 feet) from the chart B. Use a trumbling E chart for the assessment. C. Test the child without glasses before testing with glasses. D. Assess both eyes together first, then each eye separately. - correct answers B. Use a trumbling E chart for the assessment. A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer? A. Phytonadione - aka Vitamin K B. Midazolam C. Naloxone D. Flumazenil - correct answers A. Phytonadione - aka Vitamin K Anurse is providing teaching to the parents of a toddler who is exhibiting negativism during meal times. Which of the following statements by the nurse is appropriate? A. Tell her she is having her favorite sandwich for lunch." B. Ask her if she would like to have her favorite sandwich for lunch." C. Ask her if she is ready to eat her sandwich for lunch." D. Tell her that she may have a sandwich or soup for lunch." - correct answers D. "Tell her that she may have a sandwich or soup for lunch." 
