1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-
vehicle crash. The nurse should monitor the child for which of the following complications during the
first 24 hr after the injury occurred?
c. Volkmann ischemic contracture
2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of
the following information should the nurse include in the teaching?
b. Avoid foods containing milk products
3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of
the following interventions should the nurse include in the plan of care?
c. Keep staff visits with the child brief
4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the
following findings should the nurse expect?
c. Increase respiratory rate
5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should
the nurse plan to include?
d. Use a vest to perform high-frequency chest compressions
6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following
instructions should the nurse include in the teaching?
b. Your child should walk the bicycle through intersections
7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child
be placed for the procedure?
a. Lateral
8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute
lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment
is having a therapeutic effect?
d. RBC count 5/mm
9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the
nurse take?
a. Report the diagnosis to the public health department
b. Place the child in a protected environment for 48hr ?
c. Administer the pertussis vaccine
d. Restrict oral fluids to 500mL per day
This study source was downloaded by 100000832361371 from CourseHero.com on 02-17-2022 09:11:12 GMT -06:00
, 10) A nurse is assessing a week old infant. The nurse should identify which of the following
manifestations can indicate neonatal abstinence syndrome?
d. Lethargy
11 )A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which
of the following actions should the nurse plan to take?
c. Cover the insertion site with an opaque dressing
12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization
procedure. Which of the following findings should the nurse report to the provider?
c. Bilateral cool extremities
18) A nurse is providing teaching to the parents of a child who has varicella about management of the
disease. Which of the following instructions should the nurse include in the teaching?
b. Keep the child away from others until the skin is clever of scabs
30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following
interventions should the nurse include in the plan of care?
d. Apply cold compresses to affected joints
31) A charge nurses teaching a group of nurses about identifying child abuse. Which of the following
findings should the nurse identify as a potential indicator of child abuse?
b. A toddler repeatedly refuses to let a nurse auscultate his lungs
32) A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the
condition. Which of the following statements by the guardian indicates an understanding of the
teaching?
d. I will have my child try to defecate 15 minutes after each meal
33) A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings
should the nurse intervene?
a. Brisk capillary refill
b. Tachypnea
c. Rhinorrhea
d. Coughing
34) A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the
assessment by performing which of the following actions while the infant is quiet and sitting on the
guardians lap?
a. Obtaining the infant's health history from the guardian
This study source was downloaded by 100000832361371 from CourseHero.com on 02-17-2022 09:11:12 GMT -06:00
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