Exam (elaborations)
Nursing Care of Children Practice Assessment A
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Nursing Care of Children Practice Assessment A.
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1. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IVbolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the
nurse administer first?
a. Prednisone
b. Epinephrine
c. Diphenhydramine
d. Albuterol
2. A nurse is teaching the parent of an infant about ways to prevent sudden infant death
syndrome (SIDS). Which of the following instructions should the nurse include?
a. “Give the infant a pacifier at bedtime.”
b. “Place the infant in a prone position to sleep.”
c. “Allow the infant to sleep on a large pillow.”
d. “Use a soft mattress in the infant’s crib.”
3. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? (Select all that apply.)
a. Negative Babinski reflex
b. Ankle clonus
c. Exaggerated stretch reflexes
d. Uncontrollable movements of her face
e. Contractures
4. The nurse is providing discharge teaching to the parent of a child who is 1 week
postoperative following a cleft palate repair. For which of the following members of the
inter professional team should the nurse initiate a referral?
a. Occupational therapist
b. Speech therapist
c. Respiratory therapist
d. Physical therapist
5. A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
a. Position the infant side-lying with their head at a 0 and 5 angle.
, b. perform a neurological assessment every 4 hour.
c. Suction the infant’s nares to remove secretions.
d. Implemental seizure precautions for the infant.
6. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
a. Place a cardiac monitor on the adolescent prior to the procedure.
b. Apply topical analgesic cream to the site 1 hr prior to the procedure.
c. Keep the adolescent in a semi-Fowler’s position for 4 hr following the procedure.
d. Restrict fluids 2 hr following the procedure.
7. A nurse providing teaching to the parent of a school-age child who has a new prescription
of oral nystatin for the treatment of oral candidiasis. Which of the following instruction
should the nurse include?
a. “Shake the medication prior to administration.”
b. “Provide the medication through a straw.”
c. “Rinse the child’s mouth with water immediately after giving the medication.”
d. “Mix the medication with apple cause if the child dislikes the taste.”
8. A nurse in an emergency department is performing a physical assessment on a 2-week-
old male newborn. Which of the following findings is priority for the nurse to report to
the provider?
a. Excoriated scrotal area
b. Multiple capillary hemangiomas
c. Depressed posterior fontanel
d. Substernal retractions
9. A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse see first?
a. A school-age child who has sickle cell anemia and reports decreases vision in the
left eye
b. A school-age child who has cystic fibrosis and a frequent nonproductive cough
c. A preschooler who has asthma and a peak flow meter reading in the green zone
d. An adolescent who has meningitis and reports a sensitivity to lights and noise
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